Direct Relief: Updated Academy of Breastfeeding Medicine Mastitis Protocol – August 25, 2023

We will review the pathophysiologic spectrum of inflammatory conditions affecting the lactating breast in the mastitis spectrum. We start with discussing hyperlactation (“oversupply”) and will transition into exploring non-infectious and infectious mastitis, and abscess development in the setting of massage and untreated hyperlactation. We will also detail the identification and treatment of galactocele and lactational phlegmon. We will review risk factors for these conditions and how healthcare providers can help prevent progression of complications. These include techniques such as gentle lymphatic drainage and other supportive measures such as reducing excessive pumping.