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Background:
Provide obstetrical care to pregnant women and their babies, doing follow up before, during and after delivery, according to MSF obstetrical and reproductive health protocols, universal hygienic and newborn caring standards and under supervision of a Midwife supervisor/MAM, in order to ensure their health conditions and avoid post-delivery complications.
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Duties and responsibilities:
- Ensuring the implementation and continuity of antenatal and postnatal care, family planning, obstetrical care (according to BEmONC1 standards), neonatal care, management of victims of sexual violence, reproductive tract infections and fistula care in accordance with MSF Reproductive Core Package of Activities and reinforce the implementation of standardised protocols.
- Where PMTCT is implemented, ensuring implementation of the PMTCT protocol in the ANC/delivery and PNC consultations (pre counselling, test and post counselling)
- 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 TBAs to the clinic 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.
- Guaranteeing a regular and ongoing supply of drugs and equipment required for maternity activities (including monitoring/consumption control/ordering of orders.
- 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.
- Ensuring patients’ right to privacy and confidentiality is respected
- 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 (e.g. 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)
- 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
- Supervises the use of drugs, facilities and obstetric material, in order to ensure, in accordance with number of patients and prescriptions, a rational use as well as pharmacy stock levels are permanently updated, kept under appropriate conditions and above minimum safety point.
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- 1 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.
- 2 CEmONC = comprehensive obstetric and neonatal care = the full package of BEmONC Plus; surgery (caesarean section, hysterectomy, laparatomy), safe blood transfusion and care to sick and low birth weight newborns.
- Complete basic documentation for each mother and baby according to standards
- Ensure linkage and follow up between in facility services and outreach activities and management; in particular for patients identified as high risk
- Report and discuss complicated cases with the supervisor and/or Midwife Activity Manager
- Participate in training sessions as scheduled and directed by line manager, maintain up to date knowledge and understanding of MSF guidelines and protocols
- Support other departments in providing breastfeeding support for lactating mothers
- Collaborate and ensure optimal communication with other healthcare providers outside the healthcare facility, i.e. with other NGOs or healthcare providers
- Understand and be involved in the medical incident reporting system in the hospital
- Assist in any other data collection procedures as required for the department or medical activities
Adhere to and implement appropriate infection prevention and control policies and regulations
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