Women at high risk for maternal morbidity and mortality have unique needs for reproductive health services, including prenatal and postpartum care, contraception, and abortion. However, barriers such as restrictive state legislation, poor access to trained providers, limits in insurance coverage, and clinical challenges in assessing and communicating risk often make it difficult for these women to obtain needed services. To address these issues, leaders in obstetric care, family planning, and reproductive health law gathered for a two-day workshop entitled “Reproductive Services for Women at High Risk for Maternal Mortality.” The workshop was held in conjunction with the 39th Annual Pregnancy Meeting (TM) in Las Vegas, NV, and cosponsored by the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, the Fellowship in Family Planning, and the Society of Family Planning.