MIKROMELIA IN NEWBORNS: MIDWIFERY MANAGEMENT AND CLINICAL IMPLICATIONS

Abstract

Background: Micromelia is a rare congenital skeletal dysplasia characterized by generalized shortening of the upper and lower extremities due to impaired endochondral ossification during fetal development. Early detection and appropriate management are essential to reduce complications and improve neonatal outcomes. Objectives: This study aimed to describe the concept of micromelia and analyze the implementation of midwifery care management in infants diagnosed with this congenital anomaly. Methods: This study employed a descriptive case study approach based on literature review and application of Varney’s seven-step midwifery management process. Data were collected through assessment, physical examination, identification of problems and needs, planning, implementation, and evaluation of care in an infant with micromelia. Results: The case assessment revealed generalized shortening of the upper and lower extremities, mild respiratory distress, weak sucking reflex, and risk of growth and developmental problems. Midwifery management included monitoring vital signs, maintaining body temperature, supporting breastfeeding, observing respiratory function, providing parental education, and collaborating with pediatric specialists for further evaluation and referral. The infant's condition remained stable, and the family demonstrated improved understanding of the condition and agreed to the referral plan. Conclusions: Comprehensive and evidence-based midwifery care plays an important role in the early detection, monitoring, referral, and family support of infants with micromelia. Multidisciplinary collaboration is essential to optimize clinical outcomes and improve the quality of life of affected infants.