Rare coagulation disorders in pregnancy increase the risk of maternal and neonatal complications, and their unpredictable clinical behavior, coupled with a poor correlation between laboratory abnormalities and actual bleeding risk, creates significant management challenges. This case series presents four obstetric patients diagnosed with uncommon coagulation disorders, including congenital Factor XI deficiency, congenital Factor VII deficiency, congenital Factor XII deficiency, and postpartum acquired hemophilia A, all managed at a tertiary care center through a multidisciplinary approach. Individualized antenatal planning, tailored intrapartum hemostatic strategies, anesthesia decision-making, and strict postpartum surveillance were central to management. This series underscores that early diagnosis, individualized risk assessment, and coordinated multidisciplinary involvement are essential for optimizing outcomes in pregnancies complicated by rare coagulation disorders. 

Yugantika Tomar is a committed and academically driven obstetrician and gynecologist currently working in Kasturba Medical College, MAHE Manipal, India. She completed her MS in Obstetrics and Gynaecology in 2022 and has since been actively involved in the clinical management of high-risk pregnancies, obstetric complications, and gynecologic surgical care. Her areas of special interest include minimally invasive gynecologic surgeries, such as laparoscopy and hysteroscopy, as well as maternal-fetal medicine with a particular focus on improving outcomes in high-risk obstetrics through timely diagnosis and multidisciplinary coordination. She is published in reputable indexed medical journals and remains actively engaged in academic writing and research. In addition to her clinical expertise, she is enthusiastic about medical education, actively participating in the training of undergraduate and postgraduate medical students.