Maternal morbidity and mortality, primarily stemming from cardiovascular disease, are on the rise. Pregnancy introduces physiological changes and potential complications for both mother and fetus. Pre-existing cardiac conditions demand thorough multidisciplinary assessment, counseling, and optimization before conception. Vigilant monitoring and medication management are crucial. Close supervision is especially important for those who develop cardiac issues during pregnancy, like heart failure, preeclampsia, and arrhythmia. Signs of cardiac problems during pregnancy encompass fatigue, chest pain, breathlessness, fainting, and nocturnal breathing difficulties.