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Next WALC Meeting: 

Monday January 23, 2023

Katrina B. Mitchell, MD, IBCLC, PMH-C, FACS

Academy of Breastfeeding Medicine Clinical Protocol #36:
The Mastitis Spectrum, Revised 2022

Please join us with Dr. Katrina Mitchell to learn about the updated ABM Protocol on The Mastitis Spectrum. Get up-to-date info you will be able to use right away with your clients!

This Zoom event will be recorded. Recordings will be available for all registered attendees for 30 days. You will receive an email a few days before the event with a Zoom link.

Please see below and follow the registration link for more information.

Overview: 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. The goal is for lactation consultants (LC) to identify when these conditions may be presenting in a patient they are evaluating, and to understand when to refer patients to a medical provider for further intervention and care. We will review risk factors for these conditions and how LCs, within their scope of practice, can help prevent progression of complications. These include techniques such as gentle lymphatic drainage and other supportive measures such as reducing excessive pumping that will be reviewed.


1. Review plugging to abscess spectrum as ductal level inflammation that should be treated analogous to other hollow lumens in the body (e.g. cholecystitis or pancreatitis)

2. Understand early supportive interventions to resolve inflammation such as ice, anti-inflammatory medication, and therapeutic ultrasound before progressing to antibiotics

3. Describe best practices for treatment such as eliminating excessive pumping and treating hyperlactation/oversupply

4. Review interventions that cause worsened inflammation and swelling, such as massaging a lactating breast and causing microvascular injury and edema

5. Understand features worrisome for lactational phlegmon or abscess, and when to refer to a breast surgeon for intervention

Registration for this meeting.

WALC welcomes new members! Annual fee is $25.00 for membership from March through February. For information and to apply, click on the Membership tab.

Questions or if interested in hosting a Meeting, please contact Diane Oakland,, with topic and/or meeting location suggestions.