AIIMS CRE 2025
Obstetrics & Gynaecology
Easy
All of the following statements are related to baby-friendly hospital practices, except?
Appeared in: AIIMS CRE 2025
Explanation
- The question requires identifying the statement that contradicts the Baby-Friendly Hospital Initiative (BFHI) guidelines.
- The BFHI, a joint WHO/UNICEF initiative, outlines 'Ten Steps to Successful Breastfeeding' for healthcare facilities.
- Step 4 of the BFHI recommends placing babies in skin-to-skin contact and helping mothers initiate breastfeeding within the first hour of life.
- The timeframe of '1 hour and 30 minutes' is an incorrect and delayed initiation compared to the recommended standard, making it the exception and the correct answer.
Why Other Options Were Wrong
- Option B: This is a correct statement. Having a written, communicated breastfeeding policy is Step 1 of the BFHI's Ten Steps.
- Option C: This is a correct statement. Practicing 'rooming-in' (allowing mother and baby to stay together 24/7) is Step 7 of the BFHI's Ten Steps.
- Option D: This is a correct statement. Giving no other food or drink besides breast milk, unless medically necessary, is Step 6 of the BFHI's Ten Steps.
Related Visual
- Visual 1: Infographic: A chart listing the 'Ten Steps to Successful Breastfeeding' as outlined by WHO and UNICEF, with simple icons for each step.
Clinical Relevance
- Nursing practice connection: Knowing Baby-Friendly Hospital Initiative (BFHI) practices helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses are instrumental in implementing BFHI practices by facilitating early skin-to-skin contact, providing skilled lactation support, and educating mothers on feeding cues and positioning.
- Early and exclusive breastfeeding significantly reduces infant morbidity and mortality from infectious diseases like diarrhea and pneumonia and reduces the mother's risk of certain cancers.
- What if? If a baby is born via Caesarean section, the nurse's role is to facilitate skin-to-skin contact as soon as the mother is alert and stable, often in the recovery room, to support the first feed within the crucial early hours.
How to Approach the Question
- First, identify the negative keyword 'except'. This signals that you must find the one option that is FALSE or does not align with the established standard.
- Next, recall the core principles of the Baby-Friendly Hospital Initiative (BFHI) concerning breastfeeding support.
- Evaluate each option against the BFHI's 'Ten Steps to Successful Breastfeeding'.
- Option A presents a specific timeframe. Compare this to the recommended standard for initiating breastfeeding (within the first hour).
- Recognize that Options B, C, and D describe well-known, correct BFHI policies (written policy, rooming-in, exclusive breastfeeding).
- Conclude that the incorrect timeframe in Option A makes it the correct answer for this 'except' question.
Concept Tested & Keywords
- Concept Tested: Baby-Friendly Hospital Initiative (BFHI) practices
- Stem keywords: baby-friendly hospital, practices, breastfeeding
- Lead-in keywords: except
- Negative lead-in flag: The question asks for the exception among the given statements.
Question ID
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Practise the full AIIMS CRE 2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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