The Center for Maternal Health Equity is conducting a study to help improve the health of Black women before they become pregnant. This research is important because Black women face a higher risk of heart problems during pregnancy compared to white women. Most of these risks can be prevented with the right help. The study involves a program called Pre-Pregnancy Counseling, which teaches women about ways to stay healthy before getting pregnant. The study will take place in community centers where Black women often go for health services. The program uses a method called SBIRT (Screening, Brief Intervention, and Referral to Treatment) to find and help women who might face health risks. The study will happen in Georgia, North Carolina, South Carolina, and Tennessee, and aims to create useful guides for the community centers.

• Study involves community visits and counseling sessions.
• Participants are involved in three phases: exploration, implementation, and sustainment.
• Participants must be Black/African-American and not currently pregnant.