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

Table 6.1b: Breastfeeding education of new staff
by state
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 5.8 9.7 27.9 20.8 18.9 12.2 4.7 2719
State
AK 10.0 5.0 20.0 15.0 20.0 5.0 25.0 20
AL 4.3 6.5 41.3 17.4 15.2 8.7 6.5 46
AR 3.6 28.6 39.3 14.3 10.7 0.0 3.6 28
AZ 12.5 7.5 17.5 32.5 25.0 5.0 0.0 40
CA 5.0 6.9 17.0 15.1 23.9 27.1 5.0 218
CO 6.3 8.3 31.3 20.8 22.9 10.4 0.0 48
CT 4.2 4.2 12.5 16.7 20.8 37.5 4.2 24
DC 0.0 0.0 40.0 0.0 20.0 20.0 20.0 5
DE 0.0 0.0 66.7 16.7 16.7 0.0 0.0 6
FL 4.5 12.4 31.5 24.7 6.7 11.2 9.0 89
GA 6.7 8.0 42.7 24.0 12.0 1.3 5.3 75
HI 14.3 14.3 14.3 28.6 14.3 14.3 0.0 7
IA 5.6 12.7 38.0 19.7 15.5 5.6 2.8 71
ID 7.4 7.4 33.3 11.1 29.6 7.4 3.7 27
IL 1.9 9.3 33.3 21.3 19.4 10.2 4.6 108
IN 6.5 9.8 31.5 25.0 14.1 9.8 3.3 92
KS 9.8 16.4 27.9 16.4 18.0 4.9 6.6 61
KY 6.7 17.8 33.3 20.0 20.0 2.2 0.0 45
LA 8.0 10.0 24.0 30.0 22.0 6.0 0.0 50
MA 2.2 0.0 10.9 23.9 30.4 30.4 2.2 46
MD 3.3 6.7 26.7 40.0 13.3 10.0 0.0 30
ME 0.0 19.2 7.7 15.4 11.5 38.5 7.7 26
MI 5.2 11.7 22.1 29.9 20.8 7.8 2.6 77
MN 6.7 16.9 34.8 16.9 15.7 6.7 2.2 89
MO 7.9 12.7 27.0 20.6 17.5 12.7 1.6 63
MS 13.6 27.3 36.4 4.5 9.1 9.1 0.0 22
MT 10.7 7.1 28.6 14.3 7.1 17.9 14.3 28
NC 5.1 6.4 17.9 37.2 19.2 10.3 3.8 78
ND 9.1 0.0 18.2 36.4 9.1 18.2 9.1 11
NE 8.5 19.1 42.6 8.5 8.5 8.5 4.3 47
NH 0.0 4.8 9.5 14.3 4.8 52.4 14.3 21
NJ 2.3 6.8 27.3 15.9 22.7 20.5 4.5 44
NM 15.4 19.2 26.9 7.7 11.5 3.8 15.4 26
NV 20.0 0.0 40.0 20.0 13.3 6.7 0.0 15
NY 0.9 0.9 29.0 18.7 24.3 21.5 4.7 107
OH 3.2 8.6 32.3 24.7 21.5 6.5 3.2 93
OK 10.2 16.3 24.5 10.2 26.5 6.1 6.1 49
OR 1.9 9.4 22.6 28.3 17.0 13.2 7.5 53
PA 5.5 5.5 25.3 31.9 23.1 5.5 3.3 91
PI 0.0 40.0 40.0 20.0 0.0 0.0 0.0 5
PR 14.3 14.3 57.1 0.0 0.0 14.3 0.0 7
RI 0.0 0.0 16.7 0.0 66.7 16.7 0.0 6
SC 5.3 10.5 36.8 18.4 13.2 10.5 5.3 38
SD 5.0 15.0 35.0 20.0 20.0 5.0 0.0 20
TN 1.7 8.3 45.0 25.0 8.3 8.3 3.3 60
TX 9.8 11.6 20.0 18.1 23.3 13.0 4.2 215
UT 2.4 2.4 34.1 17.1 31.7 4.9 7.3 41
VA 7.0 9.3 30.2 18.6 18.6 9.3 7.0 43
VT 10.0 20.0 20.0 0.0 30.0 10.0 10.0 10
WA 3.0 7.6 25.8 18.2 21.2 13.6 10.6 66
WI 3.5 4.7 27.9 25.6 22.1 10.5 5.8 86
WV 14.3 14.3 39.3 7.1 10.7 10.7 3.6 28
WY 11.1 0.0 22.2 33.3 0.0 22.2 11.1 18

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
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 2729
State
AK 10.0 10.0 45.0 5.0 5.0 25.0 20
AL 2.2 8.7 43.5 17.4 15.2 13.0 46
AR 7.1 32.1 25.0 21.4 7.1 7.1 28
AZ 5.0 10.0 22.5 25.0 32.5 5.0 40
CA 2.8 7.3 36.7 20.2 26.6 6.4 218
CO 4.2 20.8 39.6 18.8 14.6 2.1 48
CT 0.0 4.2 20.8 33.3 37.5 4.2 24
DC 0.0 0.0 40.0 0.0 40.0 20.0 5
DE 0.0 0.0 66.7 16.7 16.7 0.0 6
FL 5.6 11.2 43.8 18.0 11.2 10.1 89
GA 2.7 13.3 33.3 32.0 10.7 8.0 75
HI 0.0 0.0 0.0 42.9 42.9 14.3 7
IA 1.4 16.9 45.1 19.7 9.9 7.0 71
ID 0.0 7.4 44.4 11.1 22.2 14.8 27
IL 1.8 20.2 47.7 15.6 10.1 4.6 109
IN 3.3 21.7 41.3 18.5 14.1 1.1 92
KS 6.6 21.3 42.6 11.5 14.8 3.3 61
KY 13.6 13.6 36.4 6.8 20.5 9.1 44
LA 0.0 3.9 47.1 33.3 11.8 3.9 51
MA 0.0 8.9 22.2 31.1 33.3 4.4 45
MD 0.0 16.7 36.7 23.3 20.0 3.3 30
ME 0.0 7.4 33.3 33.3 11.1 14.8 27
MI 6.5 19.5 41.6 11.7 13.0 7.8 77
MN 2.2 27.0 29.2 13.5 20.2 7.9 89
MO 7.8 20.3 40.6 15.6 10.9 4.7 64
MS 13.6 31.8 31.8 13.6 4.5 4.5 22
MT 10.7 17.9 28.6 7.1 28.6 7.1 28
NC 5.1 2.6 35.9 25.6 23.1 7.7 78
ND 9.1 0.0 63.6 27.3 0.0 0.0 11
NE 2.1 25.5 38.3 10.6 4.3 19.1 47
NH 0.0 4.8 42.9 14.3 28.6 9.5 21
NJ 2.3 6.8 40.9 15.9 31.8 2.3 44
NM 11.5 11.5 30.8 15.4 19.2 11.5 26
NV 20.0 13.3 40.0 6.7 20.0 0.0 15
NY 0.9 5.6 40.2 19.6 29.0 4.7 107
OH 0.0 21.5 41.9 9.7 21.5 5.4 93
OK 8.2 18.4 26.5 14.3 22.4 10.2 49
OR 1.9 18.9 32.1 18.9 15.1 13.2 53
PA 2.2 23.9 40.2 13.0 7.6 13.0 92
PI 40.0 0.0 40.0 0.0 0.0 20.0 5
PR 0.0 14.3 14.3 71.4 0.0 0.0 7
RI 0.0 0.0 66.7 16.7 16.7 0.0 6
SC 5.3 18.4 34.2 31.6 7.9 2.6 38
SD 10.0 30.0 35.0 10.0 15.0 0.0 20
TN 5.0 21.7 46.7 11.7 8.3 6.7 60
TX 5.9 14.6 26.0 19.2 23.7 10.5 219
UT 2.4 11.9 31.0 16.7 23.8 14.3 42
VA 6.8 15.9 43.2 9.1 18.2 6.8 44
VT 0.0 20.0 40.0 10.0 30.0 0.0 10
WA 3.0 12.1 37.9 13.6 21.2 12.1 66
WI 2.3 14.9 43.7 23.0 13.8 2.3 87
WV 7.1 17.9 39.3 10.7 14.3 10.7 28
WY 5.6 11.1 44.4 22.2 5.6 11.1 18

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 12.6 18.5 16.1 50.5 2.2 2730
State
AK 25.0 20.0 10.0 35.0 10.0 20
AL 13.0 21.7 15.2 45.7 4.3 46
AR 32.1 17.9 14.3 32.1 3.6 28
AZ 7.5 12.5 15.0 65.0 0.0 40
CA 7.4 12.4 18.4 60.4 1.4 217
CO 16.7 10.4 14.6 58.3 0.0 48
CT 4.2 16.7 12.5 66.7 0.0 24
DC 0.0 0.0 20.0 80.0 0.0 5
DE 0.0 16.7 0.0 83.3 0.0 6
FL 8.0 23.9 14.8 51.1 2.3 88
GA 6.7 24.0 22.7 45.3 1.3 75
HI 14.3 28.6 28.6 28.6 0.0 7
IA 8.5 21.1 26.8 40.8 2.8 71
ID 3.7 25.9 22.2 48.1 0.0 27
IL 11.9 17.4 16.5 53.2 0.9 109
IN 7.6 15.2 7.6 69.6 0.0 92
KS 19.7 34.4 18.0 27.9 0.0 61
KY 20.0 17.8 15.6 44.4 2.2 45
LA 7.8 15.7 23.5 52.9 0.0 51
MA 2.2 6.5 2.2 87.0 2.2 46
MD 6.7 23.3 20.0 46.7 3.3 30
ME 7.4 18.5 3.7 66.7 3.7 27
MI 15.6 13.0 18.2 51.9 1.3 77
MN 18.0 23.6 13.5 42.7 2.2 89
MO 18.8 23.4 21.9 35.9 0.0 64
MS 27.3 31.8 13.6 22.7 4.5 22
MT 25.0 14.3 14.3 39.3 7.1 28
NC 12.8 17.9 10.3 56.4 2.6 78
ND 9.1 9.1 18.2 63.6 0.0 11
NE 22.9 27.1 14.6 31.3 4.2 48
NH 4.8 4.8 23.8 61.9 4.8 21
NJ 4.5 13.6 15.9 65.9 0.0 44
NM 23.1 15.4 26.9 30.8 3.8 26
NV 33.3 20.0 0.0 46.7 0.0 15
NY 3.7 19.4 21.3 53.7 1.9 108
OH 8.6 14.0 14.0 62.4 1.1 93
OK 14.3 24.5 16.3 40.8 4.1 49
OR 5.7 26.4 18.9 47.2 1.9 53
PA 13.0 19.6 15.2 47.8 4.3 92
PI 60.0 0.0 20.0 20.0 0.0 5
PR 14.3 14.3 57.1 14.3 0.0 7
RI 0.0 33.3 16.7 50.0 0.0 6
SC 23.7 10.5 13.2 50.0 2.6 38
SD 30.0 25.0 15.0 30.0 0.0 20
TN 21.7 11.7 16.7 48.3 1.7 60
TX 12.9 18.0 13.8 49.8 5.5 217
UT 16.7 19.0 21.4 40.5 2.4 42
VA 18.2 9.1 20.5 52.3 0.0 44
VT 20.0 20.0 30.0 30.0 0.0 10
WA 10.4 26.9 16.4 44.8 1.5 67
WI 6.9 20.7 8.0 63.2 1.1 87
WV 25.0 28.6 14.3 28.6 3.6 28
WY 38.9 22.2 11.1 22.2 5.6 18

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 54.9 13.4 31.8 2725
State
AK 35.0 25.0 40.0 20
AL 73.9 15.2 10.9 46
AR 35.7 25.0 39.3 28
AZ 55.0 20.0 25.0 40
CA 66.1 14.7 19.3 218
CO 70.8 10.4 18.8 48
CT 66.7 16.7 16.7 24
DC 60.0 0.0 40.0 5
DE 66.7 16.7 16.7 6
FL 67.4 3.4 29.2 89
GA 58.7 10.7 30.7 75
HI 42.9 14.3 42.9 7
IA 37.1 12.9 50.0 70
ID 44.4 11.1 44.4 27
IL 53.2 18.3 28.4 109
IN 51.1 14.1 34.8 92
KS 32.8 14.8 52.5 61
KY 53.3 6.7 40.0 45
LA 74.5 5.9 19.6 51
MA 84.8 4.3 10.9 46
MD 66.7 16.7 16.7 30
ME 65.4 7.7 26.9 26
MI 44.2 22.1 33.8 77
MN 40.9 19.3 39.8 88
MO 46.9 12.5 40.6 64
MS 28.6 14.3 57.1 21
MT 32.1 14.3 53.6 28
NC 65.4 7.7 26.9 78
ND 72.7 18.2 9.1 11
NE 25.0 20.8 54.2 48
NH 66.7 14.3 19.0 21
NJ 77.3 6.8 15.9 44
NM 42.3 11.5 46.2 26
NV 40.0 0.0 60.0 15
NY 68.2 11.2 20.6 107
OH 64.5 14.0 21.5 93
OK 46.9 16.3 36.7 49
OR 46.2 23.1 30.8 52
PA 46.2 10.8 43.0 93
PI 60.0 20.0 20.0 5
PR 85.7 14.3 0.0 7
RI 50.0 16.7 33.3 6
SC 50.0 15.8 34.2 38
SD 35.0 25.0 40.0 20
TN 58.3 18.3 23.3 60
TX 57.3 7.8 34.9 218
UT 52.5 12.5 35.0 40
VA 52.3 13.6 34.1 44
VT 10.0 20.0 70.0 10
WA 50.0 13.6 36.4 66
WI 54.0 13.8 32.2 87
WV 35.7 17.9 46.4 28
WY 33.3 11.1 55.6 18