Name: Sandra Cristina de Alvarenga
Type: MSc dissertation
Publication date: 10/04/2015
Advisor:

Namesort descending Role
Cândida Caniçali Primo Co-advisor *
Denise Silveira de Castro Advisor *

Examining board:

Namesort descending Role
Cândida Caniçali Primo Co advisor *
Denise Silveira de Castro Advisor *
Eliana Zandonade Internal Examiner *
Franciéle Marabotti Costa Leite Internal Alternate *
Telma Ribeiro Garcia External Alternate *

Summary: This study has the aim of describing the characteristics that define the Nursing
diagnosis “ineffective breastfeeding” and the factors related to it; to examine the association between the socio-demographic, clinical and obstetric profile of the recently given birth mothers with the diagnosis in study. This is a descriptive study of the transversal type. The study was developed at the Maternity of a University Hospital. Seventy-three mother-baby binomials were hospitalized in the joint accommodation system, in the period from July to August, 2014. For data collection, an instrument was developed based on the defining characteristics of the “ineffective breastfeeding” diagnosis, and the factors related to it, and also patient's sociodemographic, clinical and obstetric data. The data was analyzed by the statistics package SPSS version 19.0 for Windows®. Results: The inefficient breastfeeding diagnosis was present in 58.9% of the binomials. The recently given birth mothers were 27 years old in mean, didn't have a partner (63%), had more than eight years of schooling (71,2%), were employed (52,1%), did pre-natal visits (97,3%), and were
multiparous (64,4%). As for the newborns, 58,9% were female, to term (90,4%), didn't breastfeed in the first hour after birth (87,7%). The mother's schooling was the only socio-demographic variable that had a meaningful association to the “ineffective breastfeeding” diagnosis. The defining characteristics with meaningful association to the “ineffective breastfeeding” diagnosis were: breast suction discontinuity; insufficient breast emptying; perceived inadequate milk supply; breast feeder resistance in apprehending the areola-nipple region with the mouth; absence of observable signs of ocitocin liberation; and breast feeder cries when put on breast. The related factors were: unsatisfactory suction reflex of the breast feeder, and
mother anxiety. Conclusion: The study is relevant for the improvement of the
components of the “ineffective breastfeeding” diagnosis, as helping Nurses in the clinical practice, hence it will contribute to the planning of Nursing actions at the joint accommodation, and for the mother-son binomial, and also in partially reducing the gap that presently exists in the literature about Nursing diagnosis on breastfeeding.

Descriptors: Nursing Diagnosis; Breast feeding; Weaning; Classification;
Terminology.

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