00105 Breastfeeding Interruption

Domain 2: nutrition
Class 1: ingestion
Diagnostic Code: 00105
Nanda label: breastfeeding of breastfeeding
Diagnostic focus: breastfeeding
Approved 1992 • Revised 2013, 2017 • Evidence level 2.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « breastfeeding of breastfeed infant.

Definite characteristics

  • Non -exclusive breastfeeding

Related factors

  • Abrupt weaning of the infant
  • Mother-Lactant Separation

Risk population

  • Labor mothers
  • Hospitalized children
  • Hospitalized infants
  • Premature infants

Associated problems

  • Contraindications for breastfeeding
  • Infant condition
  • Mother’s condition

Suggestions of use

As this diagnosis represents a situation rather than an answer, nursing staff cannot do much to correct the interruption (such as the mother’s need to work). Therefore, this diagnosis could be better as an etiology (for example, risk of ineffective breastfeeding related to breastfeeding secondary to the mother’s work). See also the suggestions for the use of ineffective breastfeeding.

Suggested alternative diagnostics

  • INEFICA INFICENT FOOD, PATTERN OF
  • Breastfeeding, ineffective (ineffective breastfeeding, risk of)

NOC Results

  • ATTENGE PARENTS-SON
  • Knowledge: breastfeeding: scope of knowledge about breastfeeding and nutrition of a child by breastfeeding
  • Breastfeeding: weaning: Progressive suspension of breastfeeding
  • Breastfeeding maintenance: continuation of breastfeeding from the establishment of weaning for the nutrition of a baby or child

Evaluation objectives and criteria

Examples with the use of noc> terms

  • The mother and baby will not present breastfeeding, revealed by sufficient knowledge, breastfeeding and breastfeeding maintenance, as well as an attachment parents/infant demonstrated consistently.
  • The mother and the baby will demonstrate breastfeeding maintenance, which is manifested by the following indicators (specify from 1 to 5: nothing, slightly, moderately, substantially or totally adequate):
    • Normal growth and development of the child
    • Recognition of signals of decreased milk production
    • Support perception to continue breastfeeding when returning to work or school
    • Mother’s ability to collect and store breast milk in safety conditions, if you wish
    • Capacity of the child’s caregiver to defrost, heat and safely manage the stored breast milk

Other examples

  • The mother and child will maintain effective breastfeeding as long as they want

The mother will be able to:

  • Choose and put into practice your preferred technique for milk extraction
  • Describe safe techniques to store the extracted milk
  • Maintain breastfeeding

The baby will be able to:

  • Receive breast milk unless it is contraindicated (for example, by the administration of certain drugs to the mother)
  • Increase weight: ____________ g/day or ____________ g/week

NIC Interventions

  • Busk feed: Preparation and administration of the baby by means of a bottle
  • Advice on breastfeeding: use of an interactive aid process as support to maintain effective breastfeeding
  • Attachment promotion: Facilitate the development of the parents/infant relationship
  • Anticipatory Guide: Patient preparation for a planned development and/or situational crisis
  • Management of the environment: attachment process: manipulate the patient’s environment to facilitate the development of the parents/infant relationship

Nursing Activities

  • In general, nursing actions for this diagnosis focus on motivating and supporting the continuity of breastfeeding or teaching to facilitate the passage to bottle feeding.

Valuations

  • Evaluate the family’s ability to support the breastfeeding plan and face lifestyle changes
  • Assess the mother’s desire and motivation to continue breastfeeding
  • Confirm the mother’s preparation to resume breastfeeding after an interruption (for example, baby stability outside the incubator, suction coordination, swallowing and breathing of the baby, desire of the mother to try)
  • When the etiology is a baby disease or a premature birth, consider a breastfeeding table to facilitate the assessment: record the child’s state, the need for oxygen, the position, the time in the chest, the total time of Breastfeeding, the daily weight, the excretion pattern
  • (NIC) Book -up feed:
    • Determine the origin of the water used to dilute the concentrated or powder formula
    • Determine the fluorine content of the water used to dilute the concentrated or powder formula, and refer to the query to obtain fluoride supplements, if indicated
    • Monitor the baby’s weight, if appropriate

Patient and family education

  • Help a mother who works to maintain breastfeeding by teaching her the following:
    • Inform about breastfeeding and extraction (with manual or electrical outlets), collection and storage of breast milk
    • Teach and demonstrate the functioning of several sunset, offering information about the costs, efficacy and availability of each
    • Instruct the child’s caregiver regarding the storage and defrosting of breast milk, as well as not to give the bottle during the two hours before the mother’s arrival home
    • Provide information to increase the volume of milk, such as appropriate rest, regular milk extraction and increased maternal fluid intake, especially towards the end of the work week
  • If it is necessary to feed with bottles, teach parents to prepare, store, heat and manage artificial milk
  • (NIC) Booklet feeding: warn parents of the risk of using the microwave to heat the milk
  • If weaning is necessary, inform the mother about the return of ovulation and appropriate contraceptive measures

Others

  • Help the mother set realistic objectives
  • Encourage to continue feeding the maternal breast when returning to work or school
  • Help the mother and the premature baby in the transition to the chest:
    • Promote direct skin contact with skin between mother and child, using a blanket to cover the child and keep the body temperature
    • Help the child open the mouth more
    • Place the baby so that with one hand he holds his head, and with the other hand he can handle the chest; The ear, the child’s shoulder and hips must be aligned so that the mother’s nipples do not hurt
    • Ensure privacy
  • Help the working mother to continue with effective breastfeeding:
    • A few days before returning to work, presenting the bottle to the baby in different situations: someone other than the mother has the bottle, the mother is not present, the baby is hungry, in a different place to the usual one of the maternal shots
    • Plan a schedule for the extraction and storage of milk at work
    • Establish a support network to ensure that the mother receives help for daily breastfeeding and breastfeeding problems when they occur
    • Provide anticipatory guides for possible problems (for example, congestion, pain, milk drip, decreased milk production, feelings of disappointment and anger, depression, guilt, discomfort)
    • Allow the baby, once the nipple is inside his mouth, feed until they stop the suction and swallow; Change the baby to the other chest and repeat until stop sucking or swallowing, then change it again. The time to the chest will be greater than with the bottle, but not to the point of exhausting the baby
  • If it is necessary to make a sudden weaning, help the mother to:
    • Introduce bottle feeding
    • Treat breast discomfort (like ice in the axillary region; compressive bandage of breasts; well -adjusted and protective bra, avoid breast stimulation)
    • Express your feelings about the abrupt change of plans

At home

  • Breastfeeding, disposition to improve the