BACKGROUND Maternal cardiac disease contributes to a significant proportion of maternal mortality cases and severe maternal morbidity. The proportion of cardiac disease such as Congenital Heart Disease (CHD) and Rheumatic Heart Disease (RHD) varies in different countries. This is a descriptive study in which we retrospectively analysed all women with cardiac disease who delivered in Government Medical College, Kottayam, from 01/01/2011 to 31/12/2013. Aims and Objectives-1. To study the proportion of different types of cardiac disease complicating pregnancy in parturients who delivered in Government Medical College and Hospital, Kottayam during the study period of three years. 2. To study the maternal and foetal outcome in parturients with cardiac disease during pregnancy, delivery and first postpartum week.