Beruflich Dokumente
Kultur Dokumente
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)
Planning
After 48 hours of
nursing intervention,
the
Mother will be able
to:
Express physical
and psychological
comfort in
breastfeeding
practice and
techniques.
Show decreased
anxiety and
apprehension.
persistent sore or
bruised nipples or
areola (mother)
Interventions
Rationale
Evaluation
Assess for
presence/absen
ce of related
factors or
conditions that
would preclude
breastfeeding.
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
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.
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
correctly
position the
baby to attain a
good latch on
the nipple and
encouraging
her to continue
trying.
Evaluate
adequacy of
infant intake.