This case involves a female patient who was confirmed by ultrasound to have a twin pregnancy. The patient was seen by her obstetrician at 22 weeks gestation with complaints of leaking clear fluid and pelvic pain. The obstetrician did not measure cervical length or recommend any further investigation of the patient’s symptoms. The patient was advised to return for routine follow-up in 4 weeks. The following week, the patient presented to the emergency room with complaints of fluid leakage and pelvic pain. She was admitted and treated with antibiotics for a urinary tract infection. It was later discovered that the patient had developed chorioamnionitis due to prolonged labor. The twins were born with birth defects and one of the twins passed away within 36 hours of birth.