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Fast Track
Amniocentesis may be required to rule out amnionitis in cases in which the PROM diagnosis is clinically unclear
Most women with PROM at 16 to 24 weeks’ gestation deliver before the fetus is viable, or in the risky “periviable” period
Consider expectant management only when fetal well-being can be documented, without evidence of infection
Antenatal corticosteroids clearly improve neonatal outcomes when PROM occurs before 32 weeks’ gestation
Hospitalization with daily monitoring is warranted for expectant management at 32 to 34 weeks’ gestation
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