SMA® PRO First Infant Milk

New formula
SMA{®} PRO First Infant Milk

While the packaging of SMA® PRO First Infant Milk has changed, our clinically proven formulation remains the same. Liquid formulations may vary slightly.

The first 1000 days of a baby’s life have a life-long impact on many aspects of future health.

The growth pattern of a breastfed baby is associated with improved health outcomes.1,2 Breastfed babies tend to grow more slowly than bottle-fed babies.3 Protein is one of the main drivers of growth, and the quantity and quality of protein in breast milk is ideal to support appropriate growth.

SMA® PRO First Infant Milk is an easy-to-digest,4 nutritionally complete infant milk with a unique protein profile that is closer to breastmilk5 and is the only First Infant Milk clinically proven to achieve a growth rate comparable to a breastfed baby as defined by WHO growth standards.6

SMA® PRO First Infant Milk is suitable for Halal.

 

 

SMA® PRO First Infant Milk is the only clinically proven First Infant Milk to achieve a growth rate comparable to a breastfed baby as defined by the World Health Organisation (WHO) growth standards6

Chart 1. Green dots represent average growth measurements in infants fed SMA® PRO First Infant Milk compared with WHO growth standards. All measurements fall within ±0.5 standard deviation. The American Academy of Pediatrics recommends 3 g/day as a clinically relevant treatment difference for weight gain.11

SMA® PRO First Infant Milk is supported by a meta-analysis demonstrating that weight-for-age, length-for-age, head circumference and BMI were all within 0.5 standard deviation of the WHO growth standard.6

SMA® PRO First Infant Milk has a closer amino acid profile (including insulinogenic amino acids) to that of breast milk, when compared with Aptamil First Infant Milk, as demonstrated in the graph below.5

Percentage difference of insulinogenic amino acids compared with breast milk.5

Chart 2: Spider graph represents the insulinogenic amino acid percentage difference in each formula (SMA® PRO First Infant Milk and Aptamil First Infant Milk), when compared with breast milk.

Insulinogenic amino acids are shown to contribute to obesity later in life.5

 

References
  1.  WHO Multicentre Growth Reference Study Group. Acta Paediatr Suppl 2006; 450: 76–85.
  2.  Baird J et al. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ 2005; 331: 929.
  3.   Kramer MS et al. Feeding effects on growth during infancy. J Pediatr 2004; 145: 600–5.
  4.  NHS Choices. Types of formula milk. Available at: http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/types-of-infant-formula.aspx#close. Accessed April 2018.
  5.  Nestlé data on file, 2014.
  6.   Alexander DD et al. Growth of infants consuming whey-predominant term infant formulas with a protein content of 1.8 g/100 kcal: a multicenter pooled analysis of individual participant data. Am J Clin Nutr 2016; 104: 1083–92.
  7. SMA® PRO First Infant Milk datacard. Available at: https://www.smahcp.co.uk/content/media/1330/sma05445_first-infant-milk-data-card.pdf. Accessed August 2018.
  8.  Vivatvakin B et al. Effect of a whey-predominant starter formula containing LCPUFAs and oligosaccharides (FOS/GOS) on gastrointestinal comfort in infants. Asia Pac J Clin Nutr 2010;19: 473–80.
  9. Moro G et al. Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. J Pediatr Gastroenterol Nutri 2002; 34: 291–5.
  10.  Koletzko B et al.The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations. J Perinat Med 2008; 36: 5–14.
  11. American Academy of Pediatrics, C. o. N. 1988. Clinical testing of infant formulas with respect to nutritional suitability for term infants. Prepared under FDA contract 223-86-2117.

LCPs, Long-chain polyunsaturates

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

 

 

 

Download data card

 

 

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

SMA ® PRO First Infant Milk is available in a variety of formats for home and hospital use:

800 g powder

400 g powder

Starter Pack

Multipack

Liquid milk (1 L and 200 ml carton)

70 ml bottle

The scoop is provided under the lid. It can be stored in suspension inside the can.

Also available in a smaller 400 g size can.

6 x 70 ml plastic bottles and NUK ® orthodontic pre-sterilised teats. No sterilising required. Disposable teats, screw directly onto the bottle.

6 x 200 ml Ready to Use cartons with a screwcap. Easy to open and pour and once open can be kept in the fridge for up to 24 hours.

Ready to Use liquid milk available in a 1 litre resealable carton, which is easy to pour and can be kept in the fridge up to 48 hours after opening.

200 ml Ready to Use resealable carton, which is easy to pour and can be kept in the fridge for up to 24 hours.

For hospital use only

NHS catalogue code (UK only): ABT069

 

United Drug Wholesale order code (Ireland only): 12296463

NUK ® teats are made in Germany.

NUK ® is a registered trademark to MAPA GmbH/Germany.

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

SMA® PRO First Infant Milk – developed to match more closely the composition of breast milk – comparison with Aptamil, Cow & Gate and HiPP Organic first infant milks

SMA® PRO First Infant Milk is the lowest protein formula available in the UK and Ireland at 1.25 g*/100 ml (1.87 g*/100 kcal)1


 

Breast milk

SMA® PRO First Infant Milk 1

SMA® Organic First Infant Milk 2

Aptamil Profutura 3

Aptamil First Infant Milk 4

Cow & Gate First Infant Milk 5

HiPP Organic First Infant Milk 6

Non-nutritional bioactive components

                 

Protein levels per 100 ml

Varies

1.25 g*

1.27 g

1.3 g

1.3 g

1.3 g

1.25 g

Protein levels per 100 kcal

Varies

1.87 g*

1.89

2.0

2.0

2.0

1.89

Clinically proven to show growth comparable with a breastfed baby

n/a

                 

Contains GOS/FOS*

                 

(contains only GOS)

Omega 3 and 6 LCPs

                     

 

* powders only
GOS/FOS = Galacto-oligosaccharides/Fructo-oligosaccharides
LCPs, Long chain polyunsaturates

SMA® PRO First Infant Milk is whey-dominant and suitable for Halal.

 

References
  1. SMA® PRO First Infant Milk datacard. Available at: https://www.smahcp.co.uk/content/media/1330/sma05445_first-infant-milk-data-card.pdf. Accessed April 2018.
  2. SMA®Organic First Infant Milk datacard. Available at: https://www.smahcp.co.uk/content/media/1330/sma05445_first-infant-milk-data-card.pdf . Accessed April 2018.
  3. Aptamil Profutura First Infant Milk datacard. Available at: https://www.aptamilprofessional.co.uk/pdf/APH431_Datacard_Profutura_First_powder_70_v05201601130940.pdf. Accessed April 2018.
  4. Aptamil First Infant Milk datacard. Available at: https://www.aptamilprofessional.co.uk/pdf/APH394_Datacards_First_Milk_HR201511100519.pdf. Accessed April 2018.
  5.  Cow and Gate First Infant Milk. Available at: http://www.in-practice.co.uk/product-info/ standard-milks-0-1-years/first-infant-milk-from-newborn/#undefined2. Accessed April 2018.
  6. HiPP First Infant Milk datacard. Available at https://www.hipp4hcps.co.uk/fileadmin/media_hcp/pdf/HiPP_first_infant_milk_powder_datacard_050117.pdf. Accessed April 2018.

 

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

Information for you to give to parents

Preparing your baby's feed – powder (800 g and 400 g)

While 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.

1. Pull the safety seal and open the lid. The scoop is provided under the lid. Lift the tab, pull on the foil seal, carefully and safely remove the seal and dispose of it.

2. Wash hands well. Wash and sterilise all utensils according to manufacturers’ instructions.

3. Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully – the water is hot. Do not use artificially softened or repeatedly boiled water.

4. Using only the scoop provided, add the correct number of scoops of powder (see feeding guide), levelling off each scoop with the back of a clean, dry knife. Store the scoop in suspension inside the can and replace lid.

5. Place the sterilised teat and cap on the bottle and shake well until powder is fully dissolved. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat. Test temperature by shaking a few drops onto the inside of your wrist.


 

Preparing your baby's feed - liquid (70 ml Ready to Use)

Failure to follow instructions on preparation and storage may make your baby ill.

1. Wash hands well.

2. SMA® PRO First Infant Milk 70 ml can be fed at room temperature. If required to heat, stand the bottle in warm water.

3. Shake bottle well and remove the cap and aluminium foil and attached a hygienic teat.

   

4. If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.

Preparing your baby’s feed – liquid (1 litre & 200 ml Ready to Use)

Failure to follow instructions on preparation and storage may make your baby ill.

1. Wash hands well. Wash and sterilise all utensils according to manufacturer’s instructions.

2. If carton is damaged in any way, do not use. Shake carton well and unscrew cap. Pour desired amount into a sterilised bottle and add sterilised teat and cap. Replace plastic cap on carton.

3. SMA® PRO First Infant Milk can be fed at room temperature. If required to heat, stand filled bottle in warm water, do not immerse the teat.

4. Before feeding shake the bottle well. If warmed, test temperature by shaking a few drops on to the inside of your wrist – milk should be lukewarm.




 

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

Information for you to give to parents

Feeding guide – powdered milk

Feeding guide for birth – 12 months

Approx. age of baby

 

Approx. weight of baby

Preparation for single feeds

Feeds in 24 hours

 

Cooled, freshly boiled water

kg

lb

Level scoops

ml

fl. oz. (approx.)

Birth – 2 weeks

3.4

3

90

3

6

2 – 4 weeks

3.7

8

4

120

4

6

4 – 8 weeks

4.2

4

120

4

6

2 months

5.3

11¾

5

150

5

5

3 months

6.1

13½

6

180

6

5

4 months

6.7

14¾

6

180

6

5

6 months

7.6

16¾

8

240

8

4

7 – 12 months

-

-

7

210

7

3

This table is a guide only; a baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more advice is needed. Remember, a baby should be fed on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. Approx. 182 scoops per can (applicable to 800 g can only). 1 scoop = 4.4 g .

Feeding guide – liquid milk

Feeding guide for birth – 12 months

Approx. age of baby

Approx. weight of baby

Size of feed

Feeds in 24 hours

kg

lb

ml

fl. oz. (approx.)

Birth – 2 weeks

3.4

100

6

2 – 4 weeks

3.7

8

130

6

4 – 8 weeks

4.2

130

6

2 months

5.3

11¾

170

6

5

3 months

6.1

13½

200

7

5

4 months

6.7

14¾

200

7

5

6 months

7.6

16¾

250

4

7 – 12 months

-

-

200

7

3

This table is a guide only; a baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more advice is needed. Remember, a baby should be fed on demand.

SMA® PRO First Infant Milk

Breast milk substitute – suitable from birth (stage 1). When a baby is not breastfed or to combination-feed with breast milk.

 

SMA® PRO First Infant Milk powder – 800 g and 400 g can

  • Do not add extra powder or water to make the feeds stronger or weaker and do not press powder into scoop. Using too much or too little powder can make your baby ill.
  • We recommend preparing each feed in individual bottles when required.
  • For hygienic reasons, discard unfinished feed in the bottle as soon as possible.
  • For older babies, made-up formulae can be added to food.
  • Do not alter or add to formulae unless medically directed.
  • Do not warm feeds in a microwave, hot spots may occur and cause scalding.
  • Remember, cows' milk should not be used as a drink during the first year.

SMA® PRO First Infant Milk Starter Pack – 70 ml bottle

  • Check best before date.
  • After opening use immediately or store in the fridge (5ºC or below) for up to 24 hours.
  • For hygienic reasons, discard unfinished feed as soon as possible, and always within 1 hour.
  • After use, discard bottle, teat and remaining contents. Bottles and teats are for single use only.
  • Do not alter or add to formulae unless medically directed.
  • Do not microwave, hot spots may occur and cause scalding.
  • Remember, cows' milk should not be used as a drink during the first year.
  • Do not freeze.

Important Teat Information For the child’s safety and health – WARNING!

  • Teats are produced from natural rubber latex which may cause allergic reactions.
  • Disposable teat (for single use only).
  • This NUK disposable orthodontic pre-sterilised teat is a size 1 teat (appropriate for babies from 06 months) with a feed hole suitable for infant milk. Use with SMA® PRO First Infant Milk 70 ml bottles.
  • Give your baby’s feed only in the quantities and concentrations recommended by the manufacturer.
  • Always check the food temperature before feeding.
  • Always use this product with adult supervision.
  • Continuous and prolonged sucking of fluids may cause tooth decay.
  • Never use feeding teats as a soother.
  • Teat expiry date: See individual teat.
  • Do not dip in medicine.
  • The NUK disposable orthodontic pre-sterilised teat (manufactured for SMA® Nutrition) conforms to the requirements of EN14350.

SMA® PRO First Infant Milk liquid – 1 litre Tetra-Pak®

  • Check best before date.
  • Once open, reseal carton and store only in the fridge (5ºC or below). Consume within 48 hours.
  • For hygienic reasons, discard unfinished feed in the bottle as soon as possible, and always within 1 hour.
  • For older babies, ready to use formulae can be added to food.
  • Do not alter or add to formulae unless medically directed.
  • Do not warm feeds in a microwave, hot spots may occur and cause scalding.
  • Remember, cows' milk should not be used as a drink during the first year.
  • Do not freeze.

SMA® PRO First Infant Milk liquid – 200 ml Tetra-Pak

  • Check best before date.
  • Once open, reseal carton and store only in the fridge (5℃ or below) for up to 24 hours.
  • For hygienic reasons, discard unfinished feed in the bottle as soon as possible, and always within 1 hour.
  • For older babies, ready to use formulae can be added to food.
  • Do not alter or add to formulae unless medically directed.
  • Do not warm feeds in a microwave, hot spots may occur and cause scalding.
  • Remember, cows' milk should not be used as a drink during the first year.
  • Do not freeze.

 

IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness.