00106 Provision To Improve Breastfeeding

Domain 2: nutrition
Class 1: ingestion
Diagnostic Code: 00106
Nanda label: disposition to improve breastfeeding
Diagnostic focus: breastfeeding
Approved 1990 • Revised 2010, 2013, 2017 • Evidence level 2.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « disposition to improve breastfeeding is defined as: breastfeeding pattern to a neonate or infant, which can be reinforced.

Definite characteristics

  • Express desire to improve the ability to breastfeed with exclusive breastfeeding
  • Express desire to improve the ability to provide breast milk to meet the nutritional needs of the infant

Suggestions of use

This is a diagnosis of well -being, therefore it is not necessary to assign an etiology (related factors). It represents a clinical judgment that breastfeeding progresses satisfactorily and that there are no risk factors for ineffective breastfeeding. During the first days after the baby’s birth, nursing activity focuses on preventing or eliminating risk factors that could cause ineffective breastfeeding. During that time, it may be too soon to conclude that there are no risk problems or factors, so it is better to use the diagnosis of ineffective breastfeeding risk. For mothers who feel satisfied and skilled in breastfeeding, but who wish to improve, Carpenito-Moyet (2010) recommends using the diagnosis, not used by Nanda-I, potential to improve breastfeeding instead of effective breastfeeding.

Suggested alternative diagnostics

  • INEffective maternal breastfeeding, risk of (potential to improve breastfeeding)

NOC Results

  • Establishment of breastfeeding: Mother: Maternal establishment of an appropriate maternal breast grip and suction by the baby, for nutrition, during the first three weeks of breastfeeding
  • Establishment of breastfeeding: Neonate: Establishment of the union and suction of the mother’s chest by the baby for food during the first three weeks of breastfeeding
  • Breastfeeding: weaning: gradual suspension of breastfeeding of a baby/child
  • Breastfeeding maintenance: continuation of breastfeeding for the feeding of a baby/child

Evaluation objectives and criteria

  • See ineffective breastfeeding
  • Other examples

    • The mother and the baby will establish and maintain breastfeeding during the desired time
    • The baby will be able to demonstrate:
      • Alignment and right areolar grip
      • Adequate tongue lace and placement technique
      • Audible suction and swallowing
    • The mother will be able to:
      • Distinguish the signs that the child is hungry
      • Express satisfaction with breastfeeding
      • Do not present excessive sensitivity in the nipples
      • Express that you know the signs of a lower milk contribution
      • Explain how to collect and store milk

    NIC Interventions

    • Advice on breastfeeding: use of an interactive help process to help maintain effective breastfeeding
    • Help in breastfeeding: prepare the new mother to breastfeed her baby
    • Breastfeeding suppression: Facilitate the interruption of milk production and minimize breast congestion after giving birth

    Nursing Activities

    • Assessment
    • Observe if the breastfeeding technique is correct
    • (NIC) Help in breastfeeding:
      • Monitor the suction capacity of the newborn
      • Supervise if the newborn introduces the nipple correctly (that is, grip ability)
      • Monitor the integrity of the skin of the nipples
      • Observe the drop -down reflection

    Patient and family education

    • Talk about breastfeeding schedule, usually “on demand”, every 1.5 to 3 hours
    • Teach the mother the usual breastfeeding norms (for example, more frequency of shots during the first weeks of life, baby elimination patterns, uterine contractions during breastfeeding)
    • Provide an early guide on possible problems, such as maternal fatigue, breast congestion, cracks and nipples pain, multiple births
    • Talk about ways to favor milk production:
      • Drink many liquids
      • Rest properly (for example, between shots)
      • Quiet frequently
      • Start each take with the chest contrary to the last one used
      • Offer both breasts in each shot
    • (NIC) Help in breastfeeding:
      • Help parents identify the excitation signals emitted by the baby as opportunities to practice breastfeeding
      • Encourage the mother to allow the baby to be to the chest for as long as he wishes
      • Inform the mother about the Sacaleches, if necessary, to maintain breastfeeding
      • Recommend that the mother use a lactation, comfortable and protective, cotton
      • Provide printed material to reinforce home instructions

    Collaboration activities

    • Derry to adequate community resources, such as the League of Milk, other mothers in the same situation or breastfeeding advisors

    Others

    • Give the opportunity to start breastfeeding one or two hours after childbirth
    • Promote mother’s trust by providing positive feedback

    At home

    Valuations

    • Evaluate the breastfeeding technique within five to seven days after birth
    • Confirm the baby elimination pattern
    • Explore maternal plans regarding breastfeeding, for example, duration, return to work, introduction of solid foods, weaken; provide guides in advance

    Patient and family education

    • Comment to the mother that it is necessary to consult the doctor before taking a medication while breastfeeding lasts
    • Provide instructions regarding breast congestion, painful nipples or cracks, manual extraction, baby hunger gusts, enriched foods

    Collaboration activities

    • Encourage the mother to join or request available care resources (for example, family, public health nursing, pediatrician, milk league, breastfeeding groups)

    Others

    • Comment on the influence of breastfeeding in family dynamics
    • Comment on the importance of setting priorities and delegating food preparation, increasing mother’s breaks and minimizing housework
    • Promote mother’s trust with encouraging words, praise and reinforcement