What is premature preterm rupture of membranes (PPROM)?

Updated: Oct 05, 2018
  • Author: Allahyar Jazayeri, MD, PhD, FACOG, DACOG, FSMFM; Chief Editor: Carl V Smith, MD  more...
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Premature preterm rupture of membranes (PPROM) occurring from 24-37 weeks' gestation is far more difficult to manage than premature rupture of membranes (PROM) at term. Several issues need to be considered in formulating a plan of management. Prematurity is the principal risk to the fetus, while infection morbidity and its complications are the primary maternal risks. All plans for management of PPROM remote from term should include the family and the medical team caring for the pregnancy, including the neonatal and maternal medical team. Remote from term, PPROM should only be cared for in facilities where a NICU is available and capable of caring for the neonate. Because most PPROM pregnancies deliver within a week of ROM, transfer of the pregnant mother to a qualified facility is urgent and should be facilitated immediately upon diagnoses.

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