Vandenplas et al., Human Milk Oligosaccharides: 2-Fucosyllactose (2-FL) and Lacto-N-Neotetraose (LNnT) in Infant Formula. Nutrients 2018, 10, 1161 The vacuum flask does not need to be sterilised, but it should be clean, and only used for your baby. The boiling water should kill any bacteria present in the flask. If the flask is full and sealed, the water will stay above 70C for several hours. 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.

SMA® PRO First Infant Milk, is an alternative to breast milk, when baby is not breastfed. Breastfeeding provides the best start for your baby, but if you decide to combination feed or bottle-feed then SMA® PRO First Infant Milk is a nutritionally complete breast milk substitute, enriched with Omega 3 (DHA)*. *Contains DHA (as required by the legislation for all infant formula) Approx. Age of Baby: 4 - 8 weeks; Approx. Weight of Baby: 4.2kg, 9 1/4lb; Size of Feed: 130ml, 4 1/2 fl. oz. (approx.); Feeds in 24 Hours: 6 Baird J et al Being big or growing fast: systematic review of size and growth in infancy and later obesity BMJ 2008; 331: 929. Approx. Age of Baby: 3 months; Approx. Weight of Baby: 6.1kg, 13 1/2lb; Size of Feed: 200ml, 7 fl. oz. (approx.); Feeds in 24 Hours: 5

SMA ® Althéra ® is a hypoallergenic extensively hydrolysed (eHF) whey protein based powdered formula. An infant food for special medical purposes intended for the dietary management of cows’ milk allergy and/or multiple food protein allergies. It is nutritionally complete and suitable from birth or for supplementary feeding from 6 months up to 3 years of age. This formula must be used under medical supervision. Not suitable for galactosemia, glucose-galactose malabsorption or lactose intolerance. What is Cows’ Milk Protein Allergy (CMPA)? Approx. age of baby: about 6 months; Weight of baby: 7.6kg, 16.8lbs; Single feed of milk: 235ml; Feeds in 24 hours: 4

Approx. age of baby: 0 - 2 weeks; Weight of baby: 3.3kg, 7.3lbs; Single feed of milk: 70ml; Feeds in 24 hours: 7-8 Approx. Age of Baby: 3 months; Approx. Weight of Baby: 6.1kg, 13 1/2lb; Preparation for Single Feeds: Level scoops: 6, Cooled, Freshly Boiled Water: 180ml, 6fl. oz (approx.); Feeds in 24 Hours: 5 Remember to cool the bottle (with the lid on) under cold running water before you feed it to your baby. If you cannot follow the advice for making up a feed away from home This information should be entered on a chart in your personal child health record (PCHR) or "red book".

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. Koletzko et al Lower Protein in infant formula is associated with lower weight up to 2y: a randomized clinical trial. Am J Clin Nutr 2009; 89: 1836–45.

Lapillonne A et al., ESPGHAN Committee on Nutrition. Feeding the Late and Moderately Preterm Infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. JPGN 2019;69: 259–270 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 Approx. age of baby: 2 months; Approx. weight of baby: 5.3 kg, 11 3/4 lb; Size of feed: 170 ml, fl. oz. (approx.) 6, Feeds in 24 hours: 5Approx. age of baby: 5 months; Weight of baby: 7.2kg, 15.9lbs; Single feed of milk: 200ml; Feeds in 24 hours: 4-5 Please follow preparation and feeding instructions carefully; failure to do so may make your baby ill. Approx. Age of Baby: 2 months; Approx. Weight of Baby: 5.3kg, 11 3/4lb; Size of Feed: 170ml, 6 fl. oz. (approx.); Feeds in 24 Hours: 5

For hygienic reasons, discard unfinished feed in the bottle as soon as possible, and always within 1 hour. Approx. Age of Baby: 6 months; Approx. Weight of Baby: 7.6kg, 16 3/4lb; Size of Feed: 250ml, 8 1/2 fl. oz. (approx.); Feeds in 24 Hours: 4

At a glance

Lucas A et al. Randomised controlled trial of a synthetic triglyceride milk formula for preterm infants. Archives of Disease in Childhood 1997; 77: F178–F184. Kirchberg FF, Harder U, Weber M, Grote V, Demmelmair H, Peissner W, et al. Dietary protein intake affects amino acid and acylcarnitine metabolism in infants aged 6 months. J Clin Endocrinol Metab. 2015;100(1):149-58.