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Box of SMA Gold Prem Breast Milk Fortifier in front of a yellow background
Box of SMA Gold Prem Breast Milk Fortifier in front of a yellow background

SMA® Gold Prem Breast Milk Fortifier

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

For hospital use only.

Why SMA Gold Prem® Breast Milk Fortifier?

SMA® Nutrition has been pioneering infant nutrition since 1919, with over 100 years of expertise our dedicated team are committed to understanding the unique nutritional needs of babies born prematurely. Our experts have created SMA Gold Prem® Breast Milk Fortifier, a nutritional supplement for the dietary management of pre-term low birthweight infants. SMA Gold Prem® Breast Milk Fortifier is to be used only under medical supervision.

  • 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 Gold Prem® 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 Gold Prem® 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 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.5

Halal Certified

Available for hospital use only:
NHS Catalogue code (UK only): ABT098
Supplier code (Ireland only): 12460912

Data cards

SMA Gold Prem 2 Breast Milk Fortifier Data Card

Download the data card

Download now

Product details

Product formats
Box of SMA Gold Prem Breast Milk Fortifier on a transparent background

SMA Gold Prem® Breast Milk Fortifier

72 x 1 g sachets

Available for use in hospital only

NHS Catalogue code (UK only): ABT098

Supplier code (Ireland only): 12460912

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Feeding Guide
FEEDING GUIDE
STANDARD FORTIFICATION*
BREAST MILKSMA GOLD PREM® BREAST MILK FORTIFIER
25 ML1 SACHET (1 g)

*It is recommended to proceed gradually, starting with one sachet (1 g) SMA Gold Prem® 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 Gold Prem® 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 Gold Prem® Breast Milk Fortifier is 25 ml.

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Important feeding information

SMA Gold Prem® 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.
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Preparation

Information for you to give to parents

How to open and prepare the 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.

An illustration of the action of handwashing with soap, on a purple background.
1

Check best before date. Wash hands well. Wash and sterilise all feeding equipment according to manufacturers’ instructions.

An illustration of a hand siwrling a baby bottle filled with milk, on a purple background.
2

Only prepare one feed at a time. Gently swirl the container of the expressed breast milk (EBM).

An illustration of a baby bottle standing in water, on a purple background.
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.

An illustration of a white sachet being torn open by two hands, on a purple background
4

Separate and add only one sachet (1g) of SMA Gold Prem® Breast Milk Fortifier. Do not attempt to mix part of a sachet.

Illustration of a baby bottle filled with milk being shaken in front of a purple background
5

Place cap on container, gently shake the container until the powder is fully dissolved. Feed immediately. SMA Gold Prem® Breast Milk Fortifier can be given from a bottle or via a naso-gastric tube. Discard any milk remaining after each feed.

English

Steam sterilising

This downloadable helpsheet is available in multiple languages.

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References
  1. SMA Gold Prem® Breast Milk Fortifier data card.
  2. Lapillonne A. Enteral and parenteral lipid requirements of preterm infants. World Rev Nutr Diet 2014; 110: 82–98.
  3. Birch EE et al. Dietary essential fatty acid supply and visual acuity development. Invest Ophthalmol Vis Sci 1992; 33: 3242–3253.
  4. Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50: 85–91.
  5. Rigo J et al. JPGN 2017; 65: e83-e93.
  6. Cow and Gate Compendium April 2018.
  7. Koletzko B et al. World review of Nutrition and Dietics: Nutritional Care of Preterm Infants - Scientific Basis and Practical Guidelines 2014. Vol. 110.
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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.