MIDWIFE

Accountabilities

• Ensuring the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (BEmONC 1), and comprehensive neonatal care, management of victims of sexual violence, reproductive tract infections and  in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
• According to MSF protocols in force, conduct normal deliveries independently Manage obstetric emergencies; identify cases needing referral and send them in time, clean up the newborn, executing and registering first neo-natal medical acts (cutting and cleaning the umbilical cord, vaccination, etc.), detecting possible anomalies/infections of the newborn and reporting them to the doctor, in order to ensure successful interventions
• Ensuring patients’ right to privacy and confidentiality is respected, and treating them in this manner.
• Collaborating with the medical doctor and /or nurse in the management of Sexual Violence cases
• Assessing the feasibility for referral of pregnant women from the OPD or IPD to affiliated hospitals for medical evaluation and/or complicated deliveries.
• Ensuring hygiene and sterilization criteria (including  universal precautions) are met according to MSF specifications.
• Performing cleaning and minor maintenance  for  biomedical equipment used. Following the user manual and  protocols and alert supervisor in case of malfunctioning.
• Appropriate use and management  of drugs and equipment required for maternity activities.
• Properly following up all newborn babies from delivery until discharge, informing mothers and relatives about importance of breast feeding, vaccination and possible complications resulting from harmful traditional practices.
• Supervising that administrative procedures of admissions and hospitalizations comply with MSF protocols , as well as verify patients are properly informed and receive the documents required (birth certificate, vaccination card, etc)
• Participating in the organisation of the ward in collaboration with other midwifes and the maternity ward supervisor. Ensure transfer of relevant information to the next shift team (specially identifying risk cases)
• Supervises the use of drugs, facilities and obstetric material, in order to ensure, in accordance with number of patients and prescriptions, a rational use.

•  BEmONC = basic emergency obstetric and neonatal care = Administration of antibiotics, oxytocics, anticonvulsants, manual removal of the placenta, removal of retained products following abortion, assisted vaginal delivery, preferably with vacuum extractor and newborn care including neonatal resuscitation. 

MSF Section/Context Specific Accountabilities

This position will primarily be located in the MSF Birth Centre, (BC) that will soon be located in the ground of RHUH, whilst maintaining its indepence, the BC will collaborate closely with RHUH.

This centre is unique in focusing on a midwifery led care model for all acts. The BC will hopefully develop over time to become a place for training external staff, in the midwifery model of care.