Management of premature rupture of membranes

The management of patients with premature rupture of membranes remains controversial. Generally, when patients are in labor, have infection, or there is irreversible fetal distress there are few options other than delivery. For those not in labor the complexities of the many combinations of decisions to be made make studying and solving the problem of the best option for management difficult at best. These problems are somewhat unresolved and several reasonable options often exist and are likely to remain so for some time to come.