Cardiovascular diseases are the leading cause of maternal mortality and morbidity in India. Due to physiological hemodynamic changes occurring during pregnancy, patients with asymptomatic pre-existing cardiac disease become manifest during this time. Such complications can be avoided if 2D echo is used as a screening tool to detect cardiac issues early in pregnancy. Material and methods: A prospective observational study was done in the Department of Obstetrics of Prathima Institute of Medical Sciences, Karimnagar over 2 years during which 120 antenatal women who were booked for checkups were selected for the study after taking consent. Results: Statistically significant associations were seen in women with abnormal 2D echo scans, maternal morbidity, and neonatal morbidity, with the most number of neonates born to females with abnormal scans requiring ICU admissions. Conclusion: 2D echo scan usage as a screening tool can reduce maternal mortality and morbidity due to cardiac issues by early detection and management of the same