Preconception Checklist
Plan a healthy pregnancy, starting before you conceive.
The FAIMA Preconception Checklist is a pregnancy-preparation checklist adapted from the FIGO (International Federation of Gynecology and Obstetrics) checklist. It maps your health before pregnancy — family history, nutrition, supplements, lifestyle, vaccines, previous pregnancies and medical conditions — so that whatever needs to be controlled, changed or completed can be handled first, together with a FAIMA doctor.
For women planning a pregnancy — including those who have had a miscarriage, have a medical condition, or take regular medication.
Start here
Fill it in at home, about eight minutes, one section per screen. Your WhatsApp number is verified first so the answers are stored under the right name. 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.
Why fill it in before pregnancy
Know what to sort out first
Conditions to control, medicines to switch, vaccines to complete — all are safer to handle before pregnancy than during it.
Folic acid and vaccines take time
FIGO advises starting folic acid three months before conception, and some vaccines cannot be given once you are pregnant. The earlier it is known, the more can be prepared.
A consultation that gets to the point
Your doctor already has your answers before the consultation begins, so the time in the consulting room is spent discussing and planning — not filling in forms.
How it works
Fill it in at home
One section per screen; pause and continue whenever you like. Your WhatsApp number is verified first.
Bring your reference number
When you finish, you receive a number. Quote it when you register.
Discuss with your doctor
Your doctor already has your answers before the consultation begins.
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.About you — Two basic details from the header of the FAIMA checklist.
- 2.Family history — Your mother, father and siblings.
- 3.Nutrition — Weight and height to calculate body mass index.
- 4.Supplementation — What you have and have not started. There are no wrong answers — this is where the conversation with your doctor begins.
- 5.Lifestyle — Answer honestly. Your doctor reads this to help, not to judge.
- 6.Vaccines — Choose “Don’t know” if you can’t recall — that is an honest and useful answer.
- 7.Interpregnancy intervals — Previous pregnancies, including those that did not continue.
- 8.Pre-existing medical conditions — Twenty-one items from the FIGO checklist. “Ever had” counts — your doctor needs the history.
- 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.
What you should know
- This checklist is preparation for a consultation, not a diagnosis, and does not replace an examination by a doctor.
- If it turns out you are already pregnant, complete the Pregnancy Risk Check at cek.faimamfm.id.
- Your answers are read only by FAIMA medical staff, and every access is logged.
Disclaimer
Please read before you begin.
- The Preconception Checklist is material for your consultation, based on answers you provide yourself. It is not a diagnosis, not personal medical advice, and does not replace an examination and assessment by a doctor.
- The checklist shows no result and gives no automatic advice. All follow-up — medicines, supplements, vaccines, tests — is decided by a FAIMA doctor at your consultation.
- The value of the consultation depends on honest and complete answers. Inaccurate answers lead to an inaccurate discussion.
- Do not stop or change regular medication on the basis of this checklist before speaking with a doctor.
- If it turns out you are already pregnant and have urgent symptoms, go to the nearest health facility immediately — do not wait for your appointment.
- Using this checklist does not create a doctor–patient relationship. That relationship begins when you consult a FAIMA doctor in person.
- Your answers are stored on FAIMA’s server, read only by authorised FAIMA medical staff, and every access is logged. Your WhatsApp number is used for verification and consultation-related communication, not for promotion.
- By continuing, you confirm that you are 18 or older (or accompanied by a guardian) and agree to the terms above.