PPROM at 15 Weeks of Gestation: A Story of Hope

Abstract

Spontaneous preterm premature rupture of membranes that occurs before 20 weeks of gestation is a rare complication that is usually followed by miscarriage. There are various risk factors, including infection, inflammation, trauma, and it can sometimes be idiopathic. If PPROM happens as early as 15 weeks of gestation, termination of the pregnancy is usually the method of choice. Several risks affect the fetus and the mother if the mother decides to continue her pregnancy. The fetal musculoskeletal, gastrointestinal, respiratory, and nervous systems are mainly affected, and fetal death occurs in most cases. In patients who decide to take the risk and continue their pregnancy, conservative management with antibiotics and monitoring is usually required. The end result is either chorioamnionitis or spontaneous expulsion. This case presents a rare outcome of pregnancy after spontaneous preterm premature rupture of membranes at 15 weeks of gestation and delivery of a healthy living baby at term. The management of this case throughout pregnancy will be presented along with a literature review.