The management of cancer during pregnancy may pose difficulty for patients, their families and physicians. The concomitant occurrence of pregnancy and CML is very rare since it is a malignancy which is most commonly detected in elderly. A 30 years old female was diagnosed as a case of CML and prescribed hydroxyurea which she stopped on her own after taking for few months. The patient conceived one month after stopping hydroxyurea. She did not agree to terminate the pregnancy even on repeated requests. Though the total leucocyte count was in the range of 150-200X103/ml, she refused to take any form of therapy till delivery. Antenatal period was uneventful and at term she delivered a male child normally. The mother developed secondary postpartum hemorrhage which was controlled after exploration and removal of retained bits of placenta. Hydroxyurea was started 4 weeks after delivery. Both the mother and the child are doing well till date
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