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Nursing Diagnosis for Ineffective BreastfeedingNursing Diagnosis for Ineffective Breastfeeding; Definition of Ineffective Breastfeeding; Defining Characteristics of Ineffective Breastfeeding.

Definition of Ineffective Breastfeeding

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Dissatisfaction or difficulty a mother, infant, or child experiences with the breastfeeding process.

Defining Characteristics of Ineffective Breastfeeding

  • Actual or perceived inadequate milk supply (mother)
  • Arching and crying when at the breast (infant)
  • Evidence of inadequate intake (infant)
  • Fussiness and crying within the first hour of feeding (infant)
  • Inability to latch on to nipple correctly (infant)
  • Insufficient emptying of each breast
  • Unsatisfactory breastfeeding process (mother and infant)

Related Factors of Ineffective Breastfeeding

  • Infant anomaly
  • Infant receiving supplemental feeding with artificial nipple
  • Knowledge deficit
  • Maternal ambivalence
  • Maternal anxiety
  •  Nonsupportive family
  • Nonsupportive partner

Nursing Diagnosis for Ineffective Breastfeeding | Assessment

Nursing Diagnosis for Ineffective Breastfeeding | Assessment of Ineffective Breast Feeding

Assessment Focus of Ineffective Breastfeeding

  • Communication
  • Roles and Relationships
  • Values and beliefs

Expected Outcomes of Ineffective Breastfeeding

The mother will

  • Express physical and psychological comfort in breastfeeding practice and techniques.
  • Show decreased anxiety and apprehension.
  • State at least one resource for breastfeeding support.

The infant will

  • Feed successfully on both breasts and appear satisfied for at least 2 hr after feeding.
  • Grow and thrive.

Suggested NOC Outcomes of Ineffective Breastfeeding

Breastfeeding Assistance; Emotional Support; Lactation Counseling; Nutritional Management; Parent Education; Support Group.

Nursing Diagnosis for Ineffective Breastfeeding | Nursing Interventions of Ineffective Breastfeeding

Nursing Diagnosis for Ineffective Breastfeeding | Nursing Interventions of Ineffective Breastfeeding and Rationales

Nursing Interventions of Ineffective Breastfeeding and Rationales

  • Assess factors that influence mother’s decision to breastfeed. Assessment information will be used to develop interventions.
  • Monitor condition of breasts and nipples to identify problems that might interfere with feeding to pinpoint problem areas.
  • Assess readiness of mother to breast-feed and ability of infant to feed.
  • Monitor mother’s breastfeeding technique. Improper technique, which impedes feeding, will cause the mother to experience anxiety.
  • Position mother in Fowler’s position to enhance mother’s relaxation during feeding. Place infant in proper position for optimal feeding to produce proper sucking motion.
  • Teach mother and selected caregiver the techniques for encouraging letdown, including warm shower, breast massage, physically caring for the neonate, and holding the neonate close to the breasts.
  • Teach mother techniques (e.g., lying on her side, positioning the infant correctly, holding the nipple with C position, talking to and cuddling the infant) that will help the infant latch on to the breast.
  • Instruct mother to remove infant from the breast to be burped midway during the feeding to allow for expulsion of air that is swallowed.
  • Ask frequently during hospitalization whether the mother has questions while she is attempting to breast-feed. This will give her the confidence she needs to continue when she gets home.
  • Provide mother and infant with a quiet, private, comfortable environment in which to breast-feed. Decreasing stressors will help to promote successful breastfeeding experience.
  • Encourage expression of fears and anxieties between the mother and the infant to reduce anxiety and increase the mother’s sense of control over the process.
  • Offer written information, a reading list, or a referral to a breastfeeding support group to allow for review of information after discharge.
  • Refer to home health nurse for a follow-up visit in the home.
  • Refer to a nutritionist for information on good nutrition and fluid management.

Suggested NIC Interventions of Ineffective Breastfeeding

Breastfeeding Assistance; Emotional Support; Lactation Counseling; Infant; Parent Education; Support Group

Nursing Diagnosis for Ineffective Breastfeeding; Assessment of Effective Breast Feeding; Nursing Interventions of Ineffective Breastfeeding and Rationales.

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