evidence: In a high-risk pregnancy, the mother and/or the fetus or neonate are at increased risk of morbidity or mortality before, during, or after delivery. High-risk pregnancies are characterized by conditions that potentially pose a threat to the health of the mother and/or the fetus or neonate. Risks can result from various factors such as chronic disease, multiple gestation, previous pregnancy complications, or nonobstetric or obstetric complications that arise during a pregnancy. [...] High-risk pregnancies require close monitoring, specialized care, and a multidisciplinary medical team, and sometimes referral to a perinatal center. Perinatal centers offer many specialty and subspecialty services provided by maternal, fetal, and neonatal specialists (1). Close monitoring throughout the pregnancy may involve management of chronic diseases and increased frequency of prenatal visits, blood tests, and ultrasonography and other types of fetal monitoring. Communication with the pregnant woman and her family is essential to involve the patient in shared decision-making, develop a care plan, and provide emotional support.