Purpose of Review <p>The purpose of this review is to examine past and current literature regarding maternal and fetal outcomes in pregnancy in patients with pulmonary hypertension (PH). In this review we will outline the management of PH during and after pregnancy.</p> Recent Findings <p>Recent retrospective data has shown improvements in maternal and fetal outcomes in PH as well as successful management of PH and RV failure during pregnancy.</p> Summary <p>With more data and experience, outcomes have improved, offering better guidance on the management of pregnancy in the PH patient. While it is important to recognize high-risk patients, low-risk patients may be able to safely carry and deliver a baby, representing a significant shift in the PH world. We hope to focus attention on the following aspects: comprehensive risk stratification, disease optimization, and careful planning through a multidisciplinary team approach.</p>