Introduction: Rheumatic chorea during pregnancy is important from obstetric, neurological as well as cardiac point of view. Management in a team of trio has resulted in a favorable outcome in the form of healthy baby and healthy mother after the delivery. Discussion: Chorea is rapid, jerky irregular movements that tend to occur in distal limbs or face which can not be suppressed voluntarily. The onset of new movement disorder during pregnancy i.e. chorea gravidarum is synonymous with rheumatic chorea (Sydenham's chorea). Sydenham”s chorea occurs in less than 10% of patients with rheumatic fever.