Premature rupture of membranes (PROM) refers to membrane rupture before the onset of uterine contractions (also known as prelabor rupture of membranes); preterm PROM (PPROM) refers to PROM before 370/7ths weeks of gestation.
The management of PPROM is among the most controversial issues in perinatal medicine. Points of contention include:
●Expectant management versus intervention
●Use of tocolytics
●Duration of administration of antibiotic prophylaxis