Pre-Pregnancy Counseling (Preconception Counseling)

November 11, 2025

Pre-pregnancy counseling is a vital step for couples planning to conceive. It involves a detailed evaluation and guidance by healthcare professionals to ensure the best possible health outcomes for both mother and baby.

Objectives

To assess the woman’s overall health before conception.
To identify and manage medical, genetic, or lifestyle factors that may affect pregnancy.
To educate couples on healthy practices for conception and pregnancy.

Key Components

1. Medical and Family History

Review of past pregnancies and its complications
Screening for chronic conditions: diabetes, hypertension, thyroid disorders, anemia, etc.
Family history of genetic disorders or congenital anomalies

2. Physical Examination

General health assessment including BMI and vital signs.
Gynecological examination

3. Laboratory Investigations

Blood tests for hemoglobin, blood sugar, thyroid, HbA1C, hepatitis B, rubella immunity, APLA panel etc.
Screening for thalaseemia in cases of consangvinous history
Screening for sexually transmitted infections (STIs).

4. Immunization Review

Rubella (German measles), Hepatitis B, Varicella (chickenpox), and Tetanus vaccines if not up to date.

5. Nutritional and Lifestyle Counseling

Start folic acid supplementation (400 mcg daily) at least 3 months before conception.
Advice on balanced diet, weight management, and exercise.
Avoid smoking, alcohol, and recreational drugs.
Manage stress and ensure adequate sleep

6. Genetic Counseling (if needed)