The pregnancy needs supervision, adjustment and management. So early identification and management is important. Some of the high risk conditions are women with hypertension, pulmonary embolism, uterine hemorrhage, sepsis, Addiction: Tobacco, drugs, chronic hypertension, cardiac disease, pulmonary disease, renal disease, diabetes, thyroid, rheumatic conditions, hematological disorders like anemia, genetic consanguinity is marriage between close relations, pituitary disorders, liver, venous thromboembolic, infectious disease, family history.