Ten things to do in the three months before you try: a preconception checklist
Getting your body ready for pregnancy starts before you conceive. A practical ten-point preconception checklist covering folic acid, vaccinations, medicines, genotype and more.
By PreggieLover 3 min read
A positive test is often the moment women start thinking seriously about their health. Yet the months before conception matter too. A baby's early development begins in the very first weeks of pregnancy, often before you know you are expecting. Getting ready ahead of time is one of the most loving things you can do, for yourself and for any future child. Here are ten practical steps, ideally started about three months before you begin trying. If you are already trying, it is not too late. Start where you are.
1. Start folic acid
Folic acid helps protect a developing baby from neural tube defects, such as spina bifida. Health services generally recommend taking a daily folic acid supplement before conception and through the first twelve weeks of pregnancy. Ask your pharmacist about the standard dose. Some women, for example those with diabetes, a high body mass index, certain medicines or a family history of neural tube defects, need a higher dose, which must be prescribed by a doctor.
2. Ask about vitamin D and other supplements
In some countries, including the UK, vitamin D supplements are recommended for everyone, especially in darker months. A pregnancy-specific multivitamin can be a simple option. Avoid supplements containing vitamin A (retinol) in high amounts, and ask your pharmacist before taking herbal remedies.
3. Book a preconception check
See your GP or family doctor to talk about your plans. This is a chance to review your general health, blood pressure, weight and any long-term conditions.
4. Review your medicines with your doctor
Some medicines need adjusting before pregnancy. Bring a list of everything you take, including over-the-counter and herbal products. Never stop or change a prescribed medicine on your own; your doctor will help you find the safest plan.
5. Check your vaccinations
Ask whether you are immune to rubella (German measles) and chickenpox, as these infections can be harmful in pregnancy. Some vaccines must be given at least a month before conception, so it is good to check early.
6. Know your genotype and blood group
In many parts of the world, including Nigeria and across West Africa, knowing both partners' haemoglobin genotype is important, because if both carry the sickle cell trait there is a chance a child could have sickle cell disease. Ask your doctor about testing and about genetic counselling if you need it. Knowing your blood group, including whether you are rhesus negative, is useful too.
7. Bring your screenings up to date
Check that your cervical screening is up to date, and consider sexual health screening, since some infections, like chlamydia, often have no symptoms but can affect fertility.
8. Care for long-term conditions
If you have diabetes, epilepsy, thyroid disease, high blood pressure, sickle cell disease or a mental health condition, ask to be referred for specialist preconception advice. Good control before pregnancy makes a real difference.
9. Make small lifestyle shifts
- Stop smoking (and ask for free support to quit).
- Avoid alcohol if you are trying to conceive.
- Keep caffeine moderate.
- Eat a varied, balanced diet.
- Move your body most days.
- Aim for regular sleep.
Your husband or partner can join in. His health affects fertility too.
10. Visit the dentist
Gum health matters, and pregnancy hormones can make gums more prone to bleeding. A check-up before pregnancy is wise.
Caring for the temple, without perfectionism
This checklist is not a test you must pass before God will bless you. It is simply wise care. The apostle John wrote warmly to a friend: “Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth” (3 John 1:2). God cares about your health and your soul together. If you cannot tick every box, that is all right. Choose one or two steps this week and keep going.
When to call your doctor sooner
If you have very irregular periods, severe period pain, a known condition, or previous pregnancy complications or losses, talk to your doctor before you start trying, not after a year. Early advice can save time and worry.
A prayer as I prepare
Lord, thank You for this body You have given me. Help me to care for it wisely, without fear or perfectionism. Guide my doctors and my choices, and prepare my heart, whatever the coming months hold. Amen.
Frequently asked questions
When should I start taking folic acid?
Health services generally recommend starting a daily folic acid supplement before you try to conceive and continuing through the first twelve weeks of pregnancy. Ask your pharmacist or doctor which dose suits you.
Why should couples know their genotype before pregnancy?
If both partners carry the sickle cell trait, there is a chance a child could have sickle cell disease. Knowing your genotypes lets you get advice and genetic counselling early.
This article is for general information and encouragement, not medical advice. Please talk to your doctor or midwife about your own health and your baby's.
