Nancy has been a reporter on breastfeeding trends for more than 30 years. Her extensive knowledge of the breastfeeding research and her one-on-one work with thousands of families give Nancy a broad perspective that makes her well-qualified to speak on most breastfeeding topics.

A regular contributor to many publications, Nancy has spoken to parents and professionals at events around the world.

If you would like a talk on a topic that is not listed below, just ask. Nancy is willing to create a talk to meet your needs. You can reach her at and at 847-404-0219.

If your event is geared to breastfeeding specialists, I will supply the paperwork needed so that you can apply to the IBLCE for CERPs for all of the sessions below.

Breast, Bottle & Childhood Obesity
60 - 90 minutes
This talk is suited for audiences of both breastfeeding specialists and covers:

  • The controversy over whether breastfeeding decreases risk of childhood obesity

  • How feeding by breast or bottle affects the amount of milk baby consumes

  • How type of milk (mother's milk or formula) affects baby's metabolism, nutrient use, and appetite

  • What parents of exclusively breastfed babies who are gaining weight rapidly need to know

This talk provides an overview of the research on the association between infant feeding during the first year and the risk of childhood obesity. Discover what we’ve learned about the effects of feeding method on milk intake and feeding dynamics (breast versus bottle), how milk composition affects body function and appetite (human milk versus infant formula), and whether what’s in the bottle makes a difference. Learn also about the other factors that may affect the risk of obesity during childhood and beyond.  

Breastfeeding and Substance Use and Abuse
60 - 75 minutes
This session is primarily for audiences of breastfeeding specialists and covers:

  • The use and abuse of legal or illegal substances during pregnancy

  • The risks of breastfeeding (and not breastfeeding) when women use recreational drugs

  • Breastfeeding and the use and abuse of alcohol, marijuana, and opioids

  • When breastfeeding should be encouraged or discouraged among addicts and substance abusers

What do we need to know about the use of legal or illegal substances by pregnant and breastfeeding families? What are the risks of breastfeeding and not breastfeeding for women who continue to use drugs such as alcohol, marijuana, opiates and opioids (morphine, heroin, methadone), and others after their baby’s birth? Under what circumstances should we encourage or discourage breastfeeding among addicts and substance abusers? Learn what the experts recommend.

Breastfeeding in the Digital Age
75 - 90 minutes

This talk is best suited to breastfeeding specialists and covers:

  • How the characteristics of millennial parents should inform our approach to providing lactation help.

  • Possible educational or helping strategies for lactation professional that involve digital technology.

  • Types of breastfeeding support unique to the digital age.

To be most effective at helping millennial families breastfeed, we need to understand their unique characteristics and how they prefer to communicate and receive information. This talk describes the many educational and helping strategies newly available to lactation supporters in our digital age, as well as new opportunities to connect and influence.  Parents today don’t just want reliable sources of lactation information and help. Many will only consider using breastfeeding resources that incorporate the platforms they are most comfortable using.

Concerns About Low Milk Production
75 - 90 minutes
This talk is best suited to breastfeeding specialists. Tailor it to your group’s needs by choosing three of the following topics:

  • How to determine when baby is getting enough milk during the hospital stay and if supplements are needed, how much to give and how to feed them

  • Why so many mothers give formula supplements and how to address this

  • Strategies for establishing healthy milk production while pumping exclusively for babies in special care

  • How employed mothers can use the Magic Number concept to keep milk production steady long term

  • The latest thinking on medications and herbs that boost milk production

This session offers a high-level discussion of milk production at different stages of breastfeeding and in different situations.  It offers a primer on assessing milk adequacy during the first week of life, the need for supplements, and when supplements are needed, feeding volumes and methods. Depending on the other talks chosen, additional topics covered may include a review of up-to-date, evidence-based strategies for optimizing milk production in mothers exclusively pumping, a guide for using the new Magic Number concept to help employed mothers maintain their milk production long term, and/or the  reasons mothers use formula supplements and some strategies for addressing this.  It also includes a brief overview of the latest thinking on herbs and medications that boost milk production.

Helping Families Who Exclusively Pump
60 - 90 minutes
This talk is best suited to breastfeeding specialists and covers:

  • The best, evidence-based strategies for establishing healthy milk production in those exclusively pumping for babies in special care

  • Specific recommendations for scheduling pumping sessions, frequency and length

  • Ways to individualize pumping plans based on breast storage capacity

  • How to be of most help to families who choose to pump and bottle-feed

We are in the midst of a pumping epidemic. Learn what the latest research tells us about how to establish healthy milk production for parents with babies in the NICU and for those who choose to pump and bottle feed. Find out how to use breast storage capacity to individualize a pumping plan and specific strategies for how to best support families in this situation. 

Applying Bioethics to Milk Banking and Milk Sharing
75 - 90 minutes
This session works with audiences of both breastfeeding specialists and parents and covers:

  • The range of milk-sharing options and their ethical considerations

  • What parents and professionals need to know about milk safety and the ethics of providing information

  • How the health risks associated with formula use affect the ethical dynamics

Includes an overview of the seven universal principles of bioethics and how they apply to milk banking and milk sharing. Milk-sharing options covered include milk banks (for-profit and nonprofit), wet nursing, online milk-sharing organizations, and online milk sellers and buyers. Note: You may apply for E CERPs for this talk, a requirement for IBCLC recertification.

A Mother's Eye View of Breastfeeding Help
60 - 75 minutes

Great for health professionals and breastfeeding specialists.

  • The keys to communicating with families in a way that increases their satisfaction with our care.

  • Insights into how our language and attitudes impact families in the short and long term.

  • How the words we choose may change a family's parenting trajectory to be more or less responsive to their baby.

Excellence in lactation care is about more than our level of clinical knowledge and skills. Our attitude and approach play a big role in how families respond to our efforts to help with breastfeeding. This talk examines recent research on how breastfeeding help is perceived by families and clarifies the short- and long-term consequences of different approaches. With a deeper understanding of the effects of our language and our assumptions, we can help increase our patient satisfaction and elevate our profession as a whole. 

The Natural Laws of Breastfeeding
75 - 120 minutes

Great for both families and breastfeeding specialists, this talk is based on the information in Nancy's book Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers (co-authored with Kathleen Kendall-Tackett) and it covers the basic dynamics from birth to weaning that make breastfeeding work:

  • How hormonal changes of childbirth affect how mothers learn and bond with their baby

  • Why touch stabilizes newborns and promotes breastfeeding

  • How to remove the mystery from milk production

  • What biology tells us about how often baby should breastfeed and at what age they should wean

Covers the entire course of breastfeeding, from birth to weaning, incorporating key paradigm shifts and innovative teaching strategies.  Includes the significance of right-brain interactions in the early postpartum, the importance of touch to health and survival, how realistic expectations can help increase breastfeeding duration, the effect of breast storage capacity on feeding patterns, and much more.

Navigating Breastfeeding Trainwrecks
75 - 90 minutes
This talk is geared to breastfeeding specialists and covers:

  • The 3 elements that constitute a breastfeeding trainwreck

  • Specific strategies breastfeeding specialists can use to increase mothers' self-confidence and breastfeeding satisfaction

  • The role of counseling skills in determining which issues to prioritize when helping a mother in a complicated situation

One of the greatest challenges of working with breastfeeding families is those extremely dire situations in which breastfeeding has gone so far south that mothers seek out our help as their last resort. What makes a helping situation a trainwreck? Were do we start when faced with multiple difficulties? What strategies can help us navigate these stressful situations more effectively and compassionately? How do we best meet the need of mothers who are at the end of their rope?

Nipple Pain and Trauma: Causes and Treatments
60 - 90 minutes
Two versions of this talk are available: one for breastfeeding specialists and one for families. They cover:

  • The most common causes of nipple pain and trauma

  • Comfort measures that can ease pain

  • Unusual causes of nipple pain and trauma

  • Current treatments and some up-and-coming options

More than 90% of new mothers experience nipple pain. This session provides an in-depth review of the causes of nipple pain and trauma.  It also reviews comfort measures mothers can use and includes a four-stage system for assessing nipple trauma and recommended, evidence-based treatments for each stage.   

Simplifying Breastfeeding: The First 36 Hours
60 - 90 minutes
Two versions of this talk are available: one for breastfeeding specialists and one for families. They cover:

  • Simple adjustments in position that make early breastfeeding easier

  • How swaddling and separation affect a newborn

  • How often a newborn should feed

  • How your birthplace can support breastfeeding in both word and deed

Learn how to make early breastfeeding easier, which postpartum practices have long-term implications, what biology tells us about normal feeding patterns, and the effects of skin-to-skin contact and separation on infant stability.

Tongue and Lip Ties: Where Are We Now? 
60 minutes
This talk for breastfeeding specialists addresses what we know and don't know about this hot topic and provides an overview of the research and answers to common questions:

  • Are we seeing more tongue and lip ties or are we just more skilled at recognizing them?

  • When should we refer families for possible release?

  • What do we know about the long-term effects of tongue and lip ties and the likelihood they will occur?

  • What assessment tools are available and which have been validated?

  • How can we best support families with feeding challenges related to tongue and lip ties?

This thought-provoking session covers what clinicians need to know when working with mothers and babies with tongue, lip ties, and other variations in infant oral anatomy, as well as our best role within the health care team..

Transitioning to the Breast
60 - 90 minutes
This talk is well suited to audiences of both breastfeeding specialists and parents and covers:

  • Whether it’s ever too late for a baby to transition to the breast

  • Basic strategies that canhelp any baby refusing the breast to make this transition

  • Special considerations and strategies for premature babies

  • How to help a baby wean off of a nipple shield

Learn how term and preterm babies can be transitioned from bottles, nipple shields, and other feeding methods to full breastfeeding using insights from recent research.  A four-part framework is provided for determining possible causes of breast refusal along with insights into how to target interventions to the cause of the feeding problem. Because babies are hardwired to breastfeed, even those who have been fed using other methods for months can be helped to accept the breast. 

The Best Start: Strategies to Reduce Early Feeding Problems
75 - 120 minutes
This video-packed talk is a great after-lunch choice and is appropriate for both health professionals and parents. It includes:

  • A review of how and why latch/attachment recommendations have changed over the past three decades

  • How to use the reflexes babies are born with for an easier breastfeeding start

  • The role of babies’ hands in finding and latching to the breast

  • Current best practices

Provides a chronological analysis of recommended approaches to latch, with a description of what we got right and which assumptions were later proven wrong.  Includes the information needed to implement a simplified breastfeeding initiation strategy designed to reduce the incidence of the 3 most common problems during the first weeks after birth. Also includes a checklist for evaluating basic breastfeeding dynamics.

Using the International Code to Create Change
60 - 90 minutes
This talk works well with audiences of both breastfeeding specialists and families. It covers:

  • Why the International Code for the Marketing of Breast-milk Substitutes was created

  • Other products whose marketing is restricted and why

  • How companies can sell their products without violating this Code

  • How some companies’ marketing practices undermine breastfeeding

Change is in the air. Learn how the International Code for the Marketing of Breast-milk Substitutes applies to companies and healthcare professionals. This talk covers a process to evaluate U.S. companies' compliance with the International Code, as well as some new developments that may help protect breastfeeding in the U.S.  Note: You may apply for E CERPs for this talk, a requirement for IBCLC recertification.

What Mothers Need to Exclusively Breastfeed
60 - 90 minutes

Well suited for audiences of parents and professionals, this talk focuses on:

  • Why exclusive breastfeeding is recommended

  • Why so many mothers who planned to exclusively breastfeed supplement with formula

  • How to boost a mother’s confidence in her ability to breastfeed

  • Which approaches have been effective in increasing rates of exclusive breastfeeding

Few barriers to exclusive breastfeeding are more challenging than mothers’ doubts in their ability to breastfeed and their unrealistic expectations of breastfeeding and baby behavior. Learn why so many mothers supplement with formula and the role of cultural beliefs in this decision. Learn also about how breastfeeding self-efficacy affects a woman’s feeding decisions and what women need to meet their breastfeeding goals.

Working & Breastfeeding Made Simple
60 - 90 minutes
This talk can be adapted for audiences of breastfeeding specialists or families. It covers:

  • How length of maternity leave affects the challenge of working & breastfeeding

  • How to calculate baby’s milk needs during the workday

  • Why a baby may take more milk than mother pumps and what to do about it

  • How to use the Magic Number concept to keep milk supply stable long term

Learn how to structure daily routines, calculate a baby's milk needs, and troubleshoot milk production issues using the new Magic Number concept so that mothers can more easily meet their long-term breastfeeding goals.