Background: As a global health threat, the COVID-19 pandemic has a significant impact on maternity care reception in mothers with high-risk pregnancies. Women with high-risk pregnancies are among the most vulnerable groups that require additional precautionary measures against the spread of Covid-19 plus receiving prenatal care. Due to limited information on the status of prenatal care in women with high-risk pregnancies, a qualitative study was conducted to explore the perceptions and experiences of women with high-risk pregnancy regarding receiving prenatal care reception during the COVID-19 pandemic.Methods: The present qualitative study was conducted on mothers with high-risk pregnancies from September 2020 to March 2021. Purposeful sampling continued until achieving data saturation. Ghaem, Ommolbanin, and Imam Reza (AS) government and educational hospitals in Mashhad served as the research environment. Face-to-face and semi-structured interviews were effective data collection methods. Each interview lasted between 20 to 45 minutes (on average 30). The total number of participants was 31. Data analysis was carried out simultaneously with data collection using the qualitative content analysis method developed by Granheim and Landman (2004).Results: Following data analysis and reduction, eight subcategories and three main categories were identified. These included “Negative psychological responses,” “Thinking-based behavior against double danger,” and” Adjustment of health services in the mutual protection”.Conclusion: Receiving prenatal care in women with high-risk pregnancies is associated with challenges in women in the context of the COVID-19 pandemic. This causes negative psychological responses and affects their health-seeking behaviors. Preventive and supportive care can lead to optimum prenatal care for women with high-risk pregnancies focusing on COVID-19 prevention and minimizing pregnancy risk and complications.