Abstract
(Lancet. 2016;387:444–452) Rupture of the membranes before the onset of labor is a common problem, occurring in 20% of all births and 40% of preterm births. The management of preterm prelabor rupture of membranes close to term varies among different countries. The professional obstetric societies in the United States and United Kingdom do recommend immediate delivery from 34 weeks gestation onward. However, these recommendations are based on scant scientific evidence. The goal of this current study (named the PPROMT trial) was to establish whether immediate birth or expectant management resulted in better outcomes in the setting of ruptured membranes close to term in singleton pregnancies.
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