Steps to take before you get pregnant
Most women know they need to see a doctor or midwife and make lifestyle changes while pregnant. But, it is just as important to start making changes before you get pregnant. These steps will help you prepare yourself and your body for pregnancy and give you a better chance of having a healthy baby.
See Your Doctor
See your doctor or midwife before you get pregnant. Even if you feel you are healthy and ready for a pregnancy, your doctor or midwife can do plenty ahead of time to help you prepare.
Stop Smoking, Alcohol, and Drugs. Limit Caffeine
If you smoke, drink alcohol, or use drugs, you should stop before you get pregnant. They can:
If you need help quitting smoking, alcohol, or drugs, talk to your doctor or midwife.
Alcohol can harm a growing fetus (unborn baby), even in small amounts. Drinking alcohol while you are pregnant can cause long-term problems for your baby, such as intellectual disability, behavioral issues, learning disabilities, and facial and heart defects.
Smoking is bad for unborn babies and puts your child at greater risk of health problems later in life.
Drugs that are not prescribed by a doctor (including street drugs) can be dangerous for you to take at any point in your life.
You should also cut down on caffeine when you are trying to get pregnant. Women who daily consume more than 2 cups (500 mL) of coffee or 5 cans (2 L) of soda that contains caffeine may have a harder time getting pregnant and a greater chance of miscarriage.
Limit unnecessary medicines or supplements. Discuss with your doctor both prescribed and over-the-counter medicines and supplements you take before you try to conceive. Most medicines have some risks, but many have unknown risks and have not been thoroughly studied for safety. If medicines or supplements are not absolutely necessary, DO NOT take them.
Eat a Balanced Diet
Maintain or strive for a healthy body weight.
A balanced diet is always good for you. Follow a healthy diet before you get pregnant. A few simple guidelines are:
Also limit the amount of fish that you eat. Seafood contains mercury, which can cause birth defects if eaten in large amounts. Pregnant women should:
If you are underweight or overweight, it is best to try to reach your ideal weight before you get pregnant.
Take Vitamins and Folic Acid
Take a vitamin and mineral supplement that includes at least 0.4 milligrams (400 micrograms) of folic acid.
Exercising before you get pregnant may help your body deal with all of the changes that you will go through during the pregnancy and labor.
Most women who already exercise can safely maintain their current exercise program throughout the most of their pregnancy.
And most women, even if they are not currently exercising, should start on an exercise program of 30 minutes of brisk exercise 5 days per week, both before conceiving and throughout pregnancy.
The amount of exercise you are able to do during pregnancy should be based on your overall health and how active you are before you get pregnant. Talk to your doctor or midwife about what kind of exercise, and how much, is good for you.
Stress, Rest, and Relaxation
While you are trying to get pregnant, try to relax and reduce stress as much as possible. Ask your doctor or midwife about techniques to reduce stress. Get plenty of rest and relaxation. This may make it easier for you to become pregnant.
Gregory KD, Ramos DE, Jauniaux ERM. Preconception and prenatal care. In: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Normal and Problem Pregnancies. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 6.
Hobel CJl, Williams J. Antepartum care. In: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 7.
Review Date: 4/19/2018
Reviewed By: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.