Job title

Midwife

Immediate Line Manager

Midwife Supervisor

Base Location

Kandahar Regional Hospital Maternity Ward

Team/ Program

MLMCC

Job Purpose:

Responsible for the delivery of high quality midwifery care through modelling, education, observation, crisis intervention, problem solving, clear communication and team work in the hospital. Monitor and maintain compliance with midwifery standards and MLMCC procedures.

Key Accountabilities:

Midwives provide advice, care and support for women and their partners and families before, during and after childbirth. They help women make their own decisions about the care and services they access. They care for new‐born children, providing health education and parenting support for the first 28 days.

Midwives are personally responsible for the health of both mother and child and only refer to obstetricians if there is any complication.

• Adhere to the values, policies and procedures of Afghan Midwives Association and MoPH.
• Work to improve positive work environment among colleagues.
• Provide respectfully maternity care to patient.
• Report to work promptly, for day shift and night shift.
• Participate in morning report :
• End‐of‐shift midwives must give a full report to on‐coming midwives on the patients and events that occurred during the shift.
• Night shift midwife should stay till end of the morning report.
• Stay on‐duty until the relieving shift arrives and has been fully updated.
• Keep patient’s medical record thoroughly and accurately updated and filed neatly.
• Keep the patient board up to date and posted with relevant information.
• Admit new patients, diagnose labour and completely fill out labour admission forms, and order appropriate lab screens based on MLMCC guideline.
• Identifying high risk pregnancies and emergency cases and making resuscitation interventions and immediately refer to the linked hospitals.
• Supervise and assisting mothers in labour, monitoring the condition of the foetus and using knowledge of labour support and pain management skills according to advance midwifery care protocol and procedure.
• Assess continuously labour progress, which includes, taking vitals, pelvic exams foetal heart rate monitoring and charting on the partograph.
• Identify the Major complication and refer to tertiary hospital.
• Conduct normal vaginal deliveries, which include starting IVs, delivering the baby using sterile technique, managing third stage with routine IM oxytocin, perform episiotomy avoid routine episiotomy, suturing lacerations and charting on the Partograph and Labour and Delivery Summary.
• Keep clear, detailed records of deliveries in the Birth Register Book.
• Disinfect, scrub, wash, pack and sterilize instruments in the Delivery Set
• Manage with on call and supervisor complicated vaginal deliveries including, vacuum extraction, shoulder dystocia during the second stage of the labour
• Provide routine new‐born care which includes: bulb suctioning, drying, assigning APGAR scores, weighing, measuring length and head circumference, monitoring vital signs, administering Vitamin K and Tetracycline eye ointment, placing ID band and clothing the infant.
• Provide routine postpartum care including monitoring of vital signs of the mother and baby, monitoring input and output of the mother, initiating and assisting with breastfeeding, charting on the Postpartum Chart
• Refer babies for the Vaccination in the Clinic before being discharged
• Conduct health education, including father member when possible, on breastfeeding, warning signs, new‐born care and family planning during their postpartum stay.
• Counsel and educate women, families and the community in relevant areas of health including hygiene, family planning, nutrition, warning signs, preparation for childbirth and parenting.
• Counsel the mothers to IYCF (infant and young child feeding) key messages.
• Check stock of supplies and medicines every shift, record needed items and order from stock or refer to Midwife Supervisor.
• Follow Infection Prevention policies and procedures in all aspects of the job
• Share knowledge, skills and expertise with all maternity staff.
• Encouraging participation of family members in the birth to support the mother and enhance both mother/baby bonding and family relationships.
• Give regular feedback to the line manager and report directly any issue or incident
• Join the trainings facilitated by UHI project / hospital directorate

Competencies:

‐ Demonstrates knowledge

‐ Demonstrates an open attitude

‐ Adapts behaviour to the needs of the situation

‐ Manages own stress

‐ Performs his/her work

‐ Responds empathetically to clients and understands their concerns/needs

‐ She organizes her work

‐ Acknowledges the importance of teamwork and cooperation