Pregnancy is a wonderful experience. But not always is the experience as picturesque as we would plan it to be. Often times unexpected complications arise that can foul up from trying to have pregnancy to actually having a healthy pregnancy. We report a 35 year old nullipara presented with history of 2 year infertility with polycystic ovary syndrome (PCOS). Ovulation induction done with gonadotrophins and intrauterine insemination done. Moderate ovarian Hyperstimulation syndrome (OHSS) developed that was conservatively managed. In same cycle patient became pregnant. Bed rest and progesterone support advised in view of threatened abortion in early pregnancy. At around 28 weeks betamethasone coverage and tocolysis started due to preterm labor pains, continued up to 35 weeks. At 36 weeks emergency caesarean section done in view of absent diastolic flow in fetal umbilical artery. A live healthy male baby weighing 2.4 kg delivered. On post operative day 7, symptoms of congestive cardiac failure appeared and diagnosis of Peripartum cardiomyopathy (PPCM) was made, admitted in ICU and managed actively by multidisciplinary team.

Keywords: Ovulation Induction; Gonadotrophins; Ovarian Hyperstimulation Syndrome; Peripartum Cardiomyopathy