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Rajeev Agarwal: Does Preparing for Pregnancy Actually Help You Get Pregnant?
Oct 30, 2026, 17:00

Rajeev Agarwal: Does Preparing for Pregnancy Actually Help You Get Pregnant?

Rajeev Agarwal, Director of Renew Healthcare, shared on LinkedIn:

“Does preparing for pregnancy actually help you get pregnant?

My honest answer: it helps you have a healthier pregnancy. Whether it helps you get pregnant faster is less clear.

A large 2026 review pooled 24 trials of lifestyle programmes before pregnancy, with nearly 8,000 women.

  • Women lost weight, and their blood sugar improved.
  • But overall, the programmes did not clearly lead to more babies being born.
  • Programmes with more visits (10 or more) seemed to do better than short ones. The authors say this still needs proof, and I agree.

What is already proven, each on its own:

  • Folic acid, started before pregnancy
  • Good sugar and thyroid control
  • Being protected against rubella (German measles)
  • Stopping tobacco in every form

In India, more than half of women aged 15 to 49 are anaemic. In West Bengal, it is about 7 in 10. A leaflet does not fix that. A plan with follow-up visits can.

What I tell couples:

  1. Ask for a plan with visits, not a list of instructions.
  2. Start folic acid at least from the day you start trying. In my practice, I prefer three months before.
  3. Check your haemoglobin and iron stores (ferritin) before pregnancy, not at the first pregnancy visit.

This is why I built the PREPARE method around steps that are already proven, and around follow-up. Preparing is first about a healthier pregnancy, and only possibly a quicker one.

Don’t just conceive, preconceive.”

Preparing for Pregnancy

Other articles featuring Rajeev Agarwal on Fertility News.