jective: To analyze the maternal and fetal outcome of pregnant women with cardiac disease in tertiary care centre. A retrospective study was conducted over a period of 5 years and 2 months wherein 101 cases delivering at our centre were studied thoroughly. As per the present study, the incidence of rheumatic heart disease was more than congenital heart disease, with mitral stenosis being the most common rheumatic heart disease lesion and atrial septal defect being the most common congenital heart lesion encountered. The most common obstetric complication noted was oligohydramnios in the antenatal period and postpartum hemorrhage. Common cardiac complications include cardiac failure and arrhythmias. The mode of delivery for 51.48% cases was cesarean section. Majority of the neonates, 73.26%, were of term maturity. Heart disease in pregnancy poses a significant challenge to the obstetrician to ensure positive maternal and fetal well-being. This necessitates appropriate care and a multidisciplinary forethought in the antenatal, intrapartum and postpartum period.

Keywords : Cardiac disease in Pregnancy, Maternal Outcome, Neonatal Outcome, High Risk Pregnancy