Patient presents with suspected preterm premature rupture of membranes (PPROM).  Chief complaint is leakage of fluid per vagina.  Gestational age confirmed as [insert gestational age] weeks by [insert dating method, e.g., first trimester ultrasound].  Patient reports onset of leaking fluid approximately [insert duration] ago, describing the fluid as [insert description of fluid, e.g., clear, watery, tinged].  Denies vaginal bleeding, regular uterine contractions, or fever.  Fetal movement reported as [insert description of fetal movement, e.g., normal, decreased, increased].  Vital signs stable.  Physical examination reveals [insert findings, e.g., intact cervix, pooling of fluid in posterior fornix, nitrazine positive, ferning present].  Speculum examination performed, sterile speculum used.  Digital vaginal examination deferred to minimize risk of infection.  Diagnosis of PPROM is made based on clinical presentation and findings.  Differential diagnoses considered include stress urinary incontinence and normal vaginal discharge.  Plan includes admission for expectant management.  Continuous fetal monitoring initiated.  Betamethasone administered for fetal lung maturity.  Antibiotics prescribed for latency antibiotics.  Laboratory studies ordered include complete blood count (CBC), urinalysis, and amniotic fluid analysis if obtainable.  Patient counseled on risks and benefits of expectant management, including risks of chorioamnionitis, neonatal sepsis, and prematurity.  Patient understands and agrees with plan of care.  Continued monitoring for signs of infection and labor.