Pregnancy can pose unique challenges for women with pre-existing cardiac problems, as the cardiovascular system undergoes significant changes. Conditions such as congenital heart disease, valvular disorders, or cardiomyopathies may exacerbate during gestation. The increased blood volume and heart rate, coupled with hormonal fluctuations, can strain the heart, leading to complications. Maternal risks include heart failure, arrhythmias, and hypertension, potentially impacting both mother and baby. Adequate prenatal care is crucial for monitoring and managing these conditions, often requiring a multidisciplinary approach involving cardiologists and obstetricians. Medication adjustments and lifestyle modifications may be necessary to ensure optimal maternal and fetal health. Regular check-ups, specialized imaging, and close monitoring of symptoms are vital throughout pregnancy. In severe cases, preterm delivery or cesarean section might be recommended to reduce stress on the maternal cardiovascular system. Educating women with cardiac issues about potential risks and preventive measures is crucial for informed decision-making and successful pregnancy outcomes. Overall, collaborative care and a tailored approach are essential to navigate cardiac problems in pregnancy successfully.