Background:Risk pregnancy is considered a major public health challenge and an important factor
attributing to maternal mortality. Complications of risky pregnancy is not limited to antenatal period, it can
extend to intra & postpartum period. Identification of risk pregnancy is a crucial preventive strategy to avoid
an adverse maternal and neonatal outcome. Aim of this study: is to identify prevalence and associated
factors of risky pregnancy among antenatal attendees in Mansoura city. Subjects and Method: cross
sectional study design was used on 196 pregnant women who chosen by convenient sample technique.
Setting: The study was conducted at all governmental hospitals in Mansoura City, Egypt including: The
antenatal clinics of Obstetric and Gynecological specialty Center at Mansoura University Hospitals, Old
General Hospital, New General Hospital and Health Insurance Hospital. Tool of data collection: Data were
collected by using Dutta and Das high risk scoring tool Results: majority of the studied women (94.4%)
were exposed to some degree of risk. Age, education, occupation, lower family income, number of children,
socioeconomic level, chronic diabetes and hypertension, bad reproductive and obstetric history, anemia,
bleeding, hyperemesis gravidirum and preterm rupture of membrane were significantly associated with risk
pregnancy. Conclusion and Recommendations: The study inferred that the predominance of risk
pregnancy was high in Mansoura city; socio-demographic characteristic, medical history and bad
reproductive history were associated with risk pregnancy. Educational programs and campaigns particularly
for provincial regions are recommended to improve mindfulness regarding risk pregnancy and other
associated co-factors.