Enfamil® Liquid Human Milk Fortifier Standard Protein
Enfamil Liquid Human Milk Fortifier Standard Protein is added to expressed breast milk for feeding premature and late preterm infants.
ⓊD M IFANCA®
Enfamil Liquid Human Milk Fortifier Standard Protein is added to expressed breast milk for feeding premature and late preterm infants. It increases protein, energy, calcium, phosphorus, iron, vitamin D and other nutrients to help promote growth in premature infants. It has 3.4 g of protein per 100 Cal when mixed with preterm human milk at the 24 Calorie per fluid ounce concentration*/0.81 kcal/mL concentration.
* When mixed as directed 5 mL HMF + 25 mL preterm human milk.
| Product | Format | Unit Size | Approximate Product Yield at Normal Dilution | Shelf Life | Item Number | Availability |
|---|---|---|---|---|---|---|
| Enfamil® Liquid Human Milk Fortifier Standard Protein | Liquid | 5.5 fl oz/163 mL per bottle | Approx. 32 doses per bottle based on a 24kcal/fl oz or 0.81 kcal/mL formulation of 5mL of liquid HMF + 25mL of breastmilk | 15 Months | 3279585 | Hospital Only |
| Item Number | Product Name | Halal Status | Kosher Status |
|---|---|---|---|
| 3279585 | Enfamil® Liquid Human Milk Fortifier Standard Protein 163 mL Flex Pro Bottle (6x4 Bottles Per Case) | Halal Certified | Kosher Dairy |
Ingredients: Water, whey protein isolate hydrolysate (milk), medium chain triglycerides (MCT oil), maltodextrin, soy oil, and less than 2%: Mortierella alpina oil†, Schizochytrium sp. oil#, calcium citrate, calcium phosphate, potassium citrate, calcium chloride, sodium citrate, magnesium phosphate, ferrous sulfate, zinc sulfate, cupric sulfate, pectin, ascorbic acid, vitamin E acetate, niacinamide, calcium pantothenate, vitamin A palmitate, riboflavin, thiamin hydrochloride, vitamin B6 hydrochloride, folic acid, vitamin K1, biotin, vitamin B12, vitamin D3 .
† A source of arachidonic acid (ARA).
# A source of docosahexaenoic acid (DHA).
POTENTIAL ALLERGENS
Enfamil Liquid Human Milk Fortifier Standard Protein contains milk and soy.
CAUTION: Nutritionally incomplete. To be used only under the supervision of a physician.
| Analysis | Per 5 mL Fortifier Only | 20 mL Plus 100 mL Preterm Breast Milk (120 mL mixed to 0.81 kcal/mL or 24 Cal/fl oz concentration)§ | Per 100 Cal Fortified Preterm Breast Milk when mixed to 0.81 kcal/mL or 24 Cal/fl oz concentration§ |
|---|---|---|---|
| Protein (g) | 0.42 | 3.3 | 3.4 |
| Fat (g) | 0.58 | 5.8 | 6 |
| Linoleic Acid (g) | 58 | 710 | 730 |
| Carbohydrate (g) | 0.28 | 8.4 | 8.7 |
| Water (g) | 3.8 | 104 | 107 |
| Vitamins/Other Nutrients | |||
| Vitamin A (IU) | 290 | 1210 | 1240 |
| Vitamin D (IU) | 47 | 200 | 200 |
| Vitamin E (IU) | 1.4 | 6 | 6.2 |
| Vitamin K (mcg) | 1.42 | 7.7 | 7.9 |
| Thiamin (Vitamin B1) (mcg) | 46 | 193 | 200 |
| Riboflavin (Vitamin B2) (mcg) | 66 | 290 | 300 |
| Vitamin B6 (mcg) | 35 | 146 | 150 |
| Vitamin B12 (mcg) | 0.16 | 0.66 | 0.68 |
| Niacin (mcg) | 920 | 3900 | 4000 |
| Folic acid (Folacin) (mcg) | 7.7 | 34 | 35 |
| Pantothenic Acid (mcg) | 230 | 1150 | 1190 |
| Biotin (mcg) | 0.84 | 3.9 | 4.1 |
| Vitamin C (Ascorbic acid) (mg) | 3.8 | 20 | 20 |
| Minerals | |||
| Calcium (mg) | 29 | 141 | 145 |
| Phosphorus (mg) | 15.8 | 78 | 80 |
| Magnesium (mg) | 2 | 11.3 | 11.6 |
| Iron (mg) | 0.44 | 1.85 | 1.9 |
| Zinc (mg) | 0.24 | 1.33 | 1.37 |
| Manganese (mcg) | 2.5 | 10.4 | 10.7 |
| Copper (mcg) | 15 | 98 | 101 |
| Sodium (mg) | 6.8 | 55 | 57 |
| Potassium (mg) | 11.3 | 95 | 98 |
| Chloride (mg) | 6.9 | 86 | 88 |
§ Calculated using values for preterm human breast milk compiled from multiple published studies; protein value used for preterm human milk is 1.62 g/100 mL1.
Reference:
1. Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. 3rd ed.; 2018.
Use as directed by the baby’s doctor. Shake gently before using. Do not shake vigorously to minimize product foaming. Foaming is normal with this product. Remove protective seal around cap, remove cap and foil seal. This product is commercially sterile as produced.
Use proper aseptic techniques.1
A variety of aseptic preparation methods are available including the use of sterile containers, or sterile transfer lids and sterile, single-use, enteral syringes. When using sterile containers, after opening bottle pour into disposable, sterile container and draw up needed volume into a sterile, single-use, enteral syringe. Dispense into measured breast milk and swirl.
Failure to follow these instructions could result in severe harm. Opened bottles and fortified breast milk can spoil quickly. Either use immediately or replace fortifier bottle cap and store in refrigerator at 2-4°C (35-40°F) for no longer than 48 hours. Gently agitate product before each use. After feeding begins, use fortified breast milk within one hour or discard. After 48 hours of opening, discard any unused product. Do not freeze.
Reference:
1. Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. 3rd ed.; 2018.
The baby’s doctor will provide instructions for the desired amount of calories to add.
• WARNING: Do not use product that has unusual characteristics.
• WARNING: Do not use a microwave oven to warm the fortified breast milk. Serious burns may result.
• WARNING: Not for parenteral (I.V.) use. Do not administer directly—must add to breast milk
Add fortifier to breast milk according to the following chart for mixing:
| Additional Calories Desired (per fl oz concentration) | Breast Milk | Enfamil Liquid Human Milk Fortifier Standard Protein | Total Concentration (Breast Milk + LHMF) |
|---|---|---|---|
| 2 Calories/fl oz 2 kcal/30 mL | 50 mL | 5 mL | 22 Cal/fl oz 0.74 kcal/mL concentration |
| 4 Calories/fl oz 4kcal/30 mL | 25 mL | 5 mL | 24 Cal/fl oz 0.81 kcal/mL concentration |
The baby's doctor will provide instructions for the desired amount of calories to add.
WARNING: Do not use product that has unusual characteristics.
WARNING: Do not use a microwave oven to warm the fortified breast milk. Serious burns may result.
WARNING: Not for parenteral (I.V.) use. Do not administer directly—must add to breast milk