Preterm Prelabor Rupture of Membranes (PPROM) leads to significant neonatal mortality or morbidity although it may complicate only 2% of preterm pregnancies. This article provides a brief synopsis of what is included in the PPROM management guideline provided by the Royal College of Obstetricians and Gynaecologists. The neonatal death associated with PPROM is attributed to pulmonary hypoplasia, sepsis, and prematurity. Sepsis occurs due to bacterial infections.
It has been proved that the pathogens can cross the intact membrane as well. The attached guideline aims to provide up-to-date recommendations for diagnosis, investigation, and management of PPROM. Recommendations include: PPROM is best diagnosed with maternal history, sterile speculum examination and confirmed with ultrasound. Symptoms of clinical chorioamnionitis must be observed in the women however it is unnecessary to…
