Table 6.1a: Breastfeeding education of new staff by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many hours of breastfeeding education do new nurses/birth attendants receive N
None <1 1-3 4-7 8-17 18 or more
All 5.4 8.8 25.6 20.9 19.2 20.1 2496
Type of facility
Birth center 12.9 7.6 30.3 11.4 11.4 26.5 132
Government hospital 7.7 13.2 27.3 17.4 15.4 19.1 455
Non-profit hospital 3.8 7.0 22.8 23.3 21.6 21.5 1561
Private hospital 6.5 11.1 34.1 18.0 17.3 13.0 323
Military hospital 8.0 12.0 40.0 24.0 8.0 8.0 25
Teaching hospital
Yes 1.6 1.6 6.6 18.1 30.2 41.8 182
No 5.3 9.4 26.9 21.7 18.8 17.9 2182
Size of facility
1-249 11.8 14.3 33.5 18.1 9.7 12.6 525
250-499 6.5 12.4 34.6 17.3 13.6 15.7 434
500-999 4.6 10.2 31.5 18.9 15.9 18.9 540
1000-1999 3.0 5.3 20.9 25.7 25.1 20.0 506
2000-4999 1.2 1.9 7.2 25.1 31.8 32.9 431
5000 or more 0.0 0.0 11.7 18.3 33.3 36.7 60
Level of Neonatal Care
Healthy newborn only 8.8 11.7 33.3 17.8 13.6 14.9 1047
Level 2 special care 4.2 9.7 24.9 23.4 19.2 18.7 808
Level 3 NICU 1.4 3.1 14.5 23.9 28.6 28.6 553
Level 4 Regional NICU 1.1 2.3 11.4 15.9 28.4 40.9 88
Census region
Pacific 4.8 6.9 18.1 16.6 23.8 29.8 332
Mountain 9.0 9.0 22.9 22.0 19.7 17.5 223
West North Central 5.8 14.0 36.4 18.1 16.6 9.0 343
East North Central 3.5 6.0 25.9 25.9 19.7 19.2 402
West South Central 8.3 11.5 24.3 20.4 20.1 15.3 313
East South Central 6.6 14.5 35.5 18.1 14.5 10.8 166
New England 3.2 3.2 12.1 20.2 21.8 39.5 124
Middle Atlantic 4.0 4.0 18.3 21.9 22.3 29.5 224
South Atlantic 4.1 8.4 29.5 22.5 15.4 20.1 369
Table 6.2a: Annual breastfeeding education of current staff by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  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 3.5 12.7 33.1 19.2 23.6 7.9 2620
Type of facility
Birth center 6.3 3.8 27.2 19.0 23.4 20.3 158
Government hospital 4.8 14.6 29.2 16.9 25.4 9.2 480
Non-profit hospital 2.7 12.5 34.7 20.0 23.7 6.4 1613
Private hospital 4.4 15.5 32.9 18.1 21.6 7.6 343
Military hospital 0.0 11.5 46.2 23.1 7.7 11.5 26
Teaching hospital
Yes 0.0 7.7 28.0 15.4 45.6 3.3 182
No 3.6 13.8 33.9 19.5 21.8 7.5 2280
Size of facility
1-249 7.7 13.6 31.0 15.5 18.6 13.6 581
250-499 4.1 14.5 32.0 17.7 21.4 10.4 463
500-999 3.0 12.8 36.2 20.9 20.2 6.9 569
1000-1999 1.2 11.7 33.7 23.7 24.7 5.1 514
2000-4999 0.9 12.0 32.6 18.5 32.8 3.2 433
5000 or more 0.0 5.0 31.7 15.0 45.0 3.3 60
Level of Neonatal Care
Healthy newborn only 5.5 13.2 34.0 17.1 19.0 11.2 1134
Level 2 special care 2.6 13.3 34.0 21.1 23.2 5.7 840
Level 3 NICU 1.1 11.8 30.3 21.5 29.7 5.6 558
Level 4 Regional NICU 1.1 6.8 29.5 12.5 47.7 2.3 88
Census region
Pacific 2.8 9.3 29.5 21.5 29.5 7.4 353
Mountain 4.6 14.8 30.8 16.9 19.0 13.9 237
West North Central 5.1 17.4 36.2 19.9 12.1 9.3 356
East North Central 2.6 16.5 36.6 19.1 19.6 5.7 424
West South Central 6.1 12.1 27.3 19.7 24.8 10.0 330
East South Central 3.5 17.3 37.6 11.6 20.2 9.8 173
New England 0.8 7.3 37.9 18.5 34.7 0.8 124
Middle Atlantic 0.9 5.2 29.2 24.0 33.0 7.7 233
South Atlantic 3.1 11.0 34.9 17.9 27.2 5.9 390
Table 6.3a: Coverage of breastfeeding education by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many nurses/birth attendants received breastfeeding education in past year
Few Some Many Most Not sure N
All 9.8 13.8 13.6 58.8 4.0 2619
Type of facility
Birth center 10.1 8.2 13.3 54.4 13.9 158
Government hospital 14.6 17.7 13.8 48.4 5.4 479
Non-profit hospital 7.7 14.0 12.4 63.2 2.7 1614
Private hospital 12.9 9.6 17.8 55.8 3.8 342
Military hospital 11.5 19.2 26.9 38.5 3.8 26
Teaching hospital
Yes 1.1 9.3 12.6 75.8 1.1 182
No 10.5 14.6 13.6 57.7 3.6 2279
Size of facility
1-249 17.1 20.6 13.1 40.9 8.3 579
250-499 14.2 17.0 14.9 48.7 5.2 464
500-999 10.4 10.2 12.5 64.0 3.0 569
1000-1999 4.7 11.8 14.2 67.4 1.9 515
2000-4999 2.1 9.5 13.9 72.9 1.6 432
5000 or more 0.0 6.7 10.0 83.3 0.0 60
Level of Neonatal Care
Healthy newborn only 14.1 16.9 14.1 48.3 6.5 1132
Level 2 special care 9.3 12.6 13.7 62.2 2.3 841
Level 3 NICU 3.2 10.0 12.4 72.2 2.2 558
Level 4 Regional NICU 1.1 10.2 12.5 75.0 1.1 88
Census region
Pacific 5.1 12.8 15.9 60.2 6.0 352
Mountain 13.1 15.7 14.0 50.0 7.2 236
West North Central 14.9 21.9 13.8 45.5 3.9 356
East North Central 8.5 11.3 7.8 69.2 3.3 425
West South Central 13.7 14.0 16.7 48.9 6.7 329
East South Central 15.0 11.6 16.8 53.8 2.9 173
New England 7.3 10.5 8.9 72.6 0.8 124
Middle Atlantic 4.3 9.4 13.7 70.0 2.6 233
South Atlantic 7.4 13.6 14.6 62.9 1.5 391
Table 6.4a: Competency testing by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  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 60.1 12.8 27.1 2616
Type of facility
Birth center 57.5 6.9 35.6 160
Government hospital 50.2 13.4 36.4 478
Non-profit hospital 61.8 13.5 24.7 1611
Private hospital 68.0 11.7 20.2 341
Military hospital 42.3 11.5 46.2 26
Teaching hospital
Yes 75.8 12.1 12.1 182
No 59.0 13.3 27.7 2274
Size of facility
1-249 43.9 11.0 45.1 581
250-499 50.8 13.8 35.4 463
500-999 64.7 12.0 23.3 566
1000-1999 69.6 12.5 17.9 513
2000-4999 71.8 15.0 13.2 433
5000 or more 78.3 16.7 5.0 60
Level of Neonatal Care
Healthy newborn only 49.6 12.8 37.6 1132
Level 2 special care 63.6 12.9 23.5 839
Level 3 NICU 72.7 13.1 14.2 557
Level 4 Regional NICU 80.7 10.2 9.1 88
Census region
Pacific 62.3 14.4 23.2 353
Mountain 53.8 14.4 31.8 236
West North Central 42.0 14.9 43.1 355
East North Central 59.4 13.7 26.9 424
West South Central 61.7 11.9 26.4 329
East South Central 67.8 9.9 22.2 171
New England 71.2 8.0 20.8 125
Middle Atlantic 68.1 14.2 17.7 232
South Atlantic 65.7 10.2 24.0 391