INEFFECTIVE BREASTFEEDING

A Nursing Care Plan Presented to the Nursing Department

of San Pedro College

In Partial Fulfillment of the Requirements in NCM-209 RLE

OB-GYNE NURSING ROTATION

Submitted to:
MRS. JACKIELYN LUCERO, RN
Clinical Instructor

Submitted by:
XYRELCREIZ JULLIAN E. PLOYA, ST.N
BSN-2Q

February 16, 2023

Name: Baby S. Age: 5 days old Ward: San Lorenzo Ward Room/Bed#: 216
Attending Physician: Dr. Yu Sex: Female Diagnosis: N/A Chief Complaint: Poor Sucking Reflex

DATE/ CUES NEED NURSING DIAGNOSIS PATIENT NURSING IMPLEME

TIME OUTCOME INTERVENTIONS NTATION EVALUATION

F Subjective: N Ineffective breastfeeding Within 6 hours • Monitor the infant’s 1 FEBRUARY 16,
E “maglisod man U related to poor sucking span of care: vital signs, every 4 2023 @ 1:00pm
B akong anak mag T reflex as evidenced by hours.
R latch sa akong R inability to latch on 1. The patient “GOAL
U breast, then pag I maternal breast will achieve Rationale: PARTIALLY
A mag dede na T properly. efficiency in Establish baseline data MET”
R siya, mudili I breastfeeding. and identify the patient’s
Y napud.” O 2. The infant will current health status. After 6 hours of
As verbalized by N Rationale: manifest holistic nursing
1 the mother A A newborn frequently adequacy of • Assess the mother’s 2 care:
6 L struggles in the first few breastmilk knowledge for
days of life to latch on or intake. breastfeeding. 1. The patient
2 Objective: - continue sucking at the 3. The mother somehow
0 • VS breast. Term babies will exhibit Rationale: achieved
2 - BT: 36.7 C M exhibit the root, suck, techniques to To determine certain efficiency in
3 - RR: 52 E swallow, and gag areas that needs further breastfeeding.
@ - CR: 123 T responses upon birth, improve health teaching for 2. The infant has
bpm A enabling them to begin breastfeeding establishing a tailored improved in
8 • APGAR B feeding right 4. The Mother approach for some way in
: score: 8-9 O away. They are able to will explain a breastfeeding her infant. the adequacy
3 • BALLARD L coordinate suck- safe of breastmilk
0 score: 39 I swallow-breathe during alternative intake.
A weeks C breastfeeding or bottle- method of • Perform physical 3 3. The mother
M • Inability to feeding, but they are infant feeding assessment in the has
coordinate P dependent on if unable to breast and nipple established
sucking, A caregivers for continue structure. techniques for
swallowing, T positioning. The three exclusive feeding their
and T components of breastfeeding. Rationale: infant.
breathing. E breastfeeding technique Normal nipple and 4. The Mother
• Sunken R are placement, breast structure or early explained
fontanelle N attachment, and detection and treatment some
and eyeballs sucking. The method of of abnormalities with alternative
noted holding the baby in continuing support are techniques for
relation to the mother's important for successful infant
body is referred to as breastfeeding. breastfeeding
positioning. Sucking
refers to the act of
pulling milk from the
nipple into the mouth, • Determine and 4 “medyo kabalo
and attachment assess the infant’s nako gamay
determines if the causative/ unsaon nako pag
newborn has adequate contributing factors in uyon-uyon sa
areola and breast tissue relation to akong anak og I
in the mouth. Improper breastfeeding . apply ang katong
placement, attachment, Rationale: gitudlo nimo sir
and sucking are the Determine sucking para maka inom
building blocks of problems, how they latch siya sa akong
ineffective breastfeeding into the mother’s nipple, gatas”
technique (IBT), which and check if they are
results in insufficient content after the
breast milk intake, which timespan of feeding.
impairs immunity, stunts
growth, and causes poor
weight gain. • Evaluate and record 5 XYRELCREIZ
the mother's ability to JULLIAN E.
position, give cues, PLOYA, ST.N
and help the infant
latch on.
 Rationale:
Bibliography: Correct positioning and
getting the infant to latch
Yilak, G., Gebretsadik,
on is critical for getting
W., Tadesse, H.,
breastfeeding off to a
Debalkie, M., Bante, A.
good start and
(2020). Prevalence Of
contributes to
Ineffective
breastfeeding success
Breastfeeding
Technique And
Associated Factors
• Evaluate and record 6
Among Lactating
the infant's suckling
Mothers Attending
and swallowing
Public Health Facilities
pattern at the breast,
Of South Ari District,
as well as the
Southern Ethiopia.
adequacy of intake.
Retrieved from
https://www.ncbi.nlm.ni
Rationale:
h.gov/pmc/articles/PM
When the infant sucks
C7012449/
adequately, there is
muscular movement
visible above the ears.
When breast milk is
actively flowing, infants
suck at a rate of once per
second, and swallowing
increases as milk supply
increases

• Evaluate and record 7

infant's state at the
time of feeding.

Rationale:
Infants breastfeed best
when in the quiet-alert
state. Difficulties arise
when trying to
breastfeed a sleepy
infant or a ravenously
hungry and crying infant
• Assist mother to 8
develop skills of
adequate
breastfeeding.

Rationale:
Provide emotional
support. Give clear
instruction with each
feeding. Discuss with the
mother from time to time
about their opinions to
breastfeeding their child,
and coordinate with her
by providing health
teachings and
techniques to be used
for better infant feeding
outcomes
• Teach the parents 9
the importance of
proper positioning
while breastfeeding.

Rationale:
For it is always
dependent on the
positioning, as well as
the attachment and
placement of the baby.

• Condition the infant

for breastfeeding. 10

Rationale:
Encourage skin-to-skin
contact, introduce small
amounts of milk into their
mouth, and allow the
mother to pump breast
after feeding to enhance
milk production.

• Explain to the
parents the 11
importance of proper
nutrition among
infants by following
the prescribed
feeding pattern.

Rationale:
To increase the parents'
understanding on the
nutritional needs of their
infant and promote strict
compliance to the
correct feeding patterns
 References

Borowitz, K. and Borowitz, S. (2018). Feeding Problems in Infants and Children. Assessment and Etiology. Retrieved from https://oslo-
universitetssykehus.no/seksjon/nasjonal-kompetansetjeneste-for-habilitering-av-barn-med-spise-og-
erneringsvansker/Documents/Borowitz.pdf

Herdman, H. T (2021). NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 12th Edition. Thieme

Belleza, M. (2021). Breastfeeding 101. Retrieved from https://nurseslabs.com/breastfeeding-101/