Every year worldwide, nearly 9 million newborn babies and young children die before reaching age 5 and nearly 350,000 women lose their lives due to pregnancy or childbirth complications. Each year, 50 million women in the developing world give birth with no professional help which render into 8.8 million children and newborns die from easily preventable or treatable causes. Aim: In developed countries, there is otherwise decline in IMR but percentage of death secondary to congenital defect remains unchanged and cardio vascular (IMBD)causes takes the lead. Cardiac disease in pregnancy is associated with high maternal morbidity and adverse foetal outcomes as 10% of early neonatal mortality has been attributed to cardiac defects in otherwise healthy babies. Also Cardiac diseases in pregnancy are associated with high maternal morbidity and adverse fetal outcomes.