Gestational diabetes mellitus with insulin dependence, sinus tachycardia, biochemical hyperthyroidism, and unreliable blood pressure control hampered the early stages of pregnancy. It was suggested to deliver at 24 weeks due to the patient’s uncontrollable hypertension, deteriorating renal impairment, and intrauterine growth restriction. Under general anesthesia, a caesarean section was used to deliver a 486 g male baby. This case illustrates the difficulties of taking care of a pregnant dwarf woman. Dwarfism is the inability to reach maturity at 148 cm in height. More than 300 distinct genetic skeleton defects have currently been found, however these can be loosely divided into two categories: proportional growth (short trunk and short limbs) and disproportionate development (short limbs). Most skeletal dysplasia women may seek advice on getting pregnant if they have a normal life expectancy and fertility. Despite the fact that there have been numerous case reports of successful pregnancies in circumstances similar to this over the past 50 years, these have mainly involved women with disproportionate dwarfism who have a higher chance of getting pregnant because of their relatively well-preserved trunk height and organ proportions.