Pregnancy and Childbirth
8 min read

The Doctor-Approved Guide to Planning for Pregnancy

Planning for pregnancy? Follow this doctor-approved guide for a healthy start.
blog-headeer
Written by
Samruddhi
Published on
April 24, 2025

So, you’re thinking about planning for pregnancy — smart move. Most people wait until the stick turns pink, but here’s the truth: prepping your body before you get pregnant sets the stage for a healthier pregnancy and baby.

According to the CDC, nearly 50% of pregnancies in the U.S. are unplanned, which means a lot of folks miss the chance to make simple but powerful changes.

In this guide, with expert insights from Dr. Anshu Agrawal, we’ll cover everything from folic acid to family health history —  plus the facts. Let’s get started, shall we?

Why Planning for Pregnancy Matters (From a Doctor’s Perspective)

Featuring Insights from Dr. Anshu Agrawal, Top Gynecologist in India

Pre pregnancy planning for a female is like a big journey. You wouldn't go on a trip without packing your bags, right? Similarly, getting your body ready before you get pregnant is super important.

Dr. Anshu Agrawal, a top gynecologist in India, says, "When you plan ahead, you're giving your future baby the best start in life."

Why is Planning Important?

  • Health Check: Before you try to get pregnant, it's good to check if you have any health problems like high blood pressure or diabetes. These can affect your pregnancy.
  • Family History: Knowing your family health history helps doctors understand if there are any risks for birth defects or genetic conditions.
  • Healthy Habits: Eating a balanced diet, maintaining a healthy weight, and avoiding harmful chemicals can make a big difference.

What Should You Do?

  1. Visit a Doctor: Talk to your doctor about your plans. They can guide you on prenatal vitamins and folic acid supplements.
  2. Check Your Health: Get blood tests to know about your health conditions.
  3. Avoid Bad Habits: Stop smoking and don't drink alcohol. These can harm your unborn baby.
  4. Stay Active: Regular exercise helps in maintaining a healthy weight and body mass index.

Dr. Anshu Agrawal's Advice: Dr. Agrawal emphasizes the importance of preconception health. She says, "Taking care of your health before pregnancy reduces the risk of pregnancy complications and ensures a healthy baby."

Contact Details:

  • Clinic: Medifirst Hospital, SubPlot No.2703/1 and 2703/2, Plot No. 2703, Booty Rd, near Suryodaya Apartment, Bariatu, Ranchi, Jharkhand 834009

For those seeking gynecological services in Ranchi, visit Dr. Anshu Agarwal's website for comprehensive care.

Remember, planning for pregnancy is not just about getting pregnant. It's about ensuring a healthy life for you and your future baby. Keep reading the article to learn in depth about how to plan for a pregnancy.


How to Know If Your Body Is Ready for Pregnancy

Planning for pregnancy is a smart move. But how do you know if your body is truly ready? Let’s break it down into simple steps, with real advice you can use today — all backed by doctors and science.

Step 1: Check Your Health History

Your health history is like your body’s report card. It tells you (and your doctor) if you have conditions that may affect a healthy pregnancy.

  • Talk to your doctor about any long-term health problems like high blood pressure, diabetes, or thyroid issues.
  • Ask your family about your family history or family health history. Things like genetic conditions or birth defects can sometimes run in families.

🩺 “Your past health matters more than you think,” says Dr. Anshu Agrawal. “It helps us prevent future pregnancy complications.”

Step 2: Know Your Body Mass Index (BMI)

Being over- or underweight can make it harder to get pregnant. It can also increase the chance of high-risk conditions during pregnancy.

  • A healthy body mass index (BMI) is between 18.5 and 24.9.
  • If needed, work on reaching a healthy weight by eating a balanced diet and getting regular activity.

Step 3: Look at Your Daily Habits

Let’s be honest — your daily choices matter.

  • Stop smoking and drink alcohol less (or not at all).
  • Avoid harmful chemicals at home or work.
  • Take prenatal vitamins with folic acid (at least 400 micrograms). This helps lower the risk of neural tube defects in your unborn baby.
  • Eat a healthy diet with lots of whole grains, healthy fats, and proteins, which are recommended for women trying to conceive.

Step 4: Ask for Key Medical Tests

Your doctor may recommend:

  • Blood tests to check for infections, immunity, or vitamin levels.
  • Screening tests if there’s a history of genetic conditions or if you’re planning a future pregnancy later in life.
  • A chat with a genetic counselor if your family history raises concerns.

Preconception Health: The First Step to a Healthy Pregnancy

1. Visit Your Doctor Early

Your doctor can help you:

  • Review your health history and any health problems like high blood pressure
  • Go over your family health history and check for conditions like birth defects or genetic conditions
  • Recommend tests like blood tests or screening tests

“Pre-pregnancy care helps prevent complications and gives your future baby a healthier start,” says Dr. Anshu Agrawal.

2. Start a Healthy Routine

  • Take prenatal vitamins with at least 400 micrograms of folic acid
  • Eat a balanced diet and a healthy diet (skip empty calories, add whole grains)
  • Reach a healthy weight and keep track of your body mass index
  • Avoid alcohol, smoking, and harmful chemicals
  • Get enough sleep, exercise, and drink water daily

3. Don’t Wait to Ask Questions

If you’re trying to get pregnant, don’t wait until you miss a period. Ask now about:

  • Prenatal care
  • Whether you’re body ready for early pregnancy
  • Any medications, prescription drugs, or other drugs you take

The Role of Folic Acid in Preventing Birth Defects

Doctors say folic acid helps prevent birth defects of the brain and spine. These are called neural tube defects. They happen in the very early weeks of pregnancy, often before you even know you're pregnant.

CDC Fact: Taking folic acid before and during early pregnancy can reduce the risk of neural tube defects by up to 70%.

Do You Need a Folic Acid Supplement Before Pregnancy?

Yes — even if you eat a healthy diet, it’s hard to get enough folic acid from food alone. That’s why doctors recommend taking a folic acid supplement every day.

Here’s what you should do:

  • Start taking prenatal vitamins with at least 400 micrograms of folic acid.
  • Begin before you get pregnant, not after.
  • Keep taking it through early pregnancy.

This helps your baby’s health right from the start.

Other Ways Folic Acid Helps

  • Supports healthy pregnancy overall.
  • Lowers the risk of other birth defects.
  • Helps the body make DNA and red blood cells.

Quick Tips:

  • Ask your doctor if your current vitamins have enough folic acid.
  • Read the label for “folic acid” or “micrograms of folic acid”.
  • Don’t wait — start now, especially if you’re planning for pregnancy.

Understanding Your Family Health History

Why Your Family History Matters Before Pregnancy

When you're planning for pregnancy, it's important to learn about your family health history. This means asking your parents, grandparents, and other relatives about medical problems that run in the family.

Why? Because certain genetic conditions, like Tay-Sachs disease, sickle cell anemia, or cystic fibrosis, can be passed down. You might feel healthy now, but you or your partner could carry a gene that could affect your future baby.

🩺 “Family history helps us spot risks early,” says Dr. Anshu Agrawal. “Knowing this before you get pregnant can help us prevent serious pregnancy problems.”

What to Ask About:

  • Has anyone in your family had a child with birth defects?
  • Are there known cases of neural tube defects?
  • Has anyone needed a genetic counselor?
  • Is there a history of heart issues, diabetes, or premature birth?

Even things like mental health, learning problems, or autoimmune diseases can be important to know.

What to Do Next:

  • Write it down: Create a simple chart with names and medical history.
  • Talk to your doctor: They might suggest screening tests or refer you to a genetic counselor.
  • Share it early: Don’t wait until you're already pregnant. Share your history while you're still trying to get pregnant.

Common Health Conditions That May Affect Pregnancy

🩺 Common Health Conditions That May Affect Pregnancy

This table gives an overview of health issues that may influence your journey while planning for pregnancy. Be sure to discuss these with your doctor for safe management.

Condition Why It Matters for Pregnancy What You Can Do
High Blood Pressure Can lead to preeclampsia, poor blood flow to baby, or early birth Monitor regularly, follow a low-salt diet, and take meds as prescribed
Diabetes (Type 1 or 2) Increases the risk of birth defects and large babies Control blood sugar before and during pregnancy; work closely with your doctor
Thyroid Disorders Affects baby's brain development and may lead to miscarriage Check thyroid levels; treat with safe medication
Obesity Linked to miscarriage, gestational diabetes, and birth defects Work on a healthy weight loss plan before pregnancy
PCOS (Polycystic Ovary Syndrome) Can cause irregular ovulation, making it harder to get pregnant Manage weight, take fertility meds if needed, track ovulation
Autoimmune Diseases May affect the uterus or increase miscarriage risk Consult a specialist; take pregnancy-safe medication
STIs (e.g., chlamydia) Can lead to infertility or complications during delivery Get tested and treated early
Mental Health Conditions Can affect hormone levels, sleep, and pregnancy outcomes Seek early support; therapy and safe medications are available
Blood Clotting Disorders Can cause pregnancy loss or issues with the placenta May need blood thinners or extra monitoring
Epilepsy Seizures and some meds may be unsafe for pregnancy Adjust treatment before conception; work with specialists

Healthy Habits That Support Conception

1. Balanced Diet

Eating a balanced diet is one of the easiest ways to boost your reproductive health.

What to eat:

  • Whole grains, fruits, and vegetables
  • Protein-rich foods like eggs, beans, and fish (moderate intake of fish is part of a healthy eating pattern before and during pregnancy)
  • Healthy fats (avocados, nuts)

What to avoid:

  • Empty calories (like soda or candy)
  • Too much sugar or processed food (high amounts of saturated fat and sugar in the diet are linked to negative health outcomes for children later in life)

Doctors also suggest foods rich in b vitamins, iron, and calcium. These help your body and baby stay strong during early pregnancy.

🩺 “Nutrition plays a huge role in fertility and the baby’s future,” says Dr. Anshu Agrawal. “Start healthy eating before you even get pregnant.”


2. Engage in Regular Moderate Exercise

Moving your body helps you stay at a healthy weight, which supports your overall health and fertility.

What to do:

  • Go for a walk or bike ride
  • Try swimming or yoga
  • Avoid overdoing high-intensity workouts

Even 30 minutes a day can help you stay healthy and feel better both physically and mentally.


3. Ensure Adequate Sleep

Getting enough rest helps balance your hormones and supports better fertility.

What helps:

  • Go to bed and wake up at the same time every day
  • Turn off screens 30 minutes before bed
  • Keep your bedroom cool and quiet

Sleep also improves mood, reduces stress, and helps with energy—things every person needs while trying to get pregnant.


4. Avoid Tobacco

Smoking is one of the worst habits if you're planning for pregnancy.

Even pregnant women who quit smoking early can greatly lower the risk of problems for their babies born. Smoking can cause issues like low birth weight, early labor, and even trouble getting pregnant in the first place.

And it's not just about you — secondhand smoke matters too. If your partner or anyone in your home smokes, you're still breathing it in. That can hurt your general health and lower the chances of getting pregnant.

What to do:

  • If you smoke, talk to your doctor about quitting.
  • Ask people around you to not smoke near you.
  • Replace cigarettes with healthy habits like walking, chewing gum, or deep breathing.

5. Manage Stress Effectively

Stress can mess with your body more than you think — especially your hormones. That can make it harder to conceive.

Planning for pregnancy can feel exciting, but also overwhelming. Remember, it’s okay to take breaks and ask for help.

How to manage stress:

  • Try light exercise like yoga or walking
  • Practice mindfulness or guided breathing
  • Get enough sleep and take short breaks during the day
  • Talk with someone — a friend, a therapist, or even your doctor

Stress affects both you and your partner. If you’re stressed, they likely feel it too. Taking care of your mind is part of your preconception care, not just your body.


Eat This, Not That – Pre-Pregnancy Edition

🍽️ Eat This, Not That – Pre-Pregnancy Edition

If you're planning for pregnancy, eating smart makes a big difference. Use this quick swap guide to fuel your body and support your baby’s start.

✅ Eat This ❌ Not That 🧠 Why It Matters
Leafy greens (spinach, kale) Iceberg lettuce Rich in folate and iron — helps prevent early pregnancy defects
Whole grains (brown rice, oats) White bread, pastries Keeps blood sugar stable and supports a healthy body weight
Fatty fish (salmon, sardines) High-mercury fish (shark, swordfish) Omega-3s help baby’s brain; mercury can harm development
Beans, lentils, tofu Processed meats (bacon, deli meat) Plant proteins support hormone balance and fertility
Water, herbal tea Sugary sodas, energy drinks Too much sugar = weight gain and insulin resistance
Berries, oranges, bananas Candy, artificial sweeteners Natural sugar + fiber; processed sugar = empty calories
Avocados, nuts, seeds Deep-fried snacks (chips, fries) Healthy fats boost hormone health and reproductive function
Low-fat dairy or fortified alternatives Flavored yogurts, full-fat ice cream Gives you calcium + vitamin D without added sugar/fat

Doctor-Recommended Lifestyle Changes Before You Get Pregnant

1. Prioritize a Fertility-Friendly Diet

What to eat:

  • Whole grains, lean protein (like chicken, tofu), leafy greens
  • Foods rich in b vitamins, iron, and folate (spinach, beans, eggs)

Why it matters:

  • A good diet improves semen quality (yes, it matters for both partners!)
  • It helps support ovulation and balances hormones

Also, folic acid reduces the risk of neural tube defects. So even before you're pregnant, it’s essential to take a supplement with folic acid daily.

2. Don't Drink Alcohol

If you're serious about planning for pregnancy, stop drinking alcohol now.

Why this matters:

  • Alcohol can disrupt ovulation and lower fertility
  • It may affect your baby even before you know you're pregnant
  • It harms sperm and reduces chances of getting pregnant

Doctors also advise avoiding alcohol if your cycle is irregular or if you're going through preconception care.


3. Reach a Healthy Weight

Being overweight or underweight can make it harder to conceive.

Why it’s important:

  • A healthy weight supports regular periods
  • It lowers the risk of pregnancy problems
  • It can improve how well your fallopian tubes work (these are where the sperm meets the egg!)

How to get there:

  • Move your body daily (even walking helps)
  • Eat smaller, balanced meals
  • Avoid crash diets — think long-term, healthy life choices

4. Limit Caffeine Intake

Too much caffeine isn’t good for fertility.

How it helps:

  • Caffeine may affect hormone levels that support ovulation
  • It can slightly reduce the chances of getting pregnant if consumed in high amounts

What to do:

  • Stick to no more than 1–2 cups of coffee a day
  • Avoid energy drinks or sodas that are high in caffeine

5. Exercise, But Don’t Overdo It

Staying active is great — but too much intense exercise can actually hurt your fertility.

How it helps:

  • Light workouts can help you lose weight in a safe and steady way
  • It supports better hormone health and keeps your cycle on track

What to do:

  • Walk, do yoga, or swim — aim for 30 minutes a day
  • Avoid very hard workouts every single day (they can affect ovulation)

6. Review Your Medications

Some meds are safe before pregnancy. Others? Not so much.

What to do:

  • Talk to your doctor about all prescription and over-the-counter drugs you take
  • Ask about natural supplements too

Why it matters: Certain medications may impact your cycle, affect ovulation, or harm an unborn baby if taken during early pregnancy. Additionally, using drugs can lead to birth defects, miscarriage, or stillbirth.


7. Avoid Harmful Chemicals

What to watch out for:

  • Cleaning products with strong fumes
  • Paints, pesticides, or things with strong smells
  • Plastic containers with BPA (check the label!)

What to do:

  • Use natural or fragrance-free products
  • Wear gloves when cleaning
  • Avoid spraying chemicals in closed spaces
  • Lowering exposure to environmental toxins is recommended before conception.

8. Begin Prenatal Vitamins with Folic Acid

Why it's important:

  • Folic acid helps prevent birth defects, especially in the baby’s brain and spine
  • It’s most effective before and during early pregnancy

What to do:

  • Choose a prenatal vitamin with at least 400–600 micrograms of folic acid
  • Take it daily, even if you're not pregnant yet

Also, don’t forget the basics of timing sex during your most fertile days. It's a simple but essential step when you're trying to get pregnant.

Planning for pregnancy isn't just smart — it's essential. Small steps today, like eating right, taking folic acid, and talking to your doctor, can lead to a healthier pregnancy and baby tomorrow. Start strong. Plan ahead. Your future family will thank you.