Introduction: The chorioamniotic membrane refer to the chorion and amnion which surround and protect the foetus during intra uterine life. The outcome of pregnancy depends in part on the normal development and structural integrity of the chorioamniotic membranes. The decision to deliver or manage expectantly in cases of PPROM requires an assessment of the risks related to the development of intrauterine infection in those pregnancies managed expectantly compared with the gestational age-related risks of prematurity in pregnancies delivered earlier Methods: This comparative study include 100 pregnant women with PPROM admitted in Obstetrics and Gynecology Department, Faculty of Medicine, Aswan University, Aswan, Egypt at gestational age 36 weeks selected for the study. Were devided into 2groups Active management (Group A) Expectant management (Group B) all belongs to Inclusion criteria and Exclusion criteria. Results: A there is a statistically significant difference between group A and group B (P value< 0.005) in group A (there is increase incidence of LSCS rate mostly due to failed induction of labor. About the maternal complications there is a statistically significant difference between group A and group B (P value< 0.005) in group B there is increase incidence of wound infection. Regarding fetal complications there is a statistically significant difference between group A and group B (P value< 0.005) in group A there is increase incidence of respiratory distress syndrome and in group B there is increase incidence of neonatal sepsis and there is a statistically insignificant difference between group A and group B (P value> 0.005) regarding neonatal death. Conclusion: Careful identification of present or impending complications, and individualizing the management based on gestational age and the presence or likelihood of these complications currently holds bes hopes for optimizing fetomaternal outcome in PPROM cases.