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The onset of spontaneous spinal epidural haematoma (SSEH) during pregnancy is rare, with only a few reports addressing the management of pregnancy after its development. In this report, we describe a case of pregnancy complicated by SSEH at 31 weeks’ gestation. In this case, the complications started with the symptoms of sudden neck pain and bilateral leg numbness. MRI examination revealed the presence of a haematoma within the posterior spinal canal. Since the patient was successfully placed in a prone position, only haematoma evacuation was performed, allowing the pregnancy to be maintained. Labour was induced at 39 weeks’ gestation, and the infant was delivered using forceps. The baby was discharged home; however, the patient was transferred to a rehabilitation hospital and was discharged 3 months later with persistent voiding dysfunction. SSEH that develops during pregnancy may lead to the need for prolonged rehabilitation and separation from the child.