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Table 4 Function: maternal health care department: obstetric and gynecology

From: Evaluation of a task-based community oriented teaching model in family medicine for undergraduate medical students in Iraq

principle tasks learning objectives
- Pre-marital & health-care services. - Take proper family, medical history, educate couples about the essentials, order for CXR, blood group, R.H & other investigations for STD.
- Take proper obstetric history, conduct properly clinical examination searching for signs of anemia hypertension, edema, urinary tract disorders, pelvic size and shape, and any fetal abnormality, do a schedule for antenatal visit and weight checking giving antitetanus toxoid at the proper time & calculate the expected date for delivery.
- Management of common gestational health problems. - Diagnose and prescribe treatment for anemia, hypertension, urinary tract infections, toxoplasmosis and diabetes, and follow up patients through out gestational period.
Risky pregnancies – diagnosis and follow up. - Detect and manage risky pregnancies and follow them up.
Delivery-health-care services. - Facilitate process of delivery to be normal uncomplicated vaginal labor and promote uterine contractions for expulsion of a head presented fetus under sterile conditions.
Essential postnatal health care services. - Examine for unevoluted uterus, bleeding & promote healthy purperium, lactation and look for breast complications including over encouragement or crackled nipples.
- Health educational advice for pregnant and lactating women. - Use proper methods of communication to explain essential nutrient materials needed and the value of attending MCH clinics periodically, taking tonic drugs, vaccination and care of breasts.
- Immunization of women during the age of child bearing. - Protect women through proper implementing of vaccination program against German measles and tetanus.
- Referral services. - Put criteria for risky patient's referral and direction, identify proper time and essential measures for referral, and follow up referred patients.
- Screening for the risk of developing breast carcinoma. - Perform a proper clinical examination of breasts and detect any lump and manage accordingly specially for those with positive family history of breast cancer.
- Follow up hydatiform-mole - Monitor women with history of hydatidiform mole, prescribe essential contraceptive, give methotrexate, and follow them up.
- Management of common health problems of lactating breast. - Diagnose and manage common breast problems e.g. crackled nipples, retracted malformed nipples, and breast abscess.
- Infertility and menstrual cycle regulation measures. - Take proper menstrual history, detect any abnormality, relate findings to failure of conception, and suggest proper treatment method.
- Family planning services. - Display a proper action for a better child spacing time, and communicate properly to justify a routine attendance of family planning clinics.