00104 Ineffective Breastfeeding

Domain 2: nutrition
Class 1: ingestion
Diagnostic Code: 00104
Nanda label: ineffective breastfeeding
Diagnostic focus: breastfeeding
Approved 1988 • Revised 2010, 2013, 2017 • Level of evidence 3.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective maternal breastfeed

Definite characteristics

infant or child

  • Archaeration of the infant when putting it to breast
  • Infant crying when putting it to breastfeed
  • Infant cry at the time after the shot
  • Infant concern at the time after the shot
  • Inability of the infant to take the chest correctly
  • Inadequate defecation
  • Inappropriate weight gain
  • Infant resistance to take the chest
  • Sustained weight loss
  • Lack of response to other comfort measures
  • Chest suction not maintained


  • Insufficient emptying of each breast in the shot
  • Insufficient oxytocin release signs
  • Perception of inadequate milk secretion
  • Persistent pain in the nipples after the first week

Related factors

  • Delay in Phase II of lactogenesis
  • Inadequate family support
  • Insufficient knowledge of parents about breastfeeding techniques
  • Insufficient knowledge of parents about the importance of breastfeeding
  • Insufficient breast milk production
  • Inadequate breast occasions
  • breastfeeding of breastfeeding
  • Maternal ambivalence
  • Maternal anxiety
  • Anomalies in the maternal breast
  • maternal fatigue
  • Maternal obesity
  • Maternal pain
  • Use of the pacifier
  • Supplementary food with artificial tetinas

Risk population

  • People with a history of breast surgery
  • People with a history of breastfeeding in breastfeeding
  • Mothers of premature infants
  • Premature infants
  • Women with short -term maternity leave

Associated problems

  • oropharyngeal defect

Suggestions of use

  • This diagnosis focuses on mother’s satisfaction with breastfeeding and supposes inappropriate, real or perceived milk production.

Suggested alternative diagnostics

  • INEffective feeding of the infant, pattern of (ineffective breastfeeding, risk of)
  • Breastfeeding, interruption of

NOC Results

  • Knowledge: breastfeeding: scope of knowledge about breastfeeding and nutrition of a child by breastfeeding
  • Establishment of breastfeeding: Mother: establishment by the mother of loading the baby and that properly suck the chest to nourish during the first three weeks of breastfeeding
  • Establishment of breastfeeding: Neonate: appropriate support of the baby to maternal chest and suction to nourish during the first three weeks of life
  • Breastfeeding: weaning: Progressive suspension of breastfeeding
  • Breastfeeding maintenance: continuation of breastfeeding for the nutrition of a baby or child

Evaluation objectives and criteria

  • The mother and child will present effective breastfeeding, demonstrated by knowledge: breastfeeding; Establishment of breastfeeding: mother/neonate; Maintenance of breastfeeding and breastfeeding; weaning
  • The child will demonstrate breastfeeding: neonate, revealed by the following indicators (specify from 1 to 5: inadequate, slightly, moderately, substantially or totally adequate):
    • Correct alignment and subjection
    • Support and compression of the appropriate nipple
    • Suction and placement of the correct tongue
    • Audible swallowing
    • At least eight daily shots (on demand)
    • Welfare of the child after the shot
    • Increase in adequate weight at age
  • Other examples

    The mother will be able to:

    • Maintain breastfeeding as long as you want
    • Describe that he feels progressively safer with respect to breastfeeding
    • Recognize the early hunger signals of the child
    • Express your satisfaction with breastfeeding
    • Do not present pain in the nipples
    • Recognize the signs of reduction in milk production

    NIC Interventions

    • Advice on breastfeeding: use of an interactive help process to help maintain effective breastfeeding
    • Help in breastfeeding: prepare a woman who has just been a mother to breastfeed her son
    • Breastfeeding suppression: Facilitate the interruption of milk production and minimize breast congestion after giving birth

    Nursing Activities

    In general, nursing actions in this diagnosis focus on teaching to reduce or eliminate those factors that contribute to ineffective breastfeeding. The interventions basically consist of the mother’s self -care, except the assessment and teaching.


    • Evaluate maternal knowledge and experiences regarding
    • Assess the baby’s ability to hold the chest and suck effectively
    • At the beginning of the prenatal period, assess the risk factors of ineffective breastfeeding (for example, age less than 20 years, low socioeconomic level, inverted nipples)
    • Monitor the child’s weight and his elimination pattern
    • Assess possible discomfort (for example, painful nipples, with-
    • (NIC) Advice on breastfeeding:
      • Evaluate the suction and swallowing pattern of the newborn
      • Determine the mother’s wishes and her motivation for breastfeeding
      • Assess whether the mother understands the child’s hunger signals (as search, suction and vigil state)
      • Supervise the maternal ability to accommodate the child to the nipple
      • Monitor the integrity of the skin of the nipples
      • Evaluate knowledge about the obstruction of breast ducts and mastitis
      • Supervise the ability to effectively solve breast congestion

    Patient and family education

    • Teach breastfeeding techniques to increase their ability to feed the child; Take into account relaxation techniques, comfortable postures, stimulate the search reflex, determine the child’s alert state before trying to breastfeed, scholarships, stimulate the child to continue breaking and alternating the breasts
    • Teach the mother to offer both breasts in each shot, starting every time for a different breastfeeding management)
    • Instruct the mother about sacaChes devices and techniques to maintain milk production during interruptions or delays of the baby’s suction reflex
    • Teach the mother that it is necessary to rest well and take abundant liquids
    • (NIC) Advice on breastfeeding:
      • Inform about the advantages and disadvantages of breastfeeding
      • Talk about other methods to feed the baby
      • Correct false ideas, erroneous information and inaccurate concepts about breastfeeding
      • Show the training in suction, if necessary
      • Instruct about the types of feces and urine of the baby, if necessary
      • Recommend nipples care, if necessary
      • Instruct about the manifestations of the problems that must be communicated to health professionals
      • Comment on the indications of the weaning preparation

    Collaboration activities

    • Derry to appropriate community resources, such as the League of Milk, Lactation Advisors and Public Health Services
    • Recommend that the newborn stay all the time in the mother’s room
    • Recommend the chest on demand; advise complementary bottles
    • Make the mother extract the necessary milk to relieve congestion, allowing nipples to evidence
    • Increase the number of shots on demand in the insomniac children who cry during the night
    • Increase the number of shots scheduled for children who sleep a lot and low birth weight
    • Offer food and liquids to the mother during the day and in the afternoon before the shots
    • Ensure the privacy of the mother and the baby
    • Recognize rest time behaviors in premature children
    • Program rest periods, if necessary
    • Strengthen effective behaviors
    • (NIC) Advice on breastfeeding:
      • Support the mother’s decisions
      • Encourage to continue breastfeeding when returning to work or school

    At home

    See breastfeeding, willingness to improve the

    • Observe a complete breastfeeding session in postpartum domiciliary visits
    • Teach the signs, symptoms and care of frequent problems (congestion, painful nipples, candidiasis); Recommend that you contact your header if the congestion lasts more than 48 hours or if mastitis symptoms appear (for example, chills or fever> 40 ° C [> 104 ° F])