A lady of 23 years with the eighth month of pregnancy came with dyspnea.This is her second pregnancy. The first one was full term and she underwent LSCS and got a normal baby one year ago. After seeing the ECG and also clinically having MDM and P2 loud, sent for echo and came as mitral stenosis moderate by one cardiologist and another as severe. X-ray chest could not be taken for an obvious reason.The lady is advised BMV and sent for the same.The anxiety of cardiac disease detection at eighth month of pregnancy and to undergo a procedure is really an uphill task for ordinary people.

As a rule, it is better in every pregnant lady the following diseases should be ruled out in first pregnancy in first trimester itself and also subsequent pregnancies if needed. 1.Diabetes mellitus-GDM 2. Hypertension-preeclampsia 3. Cardiac disease-congenital and acquired 4.Thyroid disorders-hypo and hyper…