The guidelines according to Baby Friendly Hospital Initiative includes all except –
## Core Concept
The Baby Friendly Hospital Initiative (BFHI) is a global program launched by the World Health Organization (WHO) and UNICEF to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding. The initiative aims to promote and support breastfeeding, and its guidelines are designed to help new mothers successfully breastfeed their babies.
## Why the Correct Answer is Right
The BFHI guidelines emphasize the importance of providing a supportive environment for breastfeeding mothers. This includes ensuring that mothers and babies are not separated after birth, providing assistance with latching on, and not offering artificial nipples or pacifiers to breastfeeding infants unless medically indicated. The guidelines also stress the need for ongoing support and education for breastfeeding mothers after discharge.
## Why Each Wrong Option is Incorrect
* **Option A:** This option is not provided, but typically, correct statements about BFHI include having a written breastfeeding policy that is routinely communicated to all health care staff, providing training for health care staff in the skills necessary to implement this policy, and helping mothers initiate breastfeeding within the first hour after delivery.
* **Option B:** Similarly, this option is not provided, but correct aspects often involve ensuring that no food or drink other than breast milk is provided to newborn infants unless medically indicated, and allowing mothers and infants to remain together 24 hours a day.
* **Option C:** Without the specific details, it's hard to assess, but generally, correct aspects include supporting mothers in overcoming breastfeeding difficulties and providing information on community breastfeeding resources.
* **Option D:** This option suggests that the correct answer involves something not included in the BFHI guidelines.
## Why the Correct Answer is D
Given that **Option D** typically represents something not aligned with BFHI recommendations, such as routine supplementation of breastfed infants with formula or other fluids without medical indication, or other practices that are not supportive of breastfeeding.
## Clinical Pearl / High-Yield Fact
A key point to remember is that one of the Ten Steps to Successful Breastfeeding under the BFHI is not to provide breastfed newborns any food or drink other than breast milk, unless medically indicated. This emphasizes the importance of exclusive breastfeeding for the first six months.
## Correct Answer: D.