Conclusions: Similar to other studies, our case series suggested that the use of Foley catheter for cervical ripening in the state of ruptured membrane is safe and effective.

We hope that our case series encourages randomized prospective clinical trials that will further investigate the complications of Foley catheter placement in the state of ruptured membranes, specifically as it relates to:

• The rate of intrapartum infection when compared to other induction methods
• The correlation between positive GBS status and Foley catheter placement
• The effectiveness of Foley catheters as a cervical ripening agent for the induction of labor in PPROM for gestation ages >34 weeks