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

Table 6.1b: Breastfeeding education of new staff
by state
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 16.1 8.4 5.6 2629
State
AK 22.2 16.7 22.2 11.1 22.2 5.6 18
AL 16.7 33.3 25.0 12.5 4.2 8.3 48
AR 31.6 34.2 21.1 2.6 2.6 7.9 38
AZ 18.4 23.7 23.7 23.7 0.0 10.5 38
CA 16.7 22.7 16.2 25.3 17.2 2.0 198
CO 18.4 22.4 30.6 16.3 6.1 6.1 49
CT 0.0 33.3 37.5 8.3 16.7 4.2 24
DC 16.7 0.0 33.3 33.3 0.0 16.7 6
DE 0.0 60.0 40.0 0.0 0.0 0.0 5
FL 18.4 30.6 29.6 5.1 8.2 8.2 98
GA 21.9 35.9 20.3 12.5 4.7 4.7 64
HI 44.4 11.1 22.2 11.1 0.0 11.1 9
IA 22.1 26.5 33.8 5.9 5.9 5.9 68
ID 23.3 33.3 13.3 16.7 10.0 3.3 30
IL 14.7 32.4 23.5 18.6 6.9 3.9 102
IN 23.8 35.7 20.2 8.3 6.0 6.0 84
KS 29.2 36.9 21.5 6.2 4.6 1.5 65
KY 28.6 40.5 11.9 14.3 2.4 2.4 42
LA 17.8 20.0 28.9 22.2 6.7 4.4 45
MA 2.2 33.3 22.2 26.7 13.3 2.2 45
MD 7.7 11.5 53.8 23.1 3.8 0.0 26
ME 12.0 32.0 28.0 4.0 24.0 0.0 25
MI 16.9 23.4 33.8 16.9 7.8 1.3 77
MN 20.9 38.4 14.0 16.3 4.7 5.8 86
MO 11.5 31.1 18.0 23.0 6.6 9.8 61
MS 26.9 30.8 11.5 15.4 7.7 7.7 26
MT 28.0 20.0 28.0 8.0 8.0 8.0 25
NC 13.2 29.4 25.0 23.5 7.4 1.5 68
ND 33.3 33.3 8.3 0.0 16.7 8.3 12
NE 35.4 33.3 6.3 4.2 8.3 12.5 48
NH 9.5 14.3 19.0 28.6 23.8 4.8 21
NJ 7.0 41.9 16.3 32.6 0.0 2.3 43
NM 25.0 35.0 25.0 0.0 5.0 10.0 20
NV 53.8 30.8 7.7 0.0 0.0 7.7 13
NY 5.3 33.6 23.0 14.2 15.0 8.8 113
OH 9.3 44.3 19.6 14.4 5.2 7.2 97
OK 34.0 32.0 14.0 10.0 6.0 4.0 50
OR 18.0 26.0 22.0 24.0 8.0 2.0 50
PA 14.3 23.8 32.1 16.7 9.5 3.6 84
PR 21.4 28.6 21.4 7.1 0.0 21.4 14
RI 0.0 28.6 0.0 28.6 42.9 0.0 7
SC 11.4 37.1 20.0 17.1 8.6 5.7 35
SD 28.6 47.6 4.8 9.5 9.5 0.0 21
TN 24.6 29.8 26.3 12.3 3.5 3.5 57
TX 20.2 26.1 18.6 19.1 8.5 7.4 188
UT 7.4 33.3 22.2 18.5 11.1 7.4 27
VA 16.7 29.2 25.0 18.8 6.3 4.2 48
VT 10.0 20.0 10.0 50.0 0.0 10.0 10
WA 12.3 24.6 20.0 20.0 12.3 10.8 65
WI 13.5 29.2 22.5 23.6 6.7 4.5 89
WV 25.0 42.9 10.7 7.1 7.1 7.1 28
WY 10.5 36.8 21.1 5.3 10.5 15.8 19

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
<1 1-4 5 or more Not sure N
All 24.1 52.5 14.5 8.9 2637
State
AK 15.8 36.8 26.3 21.1 19
AL 10.6 68.1 8.5 12.8 47
AR 55.3 34.2 0.0 10.5 38
AZ 13.2 65.8 13.2 7.9 38
CA 16.2 46.0 29.3 8.6 198
CO 24.5 63.3 8.2 4.1 49
CT 16.7 58.3 20.8 4.2 24
DC 0.0 83.3 16.7 0.0 6
DE 40.0 60.0 0.0 0.0 5
FL 26.3 57.6 5.1 11.1 99
GA 24.6 58.5 10.8 6.2 65
HI 33.3 22.2 44.4 0.0 9
IA 34.8 47.8 8.7 8.7 69
ID 30.0 50.0 16.7 3.3 30
IL 21.6 60.8 10.8 6.9 102
IN 30.6 49.4 8.2 11.8 85
KS 36.9 46.2 13.8 3.1 65
KY 41.5 43.9 4.9 9.8 41
LA 13.3 57.8 24.4 4.4 45
MA 15.2 67.4 15.2 2.2 46
MD 23.1 38.5 23.1 15.4 26
ME 4.0 52.0 40.0 4.0 25
MI 37.7 46.8 9.1 6.5 77
MN 21.8 56.3 13.8 8.0 87
MO 31.1 44.3 14.8 9.8 61
MS 40.7 37.0 7.4 14.8 27
MT 28.0 48.0 12.0 12.0 25
NC 17.4 59.4 10.1 13.0 69
ND 41.7 33.3 16.7 8.3 12
NE 35.4 39.6 12.5 12.5 48
NH 19.0 38.1 33.3 9.5 21
NJ 19.0 59.5 14.3 7.1 42
NM 40.0 45.0 0.0 15.0 20
NV 50.0 41.7 0.0 8.3 12
NY 15.2 50.9 26.8 7.1 112
OH 16.5 69.1 8.2 6.2 97
OK 31.4 43.1 21.6 3.9 51
OR 23.1 57.7 11.5 7.7 52
PA 19.8 55.8 11.6 12.8 86
PR 0.0 76.9 7.7 15.4 13
RI 0.0 85.7 14.3 0.0 7
SC 20.0 68.6 8.6 2.9 35
SD 38.1 52.4 4.8 4.8 21
TN 26.3 59.6 7.0 7.0 57
TX 22.9 40.4 25.5 11.2 188
UT 18.5 59.3 11.1 11.1 27
VA 18.4 67.3 4.1 10.2 49
VT 10.0 60.0 20.0 10.0 10
WA 19.7 47.0 9.1 24.2 66
WI 26.4 60.9 8.0 4.6 87
WV 35.7 42.9 7.1 14.3 28
WY 42.1 31.6 21.1 5.3 19

Table 6.3b: Coverage of breastfeeding education
by state
How many nurses/birth attendants received
breastfeeding education in past year
Few Some Many Most Not sure N
All 17.9 21.1 15.5 43.1 2.4 2636
State
AK 10.5 52.6 15.8 21.1 0.0 19
AL 14.9 25.5 19.1 38.3 2.1 47
AR 42.1 31.6 18.4 7.9 0.0 38
AZ 18.4 18.4 18.4 39.5 5.3 38
CA 8.6 18.3 18.3 53.8 1.0 197
CO 12.5 25.0 6.3 56.3 0.0 48
CT 0.0 25.0 8.3 62.5 4.2 24
DC 0.0 0.0 16.7 83.3 0.0 6
DE 0.0 60.0 20.0 20.0 0.0 5
FL 18.6 23.7 14.4 36.1 7.2 97
GA 17.2 20.3 15.6 43.8 3.1 64
HI 22.2 11.1 11.1 44.4 11.1 9
IA 27.5 29.0 11.6 31.9 0.0 69
ID 20.0 16.7 36.7 26.7 0.0 30
IL 15.0 21.0 18.0 45.0 1.0 100
IN 20.0 11.8 9.4 54.1 4.7 85
KS 27.7 27.7 21.5 21.5 1.5 65
KY 21.4 26.2 14.3 33.3 4.8 42
LA 8.9 31.1 15.6 40.0 4.4 45
MA 2.2 4.3 21.7 71.7 0.0 46
MD 15.4 15.4 26.9 42.3 0.0 26
ME 16.0 12.0 8.0 64.0 0.0 25
MI 19.5 15.6 11.7 49.4 3.9 77
MN 18.4 23.0 26.4 32.2 0.0 87
MO 13.1 19.7 19.7 44.3 3.3 61
MS 33.3 22.2 11.1 29.6 3.7 27
MT 32.0 12.0 8.0 48.0 0.0 25
NC 14.7 20.6 19.1 41.2 4.4 68
ND 33.3 16.7 25.0 25.0 0.0 12
NE 37.5 29.2 10.4 20.8 2.1 48
NH 14.3 19.0 9.5 52.4 4.8 21
NJ 2.4 16.7 14.3 64.3 2.4 42
NM 40.0 25.0 5.0 30.0 0.0 20
NV 38.5 23.1 0.0 30.8 7.7 13
NY 9.7 19.5 16.8 52.2 1.8 113
OH 7.2 15.5 9.3 67.0 1.0 97
OK 31.4 35.3 13.7 19.6 0.0 51
OR 20.8 17.0 11.3 47.2 3.8 53
PA 15.1 17.4 12.8 52.3 2.3 86
PR 0.0 23.1 23.1 46.2 7.7 13
RI 0.0 0.0 28.6 71.4 0.0 7
SC 25.7 14.3 17.1 42.9 0.0 35
SD 28.6 19.0 28.6 23.8 0.0 21
TN 17.5 19.3 14.0 47.4 1.8 57
TX 21.8 19.7 18.6 36.2 3.7 188
UT 18.5 37.0 14.8 25.9 3.7 27
VA 12.2 12.2 16.3 57.1 2.0 49
VT 30.0 20.0 20.0 30.0 0.0 10
WA 25.8 27.3 9.1 33.3 4.5 66
WI 14.4 25.6 7.8 50.0 2.2 90
WV 28.6 32.1 10.7 28.6 0.0 28
WY 47.4 21.1 10.5 21.1 0.0 19

Table 6.4b: Competency testing
by state
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 2632
State
AK 31.6 5.3 63.2 19
AL 57.4 12.8 29.8 47
AR 35.1 10.8 54.1 37
AZ 47.4 0.0 52.6 38
CA 60.1 14.1 25.8 198
CO 55.1 12.2 32.7 49
CT 66.7 4.2 29.2 24
DC 83.3 0.0 16.7 6
DE 20.0 0.0 80.0 5
FL 52.5 10.1 37.4 99
GA 56.9 12.3 30.8 65
HI 33.3 11.1 55.6 9
IA 34.3 16.4 49.3 67
ID 46.7 16.7 36.7 30
IL 53.9 16.7 29.4 102
IN 38.1 14.3 47.6 84
KS 36.9 13.8 49.2 65
KY 47.6 19.0 33.3 42
LA 60.0 6.7 33.3 45
MA 78.3 8.7 13.0 46
MD 44.0 24.0 32.0 25
ME 60.0 12.0 28.0 25
MI 42.9 20.8 36.4 77
MN 21.8 25.3 52.9 87
MO 50.8 13.1 36.1 61
MS 44.4 14.8 40.7 27
MT 36.0 0.0 64.0 25
NC 62.3 10.1 27.5 69
ND 41.7 25.0 33.3 12
NE 14.6 12.5 72.9 48
NH 66.7 19.0 14.3 21
NJ 81.0 9.5 9.5 42
NM 50.0 10.0 40.0 20
NV 38.5 7.7 53.8 13
NY 62.2 9.9 27.9 111
OH 68.0 18.6 13.4 97
OK 27.5 21.6 51.0 51
OR 35.8 20.8 43.4 53
PA 52.3 16.3 31.4 86
PR 69.2 0.0 30.8 13
RI 71.4 14.3 14.3 7
SC 44.1 8.8 47.1 34
SD 23.8 19.0 57.1 21
TN 64.3 14.3 21.4 56
TX 52.9 12.7 34.4 189
UT 53.8 7.7 38.5 26
VA 49.0 8.2 42.9 49
VT 30.0 30.0 40.0 10
WA 38.5 16.9 44.6 65
WI 44.4 25.6 30.0 90
WV 39.3 10.7 50.0 28
WY 23.5 17.6 58.8 17