Summary: Preconception care includes a set of measures and interventions aimed at improving a woman's health during preconception care with the aim of optimizing the outcome of pregnancy and the health of the mother and child. Given their key role in reproductive care, midwives have a unique perspective and responsibility in supporting expectant parents during this period. This paper explores the significance of preconception care, the role and responsibilities of midwives, and the challenges and opportunities they face in providing this type of health care. Through a literature review and analysis of current guidelines, the basic elements of preconception care are presented, including health education, lifestyle counseling, pregnancy planning, disease and risk factor management, and the importance of collaboration with other health professionals to ensure a comprehensive approach to women's health. Early intervention and counseling play a key role in reducing complications during pregnancy and achieving better perinatal outcomes. As a conclusion, it can be said that midwives, as educators and support, have a key role in empowering future parents to take an active role in their health before pregnancy. A greater effort is needed in terms of midwifery education, development of guidelines and increased awareness of the importance of preconception care.