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Breast milk fortification — RACP Paediatrics MCQ

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ModerateNeonatalBreast milk fortificationRACP Paediatrics

A stable premature infant at 32 weeks corrected age is growing on full breast milk feeds but growth velocity is suboptimal despite adequate volumes (180 mL/kg/day). What is the most appropriate nutritional intervention?

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Correct answer: B — Fortifier addition to breast milk

Human milk fortifier (HMF) is added to expressed breast milk for preterm infants with suboptimal growth despite adequate feed volumes. It increases caloric density and provides additional protein, calcium, phosphate, and vitamins needed for preterm growth. Monitoring of feed tolerance and growth response guides the duration of fortification.

Reference: RCH Melbourne – 2023 – Neonatal Nutrition CPG; RACP Paediatric Curriculum – Neonatology