NORCET 2 -2021 (Shift-2)
Obstetrics & Gynaecology
Easy
All of the following BFHI guidelines, except?
Appeared in: NORCET 2 -2021 (Shift-2)
Explanation
- The Baby-Friendly Hospital Initiative (BFHI) is a global program focused specifically on promoting and supporting breastfeeding in maternity facilities.
- The initiative is structured around 'Ten Steps to Successful Breastfeeding' that a hospital must implement to be designated as 'Baby-Friendly'.
- While comprehensive antenatal care is a crucial aspect of maternal and child health, providing it for free is not one of the specific ten steps required for BFHI accreditation.
- The ten steps focus on policies, staff training, patient education, and practices directly related to initiating and maintaining breastfeeding.
Why Other Options Were Wrong
- Option A: This is a core component of the BFHI. 'Rooming-in' refers to Step 7, which requires allowing mothers and infants to remain together 24 hours a day to facilitate bonding and breastfeeding on demand.
- Option B: This statement misrepresents a BFHI guideline. Step 8 encourages 'breastfeeding on demand,' which means feeding the baby whenever they show hunger cues, not on a fixed schedule like every half hour.
- Option C: This is the very first step of the BFHI. Step 1 requires every facility to 'have a written breastfeeding policy that is routinely communicated to all healthcare staff.'.
Related Visual
- Visual 1: Infographic: A chart listing the 'Ten Steps to Successful Breastfeeding' with simple icons for each step (e.g., a clock for Step 4, a mother and baby together for Step 7).
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The core components of the Baby-Friendly Hospital Initiative (BFHI) guidelines as background academic context rather than a clinical decision trigger.
- Understanding BFHI is critical for nurses working in maternity and pediatric units to provide evidence-based lactation support and improve breastfeeding rates.
- Implementing the ten steps has been shown to increase exclusive breastfeeding rates, which leads to better infant health outcomes, including reduced risk of infections and improved cognitive development.
- What if a mother cannot breastfeed due to a medical condition? A baby-friendly hospital still supports the mother by providing education on safe alternative feeding methods and ensuring she is not made to feel guilty, while still protecting the overall pro-breastfeeding environment.
How to Approach the Question
- First, identify the negative keyword 'except' in the question. This means you are looking for the option that does NOT fit with the others.
- The question is about the 'BFHI guidelines'. Recall the purpose of the BFHI, which is to promote and support breastfeeding.
- Evaluate each option against the known 'Ten Steps to Successful Breastfeeding'.
- Option A ('Room in') is Step 7. It belongs.
- Option C ('Written guideline') is Step 1. It belongs.
- Option B ('Breastfeeding with half an hourly') is related to feeding frequency but is the opposite of the actual guideline (Step 8: 'on demand'). It is an incorrect practice.
Concept Tested & Keywords
- Concept Tested: The core components of the Baby-Friendly Hospital Initiative (BFHI) guidelines.
- Stem keywords: BFHI guidelines
- Lead-in keywords: except
- Negative lead-in flag: The question asks for the option that is an exception to the BFHI guidelines.
Question ID
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Practise the full NORCET 2 -2021 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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