Preterm
SMA® Gold Prem Breast Milk Fortifier
Food for special medical purposes. Nutritional supplement to be added to expressed breast milk for the dietary management of preterm low birthweight infants. This product must be used under medical supervision.
SCIENCE INSPIRED BY NATURE
SAME TRUSTED FORMULA, NEW REFRESHED DESIGN
SMA® Gold Prem Breast Milk Fortifier is a nutritional supplement to be added to expressed breast milk for the dietary management of preterm low birthweight babies. It helps to provide the particular nutrient requirements of preterm low birthweight babies including extra protein, energy, calcium, omega 3 and 6, and vitamins A and E. Breast milk supplemented with SMA® Gold Prem Breast Milk Fortifier better meets the nutritional needs of low birthweight preterm infants than unsupplemented breast milk. SMA® Gold Prem Breast Milk Fortifier should only be used under the medical supervision of a healthcare professional. It is not suitable for use in infants with diagnosed cows’ milk protein allergy, lactose intolerance and metabolic congenital diseases such as galactosaemia/glucose-galactose malabsorption or for vegetarian diets.
Leading baby nutrition research for over 100 years
Our expert team at SMA® Nutrition is dedicated to understanding the unique nutritional needs of babies born prematurely and to applying these learnings to our own products. We have been leading research in baby nutrition for over 100 years and have produced SMA® Gold Prem Breast Milk Fortifier, a nutritional supplement to be added to expressed breast milk for the dietary management of preterm low birthweight babies.
Halal approved.
Why SMA® Gold Prem Breast Milk Fortifier?
Specially tailored to fortify breast milk
Essential vitamins and minerals - iron, calcium and vitamins A and E
Nutritional supplement
Formats
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SMA® Gold Prem Breast Milk Fortifier
72 x 1 g sachets of powder
This product must be used under medical supervision.
Preparing your baby's feed
Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make your baby ill.
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Step 1
Check best before date. Wash hands well. Wash and sterilise all feeding equipment according to manufacturers’ instructions.
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Step 2
Only prepare one feed at a time. Gently swirl the container of the expressed breast milk (EBM).
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Step 3
Pour 25 ml of EBM into a sterile container. Before mixing with fortifier, warm up EBM to body temperature. DO NOT use a microwave to prepare or warm feeds.
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Step 4
Separate and add only one sachet (1g) of SMA® Gold Prem Breast Milk Fortifier. Do not attempt to mix part of a sachet.
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Step 5
Place cap on container, gently shake the container until the powder is fully dissolved. Feed immediately.
SMA® Gold Prem Breast Milk Fortifier can be given from a bottle or via a naso-gastric tube. Discard any milk remaining after each feed.
Feeding guide
Standard Fortification*
| Breast Milk | SMA® Gold Prem Breast Milk Fortifier |
|---|---|
| 25 ml | 1 sachet (1 gram) |
*It is recommended to proceed gradually, starting with 1 sachet (1 g) SMA® Gold Prem Breast Milk Fortifier per 50 ml of breast milk. After evaluating tolerance over a 24 hour period, fortification can be advanced to full strength (4 g) SMA® Gold Prem Breast Milk Fortifier/100ml of breast milk or follow hospital guidelines on feeding.
The minimum quantity of breast milk for use with one sachet (1 g) of SMA® Gold Prem Breast Milk Fortifier is 25 ml.
Important feeding information
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We recommend preparing each feed as required. Opened sachets should be used immediately or discarded. Use according to normal hospital procedures for handling breast milk.
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Expressed breast milk can be frozen and fortified once thoroughly defrosted. If frozen breast milk is used, gradually defrost in refrigerator (under 4 ºC). DO NOT use a microwave oven or allow to defrost at room temperature. Ensure thorough mixing prior to feeding.
When using the product with very low birthweight infants (VLBW – 1.5 kg or less):
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Regularly monitor and assess blood nutrient levels.
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For enteral use only.
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Do not use any other nutritional supplements to fortify breast milk unless medically indicated.
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It may not be necessary to fortify breast milk collected less than 2 weeks post-partum, as it is particularly rich in nutrients.
Caution
Special considerations when using this product.
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When possible it is recommended that expressed breast milk be analysed in order to define a corresponding fortification strategy.
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For tube feeding: once fortified breast milk is prepared, do not keep at room temperature longer than 4 hours.
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If using banked breast milk, ensure that it is pasteurised.
| Nutritional information per 100 g powder | per 1 g powder |
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|---|---|---|
| Nutritional information | ||
| Typical values | ||
| Energy | 1818 kJ 435 kcal | 18 kJ 4.3 kcal |
| Fat | 18 g | 0.18 g |
| of which, saturates | 11.5 g | 0.1 g |
| Carbohydrate | 32 g | 0.32 g |
| of which, sugars | 2 g | 0.02 g |
| Protein | 36 g | 0.36 g |
| Salt* (=Sodium x 2.5) | 2.3 g | 0.02 g |
| *Salt is calculated as sodium x 2.5. Sodium is present for nutritional purposes. | ||
Ingredients
Partially hydrolysed whey protein (milk), maltodextrin, medium chain triglycerides, rapeseed oil, calcium phosphate, fish oil (DHA), vitamin C, magnesium chloride, calcium chloride, sodium citrate, choline bitartrate, sodium chloride, ferrous sulphate, vitamin E, inositol, L-carnitine, zinc sulphate, taurine, niacin, pantothenic acid, vitamin A, riboflavin, thiamin, copper sulphate, vitamin B6, antioxidant (tocopherol-rich extract), folic acid, potassium iodide, manganese sulphate, vitamin K, vitamin D, biotin, sodium selenite, vitamin B12.
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Important notice
We believe that breastfeeding is the ideal nutritional start for babies as breast milk provides a balanced diet and protection against illness for your baby. We fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with sustained breastfeeding up to two years of age. We also recognise that breastfeeding may not be an option due to certain medical conditions. You should only feed Infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use must be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. This product must be used under medical supervision. SMA® Gold Prem Breast Milk Fortifier is a nutritional supplement designed to be added to expressed breast milk for the dietary management of feeding preterm low birthweight babies. It is NOT a breast milk substitute.
