Dai (BS-16)

Hiranand Ganga Bai; Shikarpur, Islamabad; On-site; PKR 600,000 - 800,000; Full time

Job summary

The Dai (BS-16) at Hiranand Ganga Bai Women Hospital serves as a Senior Midwife / Midwifery Officer with independent responsibility for normal vaginal deliveries, antenatal and postnatal clinics, and immediate newborn care. It requires clinical autonomy to identify high‑risk conditions, initiate emergency stabilization, and arrange timely referrals to consultants.

The role emphasizes adherence to Sindh Health Department protocols, WHO Safe Motherhood guidelines, and hospital pathways to ensure

Qualifications

• Qualified midwife with registration and clinical independence to manage normal vaginal deliveries.
• Experience in antenatal and postnatal clinics with ability to coordinate with obstetric consultants.

Responsibilities

• Conduct independent normal vaginal deliveries using AMTSL protocols.
• Monitor labor with partograph, identify complications, and refer promptly.
• Perform immediate newborn assessment, APGAR, and resuscitation if needed.
• Provide antenatal counselling on danger signs, birth preparedness, nutrition, and family planning.
• Maintain labor room registers, partographs, referrals, and DHIS-2 reporting.
• Mentor junior staff and trainees in labor ward rotations.

Skills

Clinical autonomy

Education

Bachelor of Science in Midwifery

Job description

The Dai (BS-16) at Hiranand Ganga Bai Women Hospital functions as a Senior Midwife / Midwifery Officer responsible for independent management of normal vaginal deliveries, antenatal and postnatal clinics, and immediate newborn care. This gazetted role requires clinical autonomy in identifying high-risk obstetric conditions, initiating emergency stabilization, and executing timely referrals to consultants. The incumbent ensures adherence to Sindh Health Department protocols, WHO Safe Motherhood guidelines, and hospital-specific clinical pathways for maternal and neonatal safety.

Daily workflows include conducting morning handover rounds, managing the labor room admission register and partograph monitoring, performing episiotomy repair under local anesthesia, and administering uterotonics for active management of third stage of labor. The officer maintains the Pakistan Nursing Council (PNC) logbook, updates the District Health Information System (DHIS-2) for maternal indicators, and supervises student midwives and Lady Health Visitors. Equipment checks involve daily verification of resuscitation trolley, suction apparatus, and oxygen supply. Career progression leads to Principal Midwife (BS-17) or Nursing Instructor roles upon acquiring advanced certification.

Selection follows the Category A pathway: a 100-mark MCQ written screening examination covering Midwifery, Anatomy, Physiology, Pharmacology, and Public Health. Candidates securing the qualifying merit threshold are shortlisted for document verification of PNC registration, CNIC, domicile, and experience certificates. The final merit list is formulated by the Departmental Selection Committee (DSC) combining written test scores (70%) and interview/viva voce marks (30%). The DSC comprises the Medical Superintendent, a subject specialist, and a representative of the Health Department.

Key duties and responsibilities:

• Conduct independent normal vaginal deliveries utilizing active management of third stage of labor (AMTSL) protocols
• Monitor labor progression using partograph, detect cephalopelvic disproportion or fetal distress, and initiate timely referral
• Perform immediate newborn assessment, APGAR scoring, and neonatal resuscitation with bag-valve-mask ventilation
• Provide antenatal counseling on danger signs, birth preparedness, nutrition, and family planning methods
• Maintain accurate labor room registers, partographs, referral slips, and DHIS-2 reporting forms
• Supervise and mentor junior midwives, student nurses, and LHVs during clinical rotations in labor ward