An advanced maternal age and gestational diabetic patient who was 50 years of age was co-managed at Valley Perinatal. This was her third pregnancy, the two prior were both delivered vaginally. At 11 weeks the patient had a severe urinary obstruction. In order to correct this, the patient was given a rectal examination for reduction of incarcerated uterus. This procedure not only positioned her uterus to allow for better fetal growth it also eliminated the urinary obstruction relieving the patient and gaining a higher gestational age.