Hello All: I have a client who delivered 32 week twins 5 days ago. She is pumping, has excellent milk supply, and her neonatologist is recommending that they fortify her milk. She wants to consider this carefully, and needs info on pros and cons. I told her this is pretty much standard practice here in the US, though I know in other nations (i.e., Sweden) that the mother's own milk is not always fortified. Does anyone have references that will clarify? My lactation texts give the impression that fortifiers are a necessary part of care for prematures. Thanks in Advance From : Martha Johnson RN, IBCLC, Eugene, OR