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 nancymohrbacher@gmail.com and at 847-404-0219.

 

Assessing Breast Pain
60 - 75 minutes
Qualifies for L CERPs for IBCLCs

This interactive session can be tailored to larger audiences of breastfeeding specialists or for small groups of 30 or fewer and covers:

  • Likely and unlikely causes of breast pain, including shooting pains between feedings
  • Effective treatments for each
  • The controversy over the existence of ductal candidiasis

Provides strategies for assessing likely and unlikely causes of breast pain and an overview of effective treatments.  It also answers the question: Can shooting or burning pain between feedings be caused by ductal candidiasis, and if not, what other possible causes should we consider?

Breast, Bottle & Childhood Obesity
60 - 90 minutes
Qualifies for L CERPs for IBCLCs

This talk is suited for audiences of both breastfeeding specialists and families 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 and appetite
  • Other factors that affect the risk of childhood obesity

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 & Substance Abuse
60 minutes
Qualifies for L CERPs for IBCLCs

This session is primarily for audiences of breastfeeding specialists and covers:

  • The 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

During the past month, nearly 6% of pregnant women have abused legal or illegal substances. 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? Hear what the experts recommend.

Concerns About Low Milk Production
75 - 90 minutes
Qualifies for L CERPs for IBCLCs

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 first week of life 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 Mothers Who Exclusively Pump
60 - 90 minutes
Qualifies for L CERPs for IBCLCs

This talk is best suited to breastfeeding specialists and covers:

  • The best, evidence-based strategies for establishing healthy milk production in mothers 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 mothers 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 mothers 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 mothers in this situation. 

Illnesses and Chronic Conditions in the Breastfeeding Baby
60 minutes
Qualifies for L CERPs for IBCLCs

This talk is best suited to breastfeeding specialists and covers:

  • Coping strategies when breastfed babies have a cold, ear infection, or a GI bug
  • Lifestyle changes that can improve quality of life for babies with reflux disease
  • Breastfeeding strategies for a wide range of chronic conditions
  • Specific approaches to partial breastfeeding for babies with PKU and some types of galactosemia

A summary of how infant illnesses and chronic health problems can affect breastfeeding and interventions that can help mothers meet their breastfeeding goals. Illnesses covered include respiratory illnesses, diarrhea, vomiting, and gastroesophageal reflux disease (GERD). Chronic conditions covered include cardiac issues, cleft lip and palate, Down syndrome, PKU, and galactosemia.

Milk Sharing: From Milk Banks to Craigslist
75 - 90 minutes
Qualifies for E CERPs for IBCLCs

This session works with audiences of both breastfeeding specialists and parents and covers:

  • The range of milk-sharing options
  • What parents and professionals need to know about milk safety
  • How the health risks associated with formula use affect this dynamic
  • Ethical and practical considerations

Many mothers today seek human milk from other mothers, sometimes in unorthodox ways. As the demand for human milk grows, the realities of some types of milk-sharing have breastfeeding supporters scrambling. This talk examines the range of milk-sharing options and the ethical and practical considerations for parents and breastfeeding supporters. Options covered include milk banks (for-profit and nonprofit), wet nursing, milk-sharing organizations (such as Eats on Feets and Human Milk 4 Human Babies), and the Wild West of milk sharing, online milk sellers and buyers.

The Natural Laws of Breastfeeding
75 - 120 minutes
Qualifies for L CERPs for IBCLCs

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.

Nipple Pain and Trauma: Causes and Treatments
60 - 90 minutes
Qualifies for L CERPs for IBCLCs

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
Qualifies for L CERPs for IBCLCs

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 Ties and Lip Ties: Where Are We Now? 
60 minutes
Qualifies for L CERPs for IBCLCs

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 and lip ties, as well as our best role within the health care team..

Transitioning to the Breast
60 - 90 minutes
Qualifies for L CERPs for IBCLCs

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. 

 

Understanding Breastfeeding Behaviors
60 - 120 minutes
Qualifies for L CERPs for IBCLCs

This video-packed talk is a great after-lunch choice and is appropriate for both breastfeeding specialists and parents. It includes:

  • A review of how and why latch/attachment recommendations have changed over the past three decades
  • How hands-on and hands-off help affect breastfeeding outcomes
  • 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 summary 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
Qualifies for E CERPs for IBCLCs

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: This talk qualifies for E CERPs, a requirement for IBCLC recertification.

What Mothers Need to Exclusively Breastfeed
60 - 75 minutes
Qualifies for L CERPs for IBCLCs

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
Qualifies for L CERPs for IBCLCs

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.