Parahaemophilia (congenital Factor V deficiency) is inherited in an autosomal recessive manner which is clinically characterized by varied bleeding tendencies resulting in morbid complications. We report the management of two cases of congenital Factor V deficiency in pregnancy. Both the patients were diagnosed with Factor V deficiency due to increased bleeding tendencies post procedure a priori. Multidisciplinary care approach with a team of physicians, hematologists, anaesthetists and obstetricians was needed to manage the patient throughout the pregnancy and postnatally. Both the cases had a caesarean section and they were managed with regular transfusion of fresh frozen plasma and blood. A total of 16 unit of FFP transfused, 4 units preoperatively, 4 units intraoperatively, 4 units postoperatively and 4 units before the removal of the drain in the first case. Her INR remained less than 1.5 and APTT 36.6. Patient was discharged well at day 7 post operation. The second case was transfused with 6 units FFP preoperatively and 3 units FFP on post op day 1. This patient presented at day 7 post operation with secondary post-partum hemorrhage, which required surgical evacuation of the uterus. This case series highlights the need of a systematic guideline in managing cases with congenital Factor V deficiency.