Premature Rupture Of Membranes At Week 19: Favorable Pregnancy Outcome And Four Years Follow-Up After Expectant Management

Premature rupture of membrane (PROM) and preterm birth are the major public health problems accounting for mortality and morbidity both in infant and mother. Although, there are some reports available in world literature on PROM at week 20 and early preterm births prior to week 34, but most of these cases end in catastrophic outcome. In the present study a case report on PROM, associated with persistently marked oligohydramnios at week 19 is presented and discussed. The patient was managed expectantly and delivered at week 35 without any complication. Four years follow-up in pediatric clinics revealed a healthy normal child. Even though, the PROM was not anticipated – but its timely detection, prompt laboratory investigations, scrupulous patient care and meticulous management of infections, illness and hyperbilirubinemia lead to a favorable outcome. Subsequent care of the baby in the Neonatal Intensive Care Unit (NICU) and good oral feeding from day 1 appears to influence the normal progress of the baby.