Abstract

The terms "monochorionic" and "diamniotic" refer to multiple gestations with just one placental disk (or chorion) and two separate amniotic cavities, respectively. Each fetus in a monochorionic diamniotic twin pregnancy has its own amniotic sac in addition to the common placenta. PPROM is the rupture of membranes before the onset of labor and before 37 weeks of gestation. We present a case of a 33-week-old primigravida female with monochorionic diamniotic twin gestation, Rh negative pregnancy, and PPROM who presented to the labour room with a fully dilated cervix, an emergency lower segment caesarean section was performed with prolonged second stage labour, and twins were delivered.

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