What are the options for management of 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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Answer

Answer

Several areas of controversies exist regarding the best medical approach or management of PROM remote from term. Expectant management and immediate delivery are potential options in these patients, and each has its own advantages and disadvantages. With appropriate care, the maternal risks of expectant management are generally accepted to be minimal and a clear neonatal advantage exists by reducing risks of prematurity.

Controversies exist as to interventions such as steroids for acceleration of lung maturity, antibiotics, and tocolytics. See Medical Treatment.


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