Preconception Care

Planning a pregnancy? We're excited for you.

To support you on this journey, we've put together key information to help make the experience as smooth and positive as possible.

Women who are healthier at conception have a better of chance of becoming pregnant, having a safe pregnancy and birth, recover well after birth, and give birth to a healthy baby.

Vitamins

Taking sufficient amounts of folic acid starting at least three months before conception reduces the risk of neural tube defects (spina bifida and others). Please start taking an over the counter prenatal vitamin containing at least 400mcg of folic acid and 10 IU of Vitamin D3 months or more before trying to conceive.

If any of these conditions apply to you, you will need a higher dose of folic acid (5mg), please ask your GP for a prescription:

  • Either you or your partner has a neural tube defect, you have had a previous pregnancy affected by an neural tube defect or you have a family history of a neural tube defect 
  • You are taking anti–epileptic medication.
  • You have diabetes mellitussickle cell anaemia or thalassaemia
  • Your BMI is 30 or more

Smoking

Smoking reduces fertility and increases the risk of miscarriages and preterm birth. Find out how you can get help with stopping to smoke.

Weight

Being overweight or obese can reduce fertility and increase the risk for problems during pregnancy and birth such as developing miscarriage, gestational diabetes,pre-eclampsia and having a difficult birth. If your BMI is over 25 (if you are not sure what your BMI is, you can get this measured in our waiting area at Market Street Sexual Health Centre during our opening hours without needing an appointment).

Find out about the NHS free weight loss programme.

Chronic health conditions

If you have any chronic health conditions such as an underactive thyroid (Hypothyroidism) or Diabetes and/or if you are using prescription medications please book an appointment with your GP to see if adjustments to your medications need to be made before conception and during pregnancy.

Mental health

Approximately one in five women experience mental health issues in pregnancy and the first year after giving birth. 

If you're experiencing mental health challenges before, during, or within the first year after pregnancy, support is available.