Registered Midwife – Nursing Services

Key Responsibilities Antenatal Care

• Conduct comprehensive antenatal assessments and risk screenings.
• Obtain detailed obstetric, medical, surgical, family, and social histories.
• Monitor maternal and fetal wellbeing throughout pregnancy.
• Assess fetal growth, fetal heart rate, fetal movements, and maternal health status.
• Recognize, document, and report high-risk pregnancy indicators.
• Provide antenatal counseling and health education.
• Educate women regarding:
  • Nutrition during pregnancy.
  • Birth planning.
  • Pain management options.
  • Breastfeeding preparation.
  • Newborn care.
  • Family planning.
  • Pregnancy warning signs.
• Support emotional wellbeing and psychosocial needs of expectant mothers.
• Facilitate referrals to physicians and specialists when required.

Intrapartum Care (Labor & Delivery)

• Assess women during labor using established clinical guidelines.
• Monitor maternal vital signs and labor progression.
• Perform fetal surveillance and fetal heart rate monitoring.
• Conduct vaginal examinations within scope of practice.
• Interpret labor findings and identify deviations from normal progress.
• Provide continuous labor support and advocacy.
• Promote physiological and woman-centered childbirth practices.
• Assist mothers with labor positioning, mobility, and comfort measures.
• Support pharmacological and non-pharmacological pain management strategies.
• Prepare laboring women for delivery procedures.
• Conduct normal vaginal deliveries where permitted by regulatory and organizational policies.
• Assist obstetricians during instrumental or operative deliveries.
• Anticipate and respond appropriately to obstetric emergencies.
• Maintain accurate labor and delivery documentation.

Postnatal Care

• Perform comprehensive maternal assessments following delivery.
• Monitor recovery during the immediate postpartum period.
• Assess uterine involution, lochia, pain management, and overall maternal wellbeing.
• Identify postpartum complications including:
  • Postpartum hemorrhage.
  • Infection.
  • Thromboembolic events.
  • Mental health concerns.
• Support maternal physical and emotional adjustment following childbirth.
• Provide discharge education and follow-up instructions.
• Promote early mobilization and recovery.

Newborn Care

• Perform immediate newborn assessment and stabilization.
• Monitor neonatal adaptation during the transition period.
• Assess newborn vital signs and physical condition.
• Support skin-to-skin contact between mother and infant.
• Promote early initiation of breastfeeding.
• Recognize neonatal complications requiring escalation.
• Assist with newborn examinations and screening procedures.
• Administer prescribed medications and immunizations.
• Educate parents regarding:
  • Newborn feeding.
  • Hygiene and cord care.
  • Safe sleeping practices.
  • Growth and developmental milestones.
  • Immunization schedules.

Breastfeeding Support

• Encourage and promote exclusive breastfeeding.
• Assess breastfeeding effectiveness and challenges.
• Assist mothers with proper positioning and attachment techniques.
• Support mothers experiencing breastfeeding difficulties.
• Educate families regarding breast milk expression and storage.
• Provide evidence-based lactation support and counseling.

Emergency and High-Risk Obstetric Care

• Identify signs of maternal and fetal deterioration.
• Initiate emergency interventions within scope of practice.
• Participate in the management of:
  • Postpartum hemorrhage.
  • Eclampsia and pre-eclampsia.
  • Shoulder dystocia.
  • Cord prolapse.
  • Fetal distress.
  • Neonatal resuscitation.
• Escalate concerns promptly to physicians and senior clinical staff.
• Participate in emergency drills and mock code training.

Patient Education and Family Support

• Provide individualized education to mothers and families.
• Support informed decision-making regarding maternity care.
• Promote healthy pregnancy and parenting practices.
• Offer emotional support during pregnancy, labor, and postpartum recovery.
• Respect cultural, religious, and personal preferences.
• Advocate for patient rights and dignity.