Preconceptional counseling involves meeting with a couple before pregnancy to discuss health factors, preventative strategies, and optimize the mother's health. The goals are to identify any risks that could impact the pregnancy outcome and inform the mother so issues can be addressed. Key parts of counseling include assessing medical history, offering immunizations and folic acid, treating any existing conditions, discussing genetic risks, and educating on pregnancy and delivery. While beneficial, many women do not utilize preconceptual counseling due to lack of awareness and unplanned pregnancies.