HIGH AND LOW-RISK PRENATAL CARE: CLASSIFICATION FOR APPROPRIATE REFERRAL

Abstract

This article aimed to report the main differences between high and low-risk prenatal care and how these classifications impact the adoption of interventions for maternal and child health promotion. The methodology consisted of a narrative literature review, with data collection conducted between 2021 and 2025 in databases such as SciELO, PubMed, and Google Scholar. Seven studies were selected and analyzed qualitatively and thematically. The results demonstrated that gestational risk classification should be a continuous and individualized process, integrating clinical, socioeconomic, environmental, and psychosocial factors. The need for periodic monitoring with at least six consultations was observed, highlighting that initially low-risk pregnancies can evolve into high complexity, requiring specific screening protocols and intersectoral surveillance. It was concluded that early risk identification and appropriate referral to specialized care are fundamental pillars to ensure comprehensive assistance, promoting greater safety for the mother-baby dyad and favoring positive outcomes within the Unified Health System.