Cardiomyopathy, a disease of the heart muscles, is difficult to manage and can lead to sudden cardiac death. Dilated cardiomyopathy, a form of cardiomyopathy, with recurrences in subsequent pregnancies, increases the morbidity and mortality of both mother and child. Here, we report a case of a 25-year-old woman with amenorrhea for 6 weeks and a history of dilated cardiomyopathy during her previous pregnancy. Despite the risks and associated complications with the disease, she willingly continued her pregnancy and underwent caesarian section giving birth to a premature alive baby. The aim of this case is to provide guidance on how to manage a patient with dilated cardiomyopathy throughout her pregnancy including antenatal, intranatal and postnatal care.