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prolapse post operative vaginal vault prolapse vaginal vault skin lesions vulva active immunisation postpartum pregnancy immunisation antenatal foetal genetic diagnosis prenatal foetal genetic diagnosis nipa septic shock in pregnancy endotoxic shock inpregnancy shock in pregnancy mri in obstetrics mri basic physics for obstetricians operation for supra vaginal elongation conservative prolapse surgery prolapse operation labour history for ug mbbs students history of delivery obstetrics history obstetric labour labour history