This study aims to help Black women by providing Pre-Pregnancy Counseling to reduce heart problems during pregnancy. Black women face higher risks during pregnancy, and this study wants to change that by offering counseling in community settings. Pre-Pregnancy Counseling is advice given to women before they get pregnant to improve their health. The study involves 10 sites across Georgia, North Carolina, South Carolina, and Tennessee.

• **Duration:** Participants will attend pre-conception counseling sessions at local community sites.
• **Eligibility:** Black/African-American women who speak English, are not pregnant, own a phone, and receive services at participating community-based sites can join.
• **Benefits:** The counseling aims to help reduce heart risks, such as obesity and high blood pressure, for a healthier pregnancy.