Ambreen Naveed Haq

Preconception Care

Provision of antenatal care to both low risk and high-risk pregnancies.

24/7 Inpatient and emergency obstetric services.

The full range of obstetrical care for our population includes:

• Vaginal delivery encompassing induction of labour; episiotomy; Vaginal birth after C-section (VBAC); Instrumental deliveries and Management of Postpartum Haemorrhage.
• Caesarean section delivery: CAT I – 1V , birth notifications,.
• External cephalic version

I have been providing regular educational classes/programs for childbirth, breastfeeding, and epidural services orientation.

We work in collaboration with our neonatology department and a highly specialized Neonatal intensive care unit. In addition, we have a sophisticated ICU where we work in close collaboration with intensivists, Hematology, Radiology, Medical and Surgical departments whose services are routinely requested to provide comprehensive holistic multidisciplinary approach to our patient care.

I have been a part of the team who provides highest quality care for women experiencing complicated pregnancies in a multi-disciplinary setting. Genetic counselling, gene testing and prenatal diagnosis including comprehensive and targeted ultrasounds, first trimester screening, amniocentesis and procedures are routinely performed.
Mothers suffering from serious medical disorders such as Epilepsy, Preeclampsia, Chronic hypertension, Renal disease, Heart disease, Eclampsia, Deep venous thrombosis; Sepsis and Systemic lupus erythematosus and Diabetes are cared for routinely in our centre. We also have extensive clinical experience in the management of Preterm labor, Cervical insufficiency and Preterm (Premature rupture of membranes).

Gynaecology Services

I have been routinely routinely dealing with the following Gynaecological issues:

Abnormal pap smear; Abnormal uterine bleeding; Infertility work up and ovulation induction, Menopause, Ovarian cysts; Pain during periods (dysmenorrhea); Endometriosis; Pelvic organ prolapse, Post-menopausal bleeding, Urinary incontinence and Vulvovaginal infections.

in addition been providing :

• Contraceptive counselling
• Intrauterine device (IUD) placement: Mirena IUD
• Implanon insertion
• Hormone replacement therapy
• Endometrial biopsy
• Colposcopy and Colposcopic directed biopsies.
• In patient services:
• Early Pregnancy care
• Miscarriages; Therapeutic Abortions
• Ectopic Pregnancy: Medical and Surgical treatment.
• Subfertility work up
• Ovulation Induction
• Hysterectomy:
• Abdominal hysterectomy
• Vaginal hysterectomy
• Perineal repairs
• Ovarian cystectomy
• Treatment of Benign ovarian disease
• Pelvic repair Surgeries.
• Level I and II endoscopic procedures are performed.

King Abdullah Hospital; Bisha KAH, A hospital managed by MOH ; A tertiary care hospital with a turn over of 6000 deliveries per, year my time ther gaining richness of obstetric and gynaecological experience and the work environment. Performed many unconvential procedure like VVF repair ; hysterectomies and laparoscopies along with the General Surgeon/ Urologist. Re organized the team and improved the team spirit of the department. For this reason I was given much apprieciaton from the authorites. However due to lack of facility for schooling my child, had to move back to Pakistan.

Consultant Obstetrician and Gynaecologist at a leading private hospital in Islamabad. I managed to quadruple my practice as a private practitioner and provided regular advice to the administration on improvement of quality of care to the patients. I was a member of obstetricians and gynaecologists forum, infection control committee and rational therapeutics committee. In addition was uncharge of Nursing and medical officer recruitment committee.

• Attended in-patient ward rounds to assess, advise on and implement appropriate care management.
• Performed colposcopies, endoscopies and hysteroscopies with care and precision for optimised patient outcomes.
• Provided personalised pain management options for inpatient to deliver optimal relief and comfort.
• Coached and mentored junior doctors to uplift department competencies and capabilities.
• Actioned morbidity and mortality reviews to improve patient care provisions.
• Reviewed junior doctors, nurses and specialists to identify development areas and implement required training.
• Worked flexibly to cover long surgery hours and staff absences for excellent department function.
• Risk-assessed accurately and continually to limit patient and staff incidents.
• Led multidisciplinary teams in delivering exceptional care continuity across high-volume gynaecology and obstetrics departments.
• Ran labour ward activity to maintain efficient services whilst upholding quality of care standards.
• Audited department performance and identified quality improvement areas for continual growth.
• Supported specialist nurses in delivering emergency care for acute gynaecological conditions, prioritising positive outcomes.
• Treated patients with empathy, understanding and compassion for high-quality support.
• Adapted to ever-changing patient and staff needs for effective, efficient department management.
• Responded to emergency calls quickly, calmly and professionally with diligent medical advice and treatment.

• Daily outpatient clinics and Indoor obstetrics and gynaecology service provision to patients, it was a tertiary care centre for the whole of Atomic Energy Commission centres in Pakistan therefore a lot of referred patients were dealt with along with complicated procedures. In the eight years I was working in a rota of 1 in 4 on calls.

• I was lead facilitator for imparting leadership training to hospital employees for during the first 9 months of its inception.

• Designed a system for quality assurance and have maintained the records in an orderly manner for ISO 9000:2001 recognition in the OB/GYN unit.

• Served as Deputy Management representative of the Hospital, responsible for holding trainings , formulating protocols, setting up of quality objectives of each unit and the hospital, active laison with the directorate of quality assurance, Maintinance of quality records, holding of annual audit and management review meeting.
• I was involved in teaching and training of residents and incharge of academics at PAEC hospital.

• Developed multidisciplinary approaches to education, ensuring high-quality teaching, research and student experiences.
• Worked closely with professors to support collaborative research for course progression.
• Supported research projects, aiding academic progression and growth in line with demands.
• Continued personal professional development by attending workshops and training, optimising knowledge to enhance course curriculum.
• Managed challenging behaviour effectively, reducing classroom incidents to maintain positive learning environments.
• Fostered trusted rapport with students when working 1:1 and in small groups.
• Helped students to achieve target grades through continuous curricular support and motivation.
• Participated in meetings, conferences and workshops to establish rapport with teachers and staff.
• Supported students with various learning difficulties to understand key concepts in core subjects.
• Facilitated extra-curricular workshops and activities alongside main teacher.
• Set and communicated practical learning and development goals by developing individual education plans
• Reported on students' progress, achievements and behaviour.

• On Call every alternate day and managing a fairly busy obstetrics and gynaecology unit gained a unique experience of managing patients in a very poor community with limited resources.
• The morning work load consisted of basically all the clinical work, including managing the obstetric clinics both booking and high risk patients, gynaecology clinics the general gynaecology clinics, menstrual irregularity clinic, basic subfertility and menopause clinc.
• Learned under supervision basic gynecology surgery.
• Helped in the administrative affairs of the ward. .

• Responded to emergency calls quickly, calmly and professionally with diligent medical advice and treatment.
• Performed colposcopies, endoscopies and hysteroscopies with care and precision for optimised patient outcomes.
• Reviewed junior doctors, nurses and specialists to identify development areas and implement required training.
• Attended in-patient ward rounds to assess, advise on and implement appropriate care management.
• Investigated inpatient and outpatient conditions to determine appropriate treatment and medication programmes.
• Treated patients with empathy, understanding and compassion for high-quality support.

• Worked as a postgraduate trainee in the department of Obstetrics and gyneacology.
• Learned the basic history taking, and examination techniques.
• And underwent training in the speciality according to the structured III years training programme.
• Worked on call in the rotation of 1/3, learned basic emergency care , ward care , pre-operative and post-operative ward care, highdependecy care and ICU care.
• Outpatient obstetric clinics included rotation in the following clinics:
• Booking clinic
• Follow up clinic
• High risk clinic
• Postnatal follow up clinic
• Family planning clinic
• Pre- pregnancy clinic
• Day care Unit.

Gynaecology clinics included rotation in the following areas:

• General gynae clinic

Specialized clinics

• Sub-fertility clinic
• Menopause clinic
• Menstrual Irregularity clinic
• USG (TAS and TVS)
• Early pregnancy assessement unit

Surgical exposure (Supervised and Independent) is listed below

Spontaneous vaginal delivery

Breech delivery

Breech extraction in case of 2nd twins

Shoulder dystocia

Repair of vaginal and perineal tears

Outlet forceps delivery

Vaccum extraction

Caesarean Section

2. Gynaecological procedures

Abdominal hysterectomy

Laparotomy for ectopic pregnany

Diagnostic hysteroscopy

Dignostic laparoscopy

Vaginal hysterectomy

Evacuations/ S&C/E&Cs

Assisted Oncology surgery , urogynaecology surgery.

• Here I took active part in the teaching activities and was involved in research and academics of the depart

Worked as a house officer in Medicine and surgery units. For one year this included six months internship in medicine and six months in gynaeclogy/obstetrics.