Management of premature rupture of membranes

The management of patients with premature rupture of membranes remains cont roversial. Generally, when patients are in labor, have infection, or there is irreversible fetal distress there are few options other than delivery. F or those not in labor the complexities of the many combinations of decision s to be made make studying and solving the problem of the best option for m anagement difficult at best. These problems are somewhat unresolved and sev eral reasonable options often exist and are likely to remain so for some ti me to come.