Related Experiment Video
Updated: Mar 28, 2026

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
Practice Bulletin No. 160: Premature Rupture of Membranes
Insights
Preterm premature rupture of membranes (PROM) affects 3% of US pregnancies. Management guidelines are presented, balancing delivery risks against expectant management for optimal perinatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Background:
- Preterm delivery impacts 12% of US births, contributing to perinatal morbidity and mortality.
- Preterm premature rupture of membranes (PROM) complicates 3% of US pregnancies.
- Optimal management for PROM remains debated, balancing delivery risks with expectant management concerns like infection.
Purpose of the Study:
- To review current understanding of preterm premature rupture of membranes (PROM).
- To provide evidence-based and consensus-driven management guidelines for PROM.
- To inform clinical assessment and treatment strategies for women with PROM.
Main Methods:
- Literature review of outcome-based research on PROM management.
- Synthesis of current understanding and expert opinion.
- Development of clinical guidelines based on available evidence.
Main Results:
- Management decisions for PROM require careful consideration of gestational age.
- Risk assessment involves comparing risks of delivery versus expectant management (infection, abruption, cord accident).
- Guidelines incorporate both validated research and expert consensus.
Conclusions:
- Effective PROM management necessitates a thorough understanding of risks and benefits.
- Guidelines aim to standardize and improve care for PROM.
- Further outcome-based research is valuable for refining PROM management strategies.
Abstract:
Preterm delivery occurs in approximately 12% of all births in the United States and is a major factor that contributes to perinatal morbidity and mortality . Preterm premature rupture of membranes (PROM) complicates approximately 3% of all pregnancies in the United States . The optimal approach to clinical assessment and treatment of women with term and preterm PROM remains controversial. Management hinges on knowledge of gestational age and evaluation of the relative risks of delivery versus the risks of expectant management (eg, infection, abruptio placentae, and umbilical cord accident). The purpose of this document is to review the current understanding of this condition and to provide management guidelines that have been validated by appropriately conducted outcome-based research when available. Additional guidelines on the basis of consensus and expert opinion also are presented.
More Related Videos
08:50A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
05:31Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
Related Concept Videos
Development of the Oral Microbiota
Types of Membrane Protrusions
The microvilli, an example of stable protrusions, are finger-like projections...
Mitral Valve Prolapse III: Nursing Management
Menses Phase
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...