 It is often difficult to obtain sufficient quantities of human milk from mothers of preterm infants most of whom are breast pump-dependent for weeks or months. Mothers will try to use galactogogues in an attempt to increase milk production. Fenugreek Trigonella foenum-graecum seeds is the most commonly used herbal galactogogue and is a member of the pea family. Our experience at the NICU is that around 30 of preterm mothers desperately looking for ways to increase their breast milk supply will eventually took fenugreek Hilbe as food supplement. Although widely recommended, there is limited evidence to support the effectiveness of fenugreek as a galactogogue. 