BACKGROUND: Preterm premature rupture of membranes (PPROM) is a challenging 
complication of pregnancies and an important cause of perinatal morbidity and 
mortality. Management of morbidities associated with PPROM is fraught with 
controversy. However, women should be informed of these complications.
OBJECTIVE: This article aimed to review the morbidities, concordance, and 
predictors of PPROM over a 10-year period.
METHODS: This was a retrospective review of morbidities, concordance, and 
predictors of PPROM among pregnant women at the University of Nigeria Teaching 
Hospital, Enugu, Nigeria between January 1, 1999, and December 31, 2008. The 
morbidities, concordance, and predictors of PPROM were expressed by regression 
analysis output for PPROM.
RESULTS: Primigravidae had the highest occurrence of PPROM. Increasing parity 
does not significantly influence the incidence of PPROM. The concordance and 
predictors of PPROM are maternal age (P < 0.000), gestational age at PROM (P < 
0.000), latency period (P < 0.000), and birth weight (P < 0.001).
CONCLUSION: PPROM is a major complication of pregnancies and an important cause 
of perinatal morbidity and mortality. Management of these morbidities associated 
with PPROM poses a great challenge. However, women should be informed of these 
complications.