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.
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.
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.
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.
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.
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.
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.
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 emphasizes the critical nature of exclusive human milk feeds in this population of infants.
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.