Abstract: Cardiac diseases are a major cause of morbidity and mortality among pregnant women in the developing world. Most women with cardiac disease can go through pregnancy and delivery safely, so long as they are adequately evaluated, counseled and received high quality care. This study aimed to identify the self-care practices performed by pregnant cardiac women in Zagazig university hospilal, to find out the birth outcome behind the self- care practices performed by pregnant cardiac women, and to conduct a mother classes, and provide a handout booklet titled standard self-care practices for educating cardiac pregnant women. Research design: An exploratory descriptive design was utilized in this study. Setting: The study was conducted in antenatal high risk ward & outpatient clinic in obstetric department, at Zagazig university hospital. Subjects: A total of 180 pregnant cardiac women was collected over one year period, starting from the 1st of January 2017 to 31 December 2017. Tools of data collection: A structured interview questionnaire form, it entailed three parts: Part 1: This includes: Socio- demographic characteristics, present pregnancy data, current pregnancy data regarding practices, current treatment regimen, current pregnancy investigations. Part 11: Self-Care Assessment (SCAS). Part 111: Assessing newborn and labor outcome. The study Results: indicates that (100.0%, 91.7%, 81.7%, 80.0%) respectively of the studied cardiac pregnant women had done practices related to practicing foot care, personnel hygiene, teeth care, as well as treatment and follow up of pregnancy. Also, (56.7% & 63.3%) of the studied women had high level of copying related to psychological and social stressors and only 3.3% of the women had high total coping level. As regards outcome, 86.7% of the studied cardiac pregnant women had full term pregnancy. Also, the same percentage 86.7% of the women had conducted normal vaginal delivery & (18.3%) of the studied women had delivered babies with unhealthy Apgar score less than 7. Conclusion: there was a positive association between the self-care practices performed by pregnant cardiac women and the birth outcome; as practices regarding to (investigation & treatment regimen), practices regarding (receiving services & follow up & and person who provide health education), & coping self-practices used when found psychological & social stressors. The study recommended that, carrying out educational program about cardiac disease during pregnancy in MCH centers and outpatient clinics to provide the women with necessary knowledge and daily practices. Regular check and follow up visits in the proper settings. The educational booklet should be distributed and implemented in the antenatal clinic, in the hospital and family health centers. Also further researches is needed to investigate the long –term effect of such educational intervention on improvement of the mothers and her babies.