Cues S Ngayon lang ako magpapasuso. Hindi ko napasuso ang unang anak ko dahil namatay agad siya.

Walang magtuturo sakin dahil kami lang ang asawa ko ang magkasama. Hindi kasi alam ng magulang ko sa probinsya na nabuntis at nanganak na ako.

Nursing diagnosis Ineffective breastfeeding related to limited maternal experience

Planning After 2 hours of nurse-client intervention the client will be able to: 1. Mother will express understandin g of breastfeeding techniques and practice. 2. Mother and neonate will experience successful breastfeeding.

Nursing Intervention y Assess the mother s knowledge y Educate the mother in breast care and breastfeeding techniques y Remain with the mother and neonate during several feedings y Encourage the mother to ask questions y Evaluate the position of the neonate s tongue during breastfeeding

Rationale y To help direct your interventions. y To reduce anxiety and help ensure proper nutrition of the neonate y To pinpoint problem areas

Evaluation

Effectiveness: Was the client able to understand breastfeeding techniques and practice? Yes __ No__ why? __ Was the neonate able to experience successful breastfeeding? Yes __ No__ why? __ Efficiency: Were resources available to the nurse and client maximized? Yes __ No__ why? __ Appropriateness: Were nursing interventions suited the client s situation? Yes __ No__ why? __

Instruct the mother to

To increase understandin g and reduce anxiety To produce proper sucking motion, the neonate s tongue must be down during breastfeeding, with the nipple directly on top Getting an extremely

offer breast as soon as possible after the neonate awakens and not to wait until the neonate is crying vigorously Make sure the neonate is awake and alert when feeding; unwrap, as needed Instruct the mother in proper breast care techniques, such as wearing a supportive bra, using cream, washing and air-drying Instruct mother on ways to alleviate

upset neonate to breast-feed effectively is difficult

Acceptability: Were nursing interventions was accepted by the client? Yes __ No__ why? __ Adequacy: Were the nursing interventions enough to solve the client s problem? Yes __ No__ why? __

A tightly wrapped, sleepy neonate won t be alert enough to suckle sufficiently Proper breast care helps prevent nipple drying, cracking, soreness, and bleeding, which can interfere with effective breastfeeding Breast engorgement can prevent the neonate

breast engorgement

from effectively latching on to the nipple