All of the following statements are related to baby-friendly hospital practices, except?

AIIMS CRE SNO - 2023

Obstetrics and Midwifery Nursing

Hard

Appeared in: AIIMS CRE SNO - 2023

Explanation

The Baby-Friendly Hospital Initiative (BFHI) recommends initiating breastfeeding within one hour of birth.
The statement 'Initiate breastfeeding within 1 hour and 30 minutes' is incorrect as it extends beyond the recommended timeframe.
Early initiation of breastfeeding is crucial as it takes advantage of the baby's natural alertness after birth, promotes bonding, and stimulates milk production.
Since the question asks for the exception, the incorrect statement is the correct answer.

Option B: This is a correct statement. Having a written, communicated policy is Step 1 of the 'Ten Steps to Successful Breastfeeding'. Therefore, it is not the exception.
Option C: This is a correct statement. Practicing 'rooming-in' is Step 7 of the 'Ten Steps to Successful Breastfeeding'. Therefore, it is not the exception.
Option D: This is a correct statement. Giving newborns no food or drink other than breast milk (unless medically indicated) is Step 6 of the 'Ten Steps to Successful Breastfeeding'. Therefore, it is not the exception.

Visual 1: Infographic: A visual summary of the 'Ten Steps to Successful Breastfeeding' with icons for each step to aid memorization.
Visual 2: Illustration: A diagram showing a mother and newborn practicing skin-to-skin contact and initiating the first breastfeed shortly after birth.

Clinical Relevance

Nursing practice connection: Knowing The question tests knowledge of the specific practices recommended by the Baby-Friendly Hospital Initiative (BFHI), specifically the 'Ten Steps to Successful Breastfeeding' helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses play a pivotal role in implementing BFHI practices by educating mothers, assisting with latching, and providing support.
Adherence to BFHI guidelines is associated with increased rates of exclusive breastfeeding, which provides numerous health benefits to both mother and infant, including reduced risk of infections for the baby and certain cancers for the mother.
What if? If a newborn has a medical condition like hypoglycemia or significant weight loss, supplementation with formula or donor milk may be medically indicated, which is an exception to Step 6 of the BFHI guidelines.

How to Approach the Question

First, identify the negative framing of the question ('except'). This means you are looking for the one option that is FALSE or does not belong.
Next, recall or look for the core principles of the Baby-Friendly Hospital Initiative (BFHI). The 'Ten Steps to Successful Breastfeeding' are central to this.
Evaluate each option against the known BFHI guidelines.
Option A presents a specific time frame. Check if this time frame (1 hour and 30 minutes) aligns with the recommended standard for initiating breastfeeding.
Options B, C, and D describe other practices. Verify if these are part of the 'Ten Steps'.
The option that misrepresents a BFHI guideline is the correct answer to this 'except' question.

Concept Tested & Keywords

Concept Tested: The question tests knowledge of the specific practices recommended by the Baby-Friendly Hospital Initiative (BFHI), specifically the 'Ten Steps to Successful Breastfeeding'.
Stem keywords: baby-friendly hospital practices, breastfeeding
Lead-in keywords: except
Negative lead-in flag: The question uses the word 'except', requiring the identification of the statement that is NOT a standard baby-friendly practice.

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