This presentation will review and discuss the shifts in evidenced based management of lactational mastitis spectrum. We will discuss the etiology and management of engorgement, inflammatory and bacterial mastitis, abscess, and hyperlactation. We will review the importance of the role of the midwife in supporting lactation through complications such as mastitis.

Amelia Henning, MSN, CNM, IBCLC, (she/her) is a staff midwife at Massachusetts General Hospital, where she also runs the breastfeeding & lactation medicine clinic. Her interest in midwifery was ignited during undergraduate work in Tanzania. Breastfeeding & lactation has always been an area of special interest, and she was fortunate to have that spark nurtured by Dr. Diane Spatz while at the University of Pennsylvania. She completed her midwifery education in 2002, and while she has attended births in many settings, the past 19 years have been spent at Massachusetts General Hospital. Amelia serves on multiple breastfeeding & lactation related organizations, including the Massachusetts WIC Medical Advisory Board. She is a co-founder of the Midwives in Lactation Collective and is currently a Fellow in University of Rochester’s Lessons in Lactation Advanced Curriculum (LILAC). In addition to seeing patients in the lactation clinic, she is responsible for all OB provider and outpatient staff breastfeeding education, and is a clinical teaching associate at Harvard Medical School. Special interests include supporting physiologic care of the dyad, lactation education for health care providers, and fourth trimester care.

Sarah Weinstein, MN, CNM, IBCLC, PMH-C (she/her), has been practicing midwifery since 2014 after completing her training at OHSU. She has caught babies both in and out of the hospital, and has worked with families in rural and urban New Mexico and Arizona. Sarah has focused on developing her skills in breastfeeding and lactation medicine, and started the breastfeeding and lactation clinic at Banner University Medical Center in Tucson. Her clinic now serves as a referral resource for her institution and community, and Sarah works collaboratively with various community infant feeding specialists. As co-chair of the institution’s breastfeeding task force, Sarah works with her interdisciplinary team to support and advocate for evidence-based lactation care, education, research, and policies. Her interests also include perinatal mental health, supporting the physiologic postnatal period through dyadic care, and achieving health equity with community-centered care and research. Sarah is pursuing her PhD at the University of Arizona College of Nursing, focusing on the bio-embedding of social stress experiences and breastfeeding/lactation outcomes.