Renal failure is known to be associated with impaired fertility and high pregnancy complications. Nevertheless, regular dialysis can restore conception and improve pregnancy outcome. The authors hereby report on a case of spontaneous conception in a young woman with end-stagerenal failure being dialyzed. The pregnancy was marked by premature rupture of membranes and acute fetal distress at 35 weeks gestation. A female baby of weight 1970 g was delivered by cesarean section. Postpartum period was uneventful for both the mother and her baby. This case report reminds us that, while waiting for kidney transplantation, intensified hemodialysis improves spontaneous conception and pregnancy outcome among women with end-stage renal failure. The authors also discuss in this case presentation the various pregnancy complications that can be observed in women with end-stage renal disease.

Puerperal vaginal prolapse of a huge pedunculated submucosal uterine fibroid is a rare event in a woman who delivered vaginally recently. The authors hereby present a case of a 10 cm uterine fibroid that prolapsed through the cervix five weeks after vaginal delivery. After 48h of intravenous administration of broad spectrum antibiotics, the myoma was successfully twisted under general anesthesia. The authors recommend that women carrying a huge uterine fibroid should be well observed during the postpartum period to diagnose an eventual uterine fibroid vaginal prolapse early, so as to prevent fibroid superinfection, obstructive complications and postpartum hemorrhage as well.