| Shaping the future health of babies |
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Dear Healthcare Professional,
Welcome to the November edition of our eNewsletter, aimed to keep you updated with the latest news in infant nutrition.
This month we will review the new NICE guidelines on the recognition and management of faltering growth in children that launched last month.
Furthermore, as World Prematurity Day approaches on 17th November we would like to raise awareness of prematurity and inform you of some new science that has recently been published supporting preterm nutrition.
Kind regards,
The SMA® Professional Team |
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| New NICE guidelines: recognition and management of faltering growth in children1 |
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In September this year, NICE launched new guidelines on faltering growth, covering key aspects such as recognition, assessment, monitoring and practical interventions1. These guidelines, found here, highlight the importance of community based care via a multidisciplinary primary care team.
Health visitors and public health nurses, in particular, are ideally placed to:- Recognise faltering growth early. Helping prevent hospital admissions: reducing costs, but also reducing the emotional impact (and anxiety) to parents1,2
- Refer to specialist services (when required). This could include infant feeding specialists, paediatric dietetics, paediatrics, speech and language therapy, psychology or occupational therapy services
- Reassure. Acting as a key contact for the family, helping to optimise communication and coordinate care2
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World Prematurity Day 2017, taking place on 17th November, is a global movement to raise awareness of premature birth and the impact it can have on families3. Every year, an estimated 15 million babies are born preterm (before 37 completed weeks of gestation), and this number is rising4.
Recent research has associated increased energy and protein intakes with positive developmental outcomes for this at risk group of infants5. The ESPGHAN guidelines reflect these increased requirements6,7. Click here for more information on feeding a preterm infant and for a summary of these ESPGHAN guidelines. |
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| New science supporting preterm nutrition |
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In September this year, a new clinical trial was released in the Journal of Pediatric Gastroenterology and Nutrition comparing a new breast milk fortifier, providing more protein and fat, to a control fortifier8. The new breast milk fortifier was our very own SMA® PRO Breast Milk Fortifier. Find the open access publication here or read our summary of the clinical trial.
This paper is another to add to the science supporting our SMA® PRO Gold Prem range and how the range is designed to meet the unique nutritional needs of vulnerable preterm infants. |
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The SMA® PRO Gold Prem range is the only preterm range to contain 100% whey, partially hydrolysed protein. |
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The lowest osmolality preterm range9. |
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Clinically proven to improve weight gain in preterm infants10. |
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® Registered Trademark.
NICE: National Institute of Clinical Excellence
ESPGHAN: European Society for Paediatric Gastroenterology, Hepatology and Nutrition
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. The following products must be used under medical supervision. • SMA® PRO 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 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.
References: 1. National Institute for Health and Care Excellence (NICE), 2017: Faltering growth - recognition and management of faltering growth in children. Available here. Accessed October 2017. 2. Raynor P et al. Arch Dis Child 1999; 80: 500–506. 3. Bliss. (2017). What is World Prematurity Day? Available here. Accessed July 2017. 4. World Health Organisation (WHO). (2016). Preterm birth. Available here. Accessed July 2017. 5. Sammallahti S et al. (2015) Infant Growth after Preterm Birth and Mental Health in Young Adulthood. PLoS ONE 10(9): e0137092. doi:10.1371/journal.pone.0137092. (Accessed 26/10/2016) 6. Aggett PJ et al. J Pediatr Gastr Nutr 2006; 42: 596–603. 7. Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50: 85–91. 8. Rigo, J. et al. 2017. Growth and nutritional biomarkers of preterm infants fed a new powdered human milk fortifier: a randomized trial. Journal of Pediatric Gastroenterology and Nutrition. 9. Compared to Cow & Gate Nutriprem Preterm Range (October 2017) 10. Spalinger J et al. J Pediatr Neonat Individ Med. 2015; 4(2): e040210. doi: 10.7363/040210. |
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