Persons using assistive technology might not be able to fully access information in this file. The material in this report originated in the National Center on Birth Defects and Developmental Disabilities, José F. Health Promotion, Janet Collins, PhD, Director, and the Division of Reproductive Health, John Lehnherr, Director.
This report provides recommendations to improve both preconception health and preconception health care. Improving preconception health and pregnancy outcomes will require more than effective clinical care for women. Each of the 10 recommendations has specific action steps that can be implemented in the next 2--5 years.

Improve the knowledge and attitudes and behaviors of men and women related to preconception health. Reduce risks indicated by a previous adverse pregnancy outcome through interventions during the interconception period, which can prevent or minimize health problems for a mother and her future children. Federal and state agencies can support such efforts with funding for demonstration, evaluation, and replication projects (Box 5). Improving the health of women can increase the quality of health for families and the community. Women and health care: a national profile---key findings from the Kaiser Women's Health Survey.
Integrated perinatal health framework: a multiple determinants model with a life span approach.

Preconceptional wellness as a routine objective for women's health care: an integrative strategy.
Alcohol consumption among women who are pregnant or who might become pregnant---United States, 2002.
Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation.
The effects of moderate alcohol consumption during pregnancy on fetal growth and morphogenesis.

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