Preconception planning: Is your body ready for pregnancy?
Preconception planning can help you and your partner understand how to boost your chances of a healthy pregnancy. Here’s what to expect during a preconception appointment.
If you’ve decided to get pregnant, you might be emotionally prepared to have a baby — but is your body ready?
To help ensure a healthy pregnancy, schedule a preconception appointment with your health care provider as soon as you begin thinking about pregnancy. A preconception appointment is especially important if you’re in your 30s or 40s or you have any chronic health conditions or special concerns. Consider these preconception planning questions.
What type of birth control have you been using?
If you’ve been taking combination birth control pills — whether conventional or extended cycle — your period is expected to return within 30 days after stopping the pill. You don’t need to take a pill-free break before trying to conceive.
However, it’ll be somewhat easier to estimate when you ovulated and when your baby is due if you have at least one normal period before conceiving. If you plan to wait a few months, use condoms while your menstrual cycle gets back to normal.
If you’ve been using certain types of long-term birth control, such as progestin injections, your return to fertility might take somewhat longer. Still, 50 percent of women who discontinue progestin injections to become pregnant conceive within 10 months after the last shot.
Are your vaccines current?
Infections such as chickenpox (varicella) and German measles (rubella) can be dangerous for an unborn baby. If your immunizations aren’t complete or you’re not sure if you’re immune to certain infections, your preconception care might include blood tests to check for immunity or one or more vaccines — preferably at least one month before you try to conceive.
Do you have any chronic medical conditions?
If you are obese or have a chronic medical condition — such as diabetes, asthma or high blood pressure — make sure it’s under control before you conceive. In some cases, your health care provider might recommend adjusting your medication or other treatments before pregnancy. Your health care provider also will explain any special care you might need during pregnancy.
Are you taking any medications or supplements?
Tell your health care provider about any medications, herbs or supplements you’re taking. Depending on the product, your health care provider might recommend changing doses, switching to something else or stopping the product before you conceive.
This is also the time to start taking prenatal vitamins. The baby’s neural tube — which becomes the brain and spinal cord — develops during the first month of pregnancy, possibly before you even know that you’re pregnant. Taking prenatal vitamins before conception helps prevent neural tube defects.
Are you at risk of a sexually transmitted infection?
Sexually transmitted infections such as gonorrhea, syphilis and chlamydia can interfere with your ability to conceive. These infections also pose risks to both mother and baby during pregnancy. If you’re at risk of a sexually transmitted infection — or you think you or your partner might have an infection — ask your health care provider about preconception screening and treatment.
Do you have a family history of any specific medical conditions?
Sometimes family medical history — either yours or your partner’s — increases the risk of having a child who has certain medical conditions, such as cystic fibrosis, or birth defects. If genetic conditions are a concern, your health care provider might refer you to a genetic counselor for a preconception assessment.
How old are you and your partner?
As maternal age increases, the risk of fertility problems, pregnancy loss and certain chromosomal conditions increases. Some pregnancy-related complications, such as gestational diabetes, also are more common in older mothers. The age of the baby’s father can play a role, too. Your health care provider can help you put any risks into perspective, as well as develop a plan to give your baby the best start.
Have you been pregnant before?
Your health care provider will ask about previous pregnancies. Be sure to mention any complications you might have had, such as high blood pressure, gestational diabetes, preterm labor, premature birth or birth defects, or pregnancies that required a C-section.
If you had a previous pregnancy involving a neural tube defect, your health care provider will likely recommend a higher daily dose of folic acid than what’s found in most prenatal vitamins.
If you have any concerns or fears about another pregnancy, share them with your health care provider. He or she will help you understand the best ways to boost your chances of a healthy pregnancy.
Does your current lifestyle support a healthy pregnancy?
Healthy lifestyle choices during pregnancy are essential. For example:
- Your health care provider will discuss the importance of a healthy diet, regular physical activity and managing stress.
- If you’re underweight or overweight, your health care provider might recommend addressing your weight before you conceive.
- It’s also important to avoid alcohol, illegal drugs and exposure to toxic substances.
- If you smoke, ask your health care provider about resources to help you quit.
If possible, ask your partner to attend the preconception visit with you. Your partner’s health and lifestyle are important because they can affect both you and the baby.June 01, 2018
- Sackey JA. The preconception office visit. http://www.uptodate.com/home. Accessed June 16, 2015.
- Hochberg L, et al. Folic acid supplementation in pregnancy. http://www.uptodate.com/home. Accessed June 16, 2015.
- Frequently asked questions. Pregnancy FAQ060. Having a baby after age 35. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Having-a-Baby-After-Age-35. Accessed June 16, 2015.
- Frequently asked questions. Pregnancy FAQ056. Good health before pregnancy: Preconception care. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Good-Health-Before-Pregnancy-Preconception-Care. Accessed June 16, 2015.
- Hatcher RA, et al. Combined oral contraceptives (COCs). In: Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media; 2011.
- Martin KA. Overview of the use of combination oral contraceptives. https://www.uptodate.com/home. Accessed May 9, 2018.
- Kaunitz AM. Depot medroxyprogesterone acetate for contraception. https://www.uptodate.com/home. Accessed May 9, 2018.