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

Table 8.1a Percent of hospitals with recommended policies and practices
consistent with the Ten Steps to Successful Breastfeeding,
by facility type, size, NICU level and region*
Model policy Assess staff competency Prenatal breastfeeding education Early initiation Teach breastfeeding techniques Limit supplements Rooming-in Teach feeding cues Limit pacifiers Discharge support
All 19.3 54.9 92.8 56.5 90.8 22.9 37.1 84.8 36.4 28.4
Type of facility
Birth center 15.6 52.9 89.4 95.8 94.4 88.6 98.6 91.5 95.0 81.7
Government hospital 13.4 44.3 86.4 50.7 86.4 19.3 37.1 81.2 34.1 28.0
Non-profit hospital 22.1 56.9 95.4 56.3 92.6 20.1 33.0 85.9 34.6 27.1
Private hospital 14.9 62.6 91.2 51.0 88.1 14.9 29.4 82.5 24.4 13.8
Military hospital 33.3 44.4 94.4 41.2 72.2 33.3 76.5 77.8 38.9 27.8
Teaching hospital†
Yes 31.3 60.5 97.1 42.2 91.9 9.7 29.8 87.0 43.0 28.1
No 18.4 54.5 92.6 55.4 90.5 20.2 34.0 84.2 32.3 25.3
Size of facility
1-249 9.8 38.3 86.1 66.1 89.5 43.5 47.8 83.9 49.0 40.3
250-499 12.6 47.0 89.2 60.2 90.3 24.1 31.8 81.6 28.6 25.8
500-999 18.9 57.4 94.2 54.6 90.3 19.0 36.2 83.8 28.4 27.3
1000-1999 26.4 64.0 97.1 53.2 92.5 17.1 35.4 87.5 35.8 25.0
2000-4999 28.4 69.3 97.6 48.9 92.2 8.2 33.0 87.1 37.7 22.0
5000 or more 28.3 60.7 98.4 39.0 86.9 9.8 26.2 85.0 41.4 23.0
Level of Neonatal Care
Healthy newborn only 13.4 45.9 87.8 62.7 90.0 34.9 43.2 84.1 41.9 34.1
Level 1 or 2 NICU 18.5 56.2 94.9 53.8 90.0 17.6 34.2 83.3 29.2 25.2
Level 3 NICU 30.8 68.3 98.0 50.3 93.7 10.9 31.4 88.6 39.3 24.3
Census region
Pacific 23.6 58.2 89.4 64.1 94.3 29.8 75.1 88.9 51.2 28.2
Mountain 16.6 50.0 93.3 62.9 87.3 28.3 61.0 78.3 38.2 29.1
West North Central 15.3 38.5 95.3 56.9 89.2 25.8 21.2 82.5 29.8 36.2
East North Central 17.4 53.7 98.0 58.3 92.6 23.0 26.1 85.1 30.7 30.9
West South Central 16.2 56.5 81.9 49.7 86.9 15.8 32.9 82.2 30.6 21.8
East South Central 14.7 57.6 92.5 46.5 84.3 13.1 15.9 81.9 17.8 13.4
New England 39.2 67.7 97.8 74.2 95.5 38.6 38.1 94.7 63.4 43.3
Middle Atlantic 27.8 61.5 95.1 51.1 95.5 17.9 17.6 90.9 38.8 31.3
South Atlantic 15.2 60.0 93.9 50.8 91.0 18.8 38.6 83.2 36.5 23.9
*Sample sizes vary slighty for each of the ten indicators, ranging from n=2547–2661. Estimates may vary slightly from other reports of mPINC data.
†Birth centers are excluded from teaching hospital categorizations.

Table 8.2a Percent of hospitals by number of recommended policies and practices
0 - 2 3 - 5 6 - 8 9 - 10 N
All 6.7 49.9 37.4 6.1 2478
Type of facility
Birth center 0.0 7.2 55.2 37.6 125
Government hospital 12.8 48.5 35.4 3.3 478
Non-profit hospital 5.1 51.8 38.0 5.1 1560
Private hospital 7.7 60.7 29.9 1.7 298
Military hospital 11.8 35.3 35.3 17.6 17
Teaching hospital*
Yes 5.1 51.8 40.0 3.1 195
No 7.2 52.2 36.1 4.5 2158
Size of facility
1-249 8.2 41.2 39.5 11.0 534
250-499 9.1 54.6 31.1 5.2 427
500-999 6.3 54.0 34.4 5.3 524
1000-1999 4.8 51.2 38.6 5.4 516
2000-4999 5.0 49.4 42.8 2.8 423
5000 or more 7.4 50.0 40.7 1.9 54
Level of Neonatal Care
Healthy newborn only 8.2 45.2 37.4 9.1 951
Level 1 or 2 NICU 7.1 54.2 34.4 4.3 981
Level 3 NICU 3.3 50.2 42.7 3.8 546
Census region
Pacific 5.0 32.3 52.8 10.0 341
Mountain 6.4 45.0 41.3 7.3 218
West North Central 7.8 54.7 32.9 4.7 322
East North Central 5.4 55.3 34.7 4.7 427
West South Central 10.9 57.8 26.8 4.5 313
East South Central 12.3 61.7 24.0 1.9 154
New England 0.8 26.4 57.6 15.2 125
Middle Atlantic 5.4 50.7 38.9 5.0 221
South Atlantic 5.9 54.6 34.5 5.0 357
*Birth centers are excluded from teaching hospital categorizations.