Objective: to understand the orientation of strategies undertaken by nurses during the process of the clinical management of breastfeeding. Methods: this is a descriptive and exploratory qualitative study, whose participants were 10 nurses working in the conjoint rooming of the University Hospital Antonio Pedro, located in the city of Niteroi, State of Rio de Janeiro. Data collection was conducted during the months of January to March 2013 through semi-structured interviews. Results: from the content analysis, three categories emerged: support from the clinical management of breastfeeding: perspective of care; technical and practical support from the clinical management of breastfeeding; and the clinical management of breastfeeding from the guidance of nurses in rooming. Conclusion: the nurses have the understanding of the strategies of clinical management of breastfeeding, such as woman support actions with emphasis on humanized care and not systematic, focusing its assistance in the form of guidelines. categorías: apoyar el manejo clínico de la lactancia materna: la perspectiva de la atención; apoyo técnico y práctico en el manejo clínico de la lactancia materna; y el manejo clínico de la lactancia materna de la orientación de las enfermeras en el alojamiento conjunto. Conclusión: las enfermeras tienen la comprensión de las estrategias de manejo clínico de la lactancia materna, tales como las acciones de apoyo de la mujer, con énfasis en el cuidado humano y no sistemática, centrándose su asistencia en forma de directrices. Descriptors