Abstract
Premature rupture of the membranes, which is defined as rupture before the onset of labor, complicates 5 to 10 percent of all pregnancies. Preterm rupture of the membranes has received considerable attention in the obstetrical literature and deservedly so, for it is directly responsible for approximately one third of all preterm deliveries. At least 60 percent of cases of premature rupture of the membranes occur in pregnant women at term, however, and even at this length of gestation, clinical management is surprisingly controversial.1 The specific dilemma involves how best to treat patients with premature rupture of the membranes and cervixes . . .