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Pregnancy

Counseling

Tobacco cessation; effects of passive smoking.
Alcohol and other drug use.
Nutrition, including adequate calcium intake.
Encourage breastfeeding.
Lap-shoulder belts.
Infant safety car seats.
STD prevention: safe sex practices.

Chemoprophylaxis

Multivitamin with folic acid - Beginning at least 1 mo before conception and continuing through first trimester.

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