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Every Step of the Way is a multi-contact intervention approach designed to help the pregnant woman be more mindful of the opportunity she has to protect her child. Educational and supportive by design, it should be thought of as a practical tool for expanding the conversation about how to have a healthy pregnancy and, in particular, the benefits of avoiding alcohol, tobacco, and other substances. Every Step of the Way has special value for the high percentage of women who are at risk for using substances during pregnancy. The manuals are intended to be used together.