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Is Routine Fortification of Human Milk for Babies in the Neonatal Intensive Care Unit Indicated?

Spatz, Diane L. PhD, RN-BC, FAAN

MCN: The American Journal of Maternal/Child Nursing: March/April 2017 - Volume 42 - Issue 2 - p 117
doi: 10.1097/NMC.0000000000000321
ONGOING COLUMNS: Breastfeeding

Although multi-nutrient fortification of human milk for babies in the neonatal intensive care unit is routine in the United States, a recent Cochrane Review suggests limited benefits. Our breastfeeding expert, Dr. Spatz, offers suggestions for evaluating current practice on human milk fortification.

Dr. Spatz is a Professor of Perinatal Nursing & the Helen M. Shearer Professor of Nutrition at the University of Pennsylvania. She holds a joint appointment with the Children's Hospital of Philadelphia (CHOP) where she is a nurse researcher and director of the lactation program. She is also the director of CHOP's Mothers' Milk Bank. Dr. Spatz is the Immediate Past-Chair of the American Academy of Nursing's Expert Panel on Breastfeeding and an Editorial Board Member of MCN. Dr. Spatz can be reached via e-mail at

The author declares no conflict of interest.

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