A CHALLENGING SITUATION-PREGNANCY, PTMC, PLACENTA PREVIA PERCRETA

Cardiac disease is a leading cause of maternal mortality worldwide. Mitral stenosis is the most common form with increased pregnancy and delivery complications for both mother and neonate. During pregnancy physiological hemodynamic changes of the circulation are the main cause of mitral stenosis decompensation. Morbidly adherent placenta is a serious complication of pregnancy and is associated with massive intrapartum hemorrhage and high maternal morbidity and mortality. The case under discussion is of a recently diagnosed patient with severe mitral stenosis and placenta previa who was effectively managed in a tertiary care setting inspite of having both cardiac and obstetric life threatening situations with a outcome comparable to a normal patient.