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Aim: to compare delivery to expectant management for cases of preterm premature rupture of membranes at 34weeks. Methods: This was a prospective study carried out at Menoufia University Hospital, Egypt on 84 pregnant women with preterm premature rupture of membranes at 34 weeks, the studied women were divided to 2 equal groups: group A managed by immediate delivery and group B managed expectantly for 2 weeks. Enrolled patients were followed to assess the maternal and neonatal outcome. Results: There was higher cesarean section rate in group A (p<0.05)., no significant differences between the 2 groups regarding puerperal pyrexia and postpartum hemorrhage, also, no significant differences related to maternal age and parity or basal total leucocytic count (p> 0.05) but follow up total leucocytic count was higher in group B (p<0.05). Regarding neonatal outcome, group B had higher birthweight (p<0.01), lower rate of TTN (p<0.05) and neonatal hyperbilirubinemia (p>0.05). No significant differences regarding Apgar score, neonatal intensive care admission and regarding respiratory distress syndrome only one case reported in group A but no statistical significance. Conclusions: expectant management is wrranted for cases of recent preterm premature rupture of membranes at 34 weeks.

Immediate Delivery versus Expectant Management in Pregnant Women with Preterm Premature Rupture of Membranes at 34 Weeks: A Cohort Study