{"id":63873,"date":"2026-08-13T10:42:24","date_gmt":"2026-08-13T03:42:24","guid":{"rendered":"https:\/\/www2.si.mahidol.ac.th\/en\/?p=63873"},"modified":"2026-08-13T10:42:24","modified_gmt":"2026-08-13T03:42:24","slug":"the-preterm-infant-care-team","status":"publish","type":"post","link":"https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/the-preterm-infant-care-team\/","title":{"rendered":"The Preterm Infant Care Team"},"content":{"rendered":"<div id='av_section_1'  class='avia-section av-av_section-be5469b648f3c66bc848ea728be917cc main_color avia-section-small avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-63873'><div class='entry-content-wrapper clearfix'>\n<div  class='avia-button-wrap 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class='avia-button av-av_button-8f046c302bf8e134ae065fff93ecd902 av-link-btn avia-icon_select-yes-left-icon avia-size-large avia-position-left'   aria-label=\"Our Highlights\"><span class='avia_button_icon avia_button_icon_left avia-svg-icon avia-font-svg_entypo-fontello' data-av_svg_icon='left-thin' data-av_iconset='svg_entypo-fontello'><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"31\" height=\"32\" viewBox=\"0 0 31 32\" preserveAspectRatio=\"xMidYMid meet\" aria-labelledby='av-svg-title-1' aria-describedby='av-svg-desc-1' role=\"graphics-symbol\">\n<title id='av-svg-title-1'>Left-thin<\/title>\n<desc id='av-svg-desc-1'>Left-thin<\/desc>\n<path d=\"M7.68 24l-7.68-8 7.68-8v5.12h23.68v5.696h-23.68v5.184z\"><\/path>\n<\/svg><\/span><span class='avia_iconbox_title' >Our Highlights<\/span><\/a><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-av_section-f22f0f9dd672aac3df52cf5913f6ac08 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214w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-733x1030.png 733w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-768x1079.png 768w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-1094x1536.png 1094w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-1068x1500.png 1068w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-502x705.png 502w\" sizes=\"(max-width: 1241px) 100vw, 1241px\" \/><\/div><\/div><\/div><\/div><div  class='flex_column av-av_one_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_one_fifth  avia-builder-el-6  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  '     ><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-av_section-f22f0f9dd672aac3df52cf5913f6ac08 main_color avia-section-default avia-no-border-styling  avia-builder-el-7  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-63873'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-av_one_fifth-2d22dc0500e159f2b39fe7a147caf14c av_one_fifth  avia-builder-el-8  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div  '     ><\/div><div  class='flex_column av-av_three_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_three_fifth  avia-builder-el-9  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div  '     ><section  class='av_textblock_section av-msqyuhnx-41f1c8aaaddd77c58d599332a6519357 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>The Preterm Infant Care Team<\/h2>\n<\/div><\/section><\/div><div  class='flex_column av-av_one_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_one_fifth  avia-builder-el-11  el_after_av_three_fifth  el_before_av_one_fifth  flex_column_div  '     ><\/div><div  class='flex_column av-av_one_fifth-2d22dc0500e159f2b39fe7a147caf14c av_one_fifth  avia-builder-el-12  el_after_av_one_fifth  el_before_av_three_fifth  first flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-av_three_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_three_fifth  avia-builder-el-13  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div  column-top-margin'     ><p><section  class='av_textblock_section av-msqyvg1a-eeaceec6fea4b6b0420cf8c02c71c5f3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>By <strong>Division of Neonatology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University<\/strong><\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-msqz0rg9-63a8b0378864d9cc1a90b22ae9a465f1 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Because <em>&#8220;birth&#8221;<\/em> marks the beginning of life&#8217;s journey, for some families, this path may entail unexpected challenges. When the signs of life emerge prematurely, <strong>&#8220;preterm infants&#8221;<\/strong>\u2014<em>defined as babies born before 37 weeks of gestation<\/em>\u2014constitute the most vulnerable patient population because their organs and physiological systems remain significantly underdeveloped. Historically, extremely low birth weight (ELBW) preterm infants faced grim chances of survival. Today, however, driven by the dedication and international-standard medical advancements of the neonatology team at the Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, there is a relentless pursuit to elevate both physical and neurodevelopmental care. The ultimate goal is to safely transition these fragile infants back into their families&#8217; embrace. The team has spearheaded medical advancements across the following critical domains:<\/p>\n<p><strong>1. Physical Care and Advanced Life Support Technologies<\/strong><\/p>\n<p>Managing the vital signs of these tiny infants necessitates highly precise and gentle technologies. The neonatology team implements leading-edge innovations to effectively prevent long-term complications, beginning from the first minute of life during neonatal resuscitation. Thermoregulation is strictly maintained using specialized polyethylene wraps and radiant warmers immediately after birth to prevent hypothermia. Furthermore, excessive positive pressure during ventilation is strictly avoided to prevent<em> ventilator-induced lung injury (VILI)<\/em>.<\/p>\n<p>Additionally, stabilizing hemodynamics is a cornerstone in preventing <em>intraventricular hemorrhage (IVH)<\/em> in preterm infants. The neonatology team has established neuroprotective care guidelines\u2014<em>particularly during the critical first 72 hours of life<\/em>\u2014by adhering to minimal handling protocols and avoiding rapid fluctuations in blood pressure. This is coupled with periodic <em>targeted neonatal echocardiography (TnECHO)<\/em>, enabling the medical team to execute precise, targeted interventions.<\/p>\n<p>Regarding the respiratory system, clinical focus is placed on the early implementation of non-invasive nasal ventilation, avoiding unnecessary endotracheal intubation to mitigate injury to the immature lung parenchyma. When intubation is strictly necessary, <em>high-frequency oscillatory ventilation (HFOV)<\/em> or lung-protective ventilation strategies are employed, significantly reducing the incidence of <em>bronchopulmonary dysplasia (BPD)<\/em>.<\/p>\n<p>Furthermore, these infants receive dermatological protection via smart incubators capable of precisely and consistently regulating both temperature and humidity. The medical and nursing staff adhere to specialized skin care protocols designed to maintain the integrity of the translucent epidermis, prevent transepidermal water loss (TEWL) and hypothermia, minimize epidermal stripping, and reduce the risk of nosocomial infections.<\/p>\n<p><strong>2. Environmental and Psychological Care for Neurodevelopment<\/strong><\/p>\n<p>Because a preterm infant&#8217;s brain undergoes continuous neurogenesis and synaptogenesis, optimizing the microenvironment is prioritized to foster neurodevelopment. This is achieved through appropriate ambient light and noise modulation, incorporating noise level monitors and implementing <em>&#8220;cycled lighting&#8221;<\/em> to promote deep sleep (quiet sleep)\u2014the most critical physiological state for brain development and stress reduction.<\/p>\n<p>Concurrently, we champion the framework of Family-Centered Care (FCC) via Kangaroo Mother Care (KMC), encouraging parents to hold their infants skin-to-skin against their chests. This maternal\/paternal bond and the sound of the parental heartbeat help stimulate the infant&#8217;s physiological systems, stabilize vital signs, and provide analgesia. Moreover, it offers profound psychological healing, remarkably alleviating postpartum depression (PPD) in parents.<\/p>\n<p><strong>3. Nutrition and the Benefits of Human Milk<\/strong><\/p>\n<p>Human milk is the first drop of vaccine and the ultimate nutritional source. Consequently, Siriraj Hospital established the <em>Siriraj Human Milk Bank<\/em> in strict accordance with international standards, featuring rigorous screening, pasteurization, and microbiological testing protocols. This ensures that preterm infants whose mothers experience delayed lactogenesis receive safe donor human milk, thereby drastically reducing the incidence of necrotizing enterocolitis (NEC).<\/p>\n<p>Additionally, a dedicated team of lactation specialists at the breastfeeding clinic provides comprehensive care and counseling to mothers. They assist with techniques ranging from lactation stimulation and milk expression to guiding warm, direct breastfeeding sessions prior to discharge, ensuring the continuous provision of optimal nutrition.<\/p>\n<p>All of these efforts reflect a profound commitment to the integration of innovation\u2014a seamless blend of advanced technology and the tender touch of the neonatology medical and nursing team. The ultimate vision is to nurture these tiny infants until they are physically robust enough to safely return to their families&#8217; embrace.<\/p>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-av_one_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_one_fifth  avia-builder-el-16  el_after_av_three_fifth  el_before_av_one_fifth  flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-av_one_fifth-2d22dc0500e159f2b39fe7a147caf14c av_one_fifth  avia-builder-el-17  el_after_av_one_fifth  el_before_av_one_fifth  first flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-av_one_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_one_fifth  avia-builder-el-18  el_after_av_one_fifth  avia-builder-el-last  flex_column_div  column-top-margin'     ><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_4'  class='avia-section av-av_section-f22f0f9dd672aac3df52cf5913f6ac08 main_color avia-section-default 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class='avia_textblock'  itemprop=\"text\" ><h1>Related Highlights<\/h1>\n<\/div><\/section><\/div><div  class='flex_column av-av_one_fifth-2d22dc0500e159f2b39fe7a147caf14c av_one_fifth  avia-builder-el-22  el_after_av_one_full  el_before_av_three_fifth  first flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-av_three_fifth-3b0d446bf9e6f7db91541aa567be4cdf av_three_fifth  avia-builder-el-23  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div  column-top-margin'     ><div  id=\"avia-magazine-1\"  class='av-magazine av-av_magazine-e97233d63e2da7564ef1f32355184952  avia-builder-el-24  avia-builder-el-no-sibling   avia-builder-el-24  avia-builder-el-no-sibling ' ><div class='av-magazine-group sort_all'><article class='av-magazine-entry av-magazine-entry-id-62742 av-magazine-format-standard av-magazine-type-post av-magazine-entry-1 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/news-events\/siriraj-faculty-abroad-at-the-36th-american-glaucoma-society-aunnual-meeting-in-usa\/' title='Link to: Siriraj Faculty Abroad at the 36th American Glaucoma Society Aunnual Meeting  in USA' class='av-magazine-thumbnail-link'><img decoding=\"async\" fetchpriority=\"high\" width=\"80\" height=\"80\" src=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/03\/Feature-80x80.jpg\" class=\"wp-image-62743 avia-img-lazy-loading-not-62743 attachment-thumbnail size-thumbnail wp-post-image\" alt=\"\" srcset=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/03\/Feature-80x80.jpg 80w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/03\/Feature-36x36.jpg 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/03\/Feature-180x180.jpg 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: Siriraj Faculty Abroad at the 36th American Glaucoma Society Aunnual Meeting  in USA\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-03-05T16:27:46+07:00\" >March 5, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/news-events\/siriraj-faculty-abroad-at-the-36th-american-glaucoma-society-aunnual-meeting-in-usa\/' title='Link to: Siriraj Faculty Abroad at the 36th American Glaucoma Society Aunnual Meeting  in USA'>Siriraj Faculty Abroad at the 36th American Glaucoma Society Aunnual Meeting  in USA<\/a><\/h3><\/header><\/div><footer class=\"entry-footer\"><\/footer><\/article><article class='av-magazine-entry av-magazine-entry-id-62460 av-magazine-format-standard av-magazine-type-post av-magazine-entry-2 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/news-events\/siriraj-faculty-abroad-at-ispor-europe-2025-in-uk\/' title='Link to: Siriraj Faculty Abroad at ISPOR Europe 2025 in UK' class='av-magazine-thumbnail-link'><img decoding=\"async\" fetchpriority=\"high\" width=\"80\" height=\"80\" src=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/02\/Feature-1-80x80.jpg\" class=\"wp-image-62461 avia-img-lazy-loading-not-62461 attachment-thumbnail size-thumbnail wp-post-image\" alt=\"\" srcset=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/02\/Feature-1-80x80.jpg 80w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/02\/Feature-1-36x36.jpg 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/02\/Feature-1-180x180.jpg 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: Siriraj Faculty Abroad at ISPOR Europe 2025 in UK\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-02-18T08:53:47+07:00\" >February 18, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/news-events\/siriraj-faculty-abroad-at-ispor-europe-2025-in-uk\/' title='Link to: Siriraj Faculty Abroad at ISPOR Europe 2025 in UK'>Siriraj Faculty Abroad at ISPOR Europe 2025 in UK<\/a><\/h3><\/header><\/div><footer class=\"entry-footer\"><\/footer><\/article><article class='av-magazine-entry av-magazine-entry-id-62485 av-magazine-format-standard av-magazine-type-post av-magazine-entry-3 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/news-events\/siriraj-faculty-abroad-at-the-apao-2026-in-hong-kong-2\/' title='Link to: Siriraj Faculty Abroad at the APAO 2026 in 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