Sinus tachycardia, biochemical hyperthyroidism, insulin-dependent gestational diabetes, and issues with blood pressure control hampered the early stages of pregnancy. Delivery was suggested at 24 weeks due to uncontrollable hypertension, progressive renal impairment, and intrauterine growth restriction. While the patient was under general anesthesia, a caesarean section was performed to deliver a 486 g male baby. This situation exemplifies the difficulties in caring for a pregnant dwarf woman. Dwarfism is the absence of maturity at a height of 148 cm. Although there are currently over 300 different types of genetic skeletal defects known, they can be loosely divided into two categories: proportional growth (short trunk and short limbs) and disproportionate development (short limbs). The majority of women with skeletal dysplasia may seek assistance in getting pregnant if they have a normal life expectancy and fertility. Even though there have been numerous case reports of successful pregnancies in comparable circumstances over the past 50 years, these have mainly involved women with disproportionate dwarfism who have a higher chance of getting pregnant and relatively well-preserved trunk height and organ proportions.