MIDWIFE

FUNCTIONAL AND HIERARCHICAL LINES

She reports directly to the midwife supervisor regarding general organization and human resources issues.

She is under the responsibility and management of the Midwife Activity Manager

She collaborates with doctors for any medical issue, particularly regarding emergency cases and as well with other nurses/midwives.

She works according to the roster designed by the Midwife supervisor alternating day and night shifts.

It is very important to report as soon as possible any injury with medical material and to know well the MSF protocol regarding this kind of accident, in order to receive a proper treatment.

Attendance and involvement at work:

• Respect the time schedule and be at work on time
• Maintain good relationship with other team members
• Not leaving the duty before arrival of your replacement.
• Be flexible for roster changes and work as team player.
• Fill-up of MSF birth notification and Government certificate in every attended delivery.
• Participate in maternity meetings as requested by the activity manager
• Respect the MSF protocol
• Wear working clothes when on duty

1. MANAGEMENT OF HEATH CARE

• Admit the woman in clean environment
• Take quick history of past medical, surgical, obstetrical and gynecological history, then present obstetric history

• Do examination and early report to Dr on duty or midwife supervisor if any complication.
• Monitor the mother for progress of labor and document all findings in the Partograph. Report early any anomaly to the Dr on duty or midwife supervisor.
• Provide the mother in labour comprehensive support.
• Ensure all the equipment is ready to use and medical supply and drugs are available.
• Ensure proper management of delivery.
• Perform immediate newborn care and basic resuscitation if needed. Keep baby warm.

• Assist the mother for the first breastfeeding
• Report to Dr If newborn is unwell after immediate care.
• Give oxytocin and deliver the placenta, check for completeness.
• Ensure mother is clean and comfortable and transfer to the postpartum room
• Check woman’s general state, vital signs, examine uterine involution, bleeding and ensure she has passed urine.
• Give health education on hygiene, good nutrition and fluids, rest, breastfeeding, vaccination and Family Planning.
• Discharge when stable after 6 hours of observation, on Ferrous Sulfate/Folic acid and Paracetamol.
• Observe hygiene and aseptic technique in all procedures.
• Stabilize patients in emergency cases before the referral.

Ensure a complete handover of the labour and delivery room to her colleague.

2. OTHER OBSTETRIC CASES in the Delivery Room

• Take history of past medical, surgical, obstetrical and gynecological history, as well as present obstetric history.
• Do examination and early report to midwife supervisor or Dr on duty.
• Assist, the midwife supervisor or doctor in the chosen procedure if needed (MVA) or medical treatment.

• Record history and findings in the Observation/Admission Chart.

3. FOLLOW-UP OF OBSTETRIC CASES in  

    Labour/Postpartum

• Monitor the pregnancy if necessary (FHR, fetal movements, general well- being of the mother).
• Follow up the women after Delivery for breastfeeding support and general wellbeing and report to Dr. or midwife supervisor if any complication.
• Follow up of women after any obstetrical procedure (MVA, D/C, etc)
• Provide health education and family planning information.

 
4. HYGIENE AND INFECTION CONTROL

• Ensure a clean and tidy working environment
• Ensure wash of hands before and after procedure and between each patients
• Observe aseptic technique for sterile procedures and cleanliness for clean procedures
• Ensure safe disposal of different wastes as per laid down protocols                    
• Checking the general hygiene standards in the department and referring all anomalies to her Supervisor
• Checking the sterilization of medical and stitching material

She is not allowed to sleep during the working hours.

She is not allowed to use mobile phones during working hours.

To be noted:

• This task description may be modified in the future, depending on the evolution of the work and on Hospital activities. The above-mentioned activities and responsibilities are not exhaustive and the name of the position can be asked to perform other Tasks, according to the necessary daily work and the occasional needs of the mission.
• She has to inform his/her supervisor of all the problems encountered in the work.
• She must be aware of her limits, abilities and knowledge. She must not hesitate to ask for support to her supervisor.
• She must respect the patient’s privacy, treat her with care and respect and observes neutrality and impartiality in the name of universal medical ethics regarding the people asking for health care.