when compared to the general population (15%). The high rate of forceps application might be to prevent maternal exhaustion. Cesarean section was done for obstetric indication i.e cephalopelvic disproportion. The rate of cesarean section (3.3%) was similar to the general population and similarly reported in other Indian studies16 Malhothra et al.17also found high rate of preterm delivery, low birth weight, forceps delivery among cardiac patients when compared to non – cardiac patients.