OBSTETRIC CONDUCT IN CASES OF PREMATURE RUPTURE OF MEMBRANES

Abstract

Introduction: Premature rupture of membranes (PROM) is a significant obstetric complication associated with maternal and neonatal risks, especially when it occurs before term. Objective: To analyze, through an integrative review, the main obstetric procedures indicated by the scientific literature in the management of PROM, considering the different phases of pregnancy. Methodology: This is an integrative review of the literature, guided by the PICO strategy. The search was carried out between March and April 2025, in the SciELO, PubMed, LILACS and Google Scholar databases, considering articles published between 2016 and 2025. Nine studies that met the inclusion criteria were selected and analyzed critically and descriptively. Results and Discussion: The evidence highlights the importance of an individualized approach, considering gestational age, presence of infection and fetal viability. Conducts such as hospitalization, prophylactic use of antibiotics and corticosteroids, selective administration of progesterone and continuous clinical surveillance were recurrent. The use of biomarkers, such as the platelet-lymphocyte ratio, and the detection of amniotic sludge demonstrated diagnostic and prognostic utility. Divergences were observed regarding the prolonged use of corticosteroids and the administration of progestogens. Final Considerations: The standardization of conducts must be balanced with clinical judgment and patient-centered care. The study highlights the need for further research focused on the efficacy of biomarkers and the adaptation of guidelines in contexts with limited resources.