Clinical Staff Midwife – Job Description
As part of the clinical staff of the Brooklyn Birthing Center, the staff midwife provides antepartum, intrapartum, postpartum, family planning, and routine well-woman health care.
- Has a minimum of two years experience in full-scope midwifery practice.
- Currently licensed to practice midwifery in New York State.
- Qualifies for malpractice insurance.
- Has current or agrees to training and certification for adult and infant CPR.
Duties and responsibilities
1. General Functions – The clinical staff midwife
- Manages the care of clients and their families in all areas of maternity, newborn, and family planning care, according to the standards of the American College of Nurse-Midwives, New York State Health Law, the American Association of Birth Centers, and the policies, procedures, and protocols of the Brooklyn Birthing Center.
- Manages the care of low-risk individuals who present at various points in the childbearing cycle.
- Consults with the physician, according to risk criteria enumerated in the Policies and Procedures Manual, regarding any client who develops symptoms of medical or obstetrical complications.
- Co-manages with the physician, the care of women who develop problems, upon agreement of both the physician and the midwife and within the guidelines enumerated in this Manual.
- Refers to medical management, according to risk criteria, any woman who develops complications, which, in the judgment of either or both the physician and midwife, are best managed by the physician. Such transfer of management is to be clearly documented.
- Plans and provides continuing health supervision and education to all individuals under her care.
- Consults with and refers to other members of the health care team and/or community resources as indicated.
- Works with the physician in the care of women or newborns with complications, while transfer to medical management is conducted.
2. Specific Functions
- Antepartum Care
- Manages the care of normal ante partum women, including physical examination and assessment, health history, teaching, counseling, and support.
- Evaluates and reviews any findings with client and her family.
- Functions under established protocols for specific medications and treatments for the ante partum period.
- Intrapartum Care
- Manages the care of women experiencing essentially normal labor, based on admission history, review of antepartum chart, physical exam including status of labor, ongoing assessment, teaching and support.
- Determines the eligibility for out-of-hospital birth and/or midwifery management.
- Assesses women in labor at regular intervals to determine progress, and consults or refers to medical management according to established risk criteria.
- Performs the following procedures when indicated:
- Intravenous infusions
- Administers analgesia according to protocols
- Necessary laboratory tests
- Administers local anesthesia
- Manages normal spontaneous birth
- Performs and repairs episiotomies
- Repair lacerations
- Assists the third stage of labor
- Inspects the cervix after birth, if indicated
- Any emergency procedures as indicated
- Postpartum Care
- Manages the postpartum care of women, based on assessment of emotional and physical status.
- Reviews with the client the postpartum status and consults or refers to the physician according to
- Functions under protocols for specific medications and treatments.
- Teaches and counsels women in regard to health issues such as, exercise, nutrition, breastfeeding,
parenting, postpartum physical changes, breast self-exam, health insurance, and family planning.
- Records the labor and birth. Reviews the birth certificate worksheet with the parents for accuracy
& legibility in preparation for submission, electronically, to the NYCDOH.
- Newborn Care
- Institutes emergency care for newborn, including resuscitation and use of laryngeal mask airway when indicated.
- Performs and records complete assessment of newborn born in and out-of-hospital setting.
- Consults and/or refers newborn for physician care if indicated by any deviation from normal.
- Well-Woman Health Care
- Provides routine well-woman health care.
- Evaluates and treats minor gynecological problems according to protocols.
- Consults or refers to physician as indicated.
- Orders lab tests as indicated, according to protocols.
- Counsels client regarding health issues, such as breast self-exam, cardiovascular risk, health maintenance, and care for specific problems.
- Participates as preceptor or clinical facility in student education, including supervision and instruction of nurse interns and midwifery students.
Contact: Trinisha Willliams, Director of Midwifery
Email address: Twilliams@brooklynbirthingcenter.com