Product description


SMA Gold Prem® 1

Lowest osmolality of all UK and ROI preterm formulas – 308 mOsmol/kg and contains MCTs 39.5% (ESPGHAN 2010 compliant).1–4

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100% whey protein, partially hydrolysed for improved tolerability.1,5


ESPGHAN protein compliant for all babies <1.8 kg (3.6 g/100 kcal; 2.9 g/100 ml),6 enabling requirements to be met at lower volumes.


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 preterm infants who are low birthweight, an enriched feed or fortified breast milk may be needed to mimic in utero growth as closely as possible. Breast milk is the optimal way to feed preterm infants. The ESPGHAN 2010 Guideline states that the preferred food for preterm infants is fortified human milk from the infant’s own mother or, alternatively, formula designed for premature infants.6

SMA Gold Prem® 1  is the only low birthweight formula that meets the ESPGHAN protein recommendations6 for feeding infants under 1 kg and up to 1.8 kg.1–2

Available for hospital use only:
NHS Catalogue code (UK only): ABT065
United Drug Wholesale order code (Ireland only): 899186

3.6 g protein per 100 kcal (2.9 g protein per 100 ml); 100% whey, partially hydrolysed protein

3.6 g protein per 100 kcal (2.9 g protein per 100 ml); 100% whey, partially hydrolysed protein

SMA Gold Prem® 1 is the only preterm formula that meets the ESPGHAN protein recommendations6 for feeding infants under 1 kg and up to 1.8 kg1-2. It consists of 100% whey, partially hydrolysed protein.

ESPGHAN-compliant MCT levels of 39.5%

ESPGHAN-compliant MCT levels of 39.5%

MCTs are easy for an immature digestive system to absorb. In keeping with ESPGHAN 2010 guidelines, MCTs make up 39.5% of the total fat content in SMA Gold Prem® 1.4

Low osmolality

Low osmolality

SMA Gold Prem® 1 has a low osmolality of 308 mOsmol/kg H2O in keeping with the AAP guidelines.7,8

References Show all Hide all
  1. SMA Gold Prem® 1 data card. Available at March 2019).

  2. Cow and Gate Nutriprem 1 datacard. Cow and Gate Nutreprem 1 April 2018 compendium (accessed March 2019)

  3. Cow and Gate Hydrolysed Nutriprem datacard. Cow and Gate Hydrolysed Nutreprem April 2018 compendium (accessed March 2019)

  4. Agostoni C et al. Enteral nutrient supply for preterm infants: commentary from the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr 2010; 50: 1–9.

  5. Mihatsch WA et al. Hydrolyzed protein accelerates feeding advancement in very low birth weight infants. Pediatrics 2002; 110(6): 1199–1203.

  6. Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50: 85–91.

  7. Barness L et al. Pediatrics 1976; 57: 278–285.

  8. Pearson F et al. Arch Dis Child – Fetal Neonatal Ed 2013; 98: F166–169.


Gold Prem 1
70 ml bottle

Available for hospital use only

NHS Catalogue code (UK only): ABT065

United Drug Wholesale order code (Ireland only): 899186



ESPGHAN, The European Society for Paediatric Gastroenterology Hepatology  and Nutrition


Information for you to give to parents

Special Safety Feature.  

Reject bottle if the foil under cap is missing or damaged prior to opening.  


Preparing your baby’s feed – 70 ml bottle

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


Wash hands well.


SMA Gold Prem® 1 can be fed at room temperature. If required to heat, stand the bottle in warm water.


Shake bottle well and remove cap and aluminium foil. Unwrap SMA® NUK® orthodontic pre-sterilised teat and holding the teat ring, screw directly onto the bottle.


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



SMA Gold Prem®  1 – 70 ml bottle



Strictly follow hospital procedures.


Check best before date.


Wash hands well, shake bottle before use, remove lid and aluminium foil and attach a hygienic teat.


If required to heat, stand the bottle in warm water.


Feed immediately after opening. 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.


For tube feeding, once the product is prepared it should be used within 4 hours.


Ensure all feeding equipment is sterilised before use.


For enteral use only.


Do not alter or add to formula unless medically directed.


Do not microwave, hot spots may occur and cause scalding.


Do not freeze.


Nutritional requirements of low birthweight infants vary according to the age, size and clinical condition of each infant. Enteral feeding of SMA Gold Prem® 1 should be initiated in small volumes and gradually increased as tolerated. Feeding intolerance can indicate a serious condition; at the onset of symptoms, enteral feeding rate should be slowed or discontinued until the symptoms resolve. Broad ranges for recommended intake are: volume 135 – 200 ml/kg/day, energy 110 – 135 kcal/kg/day, protein 3.5 – 4.5 g/kg/day.

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 a 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 Gold Prem® 1 is a special formula intended for the dietary management of preterm low birthweight babies who are not solely fed breast milk. It is suitable for use as the sole source of nutrition for preterm babies from birth. SMA Gold Prem® 1 is not intended for use with older preterm babies, for whom a special catch-up formula such as SMA Gold Prem® 2 is more appropriate.