SCIENCE INSPIRED BY NATURE†
SMA® PRO First Infant Milk
A whey dominant, nutritionally complete* infant milk suitable from birth. It can be used for infants who are not being breastfed or for those being combination fed.
Product description
Nutritionally complete as required by legislation for all infant formula
Contains 2'FL (2'-Fucosyllactose)
The most whey dominant First Infant Milk available in hospitals (70:30 whey:casein). Whey based formulas are recommended by FSAI, HSE, NHS and Unicef1-4
Research suggests a formula that is supplemented with 2'FL is safe and supports appropriate growth5
Find out more about what the research says
Breast milk is best. The growth pattern of a breastfed baby is associated with improved health outcomes.8,9 Breastfed babies tend to grow more slowly than bottle-fed babies.10 Protein is one of the main drivers of growth, and the quantity and quality of protein in breast milk is ideal to support appropriate growth.
Halal Certified.
A Meta-analysis published in AJCN concluded that infants fed on a whey-dominant formula with an amino acid profile closer to breast milk demonstrated growth comparable to WHO growth standards9
Chart 1. Green crosses represent average growth measurements in infants fed SMA® PRO First Infant Milk compared with WHO growth standards. All measurements fall within ±0.5 standard deviation.
SMA® PRO First Infant Milk is supported by a meta-analysis demonstrating that weight-for-age, length-for-age, head circumference and BMI were all within 0.5 standard deviation of the WHO growth standard.9
Better amino acid profile compared to Aptamil First Infant milk as demonstrated in the graph below10
Available evidence from The Childhood Obesity Project Study, a large independent Randomised Controlled Trial (RCT), suggests that higher protein intakes increase plasma and tissue levels of insulin-releasing amino acids and of insulin and insulin-like growth factor 1 (IGF-1), and thereby increase weight gain and adipogenic activity.11,12
Chart 1: Spider graph represents the amino acid profile of breast milk.
Chart 2: Spider graph represents the insulinogenic amino acid percentage difference in each formula (SMA® PRO First Infant Milk and Aptamil First Infant Milk)10,13.
* As required by the legislation for all infant formula.
** Whey based formulas are recommended by the FSAI, HSE, NHS and UNICEF
2'FL, 2'-Fucosyllactose
Data card
Formats
SMA® PRO First Infant Milk is available in a variety of formats for home and hospital use:
800 g and 400 g powder
The scoop is provided under the lid. It can be stored in suspension inside the can.
Multipack
6 x 200 ml Ready-to-Use cartons with a screwcap. Easy to open and pour and once open can be kept in the fridge for up to 24 hours.
Liquid milk (1 L carton)
Ready to Use liquid milk available in a
1 litre resealable carton, which is easy to pour and can be kept in the fridge up to 48 hours after opening.
Liquid milk (200 ml carton)
200 ml Ready to Use resealable carton, which is easy to pour and can be kept in the fridge for up to 24 hours.
70 ml bottle
For hospital use only.
NHS catalogue code (UK only): ABT082
United Drug Wholesale order code (Ireland only): 12600991
Starter pack
6 x 70 ml plastic bottles and NUK® orthodontic pre-sterilised teats.
No sterilising required. Disposable teats, screw directly onto the bottle.
(Available in UK only)
Comparison charts
SMA® PRO First Infant Milk in comparison with Aptamil, Cow & Gate, HiPP Organic and Kendamil first infant milks.
POWDER ONLY
| SMA® PRO First Infant Milk1 | Aptamil Advanced14 | Aptamil First Infant Milk10 | Cow & Gate First Infant Milk15 | HiPP Organic First Infant Milk16 | Kendamil First Infant Milk17 | |
|---|---|---|---|---|---|---|
|
Protein levels per 100 ml |
1.24 g |
1.3 g |
1.3 g |
1.3 g |
1.25 g |
1.3 g |
|
Protein (whey:casein) ratio** |
70 : 30 |
60 : 40 |
50 : 50 |
60 : 40 |
60 : 40 |
60 : 40 |
|
Meta-analysis demonstrating growth comparable to WHO growth standards1 |
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|
Contains 2'FL |
** HSE recommends a whey-based formula in the first year of life for formula fed infant
Preparation
How to open and prepare your baby's feed – powder (800 g and 400 g)
While 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.
Pull the safety seal and open the lid. The scoop is provided under the lid. Lift the tab, pull on the foil seal, carefully and safely remove the seal and dispose of it.
Wash hands well. Wash and sterilise all utensils according to manufacturers’ instructions.
Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully – the water is hot. Do not use artificially softened or repeatedly boiled water.
Using only the scoop provided, add the correct number of scoops of powder (see feeding guide), levelling off each scoop with the back of a clean, dry knife. Store the scoop in suspension inside the can and replace lid.
Place the sterilised teat and cap on the bottle and shake well until powder is fully dissolved. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat. Test temperature by shaking a few drops onto the inside of your wrist.
Preparing your baby's feed – liquid (70 ml Ready-to-Use)
Failure to follow instructions on preparation and storage may make your baby ill.
Wash hands well.
SMA® PRO First Infant Milk 70 ml can be fed at room temperature. If required to heat, stand the bottle in warm water.
Shake bottle well and remove the cap and aluminium foil, unwrap SMA® NUK® orthodontic pre-sterilised teat and holding the ring, screw directly onto the bottle (as per on pack instructions).
If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.
Preparing your baby’s feed – liquid (1 litre & 200 ml Ready-to-Use)
Failure to follow instructions on preparation and storage may make your baby ill.
Wash hands well. Wash and sterilise all utensils according to manufacturers' instructions.
If carton is damaged in any way, do not use. Shake carton well and unscrew cap. Pour desired amount into a sterilised bottle and add sterilised teat and cap. Replace plastic cap on carton.
SMA® PRO First Infant Milk can be fed at room temperature. If required to heat, stand filled bottle in warm water, do not immerse the teat.
Before feeding shake the bottle well. If warmed, test temperature by shaking a few drops onto the inside of your wrist – milk should be lukewarm.
Feeding guide
Feeding guide – powdered milk
|
Feeding guide birth – 12 months |
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|
Approx. age of baby |
Approx. weight of baby |
Preparation for single feeds |
Feeds in 24 hours |
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|
Cooled, freshly boiled water |
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|
kg |
lb |
Level scoops |
ml |
fl. oz. (approx.) |
||
|
Birth – 2 weeks |
3.4 |
7½ |
3 |
90 |
3 |
6 |
|
2 – 4 weeks |
3.7 |
8 |
4 |
120 |
4 |
6 |
|
4 – 8 weeks |
4.2 |
9¼ |
4 |
120 |
4 |
6 |
|
2 months |
5.3 |
11¾ |
5 |
150 |
5 |
5 |
|
3 months |
6.1 |
13½ |
6 |
180 |
6 |
5 |
|
4 months |
6.7 |
14¾ |
6 |
180 |
6 |
5 |
|
6 months |
7.6 |
16¾ |
8 |
240 |
8 |
4 |
|
7 – 12 months |
- |
- |
7 |
210 |
7 |
3 |
This table is a guide only; a baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more advice is needed. Remember, a baby should be fed on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. Approx. 186 scoops per can (applicable to 800 g can only). 1 scoop = 4.3 g.
Feeding guide – liquid milk
|
Feeding guide birth – 12 months |
|||||
|
Approx. age of baby |
Approx. weight of baby |
Size of feed |
Feeds in 24 hours |
||
|
kg |
lb |
ml |
fl. oz. (approx.) |
||
|
Birth – 2 weeks |
3.4 |
7½ |
100 |
3½ |
6 |
|
2 – 4 weeks |
3.7 |
8 |
130 |
4½ |
6 |
|
4 – 8 weeks |
4.2 |
9¼ |
130 |
4½ |
6 |
|
2 months |
5.3 |
11¾ |
170 |
6 |
5 |
|
3 months |
6.1 |
13½ |
200 |
7 |
5 |
|
4 months |
6.7 |
14¾ |
200 |
7 |
5 |
|
6 months |
7.6 |
16¾ |
250 |
8½ |
4 |
|
7 – 12 months |
- |
- |
200 |
7 |
3 |
This table is a guide only; a baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more advice is needed. Remember, a baby should be fed on demand.
Important feeding information
SMA® PRO First Infant Milk powder – 800 g and 400 g can
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Do not add extra powder or water to make the feeds stronger or weaker and do not press powder into scoop. Using too much or too little powder can make your baby ill. |
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We recommend preparing each feed in individual bottles when required. |
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For hygienic reasons, discard unfinished feed in the bottle as soon as possible. |
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For older babies, made-up formulae can be added to food. |
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Do not alter or add to formulae unless medically directed. |
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Do not warm feeds in a microwave, hot spots may occur and cause scalding. |
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Remember, cows' milk should not be used as a drink during the first year. |
SMA® PRO First Infant Milk Starter Pack – 70 ml bottle
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Special Safety Feature – Reject bottle if the foil under cap is missing or damaged prior to opening. |
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Check best before date. |
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After opening use immediately or store in the fridge (5 ºC or below) for up to 24 hours. |
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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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Do not alter or add to formulae unless medically directed. |
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Do not microwave, hot spots may occur and cause scalding. |
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Remember, cows' milk should not be used as a drink during the first year. |
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Do not freeze. |
Important teat information for the child’s safety and health – WARNING!
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Teats are produced from natural rubber latex which may cause allergic reactions. |
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Disposable teat (for single use only). |
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This NUK® disposable orthodontic pre-sterilised teat is a size 1 teat (appropriate for babies from 0–6 months) with a feed hole suitable for infant milk. Use with SMA® PRO First Infant Milk 70 ml bottles. |
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Give your baby’s feed only in the quantities and concentrations recommended by the manufacturer. |
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Always check the food temperature before feeding. |
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Always use this product with adult supervision. |
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Continuous and prolonged sucking of fluids may cause tooth decay. |
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Never use feeding teats as a soother. |
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Teat expiry date: See individual teat. |
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Do not dip in medicine. |
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The NUK® disposable orthodontic pre-sterilised teat (manufactured for SMA® Nutrition) conforms to the requirements of EN14350. |
SMA® PRO First Infant Milk liquid – 1 litre Tetra-Pak®
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Check best before date. |
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Once open, reseal carton and store only in the fridge (5 ºC or below). Consume within 48 hours. |
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|
For hygienic reasons, discard unfinished feed in the bottle as soon as possible, and always within 1 hour. |
|
|
For older babies, ready to use formulae can be added to food. |
|
|
Do not alter or add to formulae unless medically directed. |
|
|
Do not warm feeds in a microwave, hot spots may occur and cause scalding. |
|
|
Remember, cows' milk should not be used as a drink during the first year. |
|
|
Do not freeze. |
SMA® PRO First Infant Milk liquid – 200 ml Tetra-Pak
|
|
Check best before date. |
|
|
Once open, reseal carton and store only in the fridge (5 ºC or below). Consume within 24 hours. |
|
|
For hygienic reasons, discard unfinished feed in the bottle as soon as possible, and always within 1 hour. |
|
|
For older babies, ready to use formulae can be added to food. |
|
|
Do not alter or add to formulae unless medically directed. |
|
|
Do not warm feeds in a microwave, hot spots may occur and cause scalding. |
|
|
Remember, cows' milk should not be used as a drink during the first year. |
|
|
Do not freeze. |
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FSAI. 2012. Best Practice for Infant Feeding in Ireland. Available from: https://www.fsai.ie/publications_infant_feeding/ [Accessed 7th February 2023].
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HSE. 2023. Types of formula. Available from: https://www2.hse.ie/babies-children/bottle-feeding/types-formula/ [Accessed 7th February 2023].
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NHS. 2023. Types of formula. Available from: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/bottle-feeding/types-of-formula/ [Accessed 7th February 2023].
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Unicef. 2014. A guide to infant formula for parents who are bottle feeding. Available from: Health professionals' guide to infant formula (unicef.org.uk) [Accessed 2nd March 2023].
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Goehring KC et al. Similar to Those Who Are Breastfed, Infants Fed a Formula Containing 2’- Fucosyllactose Have Lower Inflammatory Cytokines in a Randomized Controlled Trial J Nutr. 2016;146:2559–2566.
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WHO Multicentre Growth reference Study group Acta Paediatr Suppl 2006; 450: 71H15.
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Baird J et al Being big or growing fast: systematic review of size and growth in infancy and later obesity BMJ 2008; 331: 929.
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Kramer MS et al Feeding effects on growth during infancy J Pediatr 2004; 145:500–505
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Alexander DD et al. Growth of infants consuming whey-predominant term infant formulas with a protein content of 1.8g/100kcal: a multi-center pooled analysis of individual participant data. Am J Clin Nutr 2016; 104: 1083–1092
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Aptamil First Infant milk (800g pack) (nutricia.co.uk) accessed January 2024
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Koletzko et al Lower Protein in infant formula is a ssociated with lower weight up to 2y: a randomized clinical trial. Am J Clin Nutr 2009; 89: 1836–45.
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1Weber M et al Lower protein content in infant formula reduces BMI and obesity risk at school age: follow-up of a randomized trial Am J Clin Nutr 2014;99:1041–51.
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Nestle data on file, 2018: Batch analysis of amino acid composition in SMA PRO First Infant Milk, Human Milk and Aptamil First Infant Milk, 2018
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Aptamil Advanced First Infant Milk datacard. Available at: www.nutricia.co.uk/hcp/pim-products/aptamil-advanced-first-infant-milk-powder.html (Accessed January 2024)
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Cow & Gate First Infant Milk datacard. Available at: www.nutricia.co.uk/hcp/pim-products/cow-gate-first-infant-milk-powder.html (Accessed January 2024)
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HIPP Organic First Infant Milk datacard. Available at: www.hipp.co.uk/healthcare-professionals/ (Accessed January 2024)
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Kendamil First Infant Milk datacard. Available at: https://hcp.kendamil.com/product/classic-first-infant-milk-800g/# (Accessed January 2024)
IMPORTANT NOTICE:
We believe that breastfeeding is the ideal nutritional start for babies and 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 continued breastfeeding up to two years of age. We also recognise that breastfeeding is not always an option for parents. We recommend that healthcare professionals inform parents about the advantages of breastfeeding. If parents choose not to breastfeed, healthcare professionals should inform parents that such a decision can be difficult to reverse and that the introduction of partial bottle-feeding will reduce the supply of breast milk. Parents should consider the social and financial implications of the use of infant formula. As babies grow at different rates, healthcare professionals should advise on the appropriate time for a baby to begin eating complementary foods. Infant formula and complementary foods should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. The product should be used only on the advice of independent persons having qualifications in medicine, nutrition, pharmacy, or other professionals responsible for maternal and child care.