At a glance
Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 6 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 6: Supplementing
Do not provide breastfed newborns with any food or fluids other than breast milk, unless medically indicated.*
| Ten Steps Competency1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Non-medically indicated supplementation | Percent of healthy, term breastfed newborns who are fed infant formula. | Feeding Practices | D3_a1 | <20% Not ideal: ≥20% |
[Include response] | [Yes or no] |
| Counseling on the importance of exclusive breastfeeding | Frequency that staff counsel breastfeeding mothers who request infant formula about possible health consequences for their infant and the success of breastfeeding. | Feeding Practices | E3 | Almost always Not ideal: Often, Sometimes, or Rarely |
[Include response] | [Yes or no] |
| Instruction of formula feeding techniques and safe preparation, and handling of formula | Among mothers whose newborns are fed any formula, percent of mothers
taught:
|
Feeding Education | E4_a1/E4_a2 | Most to both items Not ideal: Many, Some, or Few to either item |
[Include response] | [Yes or no] |
- World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: implementing the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.