The incidence of cardiac disease in pregnancy is around 1%. Pregnancy complicated with cardiac disease is associated with increased risk of maternal morbidity & mortality. This study was conducted at Department of Obstetrics & Gynaecology, Government Medical College, Kottayam from September 2020 for one year. It was a prospective observational study done in 97 women who satisfied the inclusion criteria. Patients were classified as per modified WHO (World Health Organisation) pregnancy risk scoring.84.5% belonged to the age group of 20-34 years. Valvular heart disease(VHD) constituted 52.6% and congenital heart disease(CHD) 41.2%. Among VHD, mitral stenosis was most common, 23.5%.WHO class I,II,III&IV constituted 37.1%, 37.1%, 15.5% &10.3% respectively. Among 97 patients, 10 (10.3%) had to undergo MTP,31 (31.9%) underwent LSCS &56 (57.7%) underwent normal labour. The incidence of preterm labour was 5.7%, hypertension 11.5% and IUGR 8% which were more in WHO class IV. Congestive cardiac failure was the common complication which was observed in 4.1% of cases again observed in WHO risk IV cases.18 babies had birth weight less than 2500 g(20.7%). Low APGAR score<7 was observed in 5.7% of newborn and 5.7% of required NICU admission which was found to have significant association to modified WHO risk classification.1 case of stillbirth was observed (1.1%). There was no neonatal death. The incidence of congenital heart disease in neonate among patients with CHD was 5%.There was one case of maternal death.