• INTRODUCTION Preterm premature rupture of membranes (PPROM) is the spontaneous rupture of the fetal membranes during pregnancy before 37 weeks gestation in the absence of regular painful uterine contractions .It increases the risk of prematurity and leads to other perinatal and neonatal complications with 1–2% risk of fetal death . Materials and Methods Medical records were reviewed by using the predesigned proforma records of women who had PROM during the study period were retrieved and data extracted .Information sort were socio–demographic characteristics (maternal age, parity, occupation and gestational age), birth weight, Apgar scores at 1st and 5thminutes, need for neonatal resuscitation and admission to new born special care unit fetal outcome. Conclusion There is no substantial reduction in risk of sepsis and prematurity in the immediate delivery group .Better outcome in delayed delivery may be explained due to our management protocol of antibiotic and steroid administration.Expectant management and immediate delivery are potential options in these patients, and each has its own merit and demerits