Health Before Pregnancy & Planning Your Pregnancy

Your Reproductive Life Plan

Create your own Reproductive Life Plan (external PDF) to decide on goals for your future including whether or not to have children one day. It will help you understand how to protect your ability to have children, recognize when you are ready to start trying to get pregnant (or trying to get pregnant again) and how to have the healthiest baby possible.

If you and your partner have decided now is not the best time to start your family, there are a variety of birth control methods to help you prevent pregnancy.

Using the PrePregnancy Planner (external link) can help you to start thinking about your plan for pregnancy. Your partner should complete the assessment as well.

Schedule a visit with your health care provider to discuss your health before planning a pregnancy.

Age

There is not a perfect age for having a family. There are many matters to consider including emotional and financial readiness. Physically, it is easiest for most to become pregnant between 20 and 35 years of age. The ability to conceive naturally or with medical advances declines with age. A woman's fertility begins to decline around 32 years of age. As men age, there is a decrease in the quality of their sperm. With women and/or men that are 35 or older there are more chance of:

• multiple births (twins, triplets)
• chromosomal differences (Like Down Syndrome)
• miscarriages or still births
• health issues for the baby

As women age, it is more common to have gestational diabetes and high blood pressure. The risk of pregnancy complications (like a premature baby) and adverse outcomes increase with age even with fertility treatment and technology.

Pregnancy during the teenage years is also associated with premature birth and babies with poor growth during the pregnancy.

Folic Acid

Folic acid helps to prevent some birth defects that occur very early in the pregnancy, often before many know they are pregnant. All women of childbearing years who could become pregnant are recommended to take a multivitamin with folic acid.

Healthy Lifestyle

Healthy eating, being physically active, limiting your sedentary behaviour as well as getting at least 7-9 hours of sleep every day is essential for health and well being. Many of these lifestyle behaviours take time to become a regular part of your daily routine (that are important to continue during a pregnancy) and can affect your ability to become pregnant.

Birth Spacing

The time between pregnancies is an important time for you to take care of yourself. Waiting at least 18-24 months and no more than 5 years after a live birth allows a woman’s body time to recover for a healthier pregnancy, a better chance for the next baby to be a healthy weight and size at birth.

Use birth control until you are sure you are ready to get pregnant again.

If you had a pregnancy loss, speak to your health care provider for more information on when to plan your next pregnancy.

Sexually Transmitted Infections (STI)

Using condoms, having few sexual partners, knowing your partner's sexual health history and discussing it with your health care provider, can help reduce your risk of getting an STI. STIs can have a negative effect on fertility and the health of a future pregnancy and baby. Treating infections early can prevent serious harm to your reproductive health.

Certain STIs, such as chlamydia, often have no signs or symptoms, yet have to be treated so they do not lead to infertility.

Get more information on Sexually Transmitted Infections (STI).

Immunizations

Ensure your immunizations are up to date before you get pregnant. Certain diseases affect your fertility and can put a baby at serious risk of birth defects or complications during pregnancy. Make sure:

• You get immunized against measles, mumps, rubella, and chicken pox
• Get your annual flu shot
• Make sure you are up to date on diphtheria, tetanus, polio and whooping cough immunizations

Smoking, Alcohol, Cannabis & Drugs

Substance use has an effect on overall health, including fertility, for all individuals. Many substances will affect the health of the baby if continued during pregnancy, even before you may know that you are pregnant. Before pregnancy is the ideal time to try stop using substances. Consult your health care provider for supports and information to help.

Drug Use

• Prescription Drugs and other Medications - some medications are not safe for a developing baby during pregnancy. Discuss with your health care providers the medications or substances you are using to understand which can affect your fertility or a developing baby to develop a plan for your health and a pregnancy.
• Other Drugs - there are risks to your health and an unborn baby. There are special supports and programs to help you quit.

Body Weight

Being a healthy weight can improve your overall health, your chances of becoming pregnant and having a healthier baby.

Physical Activity

Physical activity contributes to overall health and well-being. The Canadian Physical Activity Guidelines suggest 150 minutes per week of moderate to vigorous physical activity for adults aged 64 and under. If you are not already fit, start with 30 minutes each day. A 10 minute walk, 3 times per day is all it takes to make it easier to stay active which can continue while you are pregnant.

Nutrition

Healthy eating is a key component to overall health. Before becoming pregnant is an ideal time to begin these habits.

Oral Health

Oral health plays an important role in overall health and well-being.

Women should take care to see a dentist and resolve any dental problems before becoming pregnant, although almost all dental care is safe during pregnancy.

Poor oral health can lead to health concerns during pregnancy and the health of your baby.

Environmental Exposure

Chemicals at home or work can create problems for couples trying to get pregnant. In some cases, exposure to certain chemicals can affect fertility, prenatal health and the health of your baby. Make sure to read the guidelines at your workplace on the hazardous materials with which you may come into contact. Some of the harmful chemicals to watch out for are:

• lead
• mercury
• garden pesticides

Medical History

• Explore your family's medical history
• If you know of mental or physical concerns, seek genetic counselling before pregnancy
• Know your blood type

Make sure any chronic conditions are under control before trying to conceive. This includes exploring any current medications for safe use during pregnancy.

Emotional Health

Learning how to cope with your emotions can help you through your pregnancy and decrease your chances of having a baby born too early or too small among other possible infant health concerns.

• Up to 25% of women experience depression (external link) during some point in their life
• Speak to your health care provider if you have a history of mental health concerns or to discuss current medications that are safe to use during pregnancy.

Emotions can run high during pregnancy. It is important that you can lean on your partner for support during pregnancy. Of women who have reported being in an abusive relationship, about 30% of these women said it occurred during pregnancy. If you have concerns, reach out to your local woman's shelter (external link) or SAVIS (external link) (Sexual Assault and Violence Intervention Services of Halton) for support anytime.