Prelabor rupture of the membranes (PROM) is a well-established risk factor for maternal and neonatal infection. Interventions to hasten birth are often employed when PROM occurs in an effort to lessen the risk of infection. One of the primary management decisions to be made with term PROM is choosing between expectant management and induction of labor. Limitations of TERMPROM Study include potential overdiagnosis of chorioamnionitis, vaginal exams as an independent risk factor for infection, and the vaginal presence of group B streptococcus (GBS). Accurate diagnosis of chorioamnionitis can be difficult because there are no definitive diagnostic criteria. The signs and symptoms, such as fever, foul-smelling fluid, and abdominal tenderness, are either nonspecific or subjective. In the TERMPROM study, women in the expectant management groups had significantly more vaginal exams than women in the induction groups.