Table 12 Check list for pre-conception diet

• Document height/weight/BMI

• Perform baseline nutritional biochemistry

• 3-day diet history to establish protein and nutritional intake /dietary knowledge /history of diet therapy /cooking skills

• Blood phenylalanine control history

• Establish a woman’s work patterns/shift patterns and home support

• Awareness of any co-morbidities/other medications

• Dietary education

• Organise dietary supplies

• Try different protein substitutes, if appropriate

• Start strict dietary treatment

• Start folic acid

• Patient given clinic contact /helpline numbers

• Patient should be advised to continue contraception until satisfactory blood phenylalanine is achieved.