Preterm premature rupture of the membranes (PPROM) is a condition that can lead to maternal, fetal, and neonatal morbidity and mortality. It happens in 3% of pregnancies and is the cause of one-third of the total number of preterm births. An infection has been implicated both as a common underlying cause and a consequence of PPROM. The challenge in managing PPROM is the need to balance the risk of prematurity with the risk of fetal infection and other complications. The management differs according to the gestational age at PPROM (before limit of viability, 23+0 to 33+6, 34+0 to 36+6) and generally includes either delivery induction or expectant management. Expectant management consists of monitoring, administering corticosteroids, tocolytics, magnesium sulfate, prophylactic antibiotic therapy, and screening for infections. The period between rupture of membranes (ROM) and delivery is called latency period and it can take hours, days, and even weeks. The main question of this review is the influence of its length on the perinatal outcomes. It seems that long latency generally has a beneficial effect on the primary outcomes. However, a higher rate of chorioamnionitis and funisitis has increased with long latency, and it has a potential for long-term neurological complications.