Faima Maternal Fetal Medicine Center

Preconception Checklist

Your answers are not scored by a machine. A doctor reads them.

This is the FAIMA Preconception Checklist — FAIMA’s adaptation of the FIGO checklist for women who wish to become pregnant. 9 sections, about eight minutes. No result is shown on screen; a FAIMA doctor discusses it with you at your consultation.

Adapted from the FIGO Preconception Checklist. FIGO Preconception Checklist: Preconception care for mother and baby. Int J Gynecol Obstet 2024;165:2. FIGO is the world’s largest alliance of national obstetrics and gynaecology societies.

About this checklist

Preparation that begins before the two lines.

The FAIMA Preconception Checklist is adapted from the FIGO Preconception Checklist — the preconception-care checklist published by the International Federation of Gynecology and Obstetrics (FIGO) in 2024. Its purpose is to assess your health before pregnancy, so that conditions to control, medications to change and vaccines to complete can be dealt with first.

The original checklist is designed to be completed together with a healthcare professional. Here you complete it first at home; the “together” part happens in the consulting room. That is why no result is shown on screen — what you receive is a reference number to quote when you register.

9 sections

  1. 1.About you — Two basic details from the header of the FAIMA checklist.
  2. 2.Family history — Your mother, father and siblings.
  3. 3.Nutrition — Weight and height to calculate body mass index.
  4. 4.Supplementation — What you have and have not started. There are no wrong answers — this is where the conversation with your doctor begins.
  5. 5.Lifestyle — Answer honestly. Your doctor reads this to help, not to judge.
  6. 6.Vaccines — Choose “Don’t know” if you can’t recall — that is an honest and useful answer.
  7. 7.Interpregnancy intervals — Previous pregnancies, including those that did not continue.
  8. 8.Pre-existing medical conditions — Twenty-one items from the FIGO checklist. “Ever had” counts — your doctor needs the history.
  9. 9.To bring to your consultation — Not part of the FIGO checklist — added so your questions don’t get left at home.

Frequently asked questions

What is the FAIMA Preconception Checklist?
A preconception checklist that FAIMA adapted from the FIGO Preconception Checklist (Int J Gynecol Obstet 2024;165:2), for women who wish to become pregnant. It has 9 sections: about you, family history, nutrition, supplementation, lifestyle, vaccines, interpregnancy intervals, pre-existing medical conditions, to bring to your consultation.
Why is the result not shown on screen?
The FIGO checklist is designed to be completed together with a healthcare professional. Answers such as a history of miscarriage or family illness need context to avoid misinterpretation. So your answers are stored and discussed by a FAIMA doctor at your consultation.
When is the best time to complete it?
Ideally a few months before you start trying to conceive. FIGO advises starting folic acid at least three months before conception, and some vaccines cannot be given once you are pregnant — so the earlier, the more can be prepared.
What do I receive after completing it?
A receipt with a reference number (format P-XXX-XXX). Quote it when you book or register; the doctor will open your answers before the consultation begins.
Does my partner need to complete it too?
This checklist focuses on the prospective mother. Your partner’s health is discussed by the doctor at the consultation and, if needed, referred for separate assessment.

Source: FIGO Preconception Checklist: Preconception care for mother and baby. Int J Gynecol Obstet 2024;165:2. FIGO is the world’s largest alliance of national obstetrics and gynaecology societies.