Barbara Wilson-Clay, BSEd, IBCLC, FILCA


  • Adoptive Nursing
  • Adult Education
  • Advocacy for Breastfeeding
  • Anatomy and Physiology of Lactation
  • Breast and Nipple Assessment
  • Breast Surgery and Breastfeeding
  • Breastfeeding Dyad Assessment
  • Communication Skills for Breastfeeding Specialists
  • Culture and Breastfeeding
  • Ethics of Breastfeeding Counseling/Practice
  • Human Milk Banking
  • In-Patient Lactation Management
  • Infant Assessment for Breastfeeding
  • Infant Feeding in Emergencies
  • Lactation Management for the Health Care Professional
  • Language of Breastfeeding
  • Latching Theory and Techniques
  • Legislation and Breastfeeding
  • Low Milk Production
  • Maternal Assessment for Breastfeeding
  • Multiples and Breastfeeding
  • Overactive Milk Ejection
  • Oversupply / Overactive Milk Ejection
  • Pediatrician's Office Practice Issues for Breastfeeding Specialists
  • Premature Breastfeeding Babies
  • Private Practice Lactation Consultation Business Issues
  • Products for Breastfeeding
  • Professional Education for Breastfeeding
  • Public Breastfeeding Policy
  • Sociology of Breastfeeding
  • Suck Dysfunction
  • Supplementation of the Breastfeeding Infant
  • Tandem Breastfeeding
  • Tongue-Tie Assessment and Treatment
  • Tools for Breastfeeding Management
  • Weaning
  • WIC Counseling Methods
  • Working and Breastfeeding
  • Yeast and Breastfeeding

Previous Conferences

About the Speaker

La Leche League Leader since 1981.  Busy private practice in Austin, Texas for 25+ years specializing in physician-referred special circumstances cases.  Author of The Breastfeeding Atlas.  Helped found The Mothers Milk Bank at Austin. Volunteer lobbyist for breastfeeding rights in the Texas Legislature for 20 years.  International lecturer with a focus on lactation assessment and management of vulnerable dyads.  Widely published in peer-reviewed journals.

Official Bio for Brochure

Barbara Wilson-Clay has been involved in virtually every phase of lactation consultation since she first began working with breastfeeding families as a LLL Leader in 1982. She has set standards for the profession by serving on the IBLCE board of directors, and on numerous other local, state, and national coalitions.  She has helped found a human milk bank in her home city of Austin, serving on its board for 11 years, retiring as Board Vice President.  A dedicated "lactivist," Barbara has served as a volunteer lobbyist in the Texas legislature  since the early 1990s, helping to pass legislation in 1995 protecting women's right to breastfeed .  She founded her busy private practice, Austin Lactation Associates in 1987, specializing in physician-referred special circumstances cases.  Barbara is, with Kay Hoover, author of the text book, The Breastfeeding Atlas, which is used internationally to train health workers in evidence-based lactation management.  As a clinical photographer, Barbara's photos and videos enhance her lectures and increase the instructional potential of her talks.  Barbara serves on the editorial review boards of several journals, and is the author of many peer-reviewed articles and commentaries.

Bio for Introduction

Barbara Wilson-Clay has been in private practice in Austin, Texas since 1987 specializing in difficult breastfeeding cases. Barbara helped found the Texas Chapter of Healthy Mothers/Healthy Babies, and is a member of the Texas Breastfeeding Coalition.  She is a co-founder and served as Vice President of the Board of Directors of the non-profit Mothers Milk Bank at Austin from 2007-2010.  She has been a volunteer lobbyist in the Texas legislature during each legislative session since 1993, working to pass legislation promoting breastfeeding.  Her corporate consulting clients include Motorola, IBM, and Apple Computer. 

Barbara’s research and commentaries have appeared in The Journal of Human Lactation, Current Issues in Clinical Lactation, Birth Issues, Breastfeeding Abstracts, The International Breastfeeding Journal, the ICEA Journal, and Archives of Disease in Childhood. She serves on the editorial review boards of several professional journals.  She served as the ICLA representative to the International Board of Lactation Consultant Examiners (IBLCE) where she sat on the Ethics and the Exam committees. She has been a La Leche League Leader since 1981.

A clinical photographer as well as an LC and lecturer, Barbara is (with Kay Hoover) the author of the text, The Breastfeeding Atlas. Barbara also co-developed a series of multi-lingual English, Spanish & French) patient education handouts including The Diaper Diary, and Pumping for Preterm Babies.


This speaker is pleased to provide presentations on the following topics to professional and parenting conferences. Presentations on other topics may be available upon request and subject to sufficient development lead-time. (For CERP topics, required paperwork will be provided promptly to meet CERP deadlines.)

Nipple Shields: A review

60 minutes

This lecture provides a comprehensive review of the types, designs, features, risks, and benefits of nipple shields.  Photos and video demonstrate how to clean, apply, and wean from nipple shields, providing a practical course in using this lactation tool.

A  review of the evidence-basis for this device is provided in the context of the ethics of tool selection.  The educational concept of  "return demonstration" is emphasized.

Breastfeeding Management of the Small for Gestational Age Baby

60 - 90 minutes

The infant born small for gestational age faces feeding challenges; some of them unique and different than the preterm or near-term infant.  A review of the literature explores the evidence-basis for caring for such infants while protecting exclusive breastfeeding to protect optimal growth and health outcomes.  A case study of an SGA infant is provided, including videos, photos, and long-term follow-up.

Most lactation consultants are unaware of the special needs and concerns of the SGA infant.  This comprehensive review of the issues emphasises the criticality of exclusive human milk feeds in this population of infants.

Case Studies in Breastfeeding

60 - 90 minutes

4 breastfeeding case studies describe assessment and management of cases where breastfeeding was in jeopardy.  Both high tech and low tech solutions for cases are reviewed.

Telling stories is a proven method of teaching.  Each case reviewed presents different challenges.  The fourth case describes case management of preterm twins in Guinea, Africa, using only low tech methods.  This is important given the wide footprints of some natural disasters and conflict/refugee situations where all health workers should possess emergency management of lactation skills in order to protect newborns and young infants.

How Language Affects Breastfeeding Outcomes

60 minutes

How we say things is as important, sometimes, as what we say.  The concepts of placebo and nocebo effect are explored in this talk that provides new insights in counseling the nursing mother.

Health workers are often unaware of the effect their language has on patients and on patient outcome.  This is especially true when mothers are in the vulnerable situation of having just given birth.   Creating rapport, avoiding the planting of negative suggestion, and sharing information in a supportive manner are reviewed.  Case studies compliment the concepts.

Practice Ethics: Can we talk about milk sharing?

60 - 75 minutes

A brief history of wet nursing helps set the context for this discussion of issues surrounding the practice of peer-to-peer milk sharing.  Risks of casual milk sharing are reviewed, and modern donor milk banking practices are described.  Recommendations for making any milk sharing safer are provided.

Lactation consultants are health workers, and stand in a different ethical relationship to their clients/patients than do friends or acquaintances.  However, health workers are often asked about milk sharing.  This talk reviews the ethical considerations, looks at historical records of past exploitation of wet nurses, and argues for caution with regards the enthusiasm on social media sites for peer-to-peer milk sharing.

Who Needs the Most Breastfeeding Help?

60 minutes

The concept of patient acuity helps match the condition of a patient with the amount of care needed to treat them. This permits more efficient staffing, improves patient outcomes, and contributes to patient safety.  " Lactation acuity" groups breastfeeding dyads into 3 categories, and outlines the type of care each  may require.  This lecture reviews an essential, evidence-based concept for improving patient care and protecting breastfeeding.

Many of those delivering lactation care are unaware of the amount of research available that predicts which patients will experience sub-optimal early breastfeeding.  These are the dyads at risk of early abandonment of exclusive breastfeeding, typically by Day 3.  This talk gives people assessment skills that buy time to identify and solve problems while protecting the milk supply.  Numerous photos illustrate the concepts presented.

Contact Info

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+1 (512) 292 7227

Curriculum Vitae

Speaking Services

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Nearest Airport: 
Austin Bergstrom
Willing To Travel To: 
Northeast - US
Mid-Atlantic - US
Southeast - US
Northern Mid-West - US
Central Mid-West - US
Southern Mid-West - US
Northwest - US
Mid-Pacific - US
Southwest - US
East Canada
Central Canada
West Canada
South America
West Europe
East Europe
United Kingdom
Middle East


Add references:

Kay Hoover, M. Ed, IBCLC, FILCA

Tom Hale, PhD