Hello, Adi! You made good points in your care and teaching plans. I agree that encouraging Ms. Maria to continue breastfeeding should be the priority intervention. For mothers who want to return to work, milk pumping and safe storage should be one of their options to promote exclusive breastfeeding for their babies up to 6 months old. It is also worth mentioning that even in the workplace, they can have an extra 40-minute break for breastfeeding purposes, as mandated by the Expanded Breastfeeding Act. Maybe these resources can also be useful for your client (CDC, n.d.; Enger & Hurst, 2021).
I think it is also important to reassure her that her baby is within the expected range of growth. She should know that formula feeding increases the risk of the infant being overweight later in life and that there seem to be no indications for her baby Joshua to take multivitamins, so she should try to care less about their neighbor’s baby.
I also like your plans for addressing the mother’s caregiving role strain. Having multiple roles and responsibilities with limited help is really difficult, and giving her the opportunity to openly express her feelings about this can help.
References:
Centers for Disease Control and Prevention. (n.d.). Pumping breast milk. https://www.cdc.gov/nutrition/infantandtoddlernutrition/breastfeeding/pumping-breast-milk.html
Enger, L., & Hurst, N. M. (2021, October 19). Patient education: Pumping breast milk (Beyond the basics). UpToDate. https://www.uptodate.com/contents/pumping-breast-milk-beyond-the-basics#H2