Information Corner › Planning a pregnancy: what to consider
Planning a pregnancy: what to consider
18 August 2026
A few simple steps taken before conception affect both how easily pregnancy occurs and how the pregnancy itself progresses.
What should begin three months ahead
- Daily folic acid — it reduces the risk of neural tube defects in the baby
- Stopping smoking and alcohol
- Reviewing whether current medication is suitable in pregnancy
- Assessment of weight, blood pressure and blood sugar
- Completing missing vaccinations (rubella, chickenpox, hepatitis B)
Tests usually arranged before conception
- Full blood count and blood group (for rhesus incompatibility)
- Thyroid function tests
- Rubella and chickenpox immunity
- Screening for hepatitis B, hepatitis C, HIV and syphilis
- Thalassaemia screening where there is a family history of carriage
- Ultrasound assessment of the uterus and ovaries
How long before it should be looked into?
For couples under 35, assessment is advised if pregnancy has not occurred within a year of regular unprotected intercourse.
Over 35 that interval is six months. Where there is menstrual irregularity, previous pelvic surgery or a known problem, there is no reason to wait.
A short note
Preparation does not concern the mother alone; the father's smoking, alcohol and medication also affect sperm quality.
