Study Hypothesis

Developing a protocol for managing pregnant women with heart disease in India, based on systematically collected prospective data across our nation, and developing a indigenous risk stratification tool and implementing them in day to day management

may

Change the practice patterns in care of women with heart disease & thus improve the maternal and fetal outcome in India.

Primary Objective

• Develop, implement and evaluate an evidence-based cardio-obstetric care protocol in improving outcomes of PWWHD in India.

Secondary Objectives

• Develop and validate a risk stratification tool for PWWHD in India
• Test the applicability of existing risk scores for Indian population (mWHO, CARPREG II, ZAHARA, DEVI)

Methodology (Multimethod study)

• Cohort model to develop risk stratification tools