Background: Preterm prelabour rupture of the membranes (PPROM) isan important clinical problem and a dilemma for the gynaecologist. On the onehand, awaiting spontaneous labour increases the probability of infectiousdisease for both mother and child, whereas on the other hand induction oflabour leads to preterm birth with an increases in neonatal morbidity (e.g.,respiratory distress syndrome (RDS)) and a possible rise in the number ofinstrumental deliveries.Methods/Deign: We aim to compare between induction of labour afterPPROM and expectant management. Pregnant women with preterm prelabourrupture of the membranes at a gestation age from (32 weeks- 34 weeks) will beincluded. 60 cases are included 30 cases in expectant group I (group I) and 30cases in induction group (group II). Analysis will be done to evaluate if it ismore effective to mange these cases by expectant management or terminationof pregnancy. Neonatal outcome measures are (neonatal sepsis and RDS) andmaternal outcome measures are (chorioamnionitis, postpartum endometritis andrate of C.S). We anticipate that reduction of neonatal sepsis after indication willoutweigh an increase in RDS, and that maternal chorioamnionitis andpostpartum endometritis will increase in expectant management while C.S rateincreases with induction management.Discussion: this trial will provide evidence that the worst prognosis ofneonatal morbidity is due to prematurity and expectant management is moreaccepted from patients and it is associated with less complications than earlytermination of pregnancy but when: a- Proper use of medication (antibiotics,corticosteroids, short term tocolytic). b- Close observation for both maternaland fetal wellbeing until delivery.