It is critically important that patients are counseled on the higher rates of morbidity associated with expectant management, which may be greater than previously reported, to ensure they can make a fully informed decision regarding their care. Although current recommendations support offering both expectant management and immediate delivery—including termination of pregnancy—after counseling, patients need to be informed of the greater risks associated with expectant management. Clinicians must be supported in using patient-centered shared decision-making approaches when caring for patients with medical complications. It is essential for clinicians to be able to recognize signs of deterioration early and act promptly to prevent acute decompensation. The American College of Obstetricians and Gynecologists asserts that physicians and other health care professionals must be able to intervene and, in cases of previable and periviable preterm PROM, provide abortion care before the patient becomes critically ill.