Objective: To determine the perinatal outcome of high risk pregnancies, in terms of perinatal mortality, still birth, early neonatal death, apgar score and birth weight.

Study Design: Descriptive case series.

Place and Duration of Study: Department of Obstetrics & Gynaecology and Obstetrics Unit II, Jinnah Medical and Dental College, Karachi from April 2019 to September 2019.

Methodology: Two hundred and eighty seven patients with high risk pregnancies were included. The demographic information like maternal age, gestational age, parity and perinatal outcome were recorded. Perinatal outcome was assessed in terms perinatal mortality, still birth, early neonatal death. Following delivery Apgar score was noted at 5 min and birth weight was measured.

Results: The mean maternal age and mean gestational age were 32.56±3.91 years and 34.78±3.05 weeks respectively. The high risk pregnancies was found to be perinatal mortality 30 (10.5%), still birth 33 (11.5%), early neonatal death 27 (9.4%), Apgar score <7 at 5 min 20 (7%) and birth weight <2.5 kg 24 (8.4%) respectively.

Conclusion: The high perinatal mortality rate and associated with adverse outcome were found.

Key words: High risk pregnancies, perinatal mortality, still birth, early neonatal death, Apgar score and birth weight