Client’s initials: DZType of Delivery: Vaginal with inducementSubjective: Mother states that she does not feel comfortable breastfeeding alone and would like to see alactation consultant.Objective:Mother: ineffective positioning of infant during breastfeedings, help needed to breastfeed, little colostrumproduction at this point after vaginal delivery, Celiac disease, anemiainfant: disinterested in feeding, blood glucose of 49 mg/dLNursing diagnosis:Ineffective breastfeeding related to inadequate milk supply and poor latching as evidenced by mother’sdifficulty positioning infant and sleepy infantExpected outcomes:Mother will be able to demonstrate techniques to manage breastfeeding problems by next feeding.Infant’s blood glucose level will increase with next feeding.Interventions and rationales:1.Remain with mother during feedingsto monitor effectiveness of current breastfeeding efforts(Leifer,2012, p. 204-215).2.Provide information about early infant feeding cues, e.g. rooting, lip smacking, sucking fingers,versus late cue of cryingso the mother can feed the infant before he/she becomes restless or agitated(Leifer, 2012, p. 204-215).
