The paper aims to determine the efficiency of non-stress testing (NST) as an admission procedure in high-risk pregnancies and analyzes its effect on perinatal outcomes. One hundred and forty-six high-risk pregnant women were recruited in a 12-month recruitment at [Diyala]. Demographic, admission indications, NST results, and outcomes were gathered and evaluated. NST was conducted on participants under standardized criteria, with the outcome being categorized into reactive and non-reactive. Results showed that 69.2% of patients showed up with reactive NSTs, which were associated with better perinatal outcomes in terms of high birth weights and better APGAR scores. There was a substantial correlation between reactive outcome and reduced incidences of neonatal problems and maternal problems. Also, the length of stay in the hospital differed based on the NST results, with the individuals with non-reactive tests remaining longer. Subsequent developmental tests showed that the majority of infants attained developmental milestones in the proper way. The research comes to the conclusion that NST is a useful resource in high-risk pregnancy management that helps to predict the results and support clinical decisions.