The Government of India has launched “Pradhan Mantri Surakshit Matritva Abhiyan” (PMSMA) with an aim to provide fixed-day, free-of-cost, assured, comprehensive, and quality antenatal care on the 9th day of every month, universally to all pregnant women in their 2nd/ 3rd trimesters of pregnancy, at designated public health facilities by Obstetricians/Medical officers.
The year-wise number of pregnant women who received antenatal care under the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) during the last three years is attached in Annexure-1.
Tracking high-risk pregnancies (HRP) is crucial for the early identification of potential complications, enabling timely interventions and specialized care. This proactive approach significantly improves maternal and newborn health outcomes by preventing adverse events thus saving the lives of both mother and newborn.
Continuing with the efforts to ensure safe motherhood through PMSMA and with the vision for further improvement, an Extended PMSMA strategy was launched to ensure quality ANC to pregnant women, for individual tracking of high-risk pregnancy and provision of additional PMSMA sessions over and above 9th of every month.
The Government of India has expanded the list of high-risk pregnancy from 10 categories to 25 high-risk pregnancy categories to ensure early identification and timely management of complications to reduce morbidity & mortality and ensure institutional delivery by tagging with the nearest First Referral Unit (FRU). The list of the 25 High-Risk Pregnancy (HRP) categories is attached in Annexure-2.
Annexure 1
| Sr. No. | Financial Year | The total no. of pregnant women who received Antenatal care under PMSMA |
| 1 | 2021-2022 | 4748258 |
| 2 | 2022-2023 | 7357311 |
| 3 | 2023-2024 | 9316278 |
| 4 | 1st April 2024 to 26th July 2024 | 3239555 |
Annexure 2
| Sl. No. | High Risk Pregnancy (HRP) categories |
| 1 | HIV |
| 2 | Syphilis |
| 3 | Severe anemia |
| 4 | Pregnancy Induced Hypertension |
| 5 | Gestational Diabetes Mellitus |
| 6 | Hypothyroidism |
| 7 | Tuberculosis |
| 8 | Malaria |
| 9 | Previous LSCS |
| 10 | Cephalo-pelvic Disproportion |
| 11 | Bad Obstetric History |
| 12 | Twins/Multiple pregnancy |
| 13 | Hepatitis B |
| 14 | Abnormal fetal heart rate |
| 15 | Teenage Pregnancy |
| 16 | High Fever |
| 17 | RTI/STI |
| 18 | H/O Still Birth |
| 19 | Congenital Malformation |
| 20 | Negative Blood Group |
| 21 | Early Primi |
| 22 | Elderly Primi |
| 23 | Grand Multipara |
| 24 | Short Stature |
| 25 | Others specify |