Controversial and special situations in the management of preterm premature rupture of membranes.

The management of preterm premature rupture of membranes is one of the many controversial areas of medicine. Many of the protocols used to manage preterm premature rupture of membranes are not based on solid data. Other situations are rarely encountered, making it very difficult to arrive at a management scheme on which all can agree. This article presents five such areas along with available literature and discusses treatment options involving these controversial or special topics.