SMA®Breast Milk Fortifier

New formula
SMA{®}Breast Milk Fortifier

Food for Special Medical Purposes

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

Preterm infants have unique nutritional needs. For those preterm infants who are low birth weight they may require an enriched feed or fortified breast milk to mimic in utero growth as closely as possible. The ESPGHAN 2010 Guideline states that the preferred food for preterm infants is fortified human milk from the infant’s own mother.1

SMA® Breast Milk Fortifier is a powdered preparation which provides extra protein, energy, calcium, omega 3 and 6 and vitamins A & E to help provide the increased nutrition required by these vulnerable infants. SMA® Breast Milk Fortifier is available in 1 g sachets – this will help to fortify smaller volumes of breast milk.

A red/pink colour can, in some cases, appear when breast milk is fortified with SMA® Breast Milk Fortifier. This is completely normal and not a cause of concern. This change in colour is due to the natural reaction between the iron present in SMA® Breast Milk Fortifier and the lactoferrin present in breast milk. SMA® Breast Milk Fortifier has been tested in a clinical trial and is safe to be fed to preterm low birthweight infants.7

SMA® Breast Milk Fortifier is Halal suitable.

Available for hospital use only:
NHS Catalogue code (UK only): ABT071
Supplier code (Ireland only): 12332021
References
  1. Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50: 85–91.
  2. Spalinger J et al. J Pediatr Neonat Individ Med. 2015; 4(2): e040210. doi: 10.7363/040210.
  3. Data is correct as per SMA®Breast Milk Fortifier and SMA Breast Milk Fortifier datacards, October 2018.
  4. Data is correct as per SMA® Breast Milk Fortifier and Cow and Gate Compendium April 2018.
  5. Lapillone, World Rev Nutr Diet. Basel, Karger, 2014; 110: 82-98.
  6. Birch et al. Investigative ophthalmology & visual science; 33(11): 3242-3253.
  7. Koletzko B et al. World review of Nutrition and Dietics: Nutritional Care of Preterm Infants - Scientific Basis and Practical Guidelines 2014. Vol. 110.

ESPGHAN, European Society of Paediatric Gastroenterology, Hepatology and Nutrition
AAP, American Academy of Pediatrics
* Four 1 g sachets to be added to 100 ml expressed breast milk

SMA®Breast Milk Fortifier

Nutritional supplement to be added to expressed breast milk, for feeding preterm low birthweight (LBW) infants. This product must be used under medical supervision.

Breast Milk Fortifier Data Card

Download data card

SMA®Breast Milk Fortifier

Nutritional supplement to be added to expressed breast milk, for feeding preterm low birthweight (LBW) infants. This product must be used under medical supervision.

Breast Milk Fortifier

70 x 1 g sachets

Available for use in hospital only

NHS Catalogue code (UK only): ABT071

Supplier code (Ireland only): 12332021


SMA® Breast Milk Fortifier is available as 70 x 1 g sachets of powder. For use in hospitals.

SMA®Breast Milk Fortifier

Nutritional supplement to be added to expressed breast milk, for feeding preterm low birthweight (LBW) infants. This product must be used under medical supervision.

SMA® Breast Milk Fortifier is the only breast milk fortifier available in UK & ROI to contain iron.4

Breast Milk Fortifier Data Card

Click to view a comparison of all available breast milk fortifiers

References
  1. Data is correct as per SMA® Breast Milk Fortifier and Cow & Gate Nutriprem Breastmilk Fortifier datacards, December 2016.
  2. Koletzko B et al. World review of Nutrition and Dietics: Nutritional Care of Preterm Infants - Scientific Basis and Practical Guidelines 2014. Vol. 110.
SMA®Breast Milk Fortifier

Nutritional supplement to be added to expressed breast milk, for feeding preterm low birthweight (LBW) infants. This product must be used under medical supervision.

Information for you to give to parents

Preparing the feed

Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make the baby ill.

  1. Wash hands well. Wash and sterilise all utensils according to manufacturers’ instructions.
  2. Only prepare one feed at a time. Gently swirl the container of the expressed breast milk (EBM).
  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.
  4. Separate and add only one sachet (1g) of SMA® Breast Milk Fortifier. It is not recommended to mix part of a sachet.
  5. Place cap on container, gently shake the container until the powder is fully dissolved. Feed immediately. SMA® Breast Milk Fortifier can be given from a bottle or via a naso-gastric tube. Discard any milk remaining after each feed.
  6. 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.
  7. 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.

Useful helpsheets for you to share with parents:

How to make up a bottle
Sterilising

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. This product must be used under medical supervision. SMA® 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.