Step 9 - mPINC™ Tool

At a glance

Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 9 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.

Step 9: Bottles, nipples, and pacifiers

Counsel mothers on the use and risks of feeding bottles, teats (nipples), and pacifiers.*

Ten Steps Competency1 mPINC Item mPINC Domain mPINC Data Element Ideal Response† Hospital Response Did the Hospital Select the Ideal Response?
Counseling on the risks of artificial teats (nipples) and pacifiers Percent of breastfeeding mothers who are taught or shown how to… ...understand the use and risks of artificial nipples and pacifiers. Feeding Education E2_a7 Most
Not ideal: Many, Some or Few		 [Include response] [Yes or no]

Note:

This tool does not correspond to or replace Baby-Friendly USA's on-site assessments or Baby-Friendly designation.



*This step aligns with step 9 in the Ten Steps to Successful Breastfeeding. Although this tool assesses many aspects of each of the Ten Steps, it does not assess every aspect. Every aspect of each Step cannot be assessed using mPINC data alone.

†Ideal responses are in bold.

Downloads

mPINC Ten Steps Assessment Tool Guide
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mPINC Ten Steps Assessment Tool
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mPINC Ten Steps Assessment Tool
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mPINC Ten Steps Assessment Tool Crosswalk
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Content Source:
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
  1. 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.