SMA® PRO First Infant Milk

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.

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.1,5 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 breastmilk2 and is the only First Infant Milk clinically proven to achieve a growth rate comparable with a breastfed baby.6

 

SMA PRO First Infant Milk is the only clinically proven First Infant Milk to achieve a growth rate comparable with a breastfed baby as defined by WHO growth standards6

Chart 1. Green dots represent average growth measurements in infants fed SMA PRO First Infant Milk compared to WHO growth standards. All measurements fall within ±0.5 standard deviation. The American Academy of Pediatrics is recommending 3 g/day as a clinically relevant treatment difference for weight gain.10

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.

 

SMA PRO First Infant Milk has a closer amino acid profile (including insulinogenic amino acids) to that of breast milk, when compared to Aptamil First Infant Milk, as demonstrated in Spider graph below.2

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 to breast milk.

Insulinogenic amino acids are shown to contribute to obesity later in life.2

 

What is responsive feeding and how can it help to shape a baby’s future?

SMA PRO First Infant Milk is Halal-approved.

References
  1. WHO Multicentre Growth Reference Study Group. Acta Paediatr Suppl 2006; 450: 76–85.
  2. Nestlé data on file, 2014.
  3. Kramer MS et al. J Pediatr 2004; 145: 600–605.
  4. NHS Choices. Types of infant formula. October 2014. http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/types-of-infant-formula.aspx#close. Accessed 28 September 2015.
  5. Baird J. BMJ 2005; 331: 929.
  6. Alexander 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. doi: 10.3945/ajcn.116.130633.
  7. SMA PRO First Infant Milk Datacard. Available end January 2016.
  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(4): 473–480.
  9. Moro G, Minoli I, Mosca M, Fanaro S, Jelinek J, Stahl B, Boehm G. Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. Journal of Pediatric Gastroenterology and Nutrition 2002; 34: 291–295.
  10. 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.

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

SMA® PRO First Infant Milk
Data Card

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

First Infant Milk DataCard

Download data card

SMA® PRO First Infant Milk
Formats

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:

First Infant Milk 800g Tin

First Infant Milk 400g Tin

First Infant Milk Starter Pack

First Infant Milk 1l Tetra Pak First Infant Milk 200ml Tetra Pak

First Infant Milk 70ml Bottle

800 g powder

400 g powder

Starter pack

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 orthodontic pre-sterilised teats. No sterilising required. Disposable teats, screw directly onto the bottle

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 carton that once open 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

SMA® PRO First Infant Milk
Comparison charts

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 Milk1

Aptamil First Infant Milk2

Cow & Gate First Infant Milk3

HiPP Organic First Infant Milk4

Non-nutritional bioactive components

 

 

 

 

 

Protein levels per 100 ml

Varies

1.25 g*

1.3 g

1.3 g

1.25 g

Protein levels per 100 kcal

Varies

1.87 g*

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

 

 

 

 

 

 

SMA PRO First Infant Milk is whey-dominant and Halal-approved.

 

References
  1.     SMA®PRO First Infant Milk data card. Available end January 2016.
  2.     Aptamil First Milk data card. Accessed on August 2015.
  3.     Cow & Gate First Infant Milk data card. Accessed on December 2015.
  4.     HiPP Organic First Infant Milk datacard. Accessed November 2015.

*powder only

GOS/FOS = Galacto-oligosaccharides/Fructo-oligosaccharides.

LCPs, Long chain polyunsaturates 

SMA® PRO First Infant Milk
Preparation

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)

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.

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. 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. 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 aluminum foil.

4. Unwrap SMA® NUK® orthodontic pre-sterilised teat and holding the teat ring, screw directly onto the bottle.

5. If warmed, test temperature by shaking a few drops of milk onto te inside of your wrist - milk should be lukewarm.

Preparing your baby’s feed – liquid (1 L Ready to Use)

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

1. Wash hands well. Sterilise all utensils according to manufacturers’ instructions.

2. Shake carton well and unscrew cap. Pour desired amount into sterilised bottle. Replace plastic cap on carton. Add sterilised teat and cap on bottle.

3. SMA® PRO First Infant Milk can be fed at room temperature. If required to heat, stand your filled bottle in warm water.

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.


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

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

1. Wash hands well. Sterilise all utensils according to manufacturers’ instructions.

2. Ensure top of carton and scissors are clean. Shake carton well, snip open and pour into sterilised bottle. Add sterilised teat and cap.

3. SMA® PRO First Infant Milk can be fed at room temperature. If required to heat, stand filled bottle in warm water.

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
Feeding guide

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; your baby may need more or less than the volumes stated. If you require more advice, consult your healthcare professional. Remember to feed your baby on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. Approx. 182 scoops per can. 1 scoop = 4.4 g (applicable to 800 g can only).

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
Important feeding information

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

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, and always within 2 hours.

 

For older babies, made-up milk can be added to food.

 

Never add any food to the milk in your baby's bottle.

 

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

 

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 2 hours.

 

After use, discard bottle, teat and remaining contents. Bottles and teats are for single use only.

 

Never add any food to the milk in the bottle.

 

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

  • 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 0-6 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®

 

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 2 hours.

 

For older babies, ready-to-use SMA® PRO First Infant Milk can be added to food.

 

Never add any food to the milk in your baby's bottle.

 

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®

 

Once open, store only in the fridge (5ºC or below) for up to 24 hours in the carton, corners turned down.

 

For hygienic reasons, discard unfinished feed in the bottle as soon as possible and always within 2 hours.

 

For older babies, ready-to-use SMA® PRO First Infant Milk can be added to food.

 

Never add any food to the milk in your baby's bottle.

 

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
Protein comparison leaflet

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 and SMA® PRO Follow-on Milk provide 6% less protein than Aptamil, Cow & Gate and HiPP over 12 months1.

Download our leaflet to see the comparison of protein in First Infant and Follow-on Milks across the different brands.

Download protein comparison leaflet

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. ● SMA PRO Follow-on Milk is only suitable for babies over 6 months as part of a mixed diet. It should not be used as a substitute for breast milk during the first 6 months of life. The decision to start weaning or to use this product before 6 months, should be made only on the advice of a doctor, midwife, health visitor, public health nurse, dietitian or pharmacist, based on baby’s individual needs. ● SMA PRO Toddler Milk is suitable for young children from 1-3 years, as part of a healthy balanced diet and it is not a breast milk substitute.