The World Health Organization/United Nations Children's Fund Baby-Friendly Hospital Initiative: Revised, Updated, and Expanded for Integrated Care (2009) identifies the need for expanding the guidelines originally developed for maternity units to include neonatal intensive care. For this purpose, an expert group from the Nordic countries and Quebec, Canada, prepared a draft proposal, which was discussed at an international workshop in Uppsala, Sweden, in September 2011. The expert group suggests the addition of 3 "Guiding Principles" to the Ten Steps to support this vulnerable population of mothers and infants: 1. The staff attitude to the mother must focus on the individual mother and her situation. 2. The facility must provide family-centered care, supported by the environment. 3. The health care system must ensure continuity of care, that is, continuity of pre-, peri-, and postnatal care and postdischarge care. The goal of the expert group is to create a final document, the Baby Friendly Hospital Initiative for Neonatal Units, including standards and criteria for each of the 3 Guiding Principles, Ten Steps, and the Code; to develop tools for self-appraisal and monitoring compliance with the guidelines; and for external assessment to decide whether neonatal intensive/intermediate care units meet the conditions required to be designated as Baby-Friendly. The documents will be finalized after consultation with the World Health Organization/United Nations Children's Fund, and the goal is to offer these documents to international health care, professional, and other nongovernmental organizations involved in lactation and breastfeeding support for mothers of infants who require special neonatal care.

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The success of natural regeneration on patch clear-cuts in Norway spruce stands in Southern Finland was examined in terms of stocking and tree height. The experiment was established in mature spruce stands in the submesic Myrtillus (MT) site type. In each of the eight study sites, three plots were treated with clear-cutting and planting, clear-cutting with partial tree retention and planting, and patch clear-cutting without site preparation, respectively. In three of the study sites, one plot with patch clear-cutting and site preparation was established. Each plot was 1 ha, out of which three patches of 40 )40 m were clear-cut in the patch treatments. 10Á11 years after cutting, the patches had on average 1316 crop trees ha Á1 , of which 91% were spruces. Some 27% of the stands were up to the target stocking level ( ]1600 ha (1 ), and 36% were at least satisfactory ( ]1300 ha (1 ). Site preparation did not yield greater stocking levels on patches, but that result is ambiguous due to a difference in initial stocking. The average spruce tree height in the patches (0.76 m) was much smaller than in the case of clear-cutting and planting (2.42 m). In conclusion, the patches had been restocked tolerably well with spruce and birch for practical purposes during the 10-to 11-year period, but the regeneration process had been very slow compared to clear-cutting and planting.