Case challenge · Obstetrics / Maternal-fetal medicine · teaching

Preterm Labor / Premature Rupture of Membranes (PPROM) Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ACOG / WHO

Case #1Obstetrics / Maternal-fetal medicine

📋 Case data

Expectant or immediate deliveryImmediate delivery needed (chorioamnionitis/fetal distress/abruption, etc.)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Expectant or immediate delivery

Gestation and membrane status — expectant or immediate delivery?

💡 Preterm labor (<37 weeks regular contractions + cervical change)/preterm premature rupture of membranes (PPROM). Assess gestation, whether membranes are ruptured, infection (chorioamnionitis), fetal status, any tocolysis contraindications. Goals: gain the corticosteroid window for fetal lung maturity, neuroprotection, transfer to a center with NICU.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.