Abstract

cardiac disease in pregnancy is a high-risk pregnancy and major problem worldwide particularly developing countries. Present scenario the incidence of pregnancy with congenital heart disease is high in developed countries. While developing countries like India incidence of RHD is still high. Aims of this study is to find out incidence of cardiac disease in pregnancy and to access fetomaternal outcome of this high risk pregnancy. Material & Methods: Analysis of maternal and fetal outcome in 100 cases of cardiac disease in pregnancy was carried out in the department of Obstetrics and Gynecology in B.J. Medical College civil Hospital, Ahmedabad at a tertiary care center from 01/08/2016 to 31/07/2018. Result: In the present study prevalence of cardiac disease 0.67%. Among them the RHD was highest contributing lesion (63%) and Mitral stenosis is main causes in valvualr lesion. Majority delivered vaginally (48.9%). Complications of this type of pregnancy were congestive cardiac failure, thromboemlosim and 4% ratio of maternal mortality occurred. Conclusion: Cardiac disease has major impact on pregnancy and its outcome. It is a team effort by obstetricians, cardiologist, neonatologist to achieve successful pregnancy. Regular antenatal checkup and strict vigilance during the risk period when patient may develop complications as a result of hemodynamic changes can avoid the complication

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