RESUMEN
Egypt is still having high maternal morbidity and mortality. Chronic diseases associated with pregnancy increases the risk of obstetric and neonatal complications ranging from manageable problems up to maternal and fetal mortality. These adverse outcomes are at least in part related to preconception care, monitoring during pregnancy and the proper place and time for termination of pregnancy.1- Exploring pregnancy outcome with common chronic illnesses. 2- Determining the possible underlying factors for unfavorable outcome associated with some chronic illnesses. 3- Fate of the studied patients. A stratified random sample of pregnant with associated chronic illnesses, attended to the emergency outpatient clinic of Kasr El Aini Obstetric and Gynecology Hospital, during the period of 1/10/2006-31/3/2007, were the subjects of this work. Resident physician in charge were asked to complete a pre-tested questionnaire form covering the information that could be collected in this adverse situation. The total sample was 188 patients 17 [9.0%] diabetes type I, 21 [11.2%] diabetes type II, 55 [29.3%] hypertensive, 36 [19.2%] chronic renal diseases, 12 [6.4%] liver cirrhosis and 47 [25.0%] chronic heart diseases. De-compansated conditions were about 78%, 21% attended in labor, about 50% with vaginal bleeding [abortion], 5 maternal deaths were reported. Out of those known terminating pregnancies, known fetal losses were 18 [16 miscarriage and 2 stillbirths, 8 LBW and one case with congenital anomalies]. If pregnancy is associated with chronic maternal diseases, adverse maternal and fetal outcome have to be expected. Hence the importance of foundation of a strategic plan, for their health education about their different chronic illnesses, early detection, monitoring and preparing suitable places for delivery. And this best to be applied on the bases of Primary Health Care or Family medicine clinics