<P> Women who have had premature rupture of membranes (PROM) are more likely to experience it in future pregnancies . There is not enough data to recommend a way to specifically prevent future PROM . However, any woman that has had a history of preterm delivery, because of PROM or not, is recommended to take progesterone supplementation to prevent preterm birth recurrence . </P> <Table> Summary by fetal age <Tr> <Th> </Th> <Th> <P> Fetal age </P> </Th> <Th> <P> Management </P> </Th> </Tr> <Tr> <Th> <P> Term </P> </Th> <Td>> 37 weeks </Td> <Td> <Ul> <Li> Induction of labor </Li> <Li> Antibiotics if needed to prevent GBS transmission </Li> </Ul> </Td> </Tr> <Tr> <Th> <P> Late Pre-term </P> </Th> <Td> 34--36 weeks </Td> <Td> <Ul> <Li> Same as for term </Li> </Ul> </Td> </Tr> <Tr> <Th> <P> Preterm </P> </Th> <Td> 24--33 weeks </Td> <Td> <Ul> <Li> </Li> <Li> Watchful waiting (expectant management) </Li> <Li> Tocolytics to prevent the beginning of labor </Li> <Li> Magnesium sulfate infusion for 24--48 hours to allow maximum efficacy of steroids for fetal lungs (tocolytic) and also confer benefit to fetal brain and gut before delivery </Li> <Li> One time dose of corticosteroids (2 separate administrations, 12--24 hours apart) before 34 weeks </Li> <Li> Antibiotics if needed to prevent GBS transmission </Li> </Ul> </Td> </Tr> <Tr> <Th> <P> Pre-viable </P> </Th> <Td> <24 weeks </Td> <Td> <Ul> <Li> Discussion of watchful waiting or induction of labor </Li> <Li> No latency antibiotics, corticosteroids, tocolysis, or MgSO4 </Li> </Ul> </Td> </Tr> </Table> <Tr> <Th> </Th> <Th> <P> Fetal age </P> </Th> <Th> <P> Management </P> </Th> </Tr> <Tr> <Th> <P> Term </P> </Th> <Td>> 37 weeks </Td> <Td> <Ul> <Li> Induction of labor </Li> <Li> Antibiotics if needed to prevent GBS transmission </Li> </Ul> </Td> </Tr>

Preterm premature rupture of membranes (pprom)