How does one manage skin of an ELBW baby and till what PMA should it continue

I will ping here my dear colleague @Ryo to kindly share his insights (Ryo, I remember you included skincare part in your talk in Rzeszow, haven't you?).

I think there are some highlights included in this amazing document Neonatal Intensive Care Manual for the infants born less than 28 weeks of gestation (Ver. 1.1) from the Neonatal Research Network of Japan <https://plaza.umin.ac.jp/nrndata/pdf/NICUManual.pdf>. You will also find some interesting points in this case report Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams <https://www.thieme-connect.de/products/ejournals/html/10.1055/a-1678-3755>

There's this review article Skin Care for the Extremely Low-Birthweight Infant < https://publications-aap-org.ezproxy.utu.fi/neoreviews/article/24/4/e229/190914/Skin-Care-for-the-Extremely-Low-Birthweight-Infant >

I really liked this webinar from The Tiny Baby Collaborative:

I believe it headlighted the different approaches of dry heating to speed up keratinization vs humidification to reduce fluid loss in the incubator. Or it could have been their webinar on fluid management, both well worth watching.

I’ve just stumbled upon this paper:

„Seeing beyond the obvious: pragmatic skin care guidance for infants 22–24 weeks gestational age”

https://www.nature.com/articles/s41372-025-02375-1

It’s in the Journal of Perinatology, published in September 2025, and it’s from the Tiny Baby Collaborative!

This is great, we were having trouble in dealing with a wound in a micro preemie the other day, and this would have helped a lot.

Thank you!