Abstract
Nearly 15years ago, calls were put forth in the United States to rethink traditional efforts to prevent poor pregnancy outcomes (Merkatz & Thompson, 1990; Moos & Cefalo, 1987). Because the incidence of the two leading causes of infant mortality and morbidity in the United States, congenital anomalies and low birth weight, had remained remarkably consistent for nearly 80years, new approaches for prevention were needed. One of those approaches came to be known as preconceptional health promotion, an energy aimed at reaching women in a timely manner with the information they need to maximize their likelihood of a desired and healthy pregnancy and a healthy infant.
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