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Nursing Care Plan Ineffective Breastfeeding

ei 0007 300x283 Nursing Care Plan Ineffective BreastfeedingNursing Care Plan Ineffective Breastfeeding Definition:Dissatisfaction or difficulty a mother, infant, or child experiences with the breastfeeding process, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Ineffective Breastfeeding

Defining Characteristics

  • 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

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

Assessment Focus

  • Communication
  • Roles and relationships
  • Values and beliefs

Expected Outcomes 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

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

Interventions And Rationales

Determine: 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.Perform: 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.Inform: 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.Attend: 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.Manage: 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

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


Lewallen, I. P., et al. (2006, August). Toward a clinically useful method of predicting early breastfeeding attrition. Applied Nursing Research, 19(3),144–148.