Workshop on
Nursing Management of Cardio-thoracic and Vascular Surgeries from April 2-9, 2003

The overall purpose of the workshop is to update and improve upon the knowledge and skills of nurse practitioners of various levels concerning bio-technical advancement and challenges in the area of cardio-thoracic and vascular surgeries.


Policy & Position Statement > Baby- Friendly Hospital Initiative :
Policy > Strikes - Nursing Identity
Position Statement > Rights of Children - Safeguarding Environment - Substance Abuse/ Drug Abuse - Baby - Friendly Hospital Initiative - Nursing Education - HIV/AIDS - Population Stabilization - Disaster Preparedness - Women’s Health and Development - Nurses’ Role in Planning and Policy Making - Nurses’ Role in Care of the Elderly - Human Rights - Gender Management System - Safeguarding The Health Of Young People

Baby- Friendly Hospital Initiative

Mother’s milk, beyond doubt, is unparalleled in nutritional value. The protection it provides to infants against diseases, and financial and social implications it has for a poor and over populated country like ours cannot be over-emphasised. Nurses as important members of health care team, play a pivotal role in collaborating and implementing the Baby-Friendly Hospital Initiative (BFHI) policy of quality infant and mother care.

Baby-friendly hospitals create an environment, which supports women in their desire to breastfeed. Staff at baby -friendly facilities provide assistance to breastfeeding mothers and implement policies which safeguard the breastfeeding relationship. Besides, it encompasses the entire spectrum from prenatal planning and training, for promotion and support of breastfeeding, to actual breastfeeding practices. While breastfeeding is integrated with Maternal and Child Nursing specialities, it is imperative that breastfeeding practices in child survival be given due emphasis.

The Trained Nurses’ Association of India therefore, emphasises the promotion of breastfeeding as a key strategy for child survival, as well as reproductive health. In terms of actual practice the TNAI advocates focusing on training in correct breastfeeding practices which includes the re-establishment’ of a breastfeeding culture.

The Trained Nurses’ Association of India accepts the concept and the definition of Baby–Friendly Hospital as framed by the UNICEF/WHO and National task Force as given in the foregoing para and believes that in order to be Baby-Friendly, all hospitals must fulfil the criteria for following the ten steps to successful breastfeeding. Each facility providing maternity services and care for new born infants should have the following:

Step 1. A written breastfeeding policy that is routinely communicated to all health care staff.
Step 2. Training all health care staff in skills necessary to implement this policy.
Step 3. Informing all pregnant women about the benefits and management of breastfeeding.
Step 4. Helping mothers initiate breastfeeding within a half an hour of birth.
Step 5. Showing mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
Step 6. Giving newborn infants no food or drink other than breast milk.
Step 7. Practising rooming-in, allow mothers and infants to remain together –24 hours a day.
Step 8. Encouraging breastfeeding on demand.
Step 9. Giving no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
Step 10. Fostering the establishment of breastfeeding support groups and refer mothers to them on discharge from hospital or clinic.

The Trained Nurses’ Association of India acknowledges that to establish Baby-Friendly Networks, there is a need to harmonise its efforts with other maternal and child health care groups, the local hospitals, nursing homes and maternity centres, the community and above all with the government.

The TNAI through its Branches all over the country, can work towards establishing centres for conducting training programmes on B.F.H.I. and collaborate with governmental and non-governmental organizations to enable hospitals and maternity centres to become Baby-Friendly.

The TNAI urges its State Branches to adopt the following plan of action to achieve the objectives of Baby-Friendly Hospital Initiative. The plan should also include Training in Ten Steps to successful breastfeeding.

  • Defining the role of Nurses and nursing in relation to a mother-child care facility (hospital, nursing home, work place) and B.F.H.I. plan, of that institution or community.
  • Participation in national and international committees or bodies established to identify, encourage and recognize institutions following baby-friendly practices.
  • Involvement in the joint effort of the Baby Friendly Hospital Initiative National Task Force, comprising Government of India, UNICEF, WHO and professional organizations, viz., Indian Medical Association (IMA), Federation of Obstetric and Gynaecological Societies of India (FOGSI), Indian Academy of Paediatrics, National Neonatalogy Forum (IAPNNF) Breastfeeding Promotion Network of India (BPNI) Christian Medical Association of India (CMAI), Catholic Hospital Association of India (CHAI), International Baby Food Action Network (IBFAN), Association for Consumer Action on Safety and Health (ACASH).
  • Work towards bringing about necessary changes in nursing education to ensure adequate preparation of Nurses/ ANMs to enable them to carry out their responsibilities effectively in Baby-Friendly facilities. All Nurses in Speciality of Maternal Health and Paediatrics must be trained in the ten steps to successful breastfeeding as advocated by the UNICEF.
  • A special preparation for the Nursing Supervisors and Head Nurses to assume results-oriented leadership roles in protecting, promoting and supporting breastfeeding.
  • Initiate and participate in training of assessors. Ensure that Nurses trained as assessors must have in-depth knowledge of lactation management, and are well versed with the International Code of Marketing of Breast Milk Substitutes, and the Infant Milk Substitutes, Feeding Bottles and Infant Food.
  • Initiate and participate in research to determine additional baby-and mother-friendly practices, in the existing M.C.H. facilities, community and work places. Also to conduct research into issues related to policies and action.
  • Endeavour to bring about necessary changes in general education of schools, for creating awareness and right attitudes about the importance of breastfeeding and to re-establishing the ‘breastfeeding culture’.
  • The type of training that should be given to non-professional members, who are directly or indirectly involved in maternal and childcare.

© 2002, Trained Nurses' Association of India (TNAI), All Rights Reserved.
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