[Extremely prolonged premature rupture of membranes]

The amniochorial membrane is composed of two layers deriving from amnios and chorion and they are sealed at the 12th week of pregnancy; they have to contain the amniotic fluid. Very prolonged premature rupture of the membranes (VPPROM) is considered if it occurs more than five days before delivery. The case of a patient 29 years old, (GRAV 2 PARA 1) with rupture of membranes at the 17th week of pregnancy is presented. Obstetric management and the treatment of amnios and vaginal infections is reported. Amnioinfusions were repeatedly performed. The delivery occurred by cesarean section at 34th week for breech presentation. No somatic or neurologic defects were evident at the birth.