NANDA Ineffective Breastfeeding

NANDA Definition: Dissatisfaction or difficulty a mother, infant, or child experiences with the breastfeeding process

Defining Characteristics:

  • Unsatisfactory breastfeeding process; 
  • nonsustained suckling at the breast; 
  • resisting latching on; 
  • unresponsive to comfort measures; 
  • persistence of sore nipples beyond first week of breastfeeding; 
  • observable signs of inadequate infant intake;
  • insufficient emptying of each breast per feeding; 
  • infant inability to latch on to maternal breast correctly; 
  • infant arching and crying at the breast;
  • infant exhibiting fussiness and crying within the first hour after breastfeeding; 
  • actual or perceived inadequate milk supply; 
  • no observable signs of oxytocin release; 
  • insufficient opportunity for suckling at the breast

Related Factors:
  • Nonsupportive partner/family; 
  • previous breast surgery; 
  • infant receiving supplemental feedings with artificial nipple; 
  • prematurity; 
  • previous history of breastfeeding failure; 
  • poor infant sucking reflex; 
  • maternal breast anomaly; 
  • maternal anxiety or ambivalence; 
  • interruption in breastfeeding; 
  • infant anomaly; 
  • knowledge deficit

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Breastfeeding Establishment: Infant
  • Breastfeeding Establishment: Maternal
  • Breastfeeding Maintenance
  • Breastfeeding Weaning
  • Knowledge: Breastfeeding
Client Outcomes
  • Achieves effective breastfeeding
  • Verbalizes/demonstrates techniques to manage breastfeeding problems
  • Infant manifests signs of adequate intake at the breast
  • Mother manifests positive self-esteem in relation to the infant feeding process
  • Mother explains a safe alternative method of infant feeding if unable to continue exclusive breastfeeding
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Breastfeeding Assistance

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