A pregnant woman suffered a massive cerebrovascular accident at 24 weeks’ gestation. She became comatose, but she successfully carried the fetus till 33 weeks. The patient remained in a comatose state and required enteric feeding and skilled nursing care. Premature labor began at 33 weeks’ gestation, and there was a vaginal delivery of a live 1.5 kg female. The puerperium was complicated by disseminated intravascular coagulation, and the mother died on postnatal day 6. The child is developing normally at 1 year. Generally these women do not carry up to term and deliver prematurely, though in some cases pregnancy can be successfully stretched until period of maturity despite severe maternal brain damage. The maternal and fetal prognosis along with the period of gestation should be taken into consideration before taking decisions. Only a few cases of coma and pregnancy have been reported in literature. The management requires multidisciplinary approach. Supportive nursing care is vital and most of these women deliver with assistance, though prematurely.