Introduction

Advances in perinatal care have resulted in improved survival rates in babies born prematurely and a reduction in the risk of associated long-term negative health consequences. Outcomes for preterm babies are now better than ever.

Preterm infants have complex nutritional needs – representing a continuing challenge for those involved in their care and their families. All preterm infants should receive breast milk. Ongoing scientific advances are being made to help support those preterm infants who require a feed supplement.

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

SGA, small for gestational age
LBW, low birth weight

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 an infant 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. These products 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. ● SMA PRO Gold Prem 1 is a special formula intended for the dietary management of preterm and low birthweight babies who are not solely fed breast milk. ● SMA PRO Gold Prem 2 is a special catch-up formula intended for the dietary management of preterm and low birthweight babies who are not solely fed breast milk. It is a nutritionally complete formula for use on discharge from hospital or when a low birthweight formula is no longer appropriate. It is suitable for use as the sole source of nutrition up to 6 months corrected age. SMA PRO Gold Prem 2 is not intended for use with newborn preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA PRO Gold Prem 1 is more appropriate.