Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 7 6 2023 03 12 290 293 Zahra Moaazeni Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran. Danial Soltani Mashhad University of Medical Sciences, Mashhad, Iran. Mahnaz Boroumand Rezazadeh Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Mohammad Reza Rouhbakhsh Zahmatkesh Mashhad University of Medical Sciences, Mashhad, Iran. Neda Davaryari Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran. 2022 06 08 2022 10 03 Pregnancy in a woman with Wilson disease (WD) can cause pre-eclampsia, miscarriage, and preterm labor and causes hepatic, neurologic, and hematologic complications aside from pregnancy-related difficulties. A 30-year-old female was brought to the emergency room (ER) in her 38th gestational week (GW) with the chief complaint of left foot swelling and weight gain. Aside from a platelet count of about 73000, the rest of the assessment and findings were normal. Regarding the reassurance of the platelet count and holding the medical treatment, throughout the vaginal delivery, a child with Apgar of 9-10 was delivered. WD in pregnancy tends to have complications, thus patient management and how the patient is treated are critical. https://crcp.tums.ac.ir/index.php/crcp/article/view/697