Gynaec Registrar

AASTRIKA MIDWIFERY CENTRE

JOB DESCRIPTION (JD): OBSTETRIC REGISTRAR (24x7 COVERAGE)

1. POSITION DETAILS

Designation: Obstetric Registrar

Qualification: MBBS with DGO / DNB / MS (OBG)

Experience: 0–2 years

Reporting To: Consultant Obstetrician & Medical Director.

Location: Aastrika Midwifery Centre – Bangalore.

2. ROLE SUMMARY

The Obstetric Registrar functions as the primary in-house clinical responder, providing

24/7 obstetric and gynecological care within a midwifery-led model.

The Registrar will:

Work under the supervision of the Consultant Obstetrician

Be responsible for early identification of complications, initiation of emergency

management, and time-bound escalation

Ensure safe, evidence-based, protocol-driven maternal and newborn care

Coordinate with anesthesia, OT, ICU, and pediatric teams of the hospital and

partners.

3. CLINICAL GOVERNANCE & CHAIN OF COMMAND

3.1 Supervision Structure

Registrar works under direct/indirect supervision of Consultant Obstetrician

Consultants are final decision-makers in all high-risk and operative cases

3.2 Chain of Command

1. Obstetric Registrar (In-house 24x7)

2. Consultant Obstetrician (On-call / On-site)

3. Medical Director / Clinical Head

3.3 Escalation Responsibility : The Registrar must:

Recognize clinical deterioration early

Initiate immediate management

Escalate without delay as per defined triggers

Document time, reason, and response to escalation

4. TIME-BOUND ESCALATION TRIGGERS (MANDATORY)

The Registrar MUST inform the Consultant immediately in all high risk situations in

Maternal & Fetal Conditions

Procedural / System Triggers

Decision for cesarean section

Need for operative vaginal delivery

Requirement for ICU transfer

Any deviation from standard protocol

5. CLINICAL RESPONSIBILITIES

5.1 Antenatal & OPD Care

Conduct antenatal consultations and risk stratification

Identify and monitor high-risk pregnancies

Order and interpret investigations

Provide counselling on:

o Nutrition

o Birth preparedness

o High-risk conditions

5.2 Labour & Delivery Care

Promote physiological labour in collaboration with midwives

Monitor labour using partograph and CTG

Conduct normal vaginal deliveries (as per competence)

Assist in:

o Operative vaginal delivery

o Cesarean section

Implement labour protocols and safety bundles

Recognize complications early and act promptly

5.3 Emergency Response & Stabilization

The Registrar is responsible for initial management and stabilization of all mothers/babies till

there is a proper hand over to the appropriate consultant.

5.4 Postnatal & Newborn Care

Monitor maternal recovery

Identify postpartum complications

Provide breastfeeding support

Neonatal Responsibility

Perform neonatal resuscitation as per NRP protocol

Stabilize newborn until pediatrician takeover

Ensure timely NICU referral

5.5 Gynecological Responsibilities

Perform minor procedures

Assist in gynecological surgeries

6. INTERDEPARTMENTAL COORDINATION

The Registrar shall:

Coordinate with Anesthesia Team for emergency OT activation

Liaise with ICU Team for critically ill patients

Work closely with Pediatricians / NICU Team

Ensure:

o Timely referrals

o Safe transfers

o Proper handover documentation

7. MIDWIFERY MODEL SUPPORT

Collaborate with midwives respectfully

Promote minimal intervention practices

Support informed maternal choice

Ensure safe escalation when required

8. MEDICO-LEGAL RESPONSIBILITIES

The Registrar must demonstrate strong medico-legal awareness and documentation skills.

Mandatory Responsibilities

Obtain and document:

o Informed consent

o High-risk consent

o Refusal of treatment

Maintain:

o Partograph

o CTG records

o Case sheets with time-stamped entries

Document:

o All clinical decisions

o Escalations

o Emergency actions

Ensure compliance with:

o Hospital policies

o Legal and ethical standards

9. PROTOCOL ADHERENCE & QUALITY

The Registrar is responsible for:

Strict adherence to hospital SOPs and clinical guidelines

Implementation of:

o PPH bundle

o Eclampsia management bundle

o Sepsis protocols

Ensuring bundle compliance in all applicable cases

10. AUDIT & QUALITY IMPROVEMENT

Participate in:

o Maternal morbidity and mortality meetings

o Clinical audits

o Case reviews

Report:

o Adverse events

o Near misses

Contribute to continuous quality improvement

11. COMMUNICATION & HANDOVER

Maintain clear communication with:

o Patients and families

o Clinical teams

Handle sensitive situations empathetically

Handover Responsibility

Ensure structured shift handover

Maintain updated patient status and risk categorization

12. INFECTION CONTROL & PATIENT SAFETY

Adhere to infection control protocols

Follow sterilization standards

Participate in safety and infection control programs

13. EDUCATION & TRAINING

Participate in academic activities

Support training of nurses and midwives

Engage in continuous medical education

14. SCOPE OF PRACTICE & LEGAL PROTECTION

Work within defined competency limits

All high-risk decisions must be:

o Escalated

o Documented

Covered under hospital indemnity policy

15. KEY SKILLS REQUIRED

Strong clinical judgment and emergency response ability

Excellent documentation and medico-legal awareness

Protocol-driven practice

Teamwork in multidisciplinary environment

Communication and counselling skills

16. REMUNERATION: Competitive and commensurate with experience

17.WORKING HOURS & LEAVES:

The appointee is expected to be available 24x7 and will cover night care for all mothers. The

candidate is expected to work a minimum of 48.5 hours per week and must be available for

care till the handover. The eligible leaves and week offs will be managed to ensure adequate

coverage and care for the delivering mother.

To Apply:

Please send your detailed resume to [Confidential Information]