CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)–2007

Table 6.1a: Breastfeeding education of new staff
by facility type, size, NICU level, and region
  How many hours of breastfeeding education
do new nurses/birth attendants receive
N
<1 1-4 5-8 9-18 >18 Not sure Not applicable
All 15.4 38.6 20.2 10.6 5.6 5.9 3.6 2638
Type of facility
Birth center 10.2 17.8 12.7 4.2 13.6 11.9 29.7 118
Government hospital 23.9 36.8 15.6 8.0 4.8 6.7 4.2 524
Non-profit hospital 12.2 40.1 22.7 12.2 5.6 5.6 1.6 1667
Private hospital 18.8 42.9 18.2 8.9 3.0 4.3 4.0 303
Military hospital 34.6 26.9 11.5 7.7 15.4 3.8 0.0 26
Size of facility
0-249 25.8 33.1 11.9 3.9 5.2 10.2 9.9 616
250-499 21.5 42.8 13.0 6.9 4.8 7.6 3.4 437
500-999 13.6 45.5 20.9 7.6 3.7 6.5 2.1 536
1000-1999 9.7 41.6 25.0 13.5 6.0 3.1 1.1 548
2000-4999 5.6 31.4 31.9 21.9 7.9 1.2 0.2 430
5000 or more 5.6 29.6 25.4 23.9 9.9 4.2 1.4 71
Teaching hospital
  Yes 7.3 29.6 26.8 21.8 11.7 2.8 0.0 179
No 16.3 40.4 20.1 10.1 4.7 5.9 2.6 2341
Birth center 10.2 17.8 12.7 4.2 13.6 11.9 29.7 118
Level of Neonatal Care
Unknown 10.0 60.0 10.0 10.0 0.0 10.0 0.0 10
Healthy newborn only 23.4 38.0 13.6 4.8 5.1 8.4 6.7 1096
Level 1 or 2 NICU 11.8 41.5 23.2 11.6 5.2 4.8 1.9 1058
Level 3 NICU 5.3 33.1 29.3 21.7 7.6 2.5 0.4 474
Census region
Pacific 13.9 35.4 17.7 13.3 9.6 5.5 4.6 345
Mountain 21.6 37.1 15.5 9.4 4.7 6.6 5.2 213
West North Central 21.2 40.9 16.2 9.9 3.6 4.7 3.6 364
East North Central 9.9 44.5 23.5 9.0 5.3 6.6 1.3 456
West South Central 18.8 33.9 20.1 10.5 4.9 5.6 6.3 304
East South Central 21.2 38.6 21.7 6.9 2.6 6.3 2.6 189
New England 4.9 28.5 28.5 21.1 10.6 5.7 0.8 123
Middle Atlantic 10.0 39.2 24.4 10.8 5.6 9.2 0.8 250
South Atlantic 16.0 39.8 19.3 9.9 5.1 4.3 5.6 394



Table 6.2a: Annual breastfeeding education of current staff
by facility type, size, NICU level, and region
  How many hours of breastfeeding education
current nurses/birth attendants received in past year
N
<1 1-4 5-8 9-18 >18 Not sure Not applicable
All 18.2 48.6 14.4 6.2 3.9 7.0 1.8 2650
Type of facility
Birth center 12.4 30.6 15.7 7.4 9.1 19.0 5.8 121
Government hospital 22.3 43.5 14.4 5.7 4.0 7.8 2.5 529
Non-profit hospital 17.0 51.8 14.7 5.9 3.9 5.5 1.2 1671
Private hospital 19.5 48.2 12.9 7.3 1.7 8.6 2.0 303
Military hospital 19.2 34.6 7.7 11.5 7.7 15.4 3.8 26
Size of facility
0-249 23.5 37.0 13.5 4.8 4.7 12.9 3.7 622
250-499 21.1 44.0 13.6 6.1 4.3 8.6 2.3 441
500-999 18.5 50.0 13.1 6.1 4.6 6.1 1.5 540
1000-1999 13.9 57.5 14.8 6.4 3.1 3.5 0.9 548
2000-4999 13.8 56.1 17.1 7.7 2.3 2.8 0.2 428
5000 or more 9.9 53.5 18.3 7.0 5.6 5.6 0.0 71
Teaching hospital
  Yes 11.7 52.5 19.0 7.3 5.6 3.9 0.0 179
No 18.9 49.2 14.0 6.0 3.5 6.6 1.7 2350
Birth center 12.4 30.6 15.7 7.4 9.1 19.0 5.8 121
Level of Neonatal Care
Unknown 20.0 60.0 20.0 0.0 0.0 0.0 0.0 10
Healthy newborn only 21.9 42.6 13.9 4.9 4.0 9.8 2.9 1103
Level 1 or 2 NICU 16.6 51.2 13.2 7.3 4.1 6.1 1.4 1064
Level 3 NICU 12.7 56.2 18.4 6.6 3.4 2.7 0.0 473
Census region
Pacific 16.5 44.7 16.2 8.8 4.0 7.7 2.0 351
Mountain 21.2 42.9 14.6 3.8 7.1 8.5 1.9 212
West North Central 21.2 48.1 11.0 7.4 3.6 6.0 2.7 364
East North Central 20.3 54.1 11.8 3.7 3.1 5.9 1.1 458
West South Central 21.4 36.4 19.2 9.7 3.9 6.5 2.9 308
East South Central 19.7 53.2 12.2 2.7 2.1 8.0 2.1 188
New England 5.7 53.7 16.3 10.6 6.5 7.3 0.0 123
Middle Atlantic 14.7 49.8 15.1 6.0 4.4 9.6 0.4 251
South Atlantic 15.4 53.9 15.2 4.3 3.3 6.1 1.8 395



Table 6.3a: Coverage of breastfeeding education
by facility type, size, NICU level, and region
  How many nurses/birth attendants received
breastfeeding education in past year
N
Few Some Many Most Not sure
All 17.7 23.0 18.3 37.9 3.1 2645
Type of facility
Birth center 16.2 9.4 13.7 47.9 12.8 117
Government hospital 29.6 22.0 17.8 27.5 3.0 527
Non-profit hospital 13.6 24.0 18.1 41.8 2.5 1671
Private hospital 20.4 23.4 22.0 31.6 2.6 304
Military hospital 15.4 38.5 15.4 26.9 3.8 26
Size of facility
0-249 30.1 25.0 13.7 24.6 6.7 615
250-499 25.5 26.8 18.4 25.9 3.4 440
500-999 16.5 25.4 18.0 37.7 2.4 539
1000-1999 9.3 19.7 20.6 49.5 0.9 549
2000-4999 6.5 18.3 20.9 52.9 1.4 431
5000 or more 4.2 18.3 26.8 47.9 2.8 71
Teaching hospital
  Yes 6.1 17.9 22.9 52.0 1.1 179
No 18.6 24.1 18.2 36.3 2.8 2349
Birth center 16.2 9.4 13.7 47.9 12.8 117
Level of Neonatal Care
Unknown 10.0 20.0 20.0 50.0 0.0 10
Healthy newborn only 26.1 25.6 15.1 28.5 4.7 1095
Level 1 or 2 NICU 14.2 22.6 19.2 41.7 2.3 1065
Level 3 NICU 6.3 18.1 23.6 50.7 1.3 475
Census region
Pacific 17.0 17.5 21.0 38.5 6.0 348
Mountain 16.9 25.8 19.2 34.7 3.3 213
West North Central 23.5 31.5 14.6 27.6 2.8 362
East North Central 13.0 21.8 17.1 45.5 2.6 455
West South Central 26.3 25.3 18.8 26.9 2.6 308
East South Central 20.6 25.9 17.5 31.2 4.8 189
New England 2.5 10.7 19.7 63.9 3.3 122
Middle Atlantic 14.3 21.4 19.8 42.1 2.4 252
South Atlantic 17.7 21.7 18.7 40.7 1.3 396



Table 6.4a: Competency testing
by facility type, size, NICU level, and region
  How often are nurses/birth attendants assessed for
competency in breastfeeding management & support
N
At least once
a year
Less than once
a year
Not assessed
Not applicable
All 43.5 14.3 39.8 2.4 2641
Type of facility
Birth center 34.2 9.6 37.7 18.4 114
Government hospital 38.8 11.4 47.9 1.9 528
Non-profit hospital 44.3 16.2 38.1 1.5 1671
Private hospital 52.0 11.9 33.8 2.3 302
Military hospital 34.6 3.8 61.5 0.0 26
Size of facility
0-249 26.2 10.7 57.6 5.5 618
250-499 36.5 13.9 48.2 1.4 438
500-999 44.0 14.2 39.4 2.4 536
1000-1999 54.3 16.8 27.8 1.1 547
2000-4999 59.4 15.5 24.4 0.7 431
5000 or more 54.9 22.5 21.1 1.4 71
Teaching hospital
  Yes 57.3 15.7 26.4 0.6 178
No 43.0 14.4 40.9 1.7 2349
Birth center 34.2 9.6 37.7 18.4 114
Level of Neonatal Care
Unknown 50.0 20.0 30.0 0.0 10
Healthy newborn only 32.6 11.9 51.6 3.9 1095
Level 1 or 2 NICU 48.1 15.8 34.6 1.5 1061
Level 3 NICU 58.5 16.4 24.2 0.8 475
Census region
Pacific 40.2 18.7 36.2 4.9 348
Mountain 40.3 13.7 44.5 1.4 211
West North Central 27.4 14.2 56.4 1.9 365
East North Central 42.4 16.5 39.8 1.3 455
West South Central 46.9 9.5 40.0 3.6 305
East South Central 56.6 11.1 29.6 2.6 189
New England 58.4 11.2 29.6 0.8 125
Middle Atlantic 51.2 11.9 34.1 2.8 252
South Atlantic 46.0 16.1 36.3 1.5 391