الفهرس 
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Abstract
PPROM complicates 1to 2%of all pregnancies. It is associated with 40%of preterm delivaries and can result in significant perinatal morbidity and mortality Many studies have demonstrated significant benefits in expectant or conservative management for gestations <34 weeks,where as the management of pregnancies complicated by PPROM between 34 to37 weeks gestation continues to be controversial issue. In contrast, for PROM in gestations >37 weeks most recommend active management Our study aimed to compare the type of management (active versus conservative) for preterm premature rupture of membranes (PPROM) between 34 and 37 weeks of gestation and the associated adverse perinatal, maternal and neonatal outcomesBetween March 2019 and February 2021, 128 patients with PROM were prospectively randomized into the conservative group (64 patients) and active group (64 patients) at Woman’s Health University Hospital, Assiut, Egypt All patients were investigated as regards their patient characteristics, clinical data, laboratory data, perinatal, maternal and neonatal outcome. Exclusion criteria included patients with non-cephalic presentation, fetal distress, labour on admission, intrauterine fetal death and medical or obstetric complications such as(suspected chorioamnionitis , hypertensive disorders , diabetes mellitus , active genital herpes , placenta previa , meconium stained amniotic fluid , severe fetal anomalies) The patients’ demographic and clinical characteristics were matched between the two studied groups(P>0.05).