evidence: Complications can occur anytime during pregnancy and childbirth. Pregnancies associated with high-risk factors have a higher-than-normal risk for fetomaternal complications. Bhagwan Mahavir hospital is a public sector hospital catering to low-risk and high-risk pregnant women (PW) in the labour room (LR)). The obstetrics and gynaecology team observed that at times the LR team failed to identify high-risk pregnancy (HRP) during admission in LR and to manage complications timely and efficiently. Therefore, the team started a quality improvement (QI) project in January 2019 with the aim to admit preidentified HRP in LR from existing 0% to 80% in 3 months. [...] All pregnancies especially high-risk pregnancies (HRP) are at potential risk of complications during pregnancy and childbirth. [...] Worldwide, 10%–30% of pregnancies are estimated to be ‘at-risk’. In India, about 20%–30% of pregnancies belong to the high-risk category.9 10 Identification and management of HRP initially and throughout pregnancy improve pregnancy outcomes for the mother and the newborn.9–13 Hence, all pregnancies need to be evaluated for associated high risks through routine ANC provided by healthcare professionals. Early identification of HRP flags PW who need clinical attention.14 The prognosis of the HRP also depends on its severity. HRP has been categorised into mild, moderate and severe HRP according to the associated high-risk factors. Several risk scoring systems and risk stratification using colour codes have been used to categorise HRP.15–17 The risk factors are based on past obstetric history, present pregnancy, medical and surgical illnesses, and each factor is assigned a score proportional to the degree of risk.18