Objectives: Evaluation of foetal outcome in pregnancy with heart disease in tertiary center in south Gujarat.

Material & Method: This is a prospective analytic study of 30 pregnant women with heart disease attending antenatal outpatient department or coming as emergency patient in labour room of New Civil Hospital, from july 2016 till August 2017.

Inclusion Criteria: All the pregnant women with heart disease attending antenatal outpatient department or coming as emergency patient in labour room of New Civil Hospital, from july 2016 till August 2017.

Exclusion Criteria: Patients not giving consent, pregnant patient with some other systemic disease.

Reult: Mean age of the patients enrolled was belonged to 20-25 years (73%). 57%  of the subjects had Rheumatic heart disease. Mitral valve is the most common valve affected in RHD. In our study 75% of subjects were in NYHA grade 1 and 2. 60% of the babies were full term with gestational age more than 37 weeks & birth weight >2.5kg. In our study most common complication was Prematurity (37%) and second most common was IUGR (17%).

Conclusion: a pregnant cardiac patient has to be in constant supervision of obstetrician, physician, cardiologist and neonatologist to improve the fetal outcome. Early diagnosis, preferably pre conceptional is crucial to reduce complications and morbidity. Careful history taking and physical examination are key to diagnose heart disease early and to prevent fetal complications.
Keywords: Foetal Outcome; Heart Disease; Pregnancy; Complications.