Domain 2. Nutrition Class 1. Ingestion
Definition Difficulty providing milk to an infant or young child directly from the breasts, which may compromise nutritional status of the infant/child.
■ Inadequate infant stooling ■ Infant arching at breast ■ Infant crying at the breast ■ Infant crying within the first hour after breastfeeding ■ Infant fussing within one hour of breastfeeding ■ Infant inability to latch on to maternal breast correctly ■ Infant resisting latching on to breast ■ Infant unresponsive to other comfort measures
■ Insufficient emptying of each breast per feeding ■ Insufficient infant weight gain ■ Insufficient signs of oxytocin release ■ Perceived inadequate milk supply ■ Sore nipples persisting beyond first week ■ Sustained infant weight loss ■ Unsustained suckling at the breast
■ Delayed lactogenesis II ■ Inadequate milk supply ■ Insufficient family support ■ Insufficient opportunity for suckling at the breast ■ Insufficient parental knowledge regarding breastfeeding techniques ■ Insufficient parental knowledge regarding
importance of breastfeeding
■ Interrupted breastfeeding ■ Maternal ambivalence ■ Maternal anxiety ■ Maternal breast anomaly ■ Maternal fatigue ■ Maternal obesity ■ Maternal pain ■ Oropharyngeal defect ■ Pacifier use ■ Poor infant sucking reflex ■ Prematurity ■ Previous breast surgery ■ Previous history of breastfeeding failure
■ Short maternity leave ■ Supplemental feedings with artificial nipple