What is the risk of infection with premature preterm rupture of membranes (PPROM) in the second trimester?

Updated: Oct 05, 2018
  • Author: Allahyar Jazayeri, MD, PhD, FACOG, DACOG, FSMFM; Chief Editor: Carl V Smith, MD  more...
  • Print


The risk of infection increases with the duration of PPROM. Outpatient management of PPROM prior to viability is appropriate in the well-informed and educated patient. The patient needs to be informed of warning signs that indicate the need for immediate evaluation. These signs include fever, abdominal pain, vaginal spotting, foul-smelling discharge, and rapid heart rate. The woman should monitor her temperature at home at least 3 times daily and report any elevation beyond 100.4°F (38°C). Frequent examinations are necessary to ensure maternal safety. Patients must be educated about the warning signs of intra-amniotic infection, and they must take their temperature 3 times a day at home. After viability is reached, inpatient management needs to be considered.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!