Pre-Conception & Fertility • Clinical Guide
Preconception Care Checklist: What to Do Before Pregnancy
By Dr. Chaitra SR (MBBS, MS - Obstetrics & Gynaecology, Fellowship in Reproductive Medicine) • Consultant Gynecologist at Aaraike Women's Care, Electronic City, Bengaluru.
Quick Medical Answer: Pregnancy care does not have to begin with a positive test strip. Proactive preconception care identifies medical conditions, medication reviews, and nutritional optimization before conception. Key steps include reviewing pre-existing conditions (thyroid, diabetes, blood pressure), starting 400 mcg daily folic acid, checking rubella/varicella vaccination immunity, reviewing all medications, and verifying menstrual cycle regularity.
1. Review Existing Chronic Medical Conditions
Conditions like diabetes, thyroid disorders, hypertension, asthma, and epilepsy need clinical stabilization before conception. For example, maintaining tight blood sugar control prior to conception significantly reduces the risk of early miscarriage and congenital anomalies.
2. Medication Review & Folic Acid Optimization
Discuss all prescription and over-the-counter medications with your doctor before stopping them. Start taking at least 400 mcg of folic acid daily at least one month before trying to conceive to prevent neural tube defects.
3. Vaccination & Ovulation Regularity
Ensure your Rubella (MMR), Varicella, and Tetanus vaccinations are up to date. If cycles are irregular or painful, undergo an early pelvic ultrasound and hormonal evaluation to screen for PCOS or ovulatory concerns.
Consultation at Aaraike Women's Care
Schedule your preconception checkup with Dr. Chaitra SR at Aaraike Women's Care in Electronic City, Bengaluru.
Address: Ground Floor, Madhava Building, Shree, 4th Cross, Ananth Nagar, Phase 2, Electronic City, Hebbagodi, Bengaluru, Karnataka 560100
Phone: +91 95917 31655