Breastfeeding Teaching Plan.

Anxiety related to lack of knowledge about _breastfeeding in the post-partum period (1pt)

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1. The mother will identify three infant hunger cues before the next feed.

1. “The mother should attempt to breastfeed when the baby exhibits feeding cues: hand-to- mouth or hand-to-hand movements, sucking motions, rooting reflex (infant moves toward whatever touches the area around the mouth and attempts to suck), mouthing” (Lowdermilk et al.,2020, p. 541).

1. Verbal instruction/ discussion and printed sign of hunger cues reminders

2

minutes

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The patient will correctly verbalize to nursing student three hunger cues after instruction

2. The mother will verbalize the need to attempt breastfeeding every two to three hours by change of shift.

2. “Newborns need to breastfeed at least 8 to 12 times in a 24-hour period (AAP Section on Breastfeeding, 2012). Some infants breastfeed every 2 to 3 hours throughout a 24-hour period. Others cluster- feed, breastfeeding every hour or so for three to five feedings and then sleep for 3 to 4 hours between clusters. During the first 24 to 48 hours after birth most babies do not awaken this often to feed. Parents need to understand that they should awaken the baby

2. Verbal instruction and discussion

3

minutes

“Tips from the Lactation Consultant”

Information obtained from C. Cheney, LC for BUMC

The patient will correctly verbalize a feeding schedule for a newborn before discharge

3. The mother will return demonstrate two different feeding positions by the time of the next feed.

3. “The four traditional positions for breastfeeding are the football or clutch hold (under the arm), modified cradle, cross- cradle or across the lap, cradle, and side-lying. The mother should be encouraged to use the position that most easily facilitates latch while allowing maximal comfort. The football or clutch hold is often recommended for early feedings because the mother can see the baby’s mouth easily as she guides the infant onto the nipple” (Lowdermilk et al., 2020, p. 555).

3.

Demonstration of breastfeeding positions and discussion

5

minutes

Breastfeeding handout found in the file drawer on 11 BT: Breastfeeding: What Every Mother Needs to Know

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The patient correctly demonstrated two different feeding positions by the end of the shift