INFANT FORMULA, PREMATURES, stage 1, hosp. use, pwd, 400g
Valid Article
OC subscriptions: included in supply or field order tools (e.g. UniField)
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SC subscriptions: included in supply or field tools
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OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)
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INFANT FORMULA, premature infants
Infant Formula (infant milk)
Definition
Infant formula for premature, Stage 1 is a breast milk substitute specifically designed for premature infants.
It is intended for hospital use only and must never be distributed.
See the Statement on infant feeding.
Specifications
Main Composition
Partially demineralised whey, vegetable fat (or vegetable oil), skimmed milk powder, malto-dextrin, lactose, emulsifier, vitamins, minerals.
Technical specifications
Nutritional values | Unit | Per 100 ml | Per 100 kcal | ||
| Min. | Max. | Min. | Max. | ||
| Energy | kcal | 67 | 94 | | |
| Lipids | g | 4.4 | 6.0 | ||
| Proteins | g | 2.5 | 3.6 | ||
| Carbohydrates | g | 9 | 12.5 | ||
| Lactose | g | 4 | 12.5 | ||
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| Minerals | Unit | Per 100 kcal | |
| Min. | Max. | ||
| Calcium | mg | 123 | 185 |
| Calcium : phosphorus | ratio | 1.7 : 1 | 2:1 |
| Phosphorus | mg | 82 | 109 |
| Magnesium | mg | 6.8 | 17 |
| Iron | mg | 1.7 | 3.0 |
| Zinc | mg | 1.1 | 1.5 |
| Manganese | µg | 6.3 | 25 |
| Copper | µg | 100 | 250 |
| Iodine | µg | 6 | 35 |
| Sodium | mg | 39 | 63 |
| Potassium | mg | 60 | 160 |
| Chloride | mg | 60 | 160 |
| Selenium | µg | 1.8 | 5.0 |
| Fluoride | µg | - | < 25 |
| Vitamins | |||
| Retinol (Vit A) (RE) | µg | 204 | 380 |
| Cholecalciferol (Vit D) | IU | 75 | 270 |
| Tocopherol (Vit E) (αTE) | mg | 2 | 8 |
| Tocopherol (Vit E): PUFA1 | ratio | > 1.5 : 1 | - |
| Phylloquinone (Vit K) | µg | 4 | 25 |
| Thiamin (Vit B1) | µg | 30 | 250 |
| Riboflavin (Vit B2) | µg | 80 | 620 |
| Niacin (Vit B3) | µg | 550 | 5000 |
| Pyridoxine (Vit B6) | µg | 30 | 250 |
| Cobalamin (Vit B12) | µg | 0.08 | 0.7 |
| Folate (Vit B9) | µg | 30 | 45 |
| Pantothenic acid (Vit B5) | µg | 300 | 19000 |
| Biotin (Vit B7) | µg | 1.0 | 37 |
| Ascorbic ac. (Vit C) | mg | 8.3 | 37 |
1 PUFA: polyunsaturated fatty acids
Organoleptic properties:
- Texture: free from lumping
- Appearance: white of slightly yellowish fine powder, free from impurities or coloured particles.
- Reconstituted product: homogenous white liquid.
- Smell: neutral and typical of milk; not pungent.
- Taste: characteristic of milk; not rancid, pungent or unpleasant.
Packaging & Labelling
Primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, and storage under MSF field conditions.
Primary packaging (unit packaging): 400 g or 800 g aluminium tin, sealed with aluminium foil and a plastic lid, including a measuring spoon. The lid is designed to protect the milk from humidity after the aluminium foil is removed.
For more information on packaging labelling, refer to the CHECKLIST CONTROL UPON RECEIPT specialised food.
Instructions for use
Preparation and Reconstitution of infant formula
- Preparation should take place in a clean environment on cleaned and disinfected work surfaces.
- Wash hands thoroughly with soap and warm water, then dry with a clean cloth or single-use towel.
- Boil water for 2 minutes.
- Allow the water to cool to 60-70°C before adding the powder. Use a digital food-grade thermometer to check the water temperature.
- Pour the exact required amount of water (at 70°C) into a cleaned and sterilised container. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with a spout.
- Follow the instructions on the packaging for the amount of water and powder.
- Add the required amount of infant formula powder. Warning: using more or less powder than indicated may make the infant sick.
- Mix with a sterilised utensil until completely dissolved.
- Label the container with "Infant formula, day and time of preparation".
- Cool the preparation to feeding temperature, approximately 37°C.
- Use within 2 hours.
- Remark on measuring spoons:
- Use only the measuring spoon provided in the tin.
- Do not use a measuring spoon from another product or manufacturer.
- Do not wash the measuring spoon.
- Return the measuring spoon to the tin after use.
- Ensure the measuring spoon remains dry,
- If the spoon becomes wet, dry it thoroughly before placing it back in the tin.
- The measuring spoon supplied generally corresponds to the dose of powder required for 30 ml of water.
Administration
Infant formula should be administered at either:
- room temperature, or
- body temperature.
Use a thermometer, preferably digital, to check the temperature.
It is best to prepare and serve infant formula immediately after cooling to body temperature. Reducing the time between preparation and consumption reduces the risk to the infant.
Conservation after reconstitution
If the formula is not consumed immediately:
- refrigerate at 4°C (do not exceed 4ºC) immediately after cooling at body temperature.
- use a clean bottle or other container with a lid.
Refrigerated preparations must be consumed within 24 hours.
Precautions for use:
- Do not prepare infant formula in advance if it cannot be consumed within 2 hours
- Do not prepare infant formula in advance if refrigeration is not available.
- Never store infant formula in a refrigerator for more than 2 hours after preparation
- Discard any preparation that has not been consumed within 2 hours.
- Discard any refrigerated preparation that has not been consumed within 24 hours.
Storage
- Below 25ºC, Protect from sunlight ‐ Protect from humidity
- The product should be stored in its original packaging to prevent contamination.
- Shelf life (before opening): usually 18 to 24 months from the manufacture date, as stated on the packaging.
- Shelf life (after opening): consume the infant milk formula within 3 weeks.
- Destroy the powdered milk immediately if the are any changes in colour, smell, or appearance. This applies even if the expiry date has not been reached, as such changes may indicate a high risk of bacteriological contamination.
Follow the procedure Storage of specialised food
For procedures related to Quality Control, refer to Preliminary remarks on specialised food.
MSF requirements
This product must be prepared using safe drinking water.
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