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PPROM is identified through clinical assessment, with sterile speculum examination used to look for fluid pooling; nitrazine testing, ferning, and ultrasound findings may also support diagnosis. Because infection risk matters, digital cervical examination is avoided. Risk factors include a history of PPROM and several maternal or pregnancy-related conditions. Potential complications span maternal infection and placental or cord events, as well as neonatal infection and respiratory distress. Management depends on gestational age and whether complications are present: some patients may be monitored expectantly, while infection, fetal concerns, or other serious events can prompt delivery. The lesson also surveys infection prevention, fetal lung maturation, neuroprotection, selective tocolysis, and ongoing maternal and fetal monitoring.