The Italian guidelines on high-risk pregnancy: Executive summary of recommendations for practice from the Italian Society for Obstetrics and Gynaecology (SIGO)

High-risk pregnancy is defined as a condition in which the likelihood of adverse maternal or fetal outcomes is significantly increased compared with the general obstetric population. These risks may be related to pre-existing maternal conditions or complications arising during pregnancy [1]. The prevalence of high-risk pregnancies is increasing, driven by factors such as advanced maternal age, rising rates of obesity and metabolic disorders, and the growing use of assisted reproductive technologies. High-risk pregnancies are associated with increased maternal morbidity, as well as higher risks of fetal and neonatal complications and long-term health consequences [2]. Effective management requires early risk identification, multidisciplinary care, and evidence-based interventions. In this context, the Italian Ministry of Health, through the National Committee for Clinical Excellence, commissioned the Italian Society of Obstetrics and Gynecology (SIGO) to develop national guidelines for the management of high-risk pregnancies.