evidence: High rates of morbidity and mortality due to pregnancy-related complications are prevented through early detection, regular follow-up, and providing quality of antenatal, intranatal and postnatal interventions. To ensure comprehensive quality of obstetrics care for every pregnant woman, the Government of India launched a programme called "Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) (Prime Minister’s Safe Motherhood Campaign)" in 2016. This programme aimed to track high-risk pregnancies for counselling, management of birth preparation, and referral up until the birth outcome [11]. Though, the exact prevalence of HRP among Indian women is not known, a few studies have reported a prevalence ranging from 18.3 to 59% in different Indian communities [9,12–14]. Hence, this study was conducted to determine the prevalence and associated factors with HRP among Indian women. [...] The primary outcome of the study was high-risk pregnancies, i.e., pregnant women who had either one or more high-risk factors and were classified based on the PMSMA guidelines [16]. Using the data from the NFHS-5 survey, we identified a subset of variables for which information was available and was considered them as high-risk group. The factors are as follows: