Case study: Comprehensive midwifery care for premature babies with respiratory distress syndrome at Gambiran General Hospital, Kediri City

Abstract

Preterm infants and low birth weight infants (LBW) have a high risk of developing respiratory distress syndrome (RDS) due to lung immaturity and surfactant deficiency, which are the primary causes of global neonatal morbidity and mortality (Boel et al., 2022; Sweet et al., 2023). Management in Type B facilities without surfactant focuses on non-invasive respiratory support, close monitoring, and Kangaroo Mother Care (KMC) to support physiological stability (Simmons, 2023). This case study aims to describe comprehensive midwifery care for a 9-day-old preterm infant with LBW and RDS at Gambiran Kediri General Hospital, a type B facility. The approach uses Varney’s seven-step midwifery management model, including assessment, diagnosis, identification of potential issues, immediate action, planning, implementation, and evaluation. Interventions included oxygen administration via CPAP, intensive monitoring of vital signs, and the application of KMC to maintain body temperature and support weight gain. The outcomes of care showed improved respiration, increased oxygen saturation, and weight gain in line with daily targets. In conclusion, comprehensive midwifery care based on independent action and collaboration without surfactant remains effective in stabilizing the condition of premature infants with RDS at a Type B facility.