Preterm Premature Rupture of Membranes (PPROM) is defined as the spontaneous rupture of fetal membranes before 37 completed weeks of gestation and before the onset of labor. The incidence of PPROM is around 2-3% of all pregnancies, and it complicates about 3% of pregnancies, leading to 30%-40% of premature births. PPROM can result in significant morbidity and mortality, causing various complications such as sepsis, pulmonary hypoplasia, chorioamnionitis, and necessitating Neonatal Intensive Care Unit (NICU) admissions. This study aimed to investigate the perinatal and maternal outcomes in cases of PPROM. In this study, PPROM was observed in 47% of cases in the age group of 20-25 years. Among the patients admitted with PPROM, 70% were primigravida. Breech presentation was the most common risk factor, followed by previous pregnancy, polyhydramnios, urinary tract infection, and history of recent coitus. The most common organism identified was E. coli (11.76%). Maternal complications included puerperal pyrexia (23.53%), chorioamnionitis (17.65%), abruption placentae (5.88%), and wound infection (5.8%). Approximately 52% of the admitted babies experienced neonatal morbidity, with respiratory distress syndrome being the most prevalent (17%), followed by jaundice (11%), septicemia (5.88%), and intraventricular hemorrhage (IVH) (5.88%). Among the 85 cases studied, 10 neonatal deaths were recorded, accounting for 11% of the cases.