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

Table 6.1b: Breastfeeding education of new staff
by state
  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 38.7 20.3 10.6 5.6 5.9 3.6 2635
State
AK 37.5 20.8 16.7 4.2 4.2 8.3 8.3 24
AL 17.4 47.8 17.4 4.3 4.3 6.5 2.2 46
AR 33.3 22.2 14.8 14.8 0.0 11.1 3.7 27
AZ 25.0 36.1 8.3 19.4 2.8 2.8 5.6 36
CA 10.7 37.8 19.4 15.8 11.7 3.1 1.5 196
CO 9.5 45.2 23.8 4.8 7.1 7.1 2.4 42
CT 9.1 40.9 27.3 9.1 13.6 0.0 0.0 22
DC 0.0 25.0 50.0 25.0 0.0 0.0 0.0 4
DE 28.6 42.9 14.3 0.0 14.3 0.0 0.0 7
FL 14.0 40.9 21.5 7.5 6.5 1.1 8.6 93
GA 17.1 41.4 21.4 8.6 1.4 2.9 7.1 70
HI 50.0 25.0 12.5 0.0 0.0 0.0 12.5 8
IA 15.1 46.6 17.8 8.2 4.1 6.8 1.4 73
ID 26.9 26.9 26.9 7.7 3.8 3.8 3.8 26
IL 9.3 39.3 29.0 7.5 4.7 10.3 0.0 107
IN 18.1 41.0 15.7 14.5 1.2 9.6 0.0 83
KS 29.9 35.8 13.4 7.5 3.0 4.5 6.0 67
KY 20.9 34.9 18.6 14.0 0.0 9.3 2.3 43
LA 11.4 45.5 15.9 11.4 4.5 4.5 6.8 44
MA 2.9 32.4 38.2 23.5 2.9 0.0 0.0 34
MD 10.3 37.9 31.0 3.4 6.9 6.9 3.4 29
ME 10.3 24.1 20.7 6.9 20.7 17.2 0.0 29
MI 11.0 42.5 26.0 8.2 5.5 2.7 4.1 73
MN 22.6 40.5 15.5 10.7 2.4 7.1 1.2 84
MO 17.5 28.1 26.3 14.0 5.3 1.8 7.0 57
MS 29.7 24.3 18.9 5.4 5.4 8.1 8.1 37
MT 30.0 30.0 10.0 13.3 3.3 10.0 3.3 30
NC 14.3 40.0 18.6 14.3 4.3 7.1 1.4 70
ND 11.8 52.9 17.6 11.8 0.0 0.0 5.9 17
NE 29.8 48.9 8.5 6.4 4.3 2.1 0.0 47
NH 0.0 18.2 27.3 40.9 4.5 4.5 4.5 22
NJ 4.4 46.7 20.0 13.3 6.7 6.7 2.2 45
NM 30.0 40.0 0.0 5.0 10.0 10.0 5.0 20
NV 23.1 46.2 0.0 7.7 0.0 15.4 7.7 13
NY 9.4 35.8 22.6 14.2 4.7 12.3 0.9 106
OH 6.0 53.0 22.0 9.0 6.0 4.0 0.0 100
OK 20.8 45.8 14.6 8.3 4.2 2.1 4.2 48
OR 11.5 40.4 7.7 15.4 9.6 7.7 7.7 52
PA 13.1 39.4 28.3 6.1 6.1 7.1 0.0 99
PR 9.1 63.6 9.1 0.0 18.2 0.0 0.0 11
RI 0.0 20.0 20.0 40.0 20.0 0.0 0.0 5
SC 19.4 22.2 22.2 8.3 11.1 11.1 5.6 36
SD 5.3 47.4 10.5 15.8 5.3 5.3 10.5 19
TN 19.0 42.9 28.6 4.8 1.6 3.2 0.0 63
TX 17.8 29.7 23.2 10.3 5.9 5.9 7.0 185
UT 19.4 35.5 29.0 3.2 0.0 3.2 9.7 31
VA 14.9 40.4 14.9 17.0 2.1 4.3 6.4 47
VT 0.0 27.3 27.3 27.3 9.1 9.1 0.0 11
WA 11.1 31.7 22.2 9.5 6.3 9.5 9.5 63
WI 6.5 46.2 23.7 6.5 8.6 5.4 3.2 93
WV 30.8 50.0 0.0 11.5 0.0 3.8 3.8 26
WY 13.3 40.0 6.7 13.3 13.3 6.7 6.7 15



Table 6.2b: Annual breastfeeding education of current staff
by state
  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 18.1 48.6 14.4 6.2 3.9 7.0 1.8 2647
State
AK 33.3 41.7 8.3 0.0 4.2 8.3 4.2 24
AL 11.1 62.2 13.3 4.4 2.2 4.4 2.2 45
AR 37.0 44.4 7.4 3.7 0.0 3.7 3.7 27
AZ 13.9 52.8 11.1 5.6 5.6 5.6 5.6 36
CA 10.1 46.7 20.1 12.6 4.0 5.5 1.0 199
CO 22.0 48.8 17.1 4.9 4.9 2.4 0.0 41
CT 0.0 63.6 18.2 0.0 9.1 9.1 0.0 22
DC 0.0 75.0 25.0 0.0 0.0 0.0 0.0 4
DE 28.6 57.1 0.0 0.0 0.0 14.3 0.0 7
FL 16.3 51.1 18.5 3.3 1.1 7.6 2.2 92
GA 14.3 54.3 11.4 2.9 5.7 7.1 4.3 70
HI 12.5 37.5 12.5 25.0 12.5 0.0 0.0 8
IA 14.9 54.1 8.1 8.1 5.4 8.1 1.4 74
ID 23.1 42.3 15.4 7.7 3.8 7.7 0.0 26
IL 20.6 52.3 12.1 4.7 4.7 4.7 0.9 107
IN 22.6 56.0 6.0 4.8 1.2 9.5 0.0 84
KS 28.4 43.3 7.5 6.0 4.5 6.0 4.5 67
KY 16.3 44.2 18.6 2.3 2.3 11.6 4.7 43
LA 20.5 45.5 22.7 2.3 4.5 4.5 0.0 44
MA 2.9 64.7 14.7 11.8 5.9 0.0 0.0 34
MD 20.7 65.5 3.4 0.0 3.4 6.9 0.0 29
ME 13.3 43.3 13.3 3.3 10.0 16.7 0.0 30
MI 27.0 44.6 12.2 4.1 5.4 4.1 2.7 74
MN 21.7 48.2 13.3 4.8 3.6 7.2 1.2 83
MO 14.0 49.1 8.8 12.3 5.3 3.5 7.0 57
MS 29.7 40.5 8.1 2.7 0.0 16.2 2.7 37
MT 20.0 40.0 10.0 0.0 16.7 13.3 0.0 30
NC 10.0 55.7 20.0 4.3 2.9 4.3 2.9 70
ND 11.8 58.8 23.5 5.9 0.0 0.0 0.0 17
NE 29.8 42.6 14.9 6.4 0.0 6.4 0.0 47
NH 4.8 47.6 9.5 28.6 0.0 9.5 0.0 21
NJ 6.8 56.8 18.2 4.5 0.0 13.6 0.0 44
NM 25.0 35.0 20.0 0.0 5.0 15.0 0.0 20
NV 38.5 38.5 7.7 0.0 0.0 7.7 7.7 13
NY 12.1 49.5 15.0 9.3 5.6 8.4 0.0 107
OH 15.0 59.0 17.0 2.0 2.0 5.0 0.0 100
OK 26.5 44.9 10.2 8.2 4.1 4.1 2.0 49
OR 20.8 41.5 13.2 5.7 3.8 13.2 1.9 53
PA 21.0 47.0 14.0 3.0 5.0 9.0 1.0 100
PR 0.0 72.7 9.1 9.1 9.1 0.0 0.0 11
RI 0.0 60.0 20.0 20.0 0.0 0.0 0.0 5
SC 16.7 55.6 19.4 0.0 2.8 5.6 0.0 36
SD 26.3 42.1 10.5 10.5 0.0 5.3 5.3 19
TN 22.2 60.3 9.5 1.6 3.2 3.2 0.0 63
TX 18.1 30.9 22.3 12.8 4.3 8.0 3.7 188
UT 25.8 32.3 16.1 3.2 9.7 9.7 3.2 31
VA 22.9 45.8 10.4 12.5 4.2 4.2 0.0 48
VT 9.1 36.4 36.4 9.1 9.1 0.0 0.0 11
WA 26.2 44.6 10.8 1.5 3.1 9.2 4.6 65
WI 18.3 57.0 10.8 3.2 2.2 6.5 2.2 93
WV 14.8 44.4 22.2 7.4 3.7 7.4 0.0 27
WY 6.7 46.7 20.0 6.7 6.7 13.3 0.0 15



Table 6.3b: Coverage of breastfeeding education
by state
  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 2642
State
AK 41.7 16.7 8.3 25.0 8.3 24
AL 13.0 28.3 10.9 41.3 6.5 46
AR 40.7 48.1 7.4 0.0 3.7 27
AZ 13.9 27.8 8.3 44.4 5.6 36
CA 9.0 17.6 24.6 45.2 3.5 199
CO 7.1 19.0 35.7 33.3 4.8 42
CT 0.0 22.7 18.2 59.1 0.0 22
DC 0.0 25.0 0.0 75.0 0.0 4
DE 0.0 57.1 28.6 14.3 0.0 7
FL 17.2 11.8 22.6 46.2 2.2 93
GA 24.3 24.3 15.7 34.3 1.4 70
HI 50.0 12.5 25.0 12.5 0.0 8
IA 17.8 35.6 11.0 30.1 5.5 73
ID 23.1 15.4 23.1 38.5 0.0 26
IL 11.1 22.2 17.6 48.1 0.9 108
IN 13.4 26.8 12.2 45.1 2.4 82
KS 31.3 26.9 11.9 25.4 4.5 67
KY 14.0 30.2 16.3 30.2 9.3 43
LA 25.0 20.5 22.7 31.8 0.0 44
MA 0.0 5.7 28.6 65.7 0.0 35
MD 13.8 31.0 17.2 31.0 6.9 29
ME 3.6 10.7 10.7 67.9 7.1 28
MI 21.9 16.4 16.4 42.5 2.7 73
MN 20.7 32.9 17.1 28.0 1.2 82
MO 19.3 22.8 17.5 38.6 1.8 57
MS 35.1 18.9 18.9 21.6 5.4 37
MT 16.7 23.3 16.7 40.0 3.3 30
NC 17.1 21.4 24.3 37.1 0.0 70
ND 23.5 35.3 11.8 29.4 0.0 17
NE 31.9 38.3 14.9 12.8 2.1 47
NH 4.8 9.5 19.0 57.1 9.5 21
NJ 6.7 17.8 24.4 48.9 2.2 45
NM 20.0 35.0 5.0 35.0 5.0 20
NV 30.8 38.5 0.0 30.8 0.0 13
NY 11.3 24.5 16.0 45.3 2.8 106
OH 9.0 20.0 19.0 49.0 3.0 100
OK 24.5 30.6 20.4 24.5 0.0 49
OR 21.2 17.3 15.4 32.7 13.5 52
PA 20.8 19.8 21.8 35.6 2.0 101
PR 0.0 27.3 9.1 63.6 0.0 11
RI 0.0 20.0 0.0 80.0 0.0 5
SC 25.0 22.2 16.7 36.1 0.0 36
SD 21.1 31.6 21.1 26.3 0.0 19
TN 22.2 25.4 22.2 30.2 0.0 63
TX 25.0 21.8 19.1 30.3 3.7 188
UT 16.1 29.0 25.8 25.8 3.2 31
VA 10.4 20.8 8.3 60.4 0.0 48
VT 9.1 0.0 27.3 63.6 0.0 11
WA 23.8 19.0 19.0 30.2 7.9 63
WI 12.0 22.8 19.6 41.3 4.3 92
WV 25.9 25.9 25.9 22.2 0.0 27
WY 26.7 33.3 20.0 20.0 0.0 15



Table 6.4b: Competency testing
by state
  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 43.6 14.3 39.7 2.4 2639
State
AK 29.2 12.5 41.7 16.7 24
AL 58.7 6.5 30.4 4.3 46
AR 29.6 0.0 63.0 7.4 27
AZ 50.0 8.3 41.7 0.0 36
CA 52.5 16.7 28.8 2.0 198
CO 42.9 19.0 35.7 2.4 42
CT 68.2 13.6 18.2 0.0 22
DC 75.0 25.0 0.0 0.0 4
DE 14.3 57.1 28.6 0.0 7
FL 57.1 13.2 26.4 3.3 91
GA 44.9 15.9 37.7 1.4 69
HI 12.5 25.0 62.5 0.0 8
IA 24.3 14.9 59.5 1.4 74
ID 26.9 11.5 57.7 3.8 26
IL 47.2 15.7 36.1 0.9 108
IN 45.8 10.8 42.2 1.2 83
KS 26.9 9.0 62.7 1.5 67
KY 62.8 11.6 23.3 2.3 43
LA 63.6 2.3 31.8 2.3 44
MA 85.7 2.9 11.4 0.0 35
MD 34.5 24.1 37.9 3.4 29
ME 53.3 10.0 36.7 0.0 30
MI 31.9 19.4 45.8 2.8 72
MN 23.8 14.3 60.7 1.2 84
MO 49.1 21.1 22.8 7.0 57
MS 56.8 5.4 32.4 5.4 37
MT 30.0 10.0 60.0 0.0 30
NC 42.0 20.3 36.2 1.4 69
ND 41.2 17.6 41.2 0.0 17
NE 8.5 12.8 78.7 0.0 47
NH 31.8 18.2 45.5 4.5 22
NJ 68.9 17.8 13.3 0.0 45
NM 55.6 11.1 33.3 0.0 18
NV 53.8 0.0 46.2 0.0 13
NY 50.5 10.3 37.4 1.9 107
OH 46.5 17.2 35.4 1.0 99
OK 55.1 12.2 32.7 0.0 49
OR 28.8 23.1 46.2 1.9 52
PA 44.0 11.0 40.0 5.0 100
PR 45.5 9.1 45.5 0.0 11
RI 40.0 20.0 40.0 0.0 5
SC 28.6 20.0 51.4 0.0 35
SD 26.3 10.5 63.2 0.0 19
TN 50.8 17.5 31.7 0.0 63
TX 43.2 11.9 40.5 4.3 185
UT 38.7 19.4 38.7 3.2 31
VA 62.5 4.2 33.3 0.0 48
VT 27.3 18.2 54.5 0.0 11
WA 20.0 23.1 44.6 12.3 65
WI 37.6 19.4 41.9 1.1 93
WV 33.3 14.8 51.9 0.0 27
WY 26.7 26.7 46.7 0.0 15