Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to reproductive health protocols, universal hygienic and newborn caring standards, in order to ensure their health conditions and avoid complications.
The role holder will provide obstetrical care to pregnant women and their babies before, during, and after delivery according to the INTERSOS sexual reproductive health protocols and universal IPC standards to prevent and reduce the risk of any complications under the supervision of a medical doctor. The midwife would also facilitate and ensure the safe referral of patients requiring specialized care.
2. Tasks and responsibilities
Clinical care and delivery
• Ensure the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC), neonatal care, management of victims of sexual violence, reproductive tract infections following the implementation of standardised protocols
• Follow INTERSOS guidelines and protocols in management for all SRH activities.
• Provide continuous and correct antenatal care for pregnant women by taking the full history of the patients.
• According to INTERSOS protocols in force, conduct normal deliveries independently, manage obstetric emergencies, identify cases needing referral and facilitate the timely referral, and clean up the newborn. Execute and register first neonatal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn, and reporting them to the doctor.
• Prompt decision and accurate management for emergencies and complicated obstetric cases in collaboration with the supervisor and the obstetrician/attending medical doctor.
• Properly follow up all new-born babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
• Provide appropriate follow-up for the post-partum patients and their babies in the maternity. Ensure they are advised on the importance of PNC visits (at least two visits), hygiene, baby care, exclusive breastfeeding, vaccination, family planning, and counseling against harmful traditional practices.
• Identify patients at risk and need mental health management, like missed abortion, IUFD, and postpartum psychosis.
Referral and coordination
• Assess the feasibility for referral of pregnant women form the TBAs to the OPD/MCH for medical evaluation and/or complicated deliveries
• Assessment of high-risk pregnancies and post-natal mothers for referral from BHCS to BEmONC or from BEmONC facilities to CEmONC facilities as per INTERSOS Guidelines and Policies
• Collaborate with the Medical Doctor and/or Nurse in the management of sexual violence cases
• Liaise with other healthcare providers and social care professionals to ensure continuity of care.
• Work and collaborate with the supervisor (facility manager or designated medical doctor) to monitor and control the patient flow to organize the maternity and SRH properly.
Ward organisation and handover
• Clear and correct handover of patients, including special cases between shifts in the maternity to ensure the continuity of management.
• Participate in the organization of the ward in collaboration with other midwives and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (especially identifying risk cases)
• Actively participate in training and supervision of junior colleagues (sub-ordinate staff)
Infection prevention, equipment and supply
• Ensure hygiene and sterilization criteria (including universal precautions) are met
• Ensure the application of IPC rules, including standard precautions, waste segregation, sterilization, patient hygiene, and ward cleanliness.
• Perform cleaning and minor maintenance for biomedical equipment used.
• Responsible for Care of biomed items.
• Guarantee a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders).
• To ensure successful interventions, supervise the use of drugs, facilities, and obstetric material to ensure sufficiency in accordance with the number of patients and prescriptions. Regularly update stock levels and ensure all medical commodities are kept under appropriate conditions and above minimum safety points.
Documentation, patient rights and reporting
• Prompt and accurate documentation of care in all patient files and registers.
• Ensure patients’ right to privacy and confidentiality is respected
• Ensure administrative procedures of admissions.
• Supervise patients are properly informed and receive the documents required (birth certificate, vaccination card, etc
• Verify that patients are properly informed and receive the documents required (birth certificate, vaccination card, etc.)
• Promptly reporting protection and any other incidences to the supervisor or the manager.
• Follow the mandatory reporting procedures for any incident or serious event that did affect or potentially could have affected the clinical care of any patient.
