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Obstetrics & Gynecology
The document outlines diagnostic criteria for latent and active labor, including cervical assessment and contraction patterns, and provides management steps for midwives and clinicians. It describes physiological adaptations in pregnancy that cause breathlessness and palpitations, and details specific care for pregnant women with sickle cell disease. Additional sections cover the postpartum period (peuperium), preterm premature rupture of membranes, and pelvic inflammatory disease, including risk factors, investigations, and potential maternal and fetal complications.
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