Family planning
Pre-pregnancy health check
Pregnancy is a significant life change that involves both physical and mental changes. To ensure that pregnancy progresses as smoothly as possible and is safe for both the mother and the baby, it is recommended to undergo a health check before conception.
A pre-pregnancy health check helps to:
- assess overall health and fertility
- identify potential health risks at an early stage
- discuss the impact of lifestyle and health behaviour on pregnancy
- receive personalised advice on preparing for pregnancy
During the health check, tests may be performed, if necessary, vaccinations reviewed, chronic conditions and medications assessed, and topics such as nutrition and mental well-being discussed.
A health check is not mandatory, but it supports informed pregnancy planning and helps prevent possible complications. If needed, a healthcare professional may refer you for further examinations or provide recommendations on how to support your health before pregnancy.
Important to know concerning this step
Assess your health status, especially if you have had previous health issues or chronic conditions. Pregnancy may affect the course of certain illnesses, and vice versa.
Particular attention should be paid to:
- diabetes
- mood disorders (including depression)
- high blood pressure
- epilepsy
- other chronic conditions
It is also important to discuss any daily medications with your doctor. Some medicines may affect fetal development or the course of pregnancy and may need to be adjusted or replaced. Changes to medication should always be made in consultation with a healthcare professional.
Visit a dentist
Oral and gum health is important when planning a pregnancy. If you experience tooth sensitivity or bleeding gums, it is advisable to visit a dentist before conception.
Hormonal changes during pregnancy may increase the risk of gum bleeding and inflammation.
Improve your habits
Preparing for pregnancy begins with everyday choices. Before conception, it is recommended to:
- eat a varied and regular diet
- drink enough water
- engage in moderate and consistent physical activity
Harmful habits should be avoided, as smoking, nicotine, alcohol and other addictive substances can harm the unborn child. If needed, support is available from a family doctor or addiction counsellor.
Ensure workplace safety
Most workplaces are safe during pregnancy, but some jobs may involve exposure to substances or equipment that can affect fetal development. It is advisable to discuss working conditions with your employer or occupational health specialist already during family planning.
Take vitamins, especially folic acid
Vitamin use is individual, but folic acid is recommended when planning pregnancy and during the first trimester. Folic acid:
- supports fertility
- helps reduce the risk of neural tube defects in the fetus
Learn about your menstrual cycle
The likelihood of conception is not the same throughout the cycle. During one menstrual cycle, the probability of conception is approximately 20–25%.
Ovulation must occur for conception, and the egg is viable for about 24 hours. Typically, one egg matures in the middle of the cycle, while sperm maturation takes on average about three days.
When to seek counselling?
If pregnancy has not occurred within 12 months after stopping contraception and having regular sexual intercourse (on average 2–3 times per week), it is recommended to consult a gynecologist and an andrologist.
If necessary, examinations may include:
- sexually transmitted infection tests
- hormone analyses
- genetic and other relevant tests
When planning a pregnancy, it is important to pay attention to daily habits and overall well-being. A strong health foundation creates favourable conditions for pregnancy and supports the well-being of both mother and baby.
Physical activity
Moderate and regular exercise, such as walking, yoga or swimming, helps maintain physical fitness and prepares the body for pregnancy.
Balanced nutrition
A varied and nutritious diet rich in vegetables, whole grains and protein supports fertility and helps reduce pregnancy-related health risks.
Sleep and rest
Adequate sleep and mindful rest breaks during the day help maintain energy levels and support hormonal balance.
Mental well-being
Reducing stress and maintaining emotional balance are essential when preparing for pregnancy. If needed, counselling with a specialist may be helpful.
Environmental and lifestyle choices
Avoid smoking, alcohol and other addictive substances. Attention should also be paid to the work and living environment to reduce exposure to potentially harmful factors.
Healthy habits before pregnancy help create a strong foundation for the baby’s healthy development and support a safe and smooth pregnancy.
Contact
Tartu University Hospital supports childbirth at every stage – from fertility assessment and infertility treatment to pregnancy monitoring, delivery, and newborn care.