SMA Gold Prem® Breast Milk Fortifier
A nutritional supplement for the dietary management of preterm low birthweight infants (LBW).
To be added to expressed breast milk, for the dietary management of preterm LBW infants.
This product must be used under medical supervision.
NEW LOOK, SAME TRUSTED RECIPE
We now have new packaging but rest assured that the recipe is the same.
Now ACBS approved
Available for hospital use and in the community on prescription to support breastfeeding.
Food for special medical purposes
For hospital and community use.
Data cards
Download the data card
Product details
SMA Gold Prem® Breast Milk Fortifier
72 x 1 g sachets
For hospital and community use
NHS Catalogue code (UK only): ABT098
PIP code (UK only): 253-3693
Supplier code (Ireland only): 12460912
| FEEDING GUIDE | |
| STANDARD FORTIFICATION | |
| BREAST MILK | SMA GOLD PREM® BREAST MILK FORTIFIER |
| 25 ML | 1 SACHET (1 g) |
Neonatal healthcare professionals will determine the appropriate dose and duration of using SMA Gold Prem® Breast Milk Fortifier for each infant and provide detailed instructions on how to prepare and administer it if it differs to the standard (1 g BMF to 25 mls EBM). If there is no other information, the standard dosage is 4g/100ml.
SMA Gold Prem® Breast Milk Fortifier - 1 Sachet (1 g)
CAUTION: Special considerations when using this product:
- 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.
- It may not be necessary to fortify breast milk collected less than 2 weeks post-partum, as it is particularly rich in nutrients.
- 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.
- A red/pink colour can, in some cases, appear when breast milk is fortified with SMA Gold Prem® 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 Gold Prem® Breast Milk Fortifier and the lactoferrin present in breast milk. SMA Gold Prem® Breast Milk Fortifier has been tested in a clinical trial and is safe to be fed to preterm low birthweight infants.7
Preparation
Information for you to give to parents
How to 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 your baby ill.
1
Check best before date. Wash hands well. 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). Pour only required amount of EBM to be fortified into feeding device.
3
Before mixing with fortifier, warm up EBM to body temperature. DO NOT use a microwave to prepare or warm feeds.
4
Add the required quantity of SMA Gold Prem® Breast Milk Fortifier to the desired quantity of luke warm EBM, using the standard preparation (1g for every 25 ml of EBM), or a specifically calculated quantity if a different reconstitution is prescribed.
5
Place cap on container, gently swirl the container until the powder is fully dissolved and feed immediately.
SMA Gold Prem® Breast Milk Fortifier can be given from a bottle or for tube feeding. If feeding from a bottle, discard any milk remaining after each feed. For tube feeding: once fortified EBM is prepared, it should be used within 4 hours.
- 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°C). DO NOT use a microwave oven or allow to defrost at room temperature. Ensure thorough mixing prior to feeding.
- SMA Gold Prem® Breast Milk Fortifier data card. Currently available from SMA Nutrition UK & Ireland website (accessed Nov 2025).
- Aptamil Nutriprem Human Milk Fortifier data card. Available at Aptamil Nutriprem Human Milk Fortifier (accessed Nov 2025).
- Mihatsch WA et al. Hydrolyzed protein accelerates feeding advancement in very low birth weight infants. Pediatrics. 2002; 110(6): 1199–1203.
- 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.
- Embleton ND, et al. JPGN. 2023;76(2):248-268.
- Rigo J et al. Growth and Nutritional Biomarkers of Preterm Infants Fed a New Powdered Human Milk Fortifier: A Randomized Trial. JPGN. 2017;65: e83–e93
IMPORTANT NOTICE:
We believe that breastfeeding is the ideal nutritional start for babies as breast milk provides a balanced diet and protection against illness for a baby. We fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with sustained breastfeeding up to two years of age. We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed Infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use must be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. This product must be used under medical supervision. SMA GOLD PREM® 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. It is not suitable for use as the sole source of nutrition.