Preterm premature rupture of the membranes before viability.

Although relatively uncommon, VPPROM remains a devastating complication of pregnancy. Current management options offer some hope of improved survival, but morbidity and mortality remain high. Counseling the patient and family following this diagnosis is challenging, and often requires input from both perinatal and neonatal staff. For those patients choosing expectant management who then reach viability, tertiary care should be considered to improve survival risks.