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Abstract

Objective: Objective of study was to find out prevalence and fetal and maternaloutcome in pregnancy with cardiac disease. Study design: A retrospective descriptive study.Setting: Services Hospital Department of Obs and Gynae unit-2. Period: 1st January to 31stDecember 2015. Methodology: All cardiac patients who delivered after 28 week gestation wereincluded in the study. Case-notes of cardiac patients were reviewed, patients age, parity andgestational age was recorded. Maternal and fetal outcome was noted in relation with NYHAclassification, data was analyzed. Results: In our study prevalence of cardiac disease was 1.09%. Age of most patients were between 26-30 years, 44.68%. Most of patients were multiparous57.44%. According to NYHA classification, 63.82% had class 3 & 4 cardiac disease. Rheumaticheart disease was present in 91.48%. Thirty patients were delivered by caesarean section. Therewere 3 IUD and 2 perinatal deaths. Maternal mortality was 2.12%. Preterm delivery occurredin 20 patients. Conclusion: Cardiac disease is important cause of maternal and perinatalmorbidity and mortality. It’s important to counsel all women of reproductive age with knowncardiac disease, about increased fetal and maternal risk during pregnancy. Cesarean sectionmay be considered in patients with moderate or severe MS with class 3-4 symptoms.