Objective To explore the practice effect of postabortion care in pregnant women with heart disease. Methods Totally 58 pregnant women with heart disease and underwent induced abortion in 2017 were taken as a control group, who received routine perioperative care, and another 60 women underwent induced abortion in 2018 were regarded as an experimental group, who received the standardized service of Post Abortion Care (PAC), the individual information profile for the patients was established, they received contraceptive education via a WeChat platform, and they were followed up and guided individually using phone or Wechat at 1, 3 and 6 months after abortion. Results The score of contraceptive knowledge of the experimental group was significantly higher than that of the control group, and the effective contraception rate at 1, 3 and 6 months after abortion were significantly higher than those of the control group, and there was no repeated abortion within 6 months after operation in the experimental group (P<0.05, P<0.01). Conclusion The postabortion care is conducive to improving the contraceptive cognition and effective contraception rate for pregnant women with heart disease, and avoiding repeated abortion after operation, then to promote female reproductive health.