New research published in the Journal of Global Health sheds light on India's alarming prevalence of high-risk pregnancies, especially prominent in Kashmir where 42% of pregnancies are categorized as high-risk. Nationally, nearly half of pregnancies (49.4%) fall into this category, with socioeconomic disparities exacerbating the issue. North-eastern states and Telangana display notably high rates. Factors such as early marriage, limited healthcare access, and adolescent pregnancy contribute significantly. Strengthening healthcare infrastructure, implementing targeted outreach programs, integrating mental health services, and promoting maternal nutrition are vital recommendations. Collaborative efforts involving government, NGOs, and communities are crucial in addressing this pressing public health concern and ensuring safer pregnancies nationwide.