The future of preconception care: a clinical perspective.

The concepts of preconception care (PCC) have been discussed for over 20 years and the standards for PCC have been recently promulgated by the clinical committee of the Centers for Disease Control and Prevention's Select Panel of Preconception Care. For PCC to be fully realized, however, changes must be made in clinical practice, public health supports, and health coverage. This article discusses 1) the clinical content and delivery of PCC, 2) barriers to why this care does not fit easily into the current clinical paradigm for providing medical care, and 3) how new information technologies within the concept of the medical home might be a promising new way to assist in the diffusion of these concepts.