Student Nurses Community

NURSING CARE PLAN Insufcient Breastmilk

ASSESSMENT

SUBJECTIVE:
I think I dont
produce enough
milk for my
baby, as
verbalized by the
mother
losing the
feeling of
fullness in the
breasts

DIAGNOSIS

Insufficient
breast milk
related to
inappropriate
breastfeeding
style and poor
sucking of
baby

INFERENCE

Childbirth

breastfeeding
hormone
prolactin kicks
into gear when
the placenta is
delivered

OBJECTIVES:
milk stops
leaking from
the nipples
baby has less
than 6 wet
diapers in 24
hours; with
yellowish,
undiluted
urine.

milk production
starts

poor
suckling/inapprop
riate
breastfeeding
style

PLANNING

INTERVENTIONS

After 48 hours
of nursing
interventions,

Encourage mother
to breastfeed as
soon as possible.

> Mother will

be able to
increase milk
production and
identify ways to
produce more
milk; > baby
will be able to
gain weight,
feel content
after feeding;
have normal
urine output
and bowel
movements.

Advise mother to
Breast-feed often
Advise mother to
not skip breastfeeding sessions.
Teach mother to be
alert to feeding
problems
Advise mother to
avoid alcohol and
nicotine
If the baby is
sleepy, try
switching sides
frequently,
alternating
positions, or even
undressing him to
keep him awake
and interested

RATIONALE

Waiting too long to start

breast-feeding can
contribute to a low milk
supply. Hold baby skin to
skin right after birth and
the baby will likely breastfeed within the first hour
after delivery.
For the first few weeks, the
baby must be breast-feed
at least every two to three
hours round-the-clock.
Breast-feeding less often
can contribute to a low
milk supply. Frequent
nursing sessions stimulate
the body to produce more
milk. Be sure to offer both
breasts at each feeding
If mother spends time
away from the baby, teach
mother to pump breasts to
help protect milk supply.
It's okay for the baby to

EVALUATION

After 48
hours of
nursing
interventions,
goal met.
Mother was
able to
identify ways
and increase
milk
production,
baby was
able to gain
weight
approximatel
y 18-30
grams/day;
feel content
after each
feeding; has
six or more
wet diapers
in 24 hours;
with pale,
diluted urine
and has

Student Nurses Community

Baby weight
loss
Baby bowel
movement
less than 3 in
24 hours
Little amount
of breast milk
Absence of
breast
engorgement

Promote sleep and

rest as well as a
healthy diet
less milk is
produced
Collaborative:
Check for
mothers thyroid
levels

nurse on only one breast at

a feeding but if this
happens regularly, the milk
supply will decrease. Teach
mother to pump the other
breast to relieve pressure
and protect milk supply
until the baby begins
taking more at each
feeding.
Drinking moderate to
heavy amounts of alcohol
can decrease milk
production. Smoking can
have the same effect.
A sleepy baby may need to
be awakened and
encouraged to nurse more
vigorously (thus
stimulating your glands to
produce more milk).
An exhausted underfed
mom is not an efficient
milk machine.
A low thyroid level is
known to reduce milk
supply.

three to eight
bowel
movements
in 24 hours