DOI: 10.3897/jbcr.e184929

Authors: Ahamed Akkeel Anzaar, Antonia Andreeva, Kamelia Dimitrova

Abstract: Objective: To summarize contemporary clinical algorithms for the management of high-risk pregnancy and to integrate international recommendations with regional clinical experience.Methods: Narrative review of international guidelines (ACOG, FIGO, NICE, WHO) and peer-reviewed literature, including data from Bulgarian obstetric practice.Results: Algorithm-based management improves early risk stratification, standardizes care, and supports individualized decision-making in hypertensive disorders, gestational diabetes, fetal growth abnormalities, and combined maternal–fetal risk.Conclusion: Clinical algorithms represent a cornerstone of modern high-risk pregnancy management. Integration of regional data enhances applicability without compromising international relevance.

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