Background: Transverse vaginal septa are rare anomalies that may be first diagnosed during pregnancy. Management options including elective cesarean delivery, incision before labor, and a trial of labor have been proposed.
Cases: Two patients with transverse vaginal septa were allowed a trial of labor. The septa were incised in active labor, resulting in vaginal delivery with no related complications.
Conclusion: Allowing a trial of labor despite a transverse vaginal septum is a reasonable management option in selected cases.