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Preterm prelabour rupture of membranes — MCCQE Part 1 MCQ

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HardPregnancy ComplicationsPreterm prelabour rupture of membranesMCCQE Part 1

A 26-year-old woman at 31 weeks' gestation reports a gush of clear fluid and continued leakage. Nitrazine testing and pooling are positive, she is afebrile, fetal tracing is reassuring, and there are no contractions. What is the most appropriate next step in management?

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Correct answer: C — Admit for expectant management with corticosteroids, antibiotics and fetal monitoring

PPROM at 31 weeks without infection or fetal compromise is generally managed expectantly in hospital with antenatal corticosteroids, latency antibiotics and monitoring. Immediate induction may be required with chorioamnionitis or non-reassuring fetal status, which is not present here. Repeated digital examinations increase infection risk.

Reference: SOGC preterm prelabour rupture of membranes guidance