SCIENCE INSPIRED BY NATURE
The only breast milk fortifier available in the UK and Ireland to contain iron.1
100% whey protein, partially hydrolysed for improved tolerability and adds 1.44 g protein per 100 ml expressed breast milk.1
Contains DHA to help support normal visual and brain development and contains MCTs, an easily absorbed fat and readily available energy source.2,3
The first 1,000 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 birthweight 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.4
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.5
Available for hospital use only:
NHS Catalogue code (UK only): ABT071
Supplier code (Ireland only): 12332021
SMA® Breast Milk Fortifier data card.
Lapillonne A. Enteral and parenteral lipid requirements of preterm infants. World Rev Nutr Diet 2014; 110: 82–98.
Birch EE et al. Dietary essential fatty acid supply and visual acuity development. Invest Ophthalmol Vis Sci 1992; 33: 3242–3253.
Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50: 85–91.
Rigo J et al. JPGN 2017; 65: e83-e93.
Cow and Gate Compendium April 2018.
Koletzko B et al. World review of Nutrition and Dietics: Nutritional Care of Preterm Infants - Scientific Basis and Practical Guidelines 2014. Vol. 110.
DHA, Docosahexaenoic acid
MCTs, Medium Chain Triglycerides
ESPGHAN, European Society of Paediatric Gastroenterology, Hepatology and NutritionAAP, American Academy of Pediatrics
* Four 1 g sachets to be added to 100 ml expressed breast milk
SMA® Breast Milk Fortifier is the only breast milk fortifier available in UK & Ireland to contain iron.1
- Data is correct as per SMA® Breast Milk Fortifier and Cow & Gate Nutriprem Breastmilk Fortifier datacards, December 2018.
Information for you to give to parents
How to open and prepare 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 the baby ill.
- Check best before date.
- Wash hands well. Wash and sterilise all feeding equipment according to manufacturers’ instructions.
- Only prepare one feed at a time. Gently swirl the container of the expressed breast milk (EBM).
- 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.
- Separate and add only one sachet (1 g) of SMA® Breast Milk Fortifier. Do not attempt to mix part of a sachet.
- 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.
- 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.
- 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 helpsheet for you to share with parents:
|BREAST MILK||SMA® BREAST MILK FORTIFIER|
|25 ML||1 SACHET (1 g)|
*It is recommended to proceed gradually, starting with one sachet (1 g) SMA® Breast Milk Fortifier per 50 ml of breast milk. After evaluating tolerance over a 24 hour period, fortification can be advanced to full strength, four sachets (4 g) SMA® Breast Milk Fortifier/100 ml of breast milk or follow hospital guidelines on feeding.
The minimum quantity of breast milk for use with one sachet (1 g) of SMA® Breast Milk Fortifier is 25 ml.
Important feeding information
SMA® Breast Milk Fortifier – 1 Sachet (1 g)
When using the product with very low birthweight infants (VLBW – 1.5 kg or less):
Regularly monitor and assess blood nutrient levels.
For enteral use only.
Do not use any other nutritional supplements to fortify breast milk unless medically indicated.
CAUTION: Special considerations when using this product:
When possible it is recommended that expressed breast milk be analysed in order to define a corresponding fortification strategy.
For tube feeding: once fortified breast milk is prepared, do not keep at room temperature longer than 4 hours.
If using banked breast milk, ensure that it is pasteurised.
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. 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.