Gestational thrombocytopenia is seen in 6.6% to 11% of all pregnancies. Platelet count in gestational thrombocytopenia (GT) is usually more than 70,000/dL. Usually no treatment is required and fetal or neonatal risk is also very low. Platelet counts below 70,000/dL calls for further investigation. We describe an unusual presentation of gestational thrombocytopenia with very low platelet count.