Appledore Medical Group - February 09, 2022

Thinking about starting a family is an exciting time. Maybe you’re daydreaming about cradling a little one in your arms or imagining what they may look like. Wherever you are on your journey, it’s important to start preparing even before pregnancy. That’s because those first few weeks after conception can be an important time for a baby’s development.

“The cells that will become organs start to develop very early in pregnancy – as soon as five weeks after your last period. That’s often before you realize you may be pregnant,” explains Matthias Muenzer, MD, obstetrician and gynecologist at Lilac Women’s Health. “The most important thing you can do is anticipate when you want to become pregnant and start getting your body ready.”

Here, Dr. Muenzer shares his nine tips on how you can optimize your good health and prepare for pregnancy.

1. See your primary care provider or obstetrician

A preconception visit with your primary care provider or obstetrician can help you safely prepare for pregnancy. Together, you and your doctor will make a plan to get any pre-existing health conditions (such as diabetes or heart conditions) under control before becoming pregnant. Your provider will also review all prescriptions and over-the-counter medications to ensure they are safe to continue during pregnancy.

2. Stop smoking

Smoking (and exposure to secondhand smoke) can have a serious impact on pregnancy, according to the Centers of Disease Control and Prevention (CDC):

  • You may have a harder time getting pregnant
  • You may be at a higher risk of pregnancy complications
  • Your baby is at higher risk of birth defects, preterm labor, low birth weight and sudden infant death syndrome (SIDS) If you or someone living in your home smoke, make a plan to quit smoking before you become pregnant. Find tips and support at

3. Don’t drink or take drugs

While most people understand that drugs can seriously impact a baby’s health, they may brush off a sip (or glass) of wine here and there as not a big deal. However, research indicates otherwise.

The CDC states that alcohol at any point in pregnancy can cause serious health issues and birth defects. Alcohol passes from your blood directly to the baby through the umbilical cord. Alcohol use during pregnancy can lead to:

If you struggle with alcohol or drug use, please get help. There is no shame in finding the support and care you need – for your own good health and your baby’s.

4. Ask about genetic testing

Genetic testing before you become pregnant can help you identify the risk of passing along inherited disorders, such as cystic fibrosis, seizure disorders, Tay-Sachs, or blood clotting disorders.

You may want to consider testing if:

  • Genetic conditions run in your family (or your partner’s)
  • Close family members (yours or partner’s) have had children with inheritable diseases
  • You are of a certain ethnicity, including Ashkenazi Jewish, African American, Mediterranean, and Southeast Asian

“It can feel overwhelming to consider genetic testing, but that information can inform, empower, and reassure you if you feel your child may be at any risk of having an inherited condition,” says Dr. Muenzer.

Your doctor can help you decide if genetic screening is right for you and refer you to a genetic counselor to learn more about testing.

5. Check if you need vaccines

Vaccines have a long history of eliminating diseases and reducing the risk of developing severe illness from viruses, such as the flu or COVID-19. Fortunately, most vaccines are safe during pregnancy. But, some are not. The CDC recommends getting the chickenpox and rubella vaccines before becoming pregnant.

You can safely roll up your sleeve before or during pregnancy for any of the following vaccines:

  • Tdap (protects against whooping cough)
  • Flu shot
  • COVID-19 vaccines
  • Hepatitis B vaccine
  • Hepatitis A vaccine

“It’s very important to get your flu and COVID-19 vaccine scheduled as soon as possible,” urges Dr. Muenzer. “Research continues to indicate that pregnant women are at much higher risk of becoming hospitalized or placed on a ventilator during a COVID-19 infection.”

Schedule your flu and COVID-19 vaccine and start building your protection now.

6. Take a prenatal vitamin

Prenatal vitamins are an important part of preconception care. Give your body the nutrients it needs for baby, including:

“There’s no need to get a name-brand, expensive prenatal vitamin,” reassures Dr. Muenzer. “Find the one that’s right for you, including your taste buds and budget.”

7. Maintain a healthy weight

A healthy weight can have a bigger impact on pregnancy than you may have realized. In fact, a healthy weight can:

  • Improve your chances of getting pregnant
  • Reduce your risk of developing complications during pregnancy (like gestational diabetes)
  • Lower the risk of complications for baby, including:
    • High birth weight
    • Spina bifida
    • Heart defects

Your doctor may discuss plans to help you reach and maintain a healthy weight before, during, and after pregnancy. That’s particularly true if your BMI is over 30 or below 18.5.

Dr. Muenzer and the team of experienced OB/GYNs at Lilac Women’s Health offer women’s health services for patients of all ages, including women preparing for pregnancy. Providing you proven and expert guidance, they’ll help you feel comfortable, safe, and empowered when it comes to your health.

Call 603-335-6988 to schedule your appointment with Dr. Muenzer. He is currently accepting new patients.