Introduction Uterine prolapse is the descent of the uterus and cervix down the vaginal canal toward the introitus. Case report Here we report a 29-year-old pregnant woman presented with extensive uterine prolapse during active labor. Cervix was edematous and bleeding but reduction was possible. The patient was delivered by cesarean section and prophylactic bilateral uterine artery ligation was performed to prevent postpartum hemorrhage. Following delivery, uterine prolapse recovered spontaneously. Conclusion This is an extremely rare condition in which careful assessment is required to prevent complications during delivery. © The International Urogynecological Association 2010.