Aplastic anaemia is a rare haematological disease in pregnancy, which carries a major risk of materno-fetal morbidity and mortality. Pregnancy may be one of the causes of this disease, but in some instances the severity spontaneously reduces after delivery. Death is due to haemorrhage or infection secondary to thrombocytopenia and neutropenia. Haemorrhage is the major complication in pregnant mothers after caesarean section. Aplastic anaemia is known to increase the antenatal complications such as preterm birth, intrauterine death, still birth, spontaneous miscarriage. Here, we report a case of successful perioperive management of a 30 year old female with pregnancy induced aplastic anaemia and intrauterine fetal demise posted for elective caesarean section.