Make me good notes on abnormal mediwifery

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Reading File

Here is your complete set of exam revision notes on Abnormal Midwifery, compiled from authoritative textbooks (Family Medicine 9e, Rosen's Emergency Medicine, Tintinalli's, Goldman-Cecil, Creasy & Resnik's Maternal-Fetal Medicine, and Miller's Anesthesia).

The notes are structured in three parts covering all three stages:

Part 1 - Antepartum (before labour):

Ectopic pregnancy (types, Methotrexate vs surgical Rx)
Miscarriage - all 5 types with the table
Hypertensive disorders - full classification, HELLP syndrome, MgSO4 management, eclampsia protocol
APH - Placenta praevia, Placental abruption (key distinction: painless vs painful), Vasa praevia

Part 2 - Intrapartum (during labour):

Preterm labour (fetal fibronectin, steroids, tocolytics)
PPROM
Shoulder dystocia with the full HELPERR mnemonic + complications (Erb's vs Klumpke's palsy)
Cord prolapse emergency steps
Uterine rupture (warning signs, TOLAC risks)

Part 3 - Postpartum:

PPH - the 4 Ts, AMTSL, full drug stepladder with contraindications
Puerperal sepsis - Strep A features, Sepsis Six
VTE - why LMWH only (no DOACs/warfarin in pregnancy), anti-Xa monitoring
Perinatal mental health - baby blues vs PND vs puerperal psychosis

The quick-reference table at the end and the key drug summary are designed for last-minute exam review. Good luck!

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