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Cow & Gate nutriprem human milk fortifier

Cow & Gate nutriprem human milk fortifier is a food for special medical purposes for the dietary management of preterm and low birthweight infants, particularly those with a very low birthweight (<1500g) and before suckling has been established (at approx 34–36 weeks gestation). It can be added to a mother’s own expressed breastmilk, or to donor breastmilk.

This product should only be used under the close supervision of a neonatologist or dietitian. Cow & Gate nutriprem human milk fortifier is suitable for vegetarians.

Why Cow & Gate human milk fortifier?

It is the only preterm range to be fully compliant with European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) recommendations.

Maltodextrin, Whey protein hydrolysate (from milk), Casein hydrolysate (from milk), Calcium glycerophosphate, Calcium lactate, Sodium chloride, Magnesium citrate, Sodium citrate, Vitamin C, Potassium chloride, Vitamin E, L-tryptophan, Niacin, Vitamin A, Vitamin D3, Zinc sulphate, Pantothenic acid, Vitamin K1, Riboflavin, Vitamin B12, Thiamin, Vitamin B6, Copper sulphate, Folic acid, Manganese sulphate, Potassium iodide, Sodium selenite, Biotin.

Allergy Advice. For allergens, see ingredients in bold.

  1. Wash hands and sterilise all utensils according to manufacturers’ instructions.
  2. Check the best before date before use.
  3. Measure the required amount of human milk into a sterilised bottle or feeding equipment.
  4. Add the contents of one sachet (2.2g) to every 50ml of warm human milk (approx. 37°c). If less milk volume is available, please reduce the amount of powder accordingly to avoid over concentration. If less than one sachet is being used, please weigh the powder with a laboratory scale if available, in strictly hygienic conditions.
  5. Swirl gently until powder is dissolved completely.
  6. For best practice use fortified feed immediately or in accordance with hospital procedures for handling fortified human milk.

  • Not suitable for intravenous use.
  • It should not be used to enrich low birthweight formulas or infant milks.
  • Dexamethasone treatment induces a catabolic effect, which is accompanied by increased plasma urea and amino acid concentrations. When using Cow & Gate nutriprem human milk fortifier with infants receiving dexamethasone, it is advisable to regularly monitor the plasma urea and amino acid levels to ensure that these remain within the clinically acceptable range (1-3).

References: 1. Brownlee KG et al. Arch Dis Child 1992;67:1-4.  2. Williams AF, Jones M. Arch Dis Child 1992;67:5-9.  3. Van Goudoever JB et al. J Pediatr 1994;124:112-8.

Important notice

Breastfeeding is best for babies. Cow & Gate nutriprem human milk fortifier is a food for special medical purposes for the dietary management of preterm and low birthweight infants. It should only be used under medical supervision, after full consideration of the feeding options available including breastfeeding. Suitable from birth. It is not suitable for use as the sole source of nutrition.

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