| Recommendations for Feeding a Preterm Infant |
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Dear Healthcare Professional,
Welcome to our first eNewsletter of 2017, aimed to keep you updated with the latest news in infant nutrition.
This month we are discussing the guidance of feeding a preterm infant. We would also like to introduce to you our NEW SMA® PRO Breast Milk Fortifier which completes our SMA® PRO Preterm range.
Finally, we have collated some key dates for your diary that can help you plan your 2017.
Kind regards,
The SMA® Professional Team |
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| All infants should receive breast milk where appropriate. This is especially important for preterm infants where breast milk has been shown to improve short- and long-term outcomes1,2. European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) & the American Academy of Paediatrics recommend that preterm breast milk should be fortified3,4 – this is to correct for the decreasing protein content of breast milk with ongoing lactation and levels of micronutrients that may not be present in sufficient amounts for the preterm infant5. The primary outcomes of feeding fortified breast milk are that the baby receives the benefits of breast milk whilst their nutritional status and growth is improved6. Click here for more information on feeding a preterm infant and for a summary of these ESPGHAN guidelines. |
| Dates for your diary |
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There is an exciting agenda of Healthcare Professional meetings for 2017 suitable for healthcare practitioners to enjoy. These meetings range from community Child Health Forums to the area of Neonatal healthcare; there are so many subjects that will appeal to all areas of interest. These meeting will help you to further your knowledge and support your professional development, whilst networking with other likeminded people.
To see more events, please click here. |
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® Registered Trademark.
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 lead to illness. These 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 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.
References: 1. Lucas A, Cole TJ. Lancet 1990; 336: 1519–1523. 2. Lucas A et al. Lancet 1992; 339; 261–264. 3. Agostoni C et al., J Pediatr Gastroenterol Nutr 2010; 50: 1–9. 4. American Academy of Pediatrics. 2012; 129(3): e827– e841 5. Ballard O, Morrow AL. Pediatr Clin North Am 2013; 60: 49–74. 6. Jones E, King C. Feeding and Nutrition in the Preterm Infant. Elsevier 2005 7. Spalinger J et al. J Pediatr Neonat Individ Med. 2015; 4(2): e040210. doi: 10.7363/040210. 8. SMA® Breast Milk Fortifier data card. Available December 2016. 9. SMA® PRO Breast Milk Fortifier data card. Available January 2017. 10. Cow & Gate Nutriprem Breast Milk Fortifier datacard. Available here. Accessed July 2016. 11. Lapillonne, World Rev Nutr Diet. Basel, Karger. 2014; 110: 82–98. 12. Birch et al. Investigative ophthalmology & visual science; 33(11): 3242–3253. |
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