SCIENCE INSPIRED BY NATURE
SMA Gold Prem® 1
Food for Special Medical Purposes
For the dietary management of preterm low birthweight infants. This product must be used under medical supervision.
For hospital use only.
Product description
SUITABLE FOR ALL PRETERM INFANTS < 1.8 Kg
due to compliance with ESPGHAN guidelines on protein for all babies <1.8 kg (3.6 g/100 kcal; 2.9 g/100 ml) 1
PARTIALLY HYDROLYSED PROTEIN
100% whey, partially hydrolysed protein for improved tolerability2,3
IN LINE WITH ESPGHAN GUIDELINES1,2
Provision of energy and protein needed for preterm, low birthweight infants in a small volume (80kcal per 100ml)
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.1
SMA Gold Prem® 1 is the only low birthweight formula that meets the ESPGHAN protein recommendations1 for feeding infants under 1 kg and up to 1.8 kg.1–2, 4
NHS Catalogue code (UK only): ABT081
United Drug Wholesale order code (Ireland only): 899186
Suitable for all preterm infants < 1.8 Kg
Partially hydrolysed protein
In line with ESPGHAN guidelines
Data card
Formats
70 ml bottle
Available for hospital use only
NHS Catalogue code (UK only): ABT081
United Drug Wholesale order code (Ireland only): 899186
Comparison charts
ESPGHAN, The European Society for Paediatric Gastroenterology Hepatology and Nutrition
Preparation
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.
Important feeding information
SMA Gold Prem® 1 – 70 ml bottle
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Strictly follow hospital procedures. |
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Check best before date. |
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Wash hands well, shake bottle before use, remove lid and aluminium foil and attach a hygienic teat. |
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If required to heat, stand the bottle in warm water. |
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Feed immediately after opening. For hygienic reasons, discard unfinished feed as soon as possible, and always within 1 hour. |
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After use, discard bottle, teat and remaining contents. Bottles and teats are for single use only. |
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For tube feeding, once the product is prepared it should be used within 4 hours. |
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Ensure all feeding equipment is sterilised before use. |
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For enteral use only. |
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Do not alter or add to formula unless medically directed. |
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Do not microwave, hot spots may occur and cause scalding. |
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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.
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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.
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SMA Gold Prem® 1 data card. Currently available from SMA Nutrition UK & Ireland website (accessed January 2020)
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Mihatsch WA et al. Hydrolyzed protein accelerates feeding advancement in very low birth weight infants. Pediatrics 2002; 110(6): 1199–1203.
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Cow and Gate Nutriprem 1 datacard. Found at https://d2yhgir88ahms2.cloudfront.net/wp-content/uploads/2019/09/01083404/Cow-Gate-Nutriprem-1-70ml-datacard1.pdf (last accessed Jan 2020).
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Cow and Gate Nutriprem Hy datacard. Found at https://d2yhgir88ahms2.cloudfront.net/wp-content/uploads/2019/12/29132320/Cow-Gate-hydrolysed-nutriprem-90ml-datacard2020.pdf (last accessed Jan 2020).
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.