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Preconception counseling is a discussion and educational process with a healthcare provider to optimize a person's health before getting pregnant, aiming to reduce risks for both the parent and baby and improve pregnancy outcomes. It involves assessing and managing health conditions, reviewing medications, vaccinations, and lifestyle choices (diet, exercise, alcohol, smoking), and performing screenings for genetic or medical issues. This preventive care ideally occurs at least three to six months before attempting to conceive, helping couples make informed decisions and prepare for a healthy pregnancy.