What is the "primary" prevention of congenital anomalies?

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@article{d9ac2120adf74345954a5c67db846095,

title = "What is the {"}primary{"} prevention of congenital anomalies?",

author = "Helen Dolk and PMC EUROCAT",

year = "2009",

month = aug,

day = "1",

doi = "10.1016/S0140-6736(09)61411-2",

language = "English",

volume = "374",

pages = "378",

journal = "Lancet",

issn = "1474-547X",

publisher = "Elsevier BV",

number = "9687",

}