Teaching Plan

Breastfeeding
Bebeth Andal Prof. Valerie Taylor-Haslip Parent-Child Health Nursing SCR 270 Section 4755 LaGuardia Community College Spring I

April 20, 2010

Clients Initial: A.T. Data which supports the need for teaching: My patient is a 29 years old, Hispanic. She is a working mother and she has 9 year old son. She was G3P2. She had cesarean delivery low transverse incision. The mother has not enough knowledge about the benefits of breastfeeding, positioning and feeding technique. Nursing Diagnosis: 1. Knowledge deficit related to the benefits of breastfeeding. 2. Ineffective Breastfeeding related to position AEB patient stated I dont know what position to use on feeding my baby. Expected outcomes: After teaching session (A) Patient will express readiness for breastfeeding. (P) Patient will demonstrate proper position for breastfeeding. (C) Patient will verbalize understanding the importance or benefits of breast feeding. Teaching Plan: List whom it will teach: The patient will receive breastfeeding teaching. State your rationale for the above selection for teaching: I choose to teach the patient about breastfeeding because breast milk provides the primary source of nutrition for the newborns. It has a lot of advantages for the infant as well as the mother. What considerations/adaptations will you make to meet the learning needs of the person above? The considerations/adaptations I will make to meet the learning needs of the patient are: 1. I will let the patient participate in the teaching.

2. I will use visual aids such as pictures and hands on written material.

CONTENT: Breastfeeding is the giving of mothers milk to newborn, infant, or child. It is very important for the mother to breast feed the newborn because it has several advantages between the mother and infant even in the society. Colostrum is a yellowish fluid rich in protective antibodies. This is the best nutrient that the newborn should not miss. It is considered the most balanced foods available for the newborns and infants. Benefits of breastfeeding to Infants, Mothers, and Society Infants: Creates a special bond between mother and infants. Decreases risk for certain types of infections and illness. Enhances dental development. Reduces risk for allergies Aids in cognitive development. Reduces risk for SIDS Decreases overfeeding Decreases the risk for obesity in later life Breast milk promotes elimination of meconium, breastfed infants rarely constipated Mothers: 1. Helps the uterus return to pre-pregnancy size faster 2. Reduces risk of breast, ovarian, and uterine cancers 3. Decreases risk for osteoporosis 4. Promotes postpartum weight loss 5. Enhances emotional health 6. Saves money otherwise spent formula and feeding supplies 7. Reduces family healthcare costs Society: 1. 2. 3. 4. Protects the environment by decreasing waste landfills Reduces parent days absent from work (breastfed infant are healthier) Improves the effectiveness of immunizations Saves tax dollars spent on food and medical expenses by the WIC and Medicaid programs 5. Improves the health of families. 1. 2. 3. 4. 5. 6. 7. 8. 9.

Different Breastfeeding Positions: 1. Cradle Position is where the head of the infant is on mother antecubital area. To prevent fatigue the mother can be place the infants body into pillow or folded blanket to support. This position is a classic sign and also it called Front hold. 2. Football Hold, supporting the infants head with her hand while the infants body rests on the pillows alongside her hip. This is good for mothers who have a cesarean incision, with sore nipple and have twin. 3. Side-Lying Position, the mother lie on her side with the infants body parallel to her. This position is good for mother who have a cesarean birth and during the night. (Tabers, 290-291) Feeding Technique: The mother taught to wash her hands before and after feeding and also her breast should wash gently with plain water. The mother should sit comfortably and hold the baby facing her. Then hold her breast with her hand in a C shape, the thumb above the nipple and the fingers below it. She can use a scissor hold to grasp the breast between her index and middle fingers. Next stroke the babys cheeks to find the nipple and soon the babys mouth open bring the baby close to her breast so the areola is well into the mouth. Prevent the infant from suckling only on the end of the nipple to reduce nipple soreness, erosion, and cracking. The infant allowed feed until they exhibit sign of satisfaction. The mother should breastfed the infant in both sides of the breast. Breastfeeding time is approximately 10-15 minutes per breast 8 -10 times a day. Avoid pulling the baby away from the breast because it can cause nipple soreness. After feeding burp the infant because too much air can lead to spitting up, crankiness, and gassiness in some infants. Frequency and Duration of Feeding: The infant usually breastfed every 2-3 hours during the early weeks because their stomach is small and breast milk is easily digested. (Leifer, 224-228) IMPLEMENTATION: I. I explained the mother why breastfeeding is important to infants, mothers, and society. I told the mother that the breast milk is an optimum nutritional value for the infant. Colostrum is the most important for the newborn because it gives

natural immunity. Breastfeeding also creates mother- child relationship and economic and readily accessible. II. I teach feeding schedule I explained the mother that the frequency and duration of feeding is usually every 2-3 hours because the infant stomach is small and the desirable length of feeding time is usually 20 mins. III. I verbalize and show the different position for breastfeeding. I explained and showed the mother the different types of position. The cradle position, football hold, and side lying. My patient is post cesarean. After teaching about positioning I told her the best position for her is side lying because it is comfortable for the abdominal incision. IV. I verbalize the mother the feeding technique. I explained the mother that she should position herself and the infant comfortably, then the infant entire body should be turned toward her breast, initiate feeding stimulating rooting reflex and direct nipple straight into babys mouth stroking check toward breast, she should alternate use breast each feeding, and then burp the infant after feeding to prevent reflux. She can use this position to burp the infant by placing infant over the shoulder, sitting infant on lap, and flexed forward. EVALUATION: Outcome #1: The goal was met. The mother verbalize that she was ready to do breastfeeding. When the baby cried, she held the baby and breastfed. Outcome # 2: The goal was met. The mother did return demonstration the different types of breastfeeding positioning. Outcome #3: The goal was met. After teaching session the mother stated some advantages of breast milk to infant, mother, and society. My client is an early adulthood. She said she breastfed her older baby but it was 9 years ago. She said she forgot everything. The teaching tools that I used are pictures, and handouts. The teaching was successful. REFERENCES: http://www.raisingchildren.net.au.breastfeedingtechniques,positioning

Leifer, Gloria. Introduction to Maternity & Pediatric Nursing. (4th edition) Hong Kong, Saunders, 2003. Tabers Cyclopedic Medical Dictionary. 20th edition. F.A.Davis Company. Philadelphia, 2005.