Background: Pregnancy associated with any form of heart disease is a challenge for both obstetrician and cardiologist. The advancement in surgical techniques & minimal invasive surgeries have improved the prognosis of congenital lesions and many women even with severe defects are now reaching the child-bearing age. The number of pregnant women with coronary disease is expected to grow due to advanced maternal age and increased cardiovascular risk factors in women. Materials and Methods:This study was carried out in the department of Obstetrics and Gynecology in Lal Ded Hospital,an associated hospital of GMC,Srinagar.All the patients admitted in antenatal ward and delivered at period of gestation 28th weeks and beyond during the study period of 2019-2020 were included in the study. Results: Primigravida accounted for the majority group of heart disease with pregnancy and majority (90%) of them delivered at term and 10% had preterm delivery.Cardiac complications like pulmonary hypertension and congestive cardiac failure were present in 13.3% of cases. Conclusions:Rheumatic heart disease still remains the most common cardiac problems found in pregnant women. The incidence of heart disease in pregnancy was found to be 0.2% and majority of them belonged to 30-39 years group,un-booked and from rural background.

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Objectives: To identify obstetric cases as emergencies needing critical care. To assess the varying clinical presentations and contributing factors for cases arriving as obstetric emergencies. To identify the need for hospitalization and admission to intensive care unit. To understand the various interventions requiredcritical care management, and its impact on future outcome of such admissions and to analyze the maternal and perinatal outcome of such obstetric emergencies. Material and Methods: 200 cases of obstetric emergencies admitted and treated at Lal Ded Hospital, Srinagar, during the study period in 2019. It is a clinical study of maternal and perinatal outcome irrespective of gestational period, parity and medical complications. Results: The majority of obstetric emergencies were in the age group between 20-30 years, 50% were multigravida, 15.5% were primi gravida, 10% were grand multi gravida. In this 68% were referred cases 32% were directly admitted. Fetal distress was in 30.5%, fetal demise in 11%, most common obstetric emergency was obstetric hemorrhage in 65.5% cases, 49.5% were delivered by normal vaginal delivery, laparotomy in 6.5%, ICU admission in 32.3%, live births in 68%, perinatal mortality 29%, maternal mortality in 10.5%. Conclusion:The obstetric emergency has a profound effect on mother and fetus resulting in high maternal and perinatal morbidity and mortality. Peripartum hemorrhage, hypertensive emergencies are the leading causes.