CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)–2011

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
None <1 1-3 4-7 8-17 18 or more Not sure N
All 5.9 9.7 27.9 20.8 18.9 12.2 4.7 2717
Type of facility
Birth center 5.9 4.4 19.1 12.5 15.4 22.8 19.9 136
Government hospital 11.7 13.0 29.1 17.8 12.8 9.8 5.9 523
Non-profit hospital 3.8 8.2 26.2 23.0 21.9 13.4 3.4 1697
Private hospital 7.0 14.6 36.2 18.1 14.9 5.8 3.5 343
Military hospital 11.1 0.0 55.6 5.6 11.1 11.1 5.6 18
Teaching hospital  
Yes 0.0 0.5 18.6 26.2 28.1 25.2 1.4 210
No 6.4 10.8 29.2 20.8 18.3 10.5 4.2 2371
Size of facility
1-249 11.9 13.9 33.2 11.7 10.1 8.2 10.9 596
250-499 9.3 14.0 35.0 13.8 14.4 7.2 6.4 472
500-999 4.2 12.0 32.2 21.6 16.1 10.4 3.4 565
1000-1999 2.9 5.7 22.5 26.3 25.7 14.8 2.1 560
2000-4999 0.9 3.0 17.3 30.0 27.9 20.3 0.6 463
5000 or more 0.0 0.0 9.8 34.4 34.4 21.3 0.0 61
Level of Neonatal Care
Healthy newborn only 9.8 13.1 32.3 14.4 13.3 8.8 8.3 1055
Level 1 or 2 NICU 5.1 10.5 28.6 22.4 18.9 11.3 3.2 1059
Level 3 NICU 0.3 2.3 18.7 29.0 28.7 19.7 1.2 603
Census region
Pacific 4.6 7.9 19.8 17.9 21.7 20.9 7.3 369
Mountain 9.5 7.0 28.8 19.8 20.2 9.1 5.8 243
West North Central 7.5 15.0 33.2 17.7 15.5 7.8 3.3 361
East North Central 3.9 8.8 29.8 25.0 19.5 9.0 3.9 456
West South Central 9.1 13.5 22.9 18.2 22.6 10.0 3.8 341
East South Central 5.2 12.7 39.9 19.1 13.3 6.9 2.9 173
New England 2.3 6.8 11.3 16.5 22.6 34.6 6.0 133
Middle Atlantic 2.9 3.7 27.3 23.1 23.6 15.3 4.1 242
South Atlantic 6.0 9.3 32.6 24.8 13.0 8.8 5.5 399

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
None <1 1-2 3-4 5 or more Not sure N
All 4.0 15.0 37.4 18.1 18.0 7.5 2727
Type of facility
Birth center 4.9 4.9 28.0 23.1 24.5 14.7 143
Government hospital 6.7 13.7 38.7 14.5 16.8 9.5 524
Non-profit hospital 2.7 15.8 38.3 18.9 18.2 6.1 1698
Private hospital 6.4 17.2 34.3 17.2 16.3 8.7 344
Military hospital 5.6 5.6 44.4 22.2 16.7 5.6 18
Teaching hospital
Yes 0.5 12.4 41.0 17.1 24.3 4.8 210
No 4.3 15.8 37.7 17.9 17.1 7.3 2374
Size of facility
1-249 7.5 14.6 33.6 15.4 16.6 12.3 602
250-499 7.2 16.5 34.5 15.6 16.7 9.5 473
500-999 2.5 15.9 37.1 19.8 17.5 7.2 566
1000-1999 2.3 14.2 39.3 18.5 21.4 4.3 562
2000-4999 0.6 13.8 43.2 20.5 17.7 4.1 463
5000 or more 1.6 13.1 39.3 24.6 18.0 3.3 61
Level of Neonatal Care
Healthy newborn only 7.1 14.6 33.1 16.6 17.7 10.9 1061
Level 1 or 2 NICU 2.8 16.8 39.2 18.3 16.5 6.4 1061
Level 3 NICU 0.8 12.4 41.8 20.3 21.2 3.5 605
Census region
Pacific 3.5 9.8 36.0 18.2 22.8 9.8 369
Mountain 6.1 13.5 34.0 16.4 21.7 8.2 244
West North Central 4.4 21.8 39.2 14.6 12.7 7.2 362
East North Central 2.6 19.7 43.4 15.7 14.4 4.1 458
West South Central 5.5 15.0 28.9 20.8 20.5 9.2 346
East South Central 7.6 17.4 41.3 12.2 12.8 8.7 172
New England 0.0 7.5 30.8 27.1 27.8 6.8 133
Middle Atlantic 1.6 12.8 40.3 16.5 21.4 7.4 243
South Atlantic 4.5 11.8 38.3 23.0 15.0 7.5 400

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 12.6 18.5 16.1 50.5 2.2 2728
Type of facility
Birth center 10.6 9.9 13.5 55.3 10.6 141
Government hospital 19.0 22.1 16.4 40.0 2.5 525
Non-profit hospital 10.0 18.0 16.5 54.0 1.5 1701
Private hospital 17.2 18.1 15.2 48.1 1.5 343
Military hospital 5.6 38.9 11.1 44.4 0.0 18
Teaching hospital
Yes 3.3 10.5 19.5 64.8 1.9 210
No 13.6 19.8 15.9 49.0 1.7 2377
Size of facility
1-249 22.9 22.6 14.3 35.0 5.1 602
250-499 18.1 23.6 17.5 38.2 2.5 474
500-999 9.9 20.8 15.2 53.0 1.1 566
1000-1999 7.5 14.4 15.7 61.6 0.9 562
2000-4999 3.7 11.9 18.8 64.8 0.9 463
5000 or more 9.8 6.6 14.8 67.2 1.6 61
Level of Neonatal Care
Healthy newborn only 18.5 22.6 15.8 39.4 3.7 1061
Level 1 or 2 NICU 11.7 18.0 15.9 53.0 1.4 1062
Level 3 NICU 4.1 12.4 16.9 65.8 0.8 605
Census region
Pacific 9.5 17.6 17.9 53.1 1.9 369
Mountain 18.0 16.4 16.8 46.7 2.0 244
West North Central 17.6 25.1 18.5 37.2 1.7 363
East North Central 10.0 16.2 12.9 60.0 0.9 458
West South Central 14.0 18.6 15.7 47.4 4.4 344
East South Central 19.7 18.5 15.6 43.4 2.9 173
New England 5.2 12.7 10.4 69.4 2.2 134
Middle Atlantic 7.4 18.4 18.0 53.7 2.5 244
South Atlantic 12.3 19.5 16.8 49.4 2.0 399

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 54.9 13.3 31.8 2723
Type of facility
Birth center 52.9 8.6 38.6 140
Government hospital 44.3 16.0 39.7 524
Non-profit hospital 56.9 13.7 29.4 1699
Private hospital 62.6 9.4 28.1 342
Military hospital 44.4 11.1

44.4

18
Teaching hospital
Yes 60.5 18.1 21.4 210
No 54.5 13.2 32.3 2373
Size of facility
1-249 38.3 11.8 49.8 600
250-499 47.0 12.4 40.5 474
500-999 57.4 15.4 27.1 564
1000-1999 64.0 12.8 23.2 561
2000-4999 69.3 13.8 16.8 463
5000 or more 60.7 16.4 23.0 61
Level of Neonatal Care
Healthy newborn only 45.9 13.1 41.0 1059
Level 1 or 2 NICU 56.2 13.1 30.7 1061
Level 3 NICU 68.3 14.1 17.6 603
Census region
Pacific 58.2 16.3 25.5 368
Mountain 50.0 12.4 37.6 242
West North Central 38.5 16.3 45.2 361
East North Central 53.7 16.4 29.9 458
West South Central 56.5 10.1 33.3 345
East South Central 57.6 14.0 28.5 172
New England 67.7 10.5 21.8 133
Middle Atlantic 61.5 10.2 28.3 244
South Atlantic 60.0 10.3 29.8 400