Emerging Developments in Human Milk Fortification: Problem Solving for Clinical Practice

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This education is about:

  • Overcoming challenges to optimal preterm infant nutrition
  • Strategic use of donor milk
  •  Human milk fortification timing and clinical practice strategies
  • Influence of feeding types on the preterm microbiome
  • Emerging evidence on human milk bioactives
  • Interprofessional collaboration in the NICU

Why it matters:

Human milk is the optimal feeding for preterm infants due to its nutritional and bioactive factors, supporting not only growth and development, but also the immune and gastrointestinal systems. However, questions remain regarding the optimal approach to human milk feeding in the NICU, including selection among fortification types, fortification timing, supplementation strategies, and the role of bioactives. Amidst these uncertainties, interprofessional collaboration and practical solutions to common preterm infant feeding challenges are urgently needed.

Target Audience:

Developed to support pediatricians, pediatric nurses, dietitians, and other healthcare providers who treat infants and children.

Course Credit:

1.75 AMA PRA Category 1 CreditsTM
1.75 ANCC Contact hour(s)
1.75 CA-BRN Contact hour(s)
1.75 CDR Contact hour(s)
1.5 Pharmacology hour(s).


Opens: 2024-06-13
Closes: 2026-06-13

Material from a live conference presentation on May 4, 2024, in Toronto, Cananda.

This activity is supported by an educational grant from Mead Johnson Nutrition.
  • Michaela Berroya, MSN, RN, RNC-NIC

    Nurse Clinician
    Neonatal Intensive Care Unit
    NewYork-Presbyterian Hospital
    New York, New York

  • Kirsten Frank, RD, CSPCC, LDN, CNSC, IBCLC

    Neonatal Dietitian
    Betty H. Cameron Women’s and Children’s Hospital
    Clinical Nutrition
    Novant Health New Hanover Regional Medical Center
    Wilmington, North Carolina

  • Ariel A. Salas, MD, MSPH

    Associate Professor
    UAB Department of Pediatrics
    Director, Neonatal Nutrition Program
    Director, Infant Nutrition Center
    Medical Director, Mother’s Milk Bank of Alabama
    Associate Medical Director, Continuing Care Nursery
    Division of Neonatology
    The University of Alabama
    Birmingham, Alabama

  • Brian K. Stansfield, MD

    Associate Professor and Vice Chair of Research
    Department of Pediatrics
    Member, Vascular Biology Center
    Medical College of Georgia
    Augusta University
    Augusta, Georgia

Learning Objectives

  • Assimilate new learnings from human milk research to help overcome the challenges associated with optimizing nutrient delivery to premature infants
  • Evaluate strategies for improving growth and nutrition-related outcomes in premature infants, utilizing various strategies for human milk fortification
  • Assess the emerging literature on the human milk microbiome, human milk oligosaccharides, and how human milk shapes critical aspects of our development
  • Evaluate interprofessional collaborative practices in preterm nutrition care