- Medecins Sans Frontieres (MSF - Doctors Without Borders) is an international, independent, medical humanitarian organization that delivers emergency aid to people affected by armed conflict, epidemics, healthcare exclusion and natural or man-made disasters to populations in danger in more than 70 countries. MSF operates in Bangladesh since 1992.
- In this context, MSF is recruiting midwifes for posts and to reinforce its pool of replacement.
Job Description / Responsibility
- MAIN PURPOSE:
- 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 specialist doctor, in order to ensure their health conditions and avoid post-delivery complications
- Pre-natal consultations:
- Complete examination of the person during the first consultation (health antecedents, previous pregnancies, foetal osculation, etc.)
- Collect current and past history (complete anamnesis: current pregnancy, medical history, past obstetric history) and assess for risk factor
- Be in charge of pregnancy: first visit and follow up.
- Select the women at high risk and plan appropriate follow up, if necessary introduce treatment according MSF protocol.
- Refer where needed : to specialist doctor or to higher facility (following referral pathway in the facility)
- Perform laboratory test: syphilis screening test, malaria rapid test, HIV rapid test.
- Administer anti-malaria and anti-anaemia prophylaxis to all pregnant women in accordance with MSF's protocol and the legislation in the country
- Advice and counsel mothers on:
- Basic hygiene rules (washing hands after going to the toilet, washing genital areas with soap and water, etc.)
- The importance of vaccination and following prophylactic treatment
- The importance of pregnancy follow-up and early detection of abnormal signs during the pregnancy (signs of infection, loss of blood, etc.)
- Birth plan, signs of delivery
- Updating the patients' consultation register and follow up forms
- In the delivery room:
- Care for women in labour:
- Diagnosis of labour ( early labour, established labour, stages of labour)
- Document admission/labour forms at the arrival and each act of care carried out
- Tracking the vital signs (respiratory rate, pulse, temperature, blood pressure) before, during and after deliveries
- Monitor the progress of labour using partograph, monitor foetal heart rate p
- Ensuring genital cleaning on arrival, before the vagina is touched and after each micturition or bowel movement, also after delivery or caesarean section
- Ensuring the follow up of deliveries
- Report to the doctor all indications of maternal-foetal suffering, caesarean or difficult delivery (collaborating in the case of a complicated delivery)
- Carrying out a uterus revision if necessary
- Perineal repair if necessary
- Conduct normal deliveries and manage main obstetric emergencies: prolapsed cord, postpartum
- haemorhages, pre-eclampsia, shoulder dystocia, bleeding during pregnancy.
- Start management and treatment for states of shock and sepsis, referring rapidly to the doctor
- Care for the newborn:
- Routine care in the first hour ( clamping and cord care, Apgar score, removing obstructions in the ENT passages, early feeding, skin to skin contact and thermoregulation etc.)
- Detect danger signs of sick newborn: management of neonatal infections, hypoglycaemia, hyper-hypothermia, jaundice
- Monitor vital signs and document on chart following the protocol
- Refer all anomalies identified in the newborn to the specialised doctor
- Vaccinate the newborn according to the calendar in place for the country
- In the maternity department:
- Ensure 24 hours of service, meaning working both day and night shifts according to the needs of the
- Ensuring the daily follow up of deliverers and patients hospitalised for a gynaecological and/or obstetric problems (vital signs, further signs and symptoms etc.)
- Taking part in the doctor's and/or midwife supervisor round and informing him/her of all changes in the clinical state of the patients
- Advising mothers on the follow up of newborns
- Caring for newborn and mother, encourage daily bonding
- Advising on the importance of breastfeeding, establish attachment before discharge
- Informing mothers on the different forms of contraception/family planning
- After discharge: plan follow up appointments for mother and newborn when relevant
- MSF Section/Context Specific Accountabilities
- SGBV cases:
- Receive the patient, psychological first aid, examine the patient and fill documentation as per MSF protocol.
- Make sure medical care is given according to MSF protocol.
- Collaborate with SGBV focal point on internal and external referrals (legal, protection, psychosocial support).
- Hygiene and infection control:
- Check the general hygiene standards of the department and refer anomalies to the supervisor.
- Use PPE personal protective equipment, according the procedures.
- Check the sterilization of medical and surgical material.
- Be responsible, update and document correctly patient/baby registers and dossiers
- Ensure pertinent oral and written handovers at every team changeover.
- Manage TBAs and train in recognize warning signs.
- Participate in data collection and the compilation of weekly statistics
- make appropriate and prompt assessment in order to refer to BEmONC or CEmONC depending on the specific condition.
- Follow recommended action before referral of obstetric complications.
- Diploma (Vocational)
- Essential midwifery/nurse qualification or specialization.
- Desired Bachelor in Midwifery.
At least 1 year(s)
- Only females are allowed to apply
- Essential working experience of at least one year in midwife activities related jobs.
- Essential Bangla and Chittagong language. English language desirable.
- Medical allowance, Weekly 2 holidays, Over time allowance
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