Introduction. The growing number of Cesarean sections and the percentage of women dissatisfied with perinatal care are the one of the main problems of modern gynaecology in Poland. It seems that if women with a high fear of delivery and a low sense of coherence are scanned early enough, it can contribute to better psychological care and greater satisfaction while giving birth. Objective. The aim of the study is to compare the level of fear of childbirth and sense of coherence between endangered and healthy pregnancies. Materials and Method. The study was conducted in one centre in Lublin, Poland, which involved 29 women in endangered pregnancies. The comparative group consists of 30 women in healthy pregnancy, tested online. Antonovsky's Sense of Coherence Scale (SOC) and Fear of Childbirth Questionnaire were used for the study. Results. The results showed that women in endangered pregnancy significantly differ in terms of the level of fear of delivery, comprehensibility, manageability and general sense of coherence from women who are not in endangered pregnancy. The Cohen's d size indicates that women who are in high-risk pregnancy have a significantly higher level of fear of childbirth than women in healthy pregnancy. Cohen›s d index also indicates that women in endangered pregnancy have a significantly lower level of comprehensibility, manageability and general sense of coherence compared to the control group. Conclusions. Screening pregnant women with ready-made questionnaires and providing professional psychological care can possibly prevent excessive escalation of childbirth anxiety and decrease the number of Cesarean sections. By increasing the sense of coherence, we can help in better management of pregnancy and improve the overall experience.