BREAST MILK FORTIFIER, powder, 1g, sachet

Breast Milk Fortifiers (BFM) (also known as Human Milk Fortifiers) are designed to be added to breast milk. Breast-milk fortification provides the necessary nutrients and promotes rapid growth rate and bone mineralisation in low-birth-weight and premature neonates.

Breast milk is the ideal food for neonates. Although its nutrient composition is ideal for full-term infants, the protein and mineral content of breast milk may be insufficient to meet the needs of low-birth-weight neonates, whose protein and mineral requirements are higher for growth.

BMF should be added to the meals of neonates:

• whose birth weight is < 2000 g AND,
• at least one week old AND,
• who receive their fluid requirements by enteral route and at least partially by another route (cup/spoon, double-channel gastric tube...) AND,
• who take less than 15 g/kg/day for 3 consecutive days with adequate breastfeeding.

If quantities of breast milk are insufficient, the priority should be to increase breast milk production.

Example: Nutrilon

Instructions for fortification of expressed breast milk

• Always follow the instructions written on the packaging.
• Check the amount of breast milk required and help the mother express the required amount of breast milk.
• Fortification is done gradually:
• When the neonate reaches and tolerates 80 to 100 ml / kg / day of breast milk, administer the 2% fortifier at each feed.
• After 48 hrs of good tolerance, administer the 4% fortifier at each feed.
• Then, the quantity of 4% fortified milk should be increased according to the child's tolerance, up to 160-180 ml/kg/d.
• Refer to the table bellow to determine the amount of BMF to add to the expressed milk accordingly.

* if more than 175 ml, add the fortification accordingly.