Comprehensive midwifery care for a 14-day-old term neonate with severe dehydration and pneumonia at Gambiran Regional Hospital, Kediri City

Abstract

Severe dehydration in neonates is a medical emergency that can lead to hypovolemic shock, kidney failure, and even death. The combination of dehydration and pneumonia worsens the prognosis and increases infant mortality. The purpose of this article is to describe comprehensive midwifery care for a 14-day-old term neonate with severe dehydration and pneumonia at Gambiran Regional Hospital, Kediri City. This study used a case study method with the Varney midwifery management approach and SOAP documentation. Data were obtained through case observation, medical record review, family interviews, and literature review. The results showed that a 14-day-old infant was referred with recurrent vomiting, weight loss, chest wall intractability, and signs of severe dehydration. Midwifery care included intravenous rehydration according to WHO protocol, nasal oxygen administration, close monitoring of vital signs, and collaboration with a pediatrician for antibiotic administration. Evaluation showed improved consciousness and hemodynamic stabilization. Therefore, early detection, rapid rehydration according to protocol, and interprofessional collaboration are needed to reduce morbidity and mortality in infants with severe dehydration and pneumonia.