Khadka, MadanThakur, AchalaDas, DiptiMishra, Akshat2026-08-062026-08-062020https://hdl.handle.net/20.500.14572/7144Madan Khadka Department of Obstetrics and Gynecology, B.P. Koirala of Institute of health sciences, Dharan, Nepal Achala Thakur Department of Obstetrics and Gynecology, B.P. Koirala of Institute of health sciences, Dharan, Nepal Dipti Das Department of Obstetrics and Gynecology, B.P. Koirala of Institute of health sciences, Dharan, Nepal Akshat Mishra Department of Internal Medicine, B.P. Koirala of Institute of health sciences, Dharan, NepalAbstract Hyperthyroidism is a state of excessive thyroid function. The most common cause of hyperthyroidism is Graves’ disease. Overt hyperthyroidism if not treated can have serious outcome on the mother and the fetus. We present a pregnant women at 31 weeks of gestation presented with shortness of breath and palpitation with previous history of caesarean section and was treated with propyl thiouracil, beta blockers, antihypertensive drug, and during her course of treatment had Preterm Prelabor Rupture of Membrane with subsequent onset of labor and had normal vaginal delivery of 1.7 kg healthy baby. This report emphasize on the timely management of overt symptoms before the onset of labor. Keywords: hyperthyroidism; pregnancy; PPROM; thyrotoxicosis.en-UShyperthyroidismpregnancyPPROMthyrotoxicosisArticle