Comprehensive midwifery care for a premature newborn with very low birth weight (VLBL) and grade III-IV hyaline membrane disease (HMD) at Gambiran General Hospital, Kediri City

Abstract

Neonates with prematurity, very low birth weight (VLBW), and respiratory distress syndrome (Hyaline Membrane Disease/HMD) represent neonatal emergencies that require immediate, comprehensive, and collaborative management. In Indonesia, according to the Indonesia Health Profile (Ministry of Health, 2023), prematurity and its complications are the leading causes of neonatal mortality, contributing to approximately 35% of total neonatal deaths. VLBW occurs in about 11% of newborns, with a significantly increased risk of death, especially in infants weighing less than 1500 grams. Additionally, HMD or Respiratory Distress Syndrome (RDS) affects 60–80% of VLBW neonates, particularwhich demonstratese born before 32 weeks of gestayn. This report presents a case study of a 0-day-old newborn at Gambiran General Hospital, Kediri City, with prematur VLBW, and grade III–IV HMD. The midwifery managemen,t approach was carried out using the Varney method. The infant required resuscitation, surfactant administration, CPAP oxygen therapy, and intensive monitoring. Evaluation showed improvement in respiratory function and nutritional status. These results highlight the vital role of midwives in early detection and collaborative interventions to reduce neonatal morbidity and mortality from such critical conditions.