Many pregnancies are predisposed to complications by events that occur
in the first weeks of gestation. In fact, these complications may occ
ur prior to the time that a woman knows she has become pregnant. Preco
nception care offers patients the opportunity to address these conditi
ons before conception; the potential for a satisfactory pregnancy outc
ome is thereby increased. In the following report, I summarize current
understandings in preconception care. Recent advances in preconceptio
n care have expanded the opportunities for preventing adverse reproduc
tive outcome. Although the study of preconception care is a relatively
new innovation, recent studies have shown the value of preconception
intervention.