Learning Objectives:

- Review prevalence, risk factors and differential diagnosis

- Review sensitivity, specificity and possible causes of false positive/negative tests in the diagnosis of PPROM

- Discuss differing practices in antepartum management, delivery timing and counseling patients for future pregnancies 

- Review the data for management in special scenarios, including periviability, malpresentation, concurrent fetal indications for prolongation of pregnancy and procedure-related rupture of membranes