• Enfamil® Human Milk Fortifier Powder

Enfamil® Human Milk Fortifier Powder

Nutritional supplement to be added to expressed breast milk for premature or low-birth-weight infants

Last Updated: Monday, January 8, 2018

  • Description/Indication
    • Enfamil Human Milk Fortifier Powder is to be added to expressed breast milk for feeding premature or low-birth-weight infants. It provides enriched nutrition needed by these special babies while still allowing them to receive their mother’s milk. Enfamil Human Milk Fortifier Powder is milk-based and, when mixed with mother’s milk, increases the levels of protein, energy, calcium, phosphorus and other nutrients, producing a diet more suited to the nutritional needs of the rapidly growing premature infant.

      Enfamil Human Milk Fortifier Powder was specifically designed to be used as a supplement to be added to mother’s milk collected after 2 weeks postpartum.

  • Product Features
      • Well tolerated
      • 1.1 g protein/4 packets
      • Added iron to reduce the need for additional iron supplementation
      • Includes fat and essential fatty acids
      • Low osmolality
  • Nutrients
    • Product nutrient values and ingredients are subject to change. Please see product label for current information.

      (4 Packets) Per 4 - 0.025 oz (0.71 g) Packets (14 Cal)
      Protein, g 1.1
      Fat, g 1
      Linoleic acid, mg 140
      alpha-Linolenic acid, mg 17
      Carbohydrate, g <0.4
      Water, g 0.08
      (Normal Dilution) Per 4 - 0.025 oz (0.71 g) Packets (14 Cal)
      Vitamins/Other Nutrients
      Vitamin A, IU 950
      Vitamin D, IU 150
      Vitamin E, IU 4.6
      Vitamin K, mcg 4.4
      Thiamin (Vitamin B1), mcg 150
      Riboflavin (Vitamin B2), mcg 220
      Vitamin B6, mcg 115
      Vitamin B12, mcg 0.18
      Niacin, mcg 3000
      Folic acid (Folacin), mcg 25
      Pantothenic acid, mcg 730
      Biotin, mcg 2.7
      Vitamin C (Ascorbic acid), mg 12
      (Normal Dilution) Per 4 - 0.025 oz (0.71 g) Packets (14 Cal)
      Calcium, mg 90
      Phosphorus, mg 50
      Magnesium, mg 1
      Iron, mg 1.44
      Zinc, mg 0.72
      Manganese, mcg 10
      Copper, mcg 44
      Sodium, mg 16
      Potassium, mg 29
      Chloride, mg 13
  • Nutrient Facts
    • Nutrient Density Per 4 packets (14 Cal)
      Protein (% Calories) 32
      Fat (% Calories) 62
      Carbohydrate (% Calories) 6
      Potential Renal Solute Load (mOsm)1 29 per 100 Calories
      Potential Renal Solute Load (mOsm)1 9.8 per 4 packets*
      Osmolality (mOsm/kg water) +35
      Osmolarity (mOsm/L) Not available
      Lactose-Free No

      * 23 mOsm/102 mL when 4 packets added to 100 mL preterm human milk. † When added to human milk as recommended, EHMF Powder increases osmolality by approximately 35 mOsm/kg water.

  • Product Form
    • Enfamil® Human Milk Fortifier Powder is available in powder.

      Item #: 201418
      Description: Powder
      Unit Size: 0.71 g Foil Sachet
      Cal./Unit: 3.5
      Prod. Yield / Unit (fl oz): N/A
      Case: 200 units per case
      Reimbursement Code: 00087-201448

      HCPCS Code

  • Composition
    • Ingredients: Powder: Medium-chain triglycerides (MCT) oil, milk protein isolate, whey protein isolate hydrolysate, soybean oil, calcium phosphate, calcium glycerophosphate, calcium gluconate and less than 2%: corn syrup solids, soy lecithin, vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, magnesium phosphate, potassium phosphate, ferrous sulfate, zinc sulfate, cupric sulfate, sodium citrate, potassium chloride, potassium citrate.

  • Potential Allergens
    • Enfamil Human Milk Fortifier Powder contains milk and soy.

  • Preparations of Feedings
    • The baby’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Proper hygiene, preparation, dilution, use and storage are important when preparing infant formula. Although Enfamil® Human Milk Fortifier Powder is formulated for premature infants, powdered infant formulas are not sterile and should NOT be fed to premature infants or infants who might have immune problems unless directed and supervised by a doctor.

      Follow hospital rules or the baby’s doctor’s instructions for the safe handling of human milk.

      To aid mixing, agitate the human milk well. Pour the desired amount into a sterile container and warm to feeding temperature.

      The baby’s doctor will provide instructions for the desired amount of calories to add.

      Add the fortifier to the human milk according to the following charts:

      Enfamil® Human Milk Fortifier Powder

      Additional Calories Desired Human Milk Enfamil Human Milk Fortifier
      2 Calories/fl oz 50 mL 1 packet (0.71 g)
      4 Calories/fl oz 25 mL 1 packet (0.71 g)

      Enfamil® Human Milk Fortifier Acidified Liquid

      Additional Calories Desired Human Milk Enfamil Human Milk Fortifier
      2 Calories/fl oz 50 mL 1 vial
      4 Calories/fl oz 25 mL 1 vial

      Each vial of Enfamil Human Milk Fortifier Acidified Liquid is designed to deliver 5 mL when opened and poured.

      • Shake vial vigorously to mix contents. Firmly hold vial UPRIGHT by bottom tab and slowly twist top off completely. Add fortifier to human milk.
      • Some liquid may remain in cap and vial; disregard this liquid. Discard opened vial and cap promptly. Do not use product that has unusual characteristics.

      Failure to follow these instructions could result in severe harm. Once prepared, fortified breast milk can spoil quickly.

      Either feed fortified human milk immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Agitate before each use.

      For tube feeding: Once fortified human milk is prepared, it can remain at room temperature for no longer than a total of 4 hours.

      For bottle feeding: Pour only the amount of fortified human milk to be fed into a feeding container and feed immediately. Do not use fortified human milk if it is unrefrigerated for more than a total of 2 hours. After feeding begins, use fortified breast milk within 1 hour or discard.

      WARNING: Do not use a microwave oven to warm the fortified human milk. Serious burns may result.

      WARNING: Not for parenteral (I.V.) use. Fortifier is designed to be mixed with breast milk; do not administer directly.

  • References
    • 1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute in infancy. J Pediatr. 1999;134:11-14.

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