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Human milk fortifiers for preterm infants: a narrative review of current and investigational optionsNew Fortifiers May Help Preterm Infants with Growth Restriction

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Key Takeaway
Consider this narrative review as a descriptive overview, not a source of comparative efficacy data.

This is a narrative review that surveys current and novel or investigational human milk fortifiers for preterm infants, particularly those with extrauterine growth restriction. The authors describe the rationale for fortification and the types of fortifiers in use, including those under investigation. No pooled effect sizes or quantitative outcomes are reported; the review is descriptive in nature.

The review highlights that human milk fortifiers are commonly used to support growth in preterm infants, but it does not provide comparative efficacy data or specific outcome measurements. The authors note that this is a narrative review, which limits the strength of conclusions. No safety data, adverse events, or discontinuation rates are reported.

For clinicians, this review offers a broad overview of available and emerging fortifier options but does not provide evidence-based recommendations. The lack of clinical trial data means that practice decisions should rely on existing guidelines and primary studies. The review underscores the need for more rigorous research to guide fortifier selection.

How this fits prior evidence

This narrative review provides a descriptive overview of human milk fortifiers, complementing prior coverage on extrauterine growth restriction prediction. While the machine learning model from April 2026 offers a predictive tool, this review addresses the nutritional intervention aspect. It does not confirm or contrast the predictive model's findings, as it focuses on fortifier types rather than prediction or outcomes. The review fills a gap by summarizing current fortifier options, but its descriptive nature limits direct integration with the predictive model.

This review looks at how different types of human milk fortifiers are used for preterm babies. These babies often face a condition called extrauterine growth restriction, where they do not grow as expected after birth. The report describes both current products and new versions that are still being tested.

The information provided is descriptive in nature. Because this was a narrative review rather than a clinical trial, it does not provide specific data on how much babies grew or the exact success rates of these fortifiers. It serves as an overview of what is currently available to doctors.

Patients and families should know that while these fortifiers are important tools for infant nutrition, this report does not show specific outcomes or safety results. You should talk with a pediatric specialist to understand which nutritional options are best for a specific baby's needs.

What this means for you:
This review describes current and new human milk fortifiers for preterm infants but does not provide trial data.

Common questions

What are human milk fortifiers used for?

Human milk fortifiers are added to breast milk or donor milk to provide extra nutrients. They are specifically used for preterm infants who experience extrauterine growth restriction. These fortifiers help ensure that babies born early receive the necessary nutrition to support their development.

Are there new types of fortifiers available?

The review describes both current fortifiers and novel or investigational fortifiers. While some are already in use, others are still being studied. Because this is a descriptive review, it does not provide specific measurements on how these newer versions perform compared to older ones.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
The advancements in perinatal medicine and neonatal intensive care have enhanced the survival rates of extremely preterm infants. Nevertheless, the incidence of extrauterine growth restriction persists at a relatively high level. As the optimal enteral feeding source for preterm infants, human milk alone may be unable to fulfill the high nutritional requirements of very preterm infants. Consequently, the supplementation of human milk with nutritional fortifiers has become a widely recognized practice. At present, diverse types of human milk fortifiers are employed in different enteral feeding situations for preterm infants. This article provides a descriptive review of the current use of various fortifiers and also introduces novel or investigational fortifiers.
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