The aim and objective is to determine the incidence, to find out the age, parity and gestational age
distribution and presentation of PROM and also to formulate the line of management. The cases
selected in this study were those patients who had spontaneous rupture of membranes after 28 wks of
gestation but before the onset of labour pain. The study period was of 1 year wef Jan 2012 to 31st Dec
2012. This study was conducted in the labour room of Malda Medical College, Malda, W.B, and India.
The patients were admitted in the labour room through emergency. Total number of deliveries 12,148
and total number of PROM cases were 729. The incidence of PROM in this study is 6%. The maximum
numbers of cases were in the age group between 20-29 yrs (63%). PROM mainly occurs in primigravida
(50.06%). Cephalic is the commonest presentation (85.18%) in PROM and incidence of caesarean
section is 25.9%. PROM is an obstetric emergency and once PROM is diagnosed it is important to weigh
the risk of PROM and prematurity and make the right choice of conservative management or active
management. If there is chance of maternal morbidity pregnancy should be terminated considering the
maternal well being first and then that of the fetus.