Abstract: Introduction: - Around 10-30% of mother during their antenatal period can be classified as high risk and out of these 70-80% accounts to prenatal morbidity or mortality. Every year nearly 529000 women die globally due to pregnancy related causes. Materials and method: - The present cross sectional study was conducted at primary health center karwar district bundi (part of eastern Rajasthan), India of population around 22000.There are 8 subcenters with 19 villages comes under PHC Karwa. High risk pregnancy was classified based on the guidelines provided by Kushal Mangal Karyakram by National Health Mission Rajasthan and also the parameters considered for diagnosis of high risk pregnancy were defined as per the guidelines provided by Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA). Result: - Total 217 antenatal women were examined and among these 56 pregnant women were identified as a high risk pregnancy which account around 25.8% of total pregnant women. Conclusion: - One fourth of pregnant female are high risk pregnant women and most common risk factor associated with this is anaemia. This is due to nutritional negligence seen in pregnant women who may be due to poor education and low socioeconomic status.