CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)–2009

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
<1 1-3 4-7 8-17 18 or more Not sure N
All 17.8 30.2 21.9 16.2 8.4 5.6 2631
Type of facility
Birth center 19.3 18.4 7.0 11.4 23.7 20.2 114
Government hospital 25.8 30.2 19.8 10.0 7.9 6.3 520
Non-profit hospital 14.2 30.6 23.9 19.1 8.4 3.9 1651
Private hospital 22.5 32.7 20.4 12.7 4.3 7.4 324
Military hospital 28.6 23.8 14.3 19.0 0.0 14.3 21
Teaching hospital  
Yes 3.4 22.7 23.9 30.1 18.2 1.7 176
No 18.8 31.3 22.4 15.3 6.9 5.2 2340
Size of facility
0-249 31.5 31.8 13.8 6.5 7.2 9.1 581
250-499 22.9 31.6 16.7 10.0 7.8 10.9 449
500-999 20.1 34.6 23.1 13.6 4.6 4.0 546
1000-1999 8.0 31.4 29.3 20.5 8.0 2.9 523
2000-4999 6.3 22.7 25.5 30.1 14.6 0.9 459
5000 or more 0.0 14.3 38.1 36.5 11.1 0.0 63
Unknown 20.0 10.0 0.0 0.0 20.0 50.0 10
Level of Neonatal Care
Healthy newborn only 26.2 31.7 15.2 9.9 7.7 9.3 1070
Level 1 or 2 NICU 15.9 31.8 25.3 16.4 6.5 4.1 1008
Level 3 NICU 5.2 24.2 28.4 27.8 13.0 1.3 553
Census region
Pacific 16.9 23.0 18.1 23.0 14.6 4.4 343
Mountain 20.8 28.1 23.1 13.6 6.3 8.1 221
West North Central 23.9 34.2 18.1 11.1 6.4 6.4 360
East North Central 15.2 33.5 23.7 16.5 6.5 4.7 448
West South Central 23.4 27.1 19.6 16.2 7.2 6.5 321
East South Central 23.7 33.5 20.2 13.3 4.0 5.2 173
New England 5.3 28.8 23.5 21.2 18.2 3.0 132
Middle Atlantic 8.8 31.4 25.1 18.4 10.5 5.9 239
South Atlantic 17.0 31.0 25.9 14.0 6.3 5.8 394

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
<1 1-4 5 or more Not sure N
All 24.1 52.5 14.6 8.9 2639
Type of facility
Birth center 14.5 40.2 18.8 26.5 117
Government hospital 26.8 48.5 15.9 8.8 522
Non-profit hospital 23.1 55.0 14.4 7.4 1655
Private hospital 27.6 52.0 10.5 9.9 323
Military hospital 28.6 28.6 23.8 19.0 21
Teaching hospital
Yes 11.9 62.7 20.9 4.5 177
No 25.5 52.3 13.8 8.4 2344
Size of facility
0-249 32.4 40.8 13.1 13.7 586
250-499 27.5 49.1 12.1 11.2 454
500-999 23.5 54.0 14.1 8.4 548
1000-1999 19.8 59.7 16.1 4.4 521
2000-4999 16.6 60.2 17.7 5.5 457
5000 or more 19.0 58.7 15.9 6.3 63
Unknown 0.0 40.0 0.0 60.0 10
Level of Neonatal Care
Healthy newborn only 29.4 46.1 12.4 12.1 1080
Level 1 or 2 NICU 22.4 55.5 14.3 7.8 1009
Level 3 NICU 16.7 59.5 19.3 4.5 550
Census region
Pacific 18.2 46.4 23.3 12.1 347
Mountain 27.3 54.1 10.9 7.7 220
West North Central 32.0 47.5 12.4 8.0 362
East North Central 25.7 58.2 8.9 7.2 447
West South Central 26.7 42.5 21.7 9.0 322
East South Central 27.9 54.7 7.0 10.5 172
New England 12.8 58.6 24.1 4.5 133
Middle Atlantic 17.6 54.4 19.2 8.8 239
South Atlantic 22.2 58.9 8.6 10.3 397

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
Few Some Many Most Not sure N
All 18.0 21.0 15.4 43.2 2.4 2638
Type of facility
Birth center 19.7 11.1 12.8 41.9 14.5 117
Government hospital 26.6 22.9 14.6 33.7 2.1 519
Non-profit hospital 14.5 20.6 15.3 48.0 1.4 1657
Private hospital 21.1 23.5 17.0 35.6 2.8 323
Military hospital 19.0 23.8 33.3 14.3 9.5 21
Teaching hospital
Yes 3.4 18.1 23.7 53.7 1.1 177
No 19.0 21.8 14.9 42.4 1.9 2343
Size of facility
0-249 32.6 22.9 14.2 26.3 4.1 586
250-499 24.2 26.2 12.5 34.1 3.1 455
500-999 16.7 20.7 13.9 46.9 1.8 546
1000-1999 11.0 16.5 18.5 53.3 0.8 520
2000-4999 4.6 19.7 16.8 57.4 1.5 458
5000 or more 6.3 15.9 25.4 50.8 1.6 63
Unknown 0.0 30.0 20.0 20.0 30.0 10
Level of Neonatal Care
Healthy newborn only 26.3 22.4 13.6 33.5 4.1 1079
Level 1 or 2 NICU 15.4 20.2 16.2 47.0 1.3 1007
Level 3 NICU 6.3 19.9 17.6 55.1 1.1 552
Census region
Pacific 14.4 21.3 15.0 47.0 2.3 347
Mountain 24.5 22.3 13.6 37.7 1.8 220
West North Central 24.6 24.9 19.3 30.1 1.1 362
East North Central 15.0 18.1 11.2 53.3 2.5 448
West South Central 23.9 25.2 17.4 30.7 2.8 322
East South Central 20.2 23.1 15.0 38.7 2.9 173
New England 8.3 12.8 15.0 62.4 1.5 133
Middle Atlantic 10.4 17.9 15.0 54.6 2.1 240
South Atlantic 16.8 20.4 17.0 42.0 3.8 393

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
At least once a year Less than once a year Not assessed N
All 49.7 14.2 36.1 2634
Type of facility
Birth center 43.6 4.3 52.1 117
Government hospital 40.5 14.5 45.0 518
Non-profit hospital 52.0 14.9 33.1 1658
Private hospital 56.7 12.9 30.4 319
Military hospital 23.8 28.6 47.6 21
Teaching hospital
Yes 61.4 19.3 19.3 176
No 49.1 14.3 36.5 2340
Size of facility
0-249 33.3 12.2 54.5 582
250-499 42.0 14.7 43.3 450
500-999 51.6 14.1 34.3 548
1000-1999 61.5 13.5 25.0 520
2000-4999 61.0 17.4 21.7 461
5000 or more 63.5 12.7 23.8 63
Unknown 20.0 20.0 60.0 10
Level of Neonatal Care
Healthy newborn only 41.2 12.8 45.9 1074
Level 1 or 2 NICU 51.8 14.8 33.4 1007
Level 3 NICU 62.2 15.7 22.1 553
Census region
Pacific 50.4 15.0 34.6 347
Mountain 46.3 8.7 45.0 218
West North Central 31.4 17.5 51.1 360
East North Central 50.3 19.2 30.5 449
West South Central 47.8 13.0 39.1 322
East South Central 55.2 15.1 29.7 172
New England 66.9 12.0 21.1 133
Middle Atlantic 62.2 12.2 25.6 238
South Atlantic 52.7 10.4 37.0 395