Background: Heart disease complicating pregnancy is an important indirect cause of maternal mortality and morbidity. Maternal heart disease comprises .2%-2% of pregnancies and responsible for 10%-20% of maternal deaths1. Our study was done to evaluate fetomaternal outcomes in pregnancy with heart disease.Objectives: Evaluation of fetomaternal outcome in pregnant patients with cardiac disease. Materials andMethods: This observational study was done in Bangabandhu Sheikh Mujib Medical University and Anwer Khan Modern Medical College Hospital among 51 pregnant women with known or newly diagnosed heart disease from January 2013-january 2015. Baseline data recorded demographic character, NYHA functional class, maternal complications, mode of delivery and neonatal outcome.Results: Among 51 cardiac patients, 32 (63%) were primigravida. Mostly 46 (90.6%) belonging to NYHA Class I and II. Rheumatic heart disease seen in 45 (87%) and congenital heart disease in 10% subjects. Mitral stenosis was the most common, seen in 22 (41%) cases. 47.33% patients were delivered vaginally and LSCS done in 41% patients. The fetal outcome were live births in (96.6%) cases, (27.4%) babies required NICU admission.Conclusion: An improvement in modern techniques of monitoring, better understanding of pathophysiology of cardiac disease and multi disciplinary care can lead to substantial improvement in the feto maternal outcome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 112-116

Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. Primary ovarian ectopic pregnancy means  implantation of the gestational sac in the ovary. Its incidence after natural conception ranges from 1 in 2000 to 1  in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. It ends with rupture before the end of the  first trimester. The preoperative diagnosis of this type of pregnancy is not easy. It is characterized by a poor  clinical symptomatology and a difficult ultrasound diagnosis but confirmed by histological findings. For the  management, Conservative laparoscopic surgery involves ovarian resection or aspiration of the pregnancy with  coagulation of the implantation site. However, in case with profuse intraperitoneal bleeding an oophorectomy or  salpingo-oophorectomy may be necessary to achieve hemostasis. We report here one such uncommon case of  ovarian ectopic pregnancy. Our patient is a 27 years old nulliparous woman came with severe hypogastric pain.  During laparoscopy, ruptured ovarian ectopic pregnancy was diagnosed, and wedge resection of the ovary was only done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 183-185