Recommendations

Document Overview

Design and created by Guideline Central in participation with the Academy of Breastfeeding Medicine.

Management of Hyperlactation

Academy of Breastfeeding Medicine

Publication Date: Mar 9, 2020

Page Last Updated: May 5, 2026

Levels of Evidence

Document Overview

Document Title: Management of Hyperlactation

Authoring Society: Academy of Breastfeeding Medicine

Document Publication Date: Mar 9, 2020

Page Last Reviewed/Updated: May 5, 2026

Document Type: Guideline

Country of Publication: United States

Full Text Freely Available: Yes

Full Text Guideline: www.liebertpub.com/doi/10.1089/bfm.2019.29141.hmj

Source Citation

Helen M. Johnson, Anne Eglash, Katrina B. Mitchell, Kathy Leeper, Christina M. Smillie, Lindsay Moore-Ostby, Nadine Manson, Liliana Simon, the Academy of Breastfeeding Medicine, Michal Young, Larry Noble, Melissa Bartick, Sarah Calhoun, Megan Elliott-Rudder, Lori Feldman-Winter, Laura Rachael Kair, Susan Lappin, Ilse Larson, Ruth A. Lawrence, Yvonne Lefort, Kathleen A. Marinelli, Nicole Marshall, Katrina Mitchell, Catherine Murak, Eliza Myers, Sarah Reece-Stremtan, Casey Rosen-Carole, Susan Rothenberg, Tricia Schmidt, Tomoko Seo, Natasha Sriraman, Elizabeth K. Stehel, Nancy Wight, and Adora Wonodi.Breastfeeding Medicine.Mar 2020.129-134.http://doi.org/10.1089/bfm.2019.29141.hmj

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Document Objectives: The aim of this protocol is to review the diagnosis of hyperlactation and describe management recommendations

Scope: Diagnosis, Management, Treatment

Diseases/Conditions (MeSH)

D061186 - Breast Milk Expression

D065906 - Hyperlactatemia

D001942 - Breast Feeding

D065906 - Hyperlactatemia

D061186 - Breast Milk Expression

Keywords: Breastfeeding, Nipple blebs, hyperlactation

Target Patient Population: Women who are hyper-lactating

Inclusion Criteria: Female, Male, Adult, Infant

Health Care Settings: Ambulatory, Emergency Care, Hospital, Outpatient

Intended Users: Dietician/Nutritionist, Nurse, Nurse Midwife, Nurse Practitioner, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Number of Source Documents: 31

Literature Search Start Date: Tuesday, January 1, 1985

Literature Search End Date: Tuesday, June 4, 2019

Includes peer/external review process?: Yes

Includes public comment process?: No

Methodologist involvement?: No

Patient involvement?: No

Includes multi-disciplinary group?: Yes

Includes systematic review?: No

Grades quality of strength of evidence?: Yes

Grades quality of strength of recommendation?: No

Discloses funding source?: Yes

Discloses conflicts of interest?: Yes

Includes benefits/harms analysis with recommendations?: Yes

Identifies methods used to evaluate and analyze the evidence?: Yes

Level of evidence	Description
Level I	Systematic review of randomized trials or n-of-1 trials
Level II	Randomized trial or observational study with dramatic effect
Level III	Non-randomized controlled cohort/follow-up study
Level IV	Case-series, case-control or historically controlled studies
Level V	Mechanism-based reasoning

Management of Hyperlactation

Recommendations

Differential Diagnosis

Management

General principles

Behavioral interventions

Block feeding

Herbal therapies

Prescription medications

Levels of Evidence

Document Overview

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Recommendation Development Processes & Methodology