Objective: In most indicators of the way of life, the Roma community is generally different from the majority population and dominant culture. The objective of the study was to describe factors affecting the health of the Roma living in Slovakia, with an emphasis on the sexual and reproductive health of Roma women, and report on the results of analysis of high-risk pregnancies of Roma women in the district of Rimavská Sobota, Slovakia. Methods: A retrospective study of medical documentation was used. The results were analyzed using the absolute and relative frequencies. Statistical methods were used. Results: A total of 1,256 high-risk pregnancies were analyzed, of which 622 (49.52%) were in Roma women. The average age of Roma respondents was lower by 5 years compared to non-Roma. The age of Roma women at the first pregnancy was statistically significantly lower compared to non-Roma (p < 0.001). The Roma respondents achieved statistically significantly lower levels of education than non-Roma. There was a demonstrably higher number of pregnancies as well as a higher number of artificial and spontaneous abortions per Roma woman. These results were statistically significant. For Roma women, pregnancy began to be risky demonstrably earlier than for non-Roma (p < 0.001). There was a statistically significant difference in attending prenatal counselling. Roma women attended prenatal counselling statistically significantly less frequently than non-Roma (p < 0.001). A significant statistical dependence was found between attending prenatal counselling and the onset of pregnancy problems in Roma women. There was no significant difference in the incidence of other diseases associated with high-risk pregnancy among Roma and non-Roma respondents. Conclusion: The findings indicate that Roma women are exposed to health problems in the area of sexual and reproductive health in Slovakia. In the approach to the Roma, it is essential to focus on improving accessibility to health care, prevention, knowledgeableness and effectively preventing, eradicating and strongly penalizing all forms of discrimination in access to health care, especially for Roma women, who are more likely to receive health care.

Aim: The analysis of high-risk pregnancy, in order to determine what demographic and other factors are most commonly reported in women with high-risk pregnancy, and what relationships are among the variables recorded. Design: The method used was a retrospective observational study of cases. Methods: The study included 1,256 women at the Rimavská Sobota obstetrics and gynaecological unit hospitalized with a high-risk pregnancy in the two years. The method used was a retrospective observational study of cases. For processing were used statistic methods. Results: The average age of the sample was 24.45 years. 584 respondents (46.50%) were without education. 316 respondents (25.16%) did not go to prenatal counselling at all, or irregularly. The most significant dependences were demonstrated within the following variablesbetween the time of onset of respondentsʼ problems and the presence of associated diseases, the time of onset of the problems and the number of spontaneous abortions suffered in the past, between termination of current pregnancy by abortion in respondents and prenatal counselling visits and between termination of current pregnancy by abortion and previous high-risk pregnancies. Conclusion: The results of the study confirmed the importance of prenatal care for women during pregnancy. Effective education focusing on reproductive health for girls of school-age, implemented by nurses, could also help to solve the problems identified.