Community Midwife (CMW)

Job Description

Main Objectives

ASSISTS in the active implementation of Maternal, Newborn, and Child Health Care Program (MNCH) to include activities such as: antenatal and postpartum care; normal deliveries; family planning; immediate care of the newborn and resuscitation; and, management of post-partum hemorrhage AND immediate identification and referrals of complicated pregnancies/deliveries.

All MNCH related activities are implemented according to MSF policies, procedures & protocols, guidelines, and standards, in order to ensure the quality and continuity of care for the target population and avoid delays in the management of obstetric emergencies

Responsibilities/Activities:

General

Ensures clean and safe environment for patients and staff

Provides necessary support and care or advise the patients.

Explains patients and their care takers about patient’s condition and the need of staying in the hospital.

Ensures and supervises the proper follow up of all newborn babies from delivery until discharge.

Ensures and supervises integrated health education within all activities, to patients and their families on topics such as importance of breast feeding, weaning, child spacing, hygiene, child and family health, vaccination and possible complications resulting from harmful traditional practices.

Responsible for MSF equipment and materials and their correct use

Adhere to and reinforce the implementation of MSF obstetrical and reproductive health protocols, clinical guidelines, essential medicine practical guidelines, universal hygienic standards and newborn caring standards and any other MSF protocols in force at all time

Comply with MSF Health Care Waste Management, hygiene and sterilization procedures

Accurate reporting and timely consultation, following the orders of the doctors and/or supervisors

Ensure complete transfer of relevant information to the next shift team (specially identified risk cases) § With the LHV supervisor, review, give suggestions, and develop the guidelines and protocols to benefit patient care and the smooth running of the health facility

Medical Functions: Curative Care

A. Ante-Natal Care (ANC) – see MSF ANC Protocol

DIAGNOSIS AND MONITORING OF NORMAL PREGNANCY: ANC visits

pregnancy confirmation; estimate gestational age and due date;antenatal care (history, focused physical examination, basic screening laboratory tests, and counseling; TT vaccination, etc); Malaria and infectious disease screening in pregnancy

Identification of high risk factors and refer to supervisor/expat midwife educate women about dangers signs in pregnancy and support them with creating a birth plan

B. Normal Deliveries (NSVD) – managing normal spontaneous vaginal deliveries and the usual procedures for various problems WITH ASSISTANCE FROM SUPERVISOR

Recognizing true/false labour; identify onset of labour

Monitoring progress of active labour by abdominal & pelvic examinations

Maintaining and interpreting partograms +++ active management of the 3rd stage of labour

Monitoring maternal and foetal well-being during labour;

Recognizing signs of fetal distress, stabilize and immediate referral

Recognizing signs of maternal distress, stabilize and immediate referral / Recognizing prolonged and obstructed labour and for immediate referrals

Perform various procedures as required: amniotomy/episiotomy; prolapsed cord/nuchal cord;

UNDER THE DIRECT SUPERVISION OF SUPERVISOR/expat MIDWIFE will do induction/augmentation of labour: the rational use of oxytocin and prostaglandins

Provide active 3rd stage management;

Inspect placenta and membranes for intactness