Aim: The aim of this study was to evaluate the preconception care related to risk screening and counseling for the pregnant women registered to the family physicians in Adana. Method: The study sample consisted of 250 pregnant women who were registered to 48 family physicians at 20 randomly selected family health centers in the central districts of the province of Adana and agreed to participate in the study. A questionnaire form created by the authors was used to evaluate sociodemographic data and preconceptional status. Results: The mean age of the pregnant women was 27.8 ±5.6 years. The participants who were 18 or younger (2.8%) and those who were 35 or older (12.8%) were considered as the risk group. Of the participants, 6.8% declared that they had close-kin marriage, 8.4% had a chronic disease, 10.8% smoked, 4.8% had prescription medication, and 3.6% used non-prescription medication. Of the pregnant women, 5.2% had a history of preterm birth, 2.4% had more than three miscarriages, and 3.2% had a history of a disease that could endanger pregnancy in previous pregnancies. Pregnancy was not planned for 10.8% of the pregnant women; the inter-pregnancy interval was shorter than 24 months in 8.9% and longed than 60 months in 27.4%. Of those who indicated that they had received counseling services before getting pregnant, 35.4% were counseled by a family physician, 29.5% by an obstetrician/gynecologist, 27.5% by a nurse/midwife, 7.6% by other healthcare personnel. The subjects about which they had received counseling were nutrition (22.0%), vitamin use (20%), medication use (13.4%), vaccination (12.6%), exercise (9.5%), consanguineous marriage (6.3%), smoking, alcohol, or substance use (6%), chronic diseases (5.6%), genetic diseases (2.4%), and other issues (2.2%). Conclusion: Only one-tenth of pregnancies were not planned even though participating pregnant women had risk factors such as age, obstetric history, chronic disease, and medication use. Most of them had received counselling on different topics from a family physician, obstetrician/gynecologist, or nurse/midwife before pregnancy.