Vaginal Delivery and Cesarean Section in Pregnancy Complicated by Uterine Prolapse: A Report of Two Cases

Uterine prolapse during pregnancy is a rare but potentially serious condition that poses significant obstetric challenges due to the absence of standardized management guidelines. It is commonly associated with multiparity and may lead to complications such as cervical edema, ulceration, infection, preterm labor, and obstructed delivery. We report two cases of advanced uterine prolapse during pregnancy managed with different approaches. The first case involved a 32-year-old multiparous woman with a reducible stage III prolapse who was successfully managed conservatively and delivered vaginally at term without complications. The second case involved a 38-year-old multiparous woman with an irreducible stage IV prolapse complicated by cervical ulceration, requiring cesarean section at 37 weeks of gestation. These cases highlight the importance of individualized management based on prolapse severity, reducibility, and associated complications. Vaginal delivery may be safely achieved in selected cases, whereas cesarean section remains the preferred option in severe or complicated prolapse. Early recognition, close antenatal monitoring, and appropriate delivery planning are essential to ensure favorable maternal and neonatal outcomes.