| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Table 7.1a: Elements of a written hospital policy by facility type, size, NICU level, and region | |||||||||||
| In-service training | Prenatal breastfeeding classes | Asking about mothers' feeding plans | Early initiation of breastfeeding | Teaching lactation maintenance during separation | Exclusive breastfeeding | 24 hr/day rooming-in | Breastfeeding on-demand | Pacifier use | Referral of mothers with breastfeeding problems | N | |
| All | 59.6 | 59.2 | 86.1 | 85.6 | 76.6 | 72.7 | 72.7 | 84.9 | 62.8 | 75.2 | 2634 |
| Type of facility | |||||||||||
| Birth center | 62.9 | 74.5 | 88.1 | 87.0 | 60.4 | 47.6 | 61.9 | 81.0 | 38.4 | 82.6 | 166 |
| Government hospital | 55.4 | 52.4 | 82.5 | 80.0 | 67.6 | 67.0 | 70.7 | 79.9 | 55.2 | 66.4 | 481 |
| Non-profit hospital | 60.4 | 60.1 | 86.5 | 87.3 | 80.5 | 77.6 | 75.2 | 87.7 | 68.2 | 77.5 | 1618 |
| Private hospital | 60.4 | 56.2 | 88.3 | 84.1 | 78.2 | 69.6 | 66.9 | 80.3 | 59.1 | 73.1 | 343 |
| Military hospital | 54.2 | 64.0 | 87.5 | 92.0 | 75.0 | 60.0 | 96.0 | 84.0 | 66.7 | 75.0 | 26 |
| Teaching hospital | |||||||||||
| Yes | 78.2 | 76.5 | 95.5 | 95.0 | 96.1 | 93.3 | 85.5 | 95.6 | 84.8 | 92.0 | 184 |
| No | 57.8 | 56.7 | 85.2 | 84.7 | 76.1 | 72.7 | 72.4 | 84.3 | 62.7 | 73.3 | 2284 |
| Size of facility | |||||||||||
| 1-249 | 49.2 | 50.8 | 78.6 | 78.6 | 57.9 | 57.4 | 66.7 | 76.7 | 44.6 | 67.9 | 588 |
| 250-499 | 52.4 | 52.4 | 86.7 | 84.4 | 72.8 | 68.3 | 71.0 | 82.7 | 58.5 | 69.9 | 466 |
| 500-999 | 54.6 | 57.2 | 85.3 | 81.3 | 73.7 | 68.4 | 68.7 | 82.3 | 60.9 | 70.6 | 571 |
| 1000-1999 | 67.6 | 65.4 | 89.6 | 91.0 | 88.6 | 83.4 | 77.0 | 90.8 | 73.1 | 79.4 | 516 |
| 2000-4999 | 73.4 | 69.4 | 91.3 | 93.6 | 91.4 | 86.8 | 80.1 | 92.7 | 77.9 | 88.3 | 433 |
| 5000 or more | 89.3 | 90.9 | 94.8 | 96.6 | 96.6 | 91.5 | 89.7 | 96.7 | 84.5 | 98.3 | 60 |
| Level of Neonatal Care | |||||||||||
| Healthy newborn only | 51.9 | 55.2 | 83.5 | 81.8 | 66.6 | 63.6 | 70.6 | 80.3 | 51.9 | 70.4 | 1144 |
| Level 2 special care | 59.2 | 55.6 | 85.4 | 85.2 | 79.1 | 74.8 | 70.3 | 85.3 | 66.3 | 72.3 | 842 |
| Level 3 NICU | 71.7 | 70.3 | 91.4 | 92.5 | 89.8 | 85.0 | 78.8 | 91.9 | 76.3 | 86.8 | 560 |
| Level 4 Regional NICU | 81.7 | 79.7 | 92.9 | 93.2 | 95.2 | 87.1 | 84.9 | 94.0 | 80.2 | 91.9 | 88 |
| Census region | |||||||||||
| Pacific | 66.2 | 66.3 | 91.8 | 92.5 | 81.2 | 79.2 | 90.2 | 91.2 | 67.5 | 83.8 | 353 |
| Mountain | 59.3 | 53.7 | 84.0 | 86.5 | 72.4 | 73.1 | 75.2 | 84.1 | 61.0 | 73.1 | 241 |
| West North Central | 43.6 | 51.0 | 79.8 | 82.2 | 65.6 | 64.8 | 62.1 | 80.0 | 54.6 | 66.5 | 357 |
| East North Central | 55.1 | 62.7 | 83.7 | 87.0 | 79.2 | 75.3 | 66.7 | 86.9 | 66.8 | 76.9 | 426 |
| West South Central | 59.6 | 51.2 | 82.8 | 78.7 | 71.0 | 65.0 | 63.9 | 77.6 | 57.3 | 67.2 | 332 |
| East South Central | 62.6 | 57.1 | 84.3 | 75.8 | 68.9 | 61.6 | 58.3 | 76.2 | 49.4 | 62.0 | 173 |
| New England | 67.8 | 69.1 | 93.4 | 97.6 | 88.1 | 84.0 | 83.2 | 96.0 | 79.7 | 93.5 | 127 |
| Middle Atlantic | 65.1 | 69.9 | 93.3 | 91.7 | 88.4 | 81.0 | 83.8 | 92.5 | 75.7 | 85.5 | 233 |
| South Atlantic | 65.1 | 58.1 | 87.3 | 82.7 | 79.3 | 73.3 | 74.7 | 83.4 | 60.1 | 74.9 | 392 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Table 7.2a: Modes used to inform staff of breastfeeding policies by facility type, size, NICU level, and region | ||||||||
| In-service training | Policy is posted | Newsletter | New staff training | New staff orientation | Staff meeting | Word of mouth | N | |
| All | 72.8 | 79.8 | 16.6 | 71.2 | 60.7 | 75.4 | 44.0 | 2634 |
| Type of facility | ||||||||
| Birth center | 54.2 | 45.8 | 2.4 | 59.6 | 45.2 | 58.4 | 38.6 | 166 |
| Government hospital | 64.9 | 78.4 | 12.3 | 63.6 | 55.9 | 71.1 | 40.1 | 481 |
| Non-profit hospital | 76.7 | 83.7 | 20.9 | 75.2 | 65.1 | 78.4 | 46.0 | 1618 |
| Private hospital | 73.5 | 79.3 | 10.2 | 69.4 | 54.2 | 76.1 | 42.6 | 343 |
| Military hospital | 84.6 | 80.8 | 3.8 | 61.5 | 53.8 | 65.4 | 46.2 | 26 |
| Teaching hospital | ||||||||
| Yes | 87.5 | 92.9 | 34.2 | 91.3 | 84.8 | 85.9 | 57.6 | 184 |
| No | 72.9 | 81.2 | 16.2 | 70.4 | 59.9 | 75.8 | 43.3 | 2284 |
| Size of facility | ||||||||
| 1-249 | 59.4 | 64.5 | 5.6 | 56.5 | 45.7 | 63.1 | 33.7 | 588 |
| 250-499 | 66.1 | 79.8 | 11.6 | 67.0 | 54.7 | 75.1 | 42.3 | 466 |
| 500-999 | 72.2 | 78.5 | 13.8 | 70.9 | 56.6 | 77.6 | 44.8 | 571 |
| 1000-1999 | 80.8 | 86.0 | 25.4 | 77.1 | 70.5 | 79.7 | 50.0 | 516 |
| 2000-4999 | 86.8 | 92.8 | 28.2 | 87.1 | 78.8 | 84.1 | 50.3 | 433 |
| 5000 or more | 91.7 | 93.3 | 30.0 | 86.7 | 76.7 | 78.3 | 55.0 | 60 |
| Level of Neonatal Care | ||||||||
| Healthy newborn only | 64.3 | 72.1 | 9.8 | 62.6 | 51.6 | 68.9 | 37.1 | 1144 |
| Level 2 special care | 75.1 | 81.4 | 17.5 | 71.6 | 61.5 | 79.5 | 48.3 | 842 |
| Level 3 NICU | 84.1 | 90.7 | 26.4 | 85.4 | 75.4 | 81.3 | 49.5 | 560 |
| Level 4 Regional NICU | 88.6 | 94.3 | 34.1 | 89.8 | 77.3 | 84.1 | 59.1 | 88 |
| Census region | ||||||||
| Pacific | 78.2 | 84.1 | 20.1 | 70.3 | 60.9 | 81.0 | 44.5 | 353 |
| Mountain | 70.1 | 71.4 | 16.2 | 66.0 | 58.1 | 75.1 | 41.9 | 241 |
| West North Central | 64.4 | 74.8 | 18.8 | 65.3 | 58.8 | 71.7 | 45.9 | 357 |
| East North Central | 71.1 | 82.9 | 22.3 | 73.0 | 64.1 | 76.5 | 47.9 | 426 |
| West South Central | 67.8 | 76.5 | 7.8 | 65.7 | 57.8 | 70.8 | 39.8 | 332 |
| East South Central | 69.9 | 75.7 | 7.5 | 66.5 | 51.4 | 65.9 | 36.4 | 173 |
| New England | 80.3 | 87.4 | 21.3 | 84.3 | 70.9 | 81.9 | 53.5 | 127 |
| Middle Atlantic | 83.3 | 89.7 | 15.5 | 82.4 | 70.0 | 84.5 | 42.9 | 233 |
| South Atlantic | 75.8 | 78.3 | 16.1 | 74.7 | 57.7 | 73.2 | 43.6 | 392 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | ||||
|---|---|---|---|---|
| Table 7.3a: Documentation of breastfeeding practices by facility type, size, NICU level, and region | ||||
| Does the facility document rates of breastfeeding among patients | ||||
| Yes, rates are assessed | Only intention at admission | No/not sure | N | |
| All | 77.9 | 12.0 | 10.2 | 2615 |
| Type of facility | ||||
| Birth center | 92.1 | 2.4 | 5.5 | 164 |
| Government hospital | 70.0 | 13.4 | 16.6 | 477 |
| Non-profit hospital | 79.0 | 12.3 | 8.7 | 1608 |
| Private hospital | 75.6 | 13.2 | 11.2 | 340 |
| Military hospital | 92.3 | 7.7 | 0.0 | 26 |
| Teaching hospital | ||||
| Yes | 89.6 | 7.1 | 3.3 | 183 |
| No | 75.9 | 13.1 | 11.1 | 2268 |
| Size of facility | ||||
| 1-249 | 69.9 | 10.8 | 19.3 | 585 |
| 250-499 | 76.1 | 14.4 | 9.5 | 465 |
| 500-999 | 77.0 | 12.9 | 10.1 | 557 |
| 1000-1999 | 82.1 | 11.7 | 6.2 | 515 |
| 2000-4999 | 85.5 | 10.4 | 4.2 | 433 |
| 5000 or more | 85.0 | 10.0 | 5.0 | 60 |
| Level of Neonatal Care | ||||
| Healthy newborn only | 73.7 | 11.9 | 14.4 | 1134 |
| Level 2 special care | 78.3 | 12.7 | 9.0 | 835 |
| Level 3 NICU | 84.8 | 10.9 | 4.3 | 558 |
| Level 4 Regional NICU | 83.0 | 12.5 | 4.5 | 88 |
| Census region | ||||
| Pacific | 84.9 | 6.0 | 9.1 | 352 |
| Mountain | 66.4 | 17.2 | 16.4 | 238 |
| West North Central | 63.6 | 17.4 | 19.0 | 357 |
| East North Central | 83.4 | 9.5 | 7.1 | 422 |
| West South Central | 75.2 | 11.0 | 13.8 | 327 |
| East South Central | 72.8 | 19.1 | 8.1 | 173 |
| New England | 90.5 | 6.3 | 3.2 | 126 |
| Middle Atlantic | 84.8 | 11.7 | 3.5 | 231 |
| South Atlantic | 81.7 | 11.6 | 6.7 | 389 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Table 7.4a: Supports offered to breastfeeding staff members by facility type, size, NICU level, and region | ||||||||
| Designated room to express milk | On-site child care | Electric breast pump provided | Permission to use breaks to express milk | Breastfeeding support group | Lactation consultant available | Paid maternity leave | N | |
| All | 85.8 | 12.1 | 80.4 | 98.2 | 26.7 | 75.2 | 37.8 | 2634 |
| Type of facility | ||||||||
| Birth center | 71.9 | 14.1 | 37.1 | 90.8 | 39.6 | 75.3 | 24.3 | 166 |
| Government hospital | 82.1 | 7.8 | 71.5 | 98.1 | 19.6 | 65.9 | 32.2 | 481 |
| Non-profit hospital | 88.7 | 14.9 | 85.9 | 99.1 | 28.6 | 79.5 | 41.4 | 1618 |
| Private hospital | 83.5 | 2.7 | 85.9 | 97.1 | 23.2 | 67.5 | 32.5 | 343 |
| Military hospital | 84.6 | 19.2 | 80.8 | 100.0 | 15.4 | 76.9 | 61.5 | 26 |
| Teaching hospital | ||||||||
| Yes | 97.8 | 24.9 | 90.2 | 100.0 | 28.2 | 92.8 | 39.0 | 184 |
| No | 85.8 | 10.9 | 82.5 | 98.5 | 25.8 | 73.8 | 38.6 | 2284 |
| Size of facility | ||||||||
| 1-249 | 72.2 | 6.3 | 55.5 | 95.5 | 18.8 | 58.2 | 32.6 | 588 |
| 250-499 | 79.6 | 5.9 | 78.4 | 97.6 | 20.5 | 66.2 | 35.8 | 466 |
| 500-999 | 87.8 | 9.8 | 86.8 | 99.1 | 29.0 | 78.1 | 38.9 | 571 |
| 1000-1999 | 93.4 | 16.0 | 91.6 | 99.2 | 31.7 | 84.9 | 36.0 | 516 |
| 2000-4999 | 97.2 | 22.2 | 91.7 | 99.5 | 33.6 | 90.3 | 44.9 | 433 |
| 5000 or more | 98.3 | 28.8 | 95.0 | 100.0 | 37.9 | 86.4 | 56.7 | 60 |
| Level of Neonatal Care | ||||||||
| Healthy newborn only | 77.4 | 6.5 | 68.7 | 96.8 | 21.7 | 65.8 | 34.5 | 1144 |
| Level 2 special care | 88.8 | 11.6 | 87.5 | 98.9 | 28.6 | 77.0 | 38.9 | 842 |
| Level 3 NICU | 96.1 | 21.5 | 90.5 | 99.5 | 33.1 | 89.7 | 40.9 | 560 |
| Level 4 Regional NICU | 100.0 | 27.9 | 96.6 | 100.0 | 33.0 | 85.2 | 50.0 | 88 |
| Census region | ||||||||
| Pacific | 88.7 | 10.6 | 83.9 | 99.1 | 28.4 | 73.7 | 51.5 | 353 |
| Mountain | 79.2 | 11.5 | 75.3 | 97.9 | 22.2 | 70.8 | 34.9 | 241 |
| West North Central | 83.1 | 8.8 | 71.8 | 99.4 | 22.6 | 69.3 | 33.8 | 357 |
| East North Central | 91.5 | 13.0 | 87.3 | 99.1 | 28.4 | 84.4 | 42.2 | 426 |
| West South Central | 82.9 | 7.1 | 74.0 | 93.9 | 21.6 | 66.7 | 33.0 | 332 |
| East South Central | 79.7 | 8.9 | 77.3 | 97.7 | 18.7 | 68.4 | 32.4 | 173 |
| New England | 92.0 | 19.0 | 89.5 | 100.0 | 42.1 | 91.0 | 25.8 | 127 |
| Middle Atlantic | 88.0 | 18.3 | 88.4 | 99.1 | 28.5 | 83.6 | 43.9 | 233 |
| South Atlantic | 85.4 | 15.3 | 79.6 | 97.9 | 32.0 | 74.5 | 32.6 | 392 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | ||||
|---|---|---|---|---|
| Table 7.5a: Facility's receipt of free formula by facility type, size, NICU level, and region | ||||
| Does the facility receive infant formula free of charge | ||||
| Yes | No | Not sure | N | |
| All | 73.3 | 24.0 | 2.7 | 2630 |
| Type of facility | ||||
| Birth center | 7.2 | 91.6 | 1.2 | 166 |
| Government hospital | 82.3 | 16.1 | 1.7 | 479 |
| Non-profit hospital | 75.3 | 22.2 | 2.5 | 1616 |
| Private hospital | 85.7 | 8.7 | 5.5 | 343 |
| Military hospital | 42.3 | 46.2 | 11.5 | 26 |
| Teaching hospital | ||||
| Yes | 63.6 | 34.8 | 1.6 | 184 |
| No | 78.9 | 18.2 | 2.9 | 2280 |
| Size of facility | ||||
| 1-249 | 60.8 | 35.9 | 3.2 | 587 |
| 250-499 | 80.8 | 15.7 | 3.4 | 464 |
| 500-999 | 81.4 | 16.3 | 2.3 | 570 |
| 1000-1999 | 77.1 | 21.1 | 1.7 | 516 |
| 2000-4999 | 68.4 | 28.9 | 2.8 | 433 |
| 5000 or more | 63.3 | 31.7 | 5.0 | 60 |
| Level of Neonatal Care | ||||
| Healthy newborn only | 69.2 | 27.6 | 3.2 | 1141 |
| Level 2 special care | 80.6 | 17.1 | 2.3 | 841 |
| Level 3 NICU | 72.1 | 25.0 | 2.9 | 560 |
| Level 4 Regional NICU | 63.6 | 35.2 | 1.1 | 88 |
| Census region | ||||
| Pacific | 49.4 | 48.3 | 2.3 | 352 |
| Mountain | 69.2 | 25.4 | 5.4 | 240 |
| West North Central | 77.3 | 19.3 | 3.4 | 357 |
| East North Central | 81.0 | 15.7 | 3.3 | 426 |
| West South Central | 77.0 | 20.8 | 2.1 | 331 |
| East South Central | 90.8 | 6.4 | 2.9 | 173 |
| New England | 58.3 | 40.9 | 0.8 | 127 |
| Middle Atlantic | 78.9 | 19.4 | 1.7 | 232 |
| South Atlantic | 76.0 | 21.9 | 2.0 | 392 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | |||
|---|---|---|---|
| Table 7.6a: Inclusion of breastfeeding in prenatal patient education by facility type, size, NICU level, and region | |||
| Does the facility include breastfeeding as component of prenatal education | |||
| Yes | No/not sure | N | |
| All | 91.0 | 9.0 | 2616 |
| Type of facility | |||
| Birth center | 86.4 | 13.6 | 162 |
| Government hospital | 85.6 | 14.4 | 478 |
| Non-profit hospital | 93.5 | 6.5 | 1610 |
| Private hospital | 88.5 | 11.5 | 340 |
| Military hospital | 96.2 | 3.8 | 26 |
| Teaching hospital | |||
| Yes | 96.2 | 3.8 | 184 |
| No | 90.9 | 9.1 | 2270 |
| Size of facility | |||
| 1-249 | 81.2 | 18.8 | 580 |
| 250-499 | 88.1 | 11.9 | 462 |
| 500-999 | 94.9 | 5.1 | 568 |
| 1000-1999 | 95.9 | 4.1 | 513 |
| 2000-4999 | 96.1 | 3.9 | 433 |
| 5000 or more | 91.7 | 8.3 | 60 |
| Level of Neonatal Care | |||
| Healthy newborn only | 86.1 | 13.9 | 1131 |
| Level 2 special care | 93.7 | 6.3 | 838 |
| Level 3 NICU | 96.1 | 3.9 | 559 |
| Level 4 Regional NICU | 95.5 | 4.5 | 88 |
| Census region | |||
| Pacific | 88.6 | 11.4 | 350 |
| Mountain | 88.2 | 11.8 | 238 |
| West North Central | 92.7 | 7.3 | 356 |
| East North Central | 95.8 | 4.2 | 424 |
| West South Central | 82.9 | 17.1 | 328 |
| East South Central | 88.9 | 11.1 | 171 |
| New England | 99.2 | 0.8 | 127 |
| Middle Atlantic | 94.0 | 6.0 | 233 |
| South Atlantic | 91.3 | 8.7 | 389 |
| CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013 | |||
|---|---|---|---|
| Table 7.7a: Existence of a designated lactation coordinator by facility type, size, NICU level, and region | |||
| Does the facility have a designated lactation coordinator | |||
| Yes | No | N | |
| All | 72.3 | 27.7 | 2625 |
| Type of facility | |||
| Birth center | 48.8 | 51.2 | 164 |
| Government hospital | 64.4 | 35.6 | 480 |
| Non-profit hospital | 78.2 | 21.8 | 1612 |
| Private hospital | 67.3 | 32.7 | 343 |
| Military hospital | 69.2 | 30.8 | 26 |
| Teaching hospital | |||
| Yes | 90.2 | 9.8 | 183 |
| No | 72.6 | 27.4 | 2278 |
| Size of facility | |||
| 1-249 | 51.0 | 49.0 | 586 |
| 250-499 | 61.1 | 38.9 | 463 |
| 500-999 | 74.9 | 25.1 | 570 |
| 1000-1999 | 86.9 | 13.1 | 513 |
| 2000-4999 | 90.3 | 9.7 | 433 |
| 5000 or more | 88.3 | 11.7 | 60 |
| Level of Neonatal Care | |||
| Healthy newborn only | 59.5 | 40.5 | 1138 |
| Level 2 special care | 77.3 | 22.7 | 841 |
| Level 3 NICU | 88.2 | 11.8 | 558 |
| Level 4 Regional NICU | 90.9 | 9.1 | 88 |
| Census region | |||
| Pacific | 74.5 | 25.5 | 353 |
| Mountain | 66.0 | 34.0 | 238 |
| West North Central | 67.1 | 32.9 | 356 |
| East North Central | 82.8 | 17.2 | 424 |
| West South Central | 60.8 | 39.2 | 332 |
| East South Central | 66.5 | 33.5 | 173 |
| New England | 80.2 | 19.8 | 126 |
| Middle Atlantic | 80.3 | 19.7 | 233 |
| South Atlantic | 72.8 | 27.2 | 390 |