A challenging case, expertly handled at ILS Hospitals Howrah. Mrs. Rupali Chatterjee, with a history of hypothyroidism and diabetes, was admitted under Dr. Dolly Bosu Chaudhuri (Obstetrics and Gynaecology) for a sudden rupture of membrane. Our team successfully delivered a 1.2 kg baby girl through IVF, providing immediate NICU care. Special thanks to Dr. Lalit Agarwal, Consultant Paediatrician, for his invaluable expertise. Both mother and child were discharged healthy.