Management of PROM depends on the gestational age at which it occurs and the presence of any signs of infection or fetal distress. - Expectant Management: In cases of preterm PROM (before 37 weeks of gestation) without signs of infection, expectant management may be employed. This includes close monitoring of the mother and fetus, administration of antibiotics to reduce infection risk, and corticosteroids to accelerate fetal lung maturity. - Immediate Delivery: If there are signs of infection, fetal distress, or if the pregnancy is at term (37 weeks or beyond), immediate delivery is often recommended to prevent complications.
