Treetop Hospital (TTH) is the sole center in the Maldives with the expertise and infrastructure to provide therapeutic hypothermia (TH) for newborns with hypoxic-ischemic encephalopathy (HIE). This critical intervention is essential for improving outcomes in infants suffering from HIE, a significant cause of morbidity and mortality.
Expertise and Global Experience
TTH's neonatal care team is comprised of three dedicated and qualified neonatologists with extensive international training:
Dr. Ingrid Marnorova: Trained in the UK and European centers.
Dr. Sarfaraz Momin: Trained in Indian and North American centers.
Dr. Bipin Karki: Trained in Bangladeshi and Nepali centers.
Our diverse team brings a wealth of global experience to deliver the highest standard of care for infants with HIE.
Advanced Technology: The MiraCradle® System
To deliver TH, TTH utilizes the MiraCradle® system, a CE-marked and affordable cooling device. This system is designed for ease of use, safety, and portability, offering precise temperature control between 33-34°C (91.4-93.2°F) for the 72-hour treatment duration.
The MiraCradle® uses a proprietary Phase Change Material (PCM) to maintain stable temperatures with minimal manual supervision. Clinical studies have validated its efficacy and safety:
A trial on 41 infants showed the target temperature range was maintained 96.2% of the time, with a mean temperature of and no readings below 32∘C.
A multicenter study across 10 hospitals on 103 infants found the median time to reach the target temperature was 90 minutes. The mean temperature deviation during cooling was , with only 5.1% of readings exceeding 34∘C. The rewarming rate was a gentle per hour.
Referrals and Patient Transfers
As a referral center, TTH is equipped and ready to accept newborns from other facilities who could benefit from TH. We encourage the transfer of infants to TTH within the critical six-hour therapeutic window to ensure they receive this life-saving intervention and optimize their long-term outcomes.