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How do you make breast milk fortified with NeoSure?

Fortifying Breast Milk with NeoSure: A Comprehensive Guide
Fortifying breast milk with NeoSure is a common practice, particularly for infants who require additional calories and nutrients, such as premature babies or those with specific health needs. This process involves mixing NeoSure formula powder into expressed breast milk to enhance its nutritional profile. Here’s how to do it effectively and safely.
Understanding NeoSure
NeoSure is a specialized formula designed to provide extra calories and essential nutrients for infants, particularly those who are premature or have low birth weight. It contains a higher concentration of protein, vitamins, and minerals compared to standard infant formulas, making it an ideal choice for fortifying breast milk.
Steps to Fortify Breast Milk
1. Preparation: Begin by ensuring that both your breast milk and NeoSure formula are at room temperature or slightly warmer. This helps in mixing the two components more effectively.
2. Mixing Ratios: The typical recommendation is to add one teaspoon of NeoSure powder for every three ounces of breast milk. This ratio is designed to increase the caloric content to approximately 22 calories per ounce, which is crucial for the growth and development of infants who need extra support.
3. Combining: In a clean bottle, pour the measured amount of breast milk. Then, add the appropriate amount of NeoSure powder. Secure the lid tightly and gently shake the bottle until the powder is fully dissolved. Avoid vigorous shaking, as this can create bubbles that may be difficult for your baby to ingest.
4. Feeding: Once mixed, the fortified breast milk should be fed to your baby as soon as possible. If you need to store it, keep it in the refrigerator and use it within 24 hours. Always check the temperature before feeding to ensure it’s comfortable for your baby.
5. Consultation with Healthcare Providers: It’s essential to follow your pediatrician’s guidance regarding the fortification process. They may provide specific instructions based on your baby’s individual needs and health status.
Benefits of Fortifying Breast Milk
Fortifying breast milk with NeoSure not only increases caloric intake but also enhances the overall nutritional value. This is particularly beneficial for infants who may struggle to gain weight or who have increased nutritional requirements due to medical conditions. The added nutrients support healthy growth, brain development, and immune function.
Conclusion
Fortifying breast milk with NeoSure is a straightforward process that can significantly benefit infants needing extra nutritional support. By following the recommended mixing ratios and consulting with healthcare professionals, parents can ensure their babies receive the best possible nutrition during critical growth periods. Always remember that each baby is unique, and adjustments may be necessary based on individual health needs.

What do they fortify breast milk with in the NICU?

Human milk should be supplemented (fortified) with the nutrients in short supply, particularly with protein, calcium, and phosphate to meet high requirements of this group of tiny preterm infants as discussed in the next sections.

How long do preemies need fortified breast milk?

Preterm infants should remain on fortified maternal breastmilk or preterm formula regimen for a minimum of 6 months corrected age and high-risk infants (e.g., h/o extreme prematurity, poor growth) may likely need to continue post discharge diet until 12month of corrected age to support adequate growth.

How long should a baby stay on NeoSure?

Similac NeoSure* premature post-discharge baby formula promotes excellent catch-up growth1 during a premature baby’s first 12 months of life.

Can you use any formula to fortify breast milk?

Commercially prepared human breast milk fortifiers are available in liquid and powder form. Breast milk can also be fortified by adding powdered formula to it and giving the combination in a bottle. It is not appropriate to use cow’s milk or other milk alternatives to fortify breast milk.

How to fortify breast milk to 22 calories with formula?

“To fortify to 22 calories per ounce, mix 1 teaspoon Neosure per every 5oz (150ml) breastmilk – or 1/2 teaspoon per 2.5oz (75ml). Refrigerate immediately after mixing and use fortified milk within 24 hours of mixing.”

How do you make fortifying breast milk with NeoSure?

Care™ NeoSure®
❒ To make 22 calorie/ounce breast milk: Add 1 teaspoon Similac NeoSure Powder to 130 mL or 41⁄3 ounces breast milk. ❒ To make 24 calorie/ounce breast milk: Add 1 teaspoon Similac NeoSure Powder to 70 mL or 21⁄3 ounces breast milk.

What are the side effects of fortifying breast milk?

Since all the commonly used commercially prepared fortifiers are made from cow’s milk proteins (like regular formulas), some babies may have difficulty initially when the fortifier is added. They may have delayed emptying from the stomach, abdominal distention or even gas. The stools may change somewhat in color.

How do you fortifying breast milk with cereal?

Grains, breads and cereals
Iron-fortified infant cereal (rice, oatmeal, barley). Mix 2-3 teaspoons with formula or breast milk. Feed with spoon.

How to make fortified breast milk?

Once the formula amount is determined, add formula to warmed breast milk and gently shake the bottle to combine. If you are not using a bottle warmer that heats to an exact temperature, make sure to test the temperature of the bottle before feeding it to your baby.

How long do you use NeoSure?

Similac NeoSure* premature post-discharge baby formula promotes excellent catch-up growth1 during a premature baby’s first 12 months of life.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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