Table 3.

MOGGE take home message: Sharing decision

• Thorough counseling is essential after the diagnosis of PROM is made. Counseling should cover risks and justify plan of care

• Hospitalization remains the standard of care among women with preterm and term PROM. Home care should not be offered as an alternative due to limited evidence

• A provider should be aware of risks, home care selection criteria and warning signs to share with women who refuse hospitalization

• Although non-cephalic presentation may increase the risk of adverse neonatal outcomes, evidence is limited and ECV is not recommended

• After delivery, a patient should not be sent home without appropriate counseling on future pregnancy care. Precise documentation and patient education is highly recommended to avoid suboptimal care due to medical record transfer issues

MOGGE – Middle-East OBGYN Graduate Education. PROM – prelabor rupture of membranes, ECV – external cephalic version