title: Preconceptional health promotion: progress in changing a prevention paradigm.
abstract: Preconceptional health promotion is a proven strategy to impact reproductive outcomes. Despite energy to incorporate this prevention strategy into the care of women in this country, little evidence exists that the paradigm shift necessary to reframe the clinical care of women has occurred or that public awareness about critical opportunities for preventing reproductive casualties is high. This article reviews the rationale for preconceptional counseling, discusses progress in moving the agenda of prepregnancy wellness forward, and reveals some of the lessons learned from efforts to redesign prevention emphases for reproductive healthcare.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. mkmoos@med.unc.edu
authors.forename: Merry-K
authors.initials: MK
authors.lastname: Moos
mesh_terms: D003376:Counseling; D005193:Family Planning Services / Q000458:organization & administration; D005260:Female; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006284:Health Plan Implementation / Q000458:organization & administration; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D016742:Preconception Care / Q000592:standards*; D011247:Pregnancy; D014481:United States; D016387:Women's Health; D014932:Women's Health Services / Q000592:standards*