Objective(s) : To compare the expectant versus active management of PPROM at 34 weeks and their effect on fetal and neonatal outcome. Method(s) : 100 pregnant women with PPROM at 34 weeks were included in this prospective study. They were divided into two groups for expectant management or active management. Statistical analysis was performed using appropriate statistical test. Result(s) : 50 women were managed expectantly and 50 women managed actively. The occurrence of respiratory distress syndrome (RDS) in actively managed group at 34 wks was 30% while that of neonatal sepsis was around 3%.