Student Nurses Community

NURSING CARE PLAN Inefective Breasfeeding

Assessment

SUBJECTIVE:
The mother
verbalizes:
I think my breasts
do not produce
adequate supply of
milk for my baby
Persistence of
sore nipples
beyond the first
week of
breastfeeding
Insufficient
emptying of
each breast
OBJECTIVE:
observable signs
of inadequate
infant intake
(decrease in
number of wet
diapers,

Diagnosis

Inference

Ineffective
breastfeedin
g

Conditions (prematurity,
acute health conditions,
etc)

Babys ability to suck

and remove milk

ineffective milk removal

Planning

After 48 hours of
nursing intervention,
the
Mother will be able
to:
Express physical
and psychological
comfort in
breastfeeding
practice and
techniques.

poor weight gain (baby)

Show decreased
anxiety and
apprehension.

persistent sore or
bruised nipples or
areola (mother)

State at least one

resource for
breastfeeding
support.
And the infant will be
able to:
Feed successfully

Interventions

Rationale

Evaluation

Assess for
presence/absen
ce of related
factors or
conditions that
would preclude
breastfeeding.

Certain conditions (e.g.

certain maternal drugs,
maternal HIV-positive
status, infant
galactosemia) may
preclude breastfeeding,
in which case the infant
needs to be started on a
safe alternative method
of feeding

After 48 hours of
nursing
intervention,
goal met. Mother
was able to
verbalize
physical and
psychological
comfort in
breastfeeding
practice and
techniques, was
able to display
decreased
anxiety and
apprehension
and was able to
find a resource
for breastfeeding
support. Infant
was able to
manifests signs
of adequate
intake at the
breast

Assess breast
and nipple
structure.
Evaluate and
record the
mother's ability
to position, give
cues, and help
the infant latch
on.
Evaluate and
record the
infant's ability
to properly
grasp and
compress the

Normal nipple and breast

structure or early
detection and treatment
of abnormalities with
continuing support are
important for successful
breastfeeding
Correct positioning and
getting the infant to
latch on is critical for
getting breastfeeding off
to a good start and
contributes to

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inappropriate
weight loss/or
inadequate gain)
Baby arcs and
cries when at
the breast.

on both breasts
and appear
satisfied for at
least 2 hrs after
feeding.

areola with lips,

tongue, and
jaw.
Promote
comfort and
relaxation to
reduce pain and
anxiety.
Teach the
mother to
massage breast
or burp infant
and switch to
other breast
when infant's
swallowing
slows down.

breastfeeding success
The infant must have a
"competent suck" in
order to achieve
successful
breastfeeding. The jaws
must compress the milk
sinuses beneath the
areola and must be well
back on the areola with
the tongue over the
lower gum, forming a
trough around the
breast, and the lips must
be flanged and sealed
around the breast

Discourage
supplemental
bottle feedings
and encourage
exclusive,
effective
breastfeeding.

Discomfort associated
with breastfeeding can
cause some women to
discontinue
breastfeeding
prematurely. Promoting
comfort and relaxation
can lead to more
successful breastfeeding

Provide and
encourage
support by
actively helping
the mother to

The perception of
inadequate milk supply
can lead to early
weaning. Infants should
breastfeed from both

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correctly
position the
baby to attain a
good latch on
the nipple and
encouraging
her to continue
trying.
Evaluate
adequacy of
infant intake.

breasts at each feeding.

Breast massage can
enhance the flow of milk
and stimulate production
Supplemental feedings
can interfere with the
infant's desire to
breastfeed, increase the
risk of allergies, and
convey the subtle
message that the
mother's breast milk is
not adequate
Many problems that can
lead to discontinuing
breastfeeding can be
prevented by giving a
high level of practical
and emotional support to
the mother
Infant intake can be
measured by objective
criteria such as number
and quality of feedings,
infant elimination and
weight gain appropriate
for age, as well as testweights when necessary

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