INFANT FORMULA, PREMATURES, stage 1, hosp. use, pwd, 400g

STD NFOSINFOP1O40

Valid Article

Former Code(s): NFOSINFOP1P40
Article is intended to be used with children (<12 years) ONLY.
18
Shelf life = length of time a product can remain active and effective. Short shelf life = shelf life = < 24 months
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
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

Definition

Breast milk substitute designed for premature infants, intended for hospital use only (never to 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

UnitPer 100 mlPer 100 kcal
Min.Max.Min.Max.
Energykcal6794
Lipidsg4.46.0
Proteinsg2.53.6
Carbohydratesg912.5
Lactoseg412.5
MineralsUnitPer 100 kcal
Min.Max.
Calciummg123185
Calcium : phosphorusratio1.7 : 12:1
Phosphorusmg82109
Magnesiummg6.817
Ironmg1.73.0
Zincmg1.11.5
Manganeseµg6.325
Copperµg100250
Iodineµg635
Sodiummg3963
Potassiummg60160
Chloridemg60160
Seleniumµg1.85.0
Fluorideµg-< 25
Vitamins
Retinol (Vit A) (RE)µg204380
Cholecalciferol (Vit D)IU75270
Tocopherol (Vit E) (αTE)mg28
Tocopherol (Vit E): PUFA1ratio> 1.5 : 1-
Phylloquinone (Vit K)µg425
Thiamin (Vit B1)µg30250
Riboflavin (Vit B2)µg80620
Niacin (Vit B3)µg5505000
Pyridoxine (Vit B6)µg30250
Cobalamin (Vit B12)µg0.080.7
Folateµg3045
Pantothenic acidµg3001900
Biotin (Vit B7)µg1.037
Ascorbic ac. (Vit C)mg8.337

1 PUFA: polyunsaturated fatty acids

Organoleptic properties:

  • Texture: free from lumping
  • Appearance: white of slightly yellowish fine powder, free from impurities/coloured particles. The reconstituted milk shall be a homogenous white liquid.
  • Smell: neutral and typical of milk. It shall not be pungent.
  • Taste: characteristic of milk; not rancid, pungent or unpleasant taste.

Packaging & Labelling

The 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 (Good Hygiene Practices)

  • 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, then allow 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) (follow the instructions on the packaging) into a cleaned and sterilised container. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with a spout.
  • Add the required amount of infant formula powder (follow the instructions on the packaging). Using more or less powder than indicated may make the infant sick.
  • Mix the preparation with a sterilised utensil until completely diluted.
  • Label the container: "Infant formula, day and time of preparation".
  • Cool the preparation to feeding temperature (approx 37°C).
  • Use within 2 hours.
  • Remark on the measuring spoon:
    • Use 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 it to the tin after use.
    • Ensure the measuring spoon remains dry; if it become 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 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 of reconstituted infant formula

  • If not consumed immediately, refrigerate the preparation at 4°C (do not exceed 4ºC) in a clean bottle or other container with a lid, immediately after cooling to body temperature.
  • Refrigerated preparation should be consumed within 24 hours.
  • Do not prepare infant formula in advance if it cannot be consumed within 2 hours or 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
  • Shelf life: usually 18 to 24 months from the manufacture date as stated on the packaging.
  • Infant milk formula should be stored in its original packaging to prevent any contamination.
  • 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, even if the expiry date has not been reached, as this indicates a high risk of bacteriological contamination.

Follow the procedure QA-NFOS-SOP3 Storage of specialised food (NFOS).

For procedures related to Quality Control, refer to Preliminary remarks on specialised food.

MSF requirements

This product must be prepared with safe drinking water.

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