The use of fortified human milk provides the premature infant adequate grow
th, nutrient retention, and biochemical indices of nutritional status, espe
cially when fed at appropriate volumes, compared with unfortified human mil
k. When compared with preterm formula, the feeding of fortified human milk
may provide significant protection from infection and necrotizing enterocol
itis. Neonatal centers should encourage the feeding of fortified human milk
for premature infants. Skin-to-skin contact is a reasonable method to enha
nce milk production, while potentially facilitating the development of an e
nteromammary response.