Orthopedic trauma during pregnancy can cause serious complications such as premature birth, stillbirth and maternal morbidities.We report the case of a patient at 38 weeks pregnancy who fractured the left ankle and the right fifth metatarsal after falling. Cesarean section and osteosynthesis were performed in the usual manner in the same surgical procedure. There were no postoperative complications.Pregnancy and puerperium are associated with a hypercoagulable state. The early mobilization provided by surgical treatment of the fractures reduced the risks of thromboembolic events.The approach adopted may be used as an example for future procedures done in similar situations.