- 27 - CORRESPONDENCE Dr Amar Nath Chaudhary Nobel Medical College, Biratnagar, Nepal Phone: +977-9862037557 Email: amarbs000@gmail.com Received: July 21, 2021 Accepted: Nov 1, 2021 Citation: Chaudhary AN, Baral G, Subedi S, Ghimire S, Bhansakarya R. Obstetric outcome in patients with rheumatic heart disease: experience in a tertiary hospital. Nep J Obstet Gynecol. 2021;16(33):27- 32. DOI: https://doi.org/10.3126/nj og.v16i2.42107 Obstetric outcome in patients with rheumatic heart disease: experience in a tertiary hospital Amar Nath Chaudhary, Gehanath Baral, Shanti Subedi, Sita Ghimire, Rakina Bhansakarya Nobel Medical College Teaching Hospital, Biratnagar, Nepal ABSTRACT Aims: To determine the clinical outcome of rheumatic heart disease in pregnancy. Methods: Retrospective cross-sectional descriptive study from April 2019 to April 2021 in Nobel Medical College, Biratnagar, Nepal. Feto-maternal variables were taken for their health status. Data presented in table with frequency. Results: Out of 13013 deliveries in a year, 49 had cardiac disease (0.37%) and 38 had rheumatic heart disease (0.29%) over 28 weeks of gestation; 95% (n=36) had mitral valve involvement; 12 were primigravida and 7 preterm at the time of delivery. Half of them underwent caesarean section for various indications. Most common maternal complications were cardiac failure, cardiac arrythmia, admission to ICU, obstetric complications, including maternal mortality in 5.2% (n=2) cases. Low birth was in 29% (n=11) of cases, and 34% (n=13) of them needed NICU care at the time of delivery. There was history of rheumatic fever in 9 cases (24%). Conclusions: Rheumatic heart disease is the commonest diagnosis among heart disease in pregnancy and adverse event can be minimized by multidisciplinary intervention. Key words: cardiac disease, maternal mortality, pregnancy, RHD left untreated. It is common in children and teenage group. Pregnancy is not an uncommon phenomenon in those age group. RHD has lots of complications in pregnancy Chaudhary AN, et al. Obstetric outcome in RHD. NJOG. Jul-Dec. 2021;16(33):27-32 Original article INTRODUCTION Rheumatic Heart disease (RHD) is an acquired heart disease, sequelae of rheumatic fever which affects heart valves and can result in heart failure and if