00104 Ineffective breastfeeding

00104 Ineffective breastfeeding

Definition of the NANDA label

State in which the mother or the infant presents dissatisfaction or difficulties in the breastfeeding process.

Difficulty feeding milk from the breasts, which may compromise nutritional status of the infant/child.

Defining characteristics

• Dissatisfaction with breastfeeding for the mother and / or the infant.
• Inadequate milk secretion, real or perceived as such.
• Inability of the infant to latch onto the mother’s breast properly.
• Lack of signs of oxytocin release.
• Visible signs of inadequate intake by the infant.
• Interruptions during the feeding; discontinuous breast sucking.
• Insufficient emptying of each breast per feeding.
• Persistence of ulcers on the nipple after the first week of breastfeeding.
• Maternal reluctance to breastfeed the infant for the necessary time.
• The infant shows signs of agitation and crying within an hour after feeding and does not respond to other measures of comfort.
• The infant does not want to latch onto the breast, does not hold the nipple in his mouth, cries and his body arches.

Related factors

• Prematurity.
• Infant abnormalities.
• Weakness of the infant’s sucking reflex.
• Maternal breast abnormalities.
• Previous breast surgery.
• The infant receives supplemental bottle feeding.
• Lack of support from the parent or family.
• Lack of knowledge.
• Interruption of the breastfeeding process.
• Maternal anxiety or ambivalence.
• History of breastfeeding or ineffective breastfeeding.

At risk population

– Prematurity
– Previous breast surgery
– Previous history of breastfeeding failure – Short maternity leave

Associated condition

– Oropharyngeal defect


• Establishment of breastfeeding: infant.
• Knowledge: breastfeeding.
• Breastfeeding: weaning.
• Maintenance of breastfeeding.


• Advice on breastfeeding.
• Help with breastfeeding.
• Newborn monitoring.
• Promotion of family involvement.
• Support in decision making.
• Parental education of the child.