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Objective:  to unveil the guidance received on childbirth during high-risk prenatal care in health services in the light of Social Representations Theory.  Method:  an exploratory descriptive study with qualitative approach, with the Social Representations Theory as a methodological theoretical framework. Data collection occurred between October 2017 and January 2018, in a maternity hospital in northern Parana, during the hospitalization of 20 puerperal women. Semi-structured interviews and thematic content analysis were used.  Results:  the category emerged:  Knowledge developed in the face of health guidelines for pregnant women . The central nucleus was configured in care directed to women’s health and their empowerment in the pregnancy-puerperal cycle. Conclusion:  health guidelines were similar at both levels of care, being directed to fetal health and well-being. Risk situations to newborns were identified in the emergency room that could result in premature cesarean delivery and complications to the conceptus.

Orientações sobre parto no pré-natal de alto risco nos serviços de saúde