00216 Insufficient Breast Milk Production

Domain 2: nutrition
Class 1: ingestion
Diagnostic Code: 00216
Nanda label: insufficient breast milk production
Diagnostic focus: breast milk production
Approved 2010 • Revised 2017 • Evidence level 3.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « insufficient breast milk production is defined as: inadequate production of breast milk to maintain the nutritional status of an infant or a child.

Definite characteristics

  • Absence of milk production with nipple stimulation
  • Extract a volume of milk lower than the infant prescribed
  • Delay in breast milk production
  • Infant constipation
  • The infant frequently cries
  • The infant frequently seeks breast breast
  • The infant rejects breast breast
  • The infant urges small amounts of concentrated urine
  • The infant shows a weight gain <500 g in a month
  • Prolonged breastfeeding time
  • Chest suction not maintained

Related factors

  • Hook to the ineffective chest
  • Ineffective suction reflection
  • Rejection of breastfeeding by infant
  • Volume of insufficient maternal liquids
  • Inadequate breast occasions
  • Insufficient chest suction time
  • Maternal alcohol consumption
  • maternal malnutrition
  • Maternal smoking
  • Maternal therapeutic regime

Risk population

  • Women who get pregnant while breastfeeding

Suggestions of use

insufficient breast milk is a factor related to the diagnosis of ineffective breastfeeding. If any of its other related factors is present, the diagnosis of ineffective breastfeeding or risk of ineffective breastfeeding would be more useful. Insufficient breast milk should be used only if one or more of the mother’s defining characteristics occur (for example, milk does not leave when the mother’s nipple is pressed). The factors of the “infant” could be presented, but these would be indicators of both ineffective breastfeeding and insufficient breast milk.

Suggested alternative diagnostics

  • Breastfeeding, ineffective
  • INEffective maternal breastfeeding, risk of (no nanda-i)

NOC Results

  • Noc results have not yet been associated with this diagnosis, although the following could be useful:
  • 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
  • Breastfeeding maintenance: continuation of breastfeeding and establishment of the baby’s weaning/child

Evaluation objectives and criteria

  • It has an adequate amount of breast milk, as stated by breastfeeding: mother and breastfeeding maintenance.
  • Demonstrates breastfeeding: mother, as the following indicators express (specify from 1 to 5: inadequate, slightly, moderately, substantially or totally adequate):
    • Chest full of milk before breastfeeding
    • Liquid intake by the mother
    • Milk extraction with Sacaleche
    • Use of family support
  • Demonstrates breastfeeding, as the following indicators express (specify from 1 to 5: inadequate, slightly, moderately, substantially or totally adequate):
    • Growth and/or normal infant development
    • Identification of the signals of the decrease in milk production
    • Avoidance of self -medication without consulting the doctor
    • Knowledge of sources of support
  • Other examples

    • The mother expresses feeling satisfied with the breastfeeding process
    • The baby feeds 5 to 10 minutes in each chest
    • The frequency and amount of baby urine are suitable for your age
    • The infant is satisfied after feeding

    NIC Interventions

    • NIC interventions have not yet been formally associated with this new diagnosis, although the following could be useful:
    • Breastfeeding advice: use of an interactive help process to help the realization of correct breastfeeding
    • Help in breastfeeding: preparation of the new mother to breastfeed her baby

    Nursing Activities

    • In general, nursing actions for this diagnosis are concentrated in identifying the factors that contribute to insufficient milk production and teaching measures to increase its production.

    Valuations

    • Evaluate the patient’s knowledge about breastfeeding and breastfeeding
    • Evaluate previous breastfeeding experiences
    • Value the baby to detect suction or swallow problems

    Patient and family education

    • Explain the importance of feeding the baby frequently, 5 to 10 minutes in each chest
    • Explain the importance of suction so that milk occurs, as well as the need to completely empty each chest
    • Demonstrate ways to wake up the baby if you fall asleep while breastfeeding
    • If the baby does not suck for at least 5 minutes, teach to remove the milk from the chest to stimulate and empty it
    • Teach how to help the baby caught on the nipple
    • Explain that good rest is required to support milk production

    Collaboration activities

    • refer to a breastfeeding specialist (for example, if the baby has suction and breastfeeding problems, or if the mother lacks trust)
    • Refer to the League of Milk if necessary

    Others

    • Provide positive feedback and reinforcement
    • Be available to answer the mother’s questions
    • Encourage the mother to express her doubts and emotions