Hi everyone,

Very much appreciate if anyone can share a Unit guideline on the making up of SMA fortifier, particularly to improve the consistency without over mixing and damaging the breast milk. Feel free to respond here or message me.

Thanks

Ali

I’m not sure that this is what you are asking for, but they started mixning Nutricias Nutriprem in heated breastmilk instead of cold milk at the unit where I work right now. With the intention of better solubility, but the experiences from the nurses preparing the food was rather the opposite. More lumps, which could be a problem in our most preterm. 
 

This was uncovered during a small outbreak of various intestinal problems including a case of milk curd syndrome, why I believe we have returned to mixing it cold again. 
 

It could just be a random coincidence, but I would be interested in hearing more about how you could improve the preparation. Is there any small appliance for the purpose of better mixing?