Nana Ama Fosuah Dadzie

• Monitoring of patient during first stage of labour (including fetal heart rate auscultation, vaginal examinations and checking contractions) and documenting on the partograph.
• Continuous monitoring of fetal heart rate and contractions using the CTG machine.
• Conducting second stage of labour and active management of third stage as well as monitoring mother and baby during the forth stage.
• Supporting birthing partners in their roles by providing education on labor, and newborn care.
• Performing episiotomies and suturing episiotomies or tears under local anesthesia such as lidocaine.
• Management of high risk pregnancies in labor such as pre-eclampsia and hypertension in pregnancy
• Developing strong rapport with patients through active listening skills that facilitated open communication about concerns or anxieties related to pregnancy or childbirth experience.
• Contributing to the reduction of maternal mortality rates by identifying high-risk pregnancies early and referring them for specialist intervention when necessary.
• Educating new parents on infant care essentials like danger signs in newborn, diapering, swaddling, cord care, bathing techniques leading to increased confidence in parenting skills.
• Assisting women in making informed decisions regarding their birth preferences based on thorough discussions about risks and benefits of various options available.
• Maintaining accurate documentation of patient encounters, medical histories, assessments, interventions, and outcomes to ensure continuity of care.
• Giving emotional support to expecting mothers by answering questions and alleviating concerns.
• Serving as a mentor for student midwives by sharing clinical expertise, providing constructive feedback, and modeling excellence in the practice of midwifery.
• Reducing complications during childbirth by closely monitoring patients and collaborating with healthcare professionals for timely interventions.
• Physical and psychological preparation of patient for emergency cesarian section.

MATERNITY

• Developing and advocating for individualized birth plans with mothers

based on health concerns and preferences.

• Management of first, second, third and fourth stage of labor using the

partograph.

• Head to toe examination of pregnant and postpartum women and reporting

abnormalities to senior midwife and obstetrician.

• Head to toe examination of newborns and reporting abnormalities to

hospital pediatrician.

• Assessing newborns and resuscitating where necessary.

• Assisting mothers to position babies to breast for feeding.

• Pre and post operation care of pregnant women and gynecological cases

such as myomectomy.

• Educating parents on danger signs in newborns, cord care, personal and

environmental hygiene, importance of exclusive breastfeeding, importance

of postnatal care prior to discharge.

• Giving and repairing of episiotomies and perineal tears.

• Working with maternity team in management of obstetric emergencies such

as postpartum hemorrhage.

• Receiving newborns from the theater.

• Iv cannulation for patients, taking blood sample and administration of

prescribed medications (intravenous, intramuscular and oral).

• Dressing surgical wounds aseptically.

• Performing vulva toileting after obstetric and gynecological surgeries.

• Contemporaneous documentation of all midwifery procedures.

• Catheterization

• Referral of patient to tertiary hospital for further management.

NICU

• Head to examination of neonates and reporting abnormalities to hospital

pediatrician.

• Intravenous cannulation and taking blood sample of newborns

• Administration of prescribed medications and setting up infusion using

iv fluid regulator.

• Assisting parents with pre-term and low birth weight babies with

kangaroo care.

• Setting up improvised CPAP for preterm/ babies with respiratory

distress.

• Setting up oxygen therapy, monitoring and recording of vital signs.

• Providing health education on cord care, danger signs in newborn,

importance of exclusive breastfeeding to parents, assisting mothers to

position baby to breast.

• Nasogastric (NG) tube insertion and feeding of babies with feeding

difficulties.

• Maintaining detailed medical records.

• Weighing of neonates on the ward.

• Neonatal resuscitation where necessary.

• Setting up phototherapy for jaundiced babies.

• Providing emotional support to parents of critically ill babies.

• Referral of neonates to tertiary hospital for further management.

• Maintained strict adherence to hospital regulations, minimizing risk exposure for patients.
• Administration of prescribed medication including intravenous, intramuscular, subcutaneous, rectal and oral.
• Monitoring and care of patient post surgery such as myomectomy, exploratory laparotomy, hysterectomy.
• Dressing of surgical wounds aseptically
• Assist patients with activities of daily life such as: bathing ( bed bath, assisted bed bath and assisted bathroom bath), brushing and eating.
• IV cannulation and urethral catheterisation.
• Collaborate with other healthcare professionals such as cardiologist, urologist, sonographers, dieticians to provide comprehensive care
• Physical and psychological preparation of patients for elective surgeries.
• Maintain accurate records of patient's care including medical history, treatment plan and progress.
• Provide emotional support and counseling to patient and relatives.
• Transporting of patients to other departments for various procedures such as ultrasound scan, X-ray, chest tube insertion, dialysis.

• Taking and recording of patient’s vital signs.

• Vaccination of babies under supervision of community health nurse

• Weighing of babies and plotting on growth chart in maternal and child

health record book.

• Provided family planning services under supervision (pills and injectables).

• Provided comprehensive supervised antenatal, intrapartum and

postnatal care to patients.

• Trans-out of patient per hospital policy.

• Performing the role of circulating nurse at the theater

• Conducted supervised suturing of perineal tears and episiotomy

• Dressing of wounds aseptically under supervision.

• Scrubbed occasionally during caesarian section at the theater.

• Urethral catheterisaton under supervision.

• Iv cannulation and administration of prescribed medication under supervision

• Assisting patients in activities of daily living such as brushing, eating

and bathing.