Hi there, Welcome to HCM, Heart disease in a pregnant women makes her a high risk. She should follow up and deliver at a tertiary care hospital which has both obstetricians and cardiologists available round the clock. Her medical condition should be optimised prior to delivery, if she has anemia it has to be corrected and her ECHO to see for heart function done in the later weeks of pregnancy. The fetus also needs to be monitored as babies of women with heart disease tend to be smaller than others and may have growth restriction. Regular visits to her obstetrician are necessary. And the first few days after delivery as well are very crucial and she should be kept under observation in the hospital. Hope this helps. Regards.