Introduction: Twin pregnancies are associated with a risk of premature delivery. Case presentation: A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes. The patient received specialized bed rest and support, and the pregnancy was successfully completed at 36 weeks and 5 days. Conclusion: In the second half of the pregnancy, due to the risk of emergency cervical cerclage, expectant management seems an appropriate and safe approach.

A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes.The patient received a special kind of bed rest and supportive proceedings and the pregnancy completed successfully at 36 weeks and 5 days. In the second half of pregnancy, due to the risk of emergency cerclage, expectant management seems an appropriate and safe approach.