Pre-conception care


Full text NHG Guideline on Pre-conception care (pdf)

Download free summary card (pdf)


The NHG Guideline Pre-conception Care provides recommendations for advising couples who wish to become pregnant. The aim of the guideline is to provide knowledge to allow couples to start pregnancy with the required information and in the best possible health status as this might reduce peri-natal mortality.

The guideline focuses on couples who visit the general practitioner before a first or subsequent pregnancy and couples with whom the general practitioner discusses pre-conception care because of known factors that could have unfavorable effects on the pregnancy.

Pre-conception care involves a risk assessment, using a questionnaire completed by the couple before the consultation. The guideline discusses interventions that may follow, health promotion and education by the general practitioner, and behavioral changes with regards to smoking, alcohol, drugs and excess weight. The education also applies to the early stages of pregnancy.


The guideline program of the College is designed for GPs in the context of the Dutch healthcare system. It makes no warranties concerning the efficacy of the guidelines used in other countries. The information is for educational and/or professional use only and is provided in good faith without any express or implied warranty. The College does not accept responsibility for any loss or damage occasioned by use of the information contained on the website nor from any access to the website. All access and use is at the risk of the end-user.

Additional information


De Jong-Potjer LC, Beentjes M, Bogchelman M, Jaspar AHJ, Van Asselt KM.



Revision Date

June 2011