Preconception Medical Assessment (PreMA)
Thinking about having a baby?
Your health and well-being are important. Let’s make sure you are strong and ready, so when you do decide to get pregnant, you’ll feel your best.


About PreMA
PreMA is a simple, eight-question quiz designed to reduce preventable maternal deaths by identifying the need for potential medical care, even before a pregnancy begins. With a focus on proactive prevention by increasing awareness and education, PreMA paves the way for safer pregnancies and healthier outcomes for mothers, pregnant people, and their babies.

Issue Brief
The Preconception Medical Assessment (PreMA) is poised to redefine preconception health across California, making preventive care a standard part of maternal healthcare. This simple yet transformative tool increases awareness and promotes participation to saves lives and create opportunities for healthier outcomes.
Take PreMA Now
PreMA is an easy-to-use quiz designed by the Office of the California Surgeon General to help people understand how their current health status and history affects a future pregnancy. It is a conversation starter that can be taken anytime anywhere and encourages early actions to prepare for a healthy pregnancy and baby. Help make PreMA available in your community–print it out or link directly to it!

PreMA (Preconception Medical Assessment) Quiz
QUIZ
4+ YES
For the healthiest baby, your health requires closer and more attention before and during pregnancy. You may have chronic health conditions that require extra attention in pregnancy. See a health care provider at least 6 months prior to trying to become pregnant. You may need more tests, new medications or to see a specialist before and during pregnancy. During delivery you may need extra medical attention.
1-3 YES
For the healthiest baby, your health will probably require more attention before pregnancy. See a health care provider at least 3 months before trying to become pregnant and create a pregnancy plan. You may need more tests, new medications or see a specialist before and during pregnancy.
0 YES
For the healthiest baby, follow the Tips for Everyone.
TIPS FOR EVERYONE
- Get a preconception visit to review overall health and existing medical conditions.
- Review medications, including over-the counter and herbal supplements.
- Family planning can give you extra time to get healthy before pregnancy.
- Go to all your prenatal and postpartum visits.
- In partnership with your medical provider, create a pregnancy plan for a healthy pregnancy and a healthy baby.
Always remember to trust your body. If you do not feel right, seek care right away.
NEXT STEPS
- Congratulations, you’ve just completed PreMA! Now what? California Surgeon General Dr. Diana Ramos shares next steps.
- Get resources on our Maternal Health Resource page or visit CA.gov for more.
Partner with Us
What your partnership means
PreMA must be widely integrated into everyday locations such as laundromats, places of worship, and beauty salons, for example. We are putting a call out for a united effort to raise awareness, encourage participation, and foster partnerships with trusted community organizations and leaders that extend PreMA’s reach and impact.

FEEDBACK
The Office of the California Surgeon General welcomes your partnership and feedback. Please direct any questions, comments, and/or recommendations to StrongStartAndBeyond@osg.ca.gov.