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* | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2007 | ||||||||||
Model policy | Assess staff competency | Prenatal breastfeeding education | Early initiation | Teach breastfeeding techniques | Limit supplements | Rooming-in | Teaching feeding cues | Limit pacifiers | Discharge support | |
All | 11.7 | 44.6 | 92.5 | 43.5 | 87.9 | 20.6 | 30.8 | 77.3 | 25.5 | 26.8 |
Type of facility | ||||||||||
Birth center | 8.5 | 41.9 | 89.8 | 92.4 | 93.4 | 87.2 | 94.2 | 91.8 | 92.4 | 81.7 |
Government hospital | 8.8 | 39.6 | 85.7 | 38.6 | 82.8 | 17.7 | 34.8 | 70.8 | 21.6 | 22.6 |
Non-profit hospital | 12.9 | 45.0 | 95.2 | 44.0 | 88.7 | 18.6 | 25.3 | 78.8 | 23.6 | 26.3 |
Private hospital | 9.9 | 53.2 | 89.7 | 31.1 | 89.9 | 9.9 | 25.6 | 75.2 | 13.6 | 14.3 |
Military hospital | 29.2 | 34.6 | 100.0 | 23.1 | 88.5 | 20.0 | 74.1 | 73.1 | 61.5 | 30.8 |
Size of facility | ||||||||||
0-249 | 5.5 | 27.7 | 83.4 | 55.4 | 86.9 | 36.3 | 43.6 | 75.7 | 36.8 | 38.0 |
250-499 | 8.7 | 37.0 | 90.9 | 46.9 | 88.4 | 17.4 | 29.5 | 76.4 | 20.2 | 24.8 |
500-999 | 12.6 | 45.1 | 95.4 | 41.7 | 88.2 | 17.4 | 28.1 | 76.3 | 18.9 | 26.5 |
1000-1999 | 13.4 | 54.9 | 96.7 | 38.4 | 89.1 | 15.8 | 23.5 | 80.7 | 22.5 | 23.6 |
2000-4999 | 19.5 | 59.8 | 97.4 | 35.5 | 87.3 | 12.6 | 26.9 | 79.4 | 26.3 | 18.5 |
5000 or more | 17.1 | 55.7 | 97.0 | 20.3 | 84.5 | 7.5 | 27.1 | 65.7 | 30.4 | 16.9 |
Teaching hospital | ||||||||||
Yes | 22.0 | 57.6 | 96.0 | 37.4 | 87.7 | 16.3 | 20.3 | 79.0 | 27.5 | 23.2 |
No | 11.1 | 43.7 | 92.4 | 41.4 | 87.6 | 17.5 | 28.3 | 76.5 | 22.0 | 24.2 |
Birth center | 8.5 | 41.9 | 89.8 | 92.4 | 93.4 | 87.2 | 94.2 | 91.8 | 92.4 | 81.7 |
Level of Neonatal Care | ||||||||||
Unknown | 10.0 | 50.0 | 95.8 | 34.8 | 100.0 | 23.1 | 3.4 | 78.6 | 9.1 | 25.0 |
Healthy newborn only | 7.2 | 33.9 | 87.5 | 50.2 | 86.3 | 28.1 | 38.5 | 76.4 | 31.7 | 31.9 |
Level 1 or 2 NICU | 12.5 | 48.8 | 95.9 | 39.9 | 89.0 | 15.4 | 27.2 | 76.9 | 18.7 | 23.7 |
Level 3 NICU | 20.2 | 59.0 | 96.3 | 36.4 | 88.7 | 14.2 | 22.7 | 80.4 | 27.0 | 21.8 |
Census region | ||||||||||
Pacific | 14.0 | 42.3 | 91.2 | 49.1 | 87.1 | 25.4 | 66.8 | 74.3 | 37.4 | 27.3 |
Mountain | 8.3 | 40.9 | 89.4 | 52.5 | 86.3 | 22.7 | 48.6 | 68.9 | 23.3 | 19.9 |
West North Central | 12.3 | 27.9 | 93.9 | 40.0 | 88.3 | 21.4 | 17.9 | 75.9 | 16.0 | 35.3 |
East North Central | 11.7 | 43.0 | 98.0 | 45.9 | 90.2 | 20.6 | 18.4 | 82.6 | 22.3 | 35.6 |
West South Central | 7.1 | 48.6 | 85.9 | 29.9 | 83.1 | 14.0 | 34.0 | 70.5 | 23.9 | 17.0 |
East South Central | 9.3 | 58.2 | 90.9 | 35.5 | 81.6 | 11.5 | 15.9 | 74.7 | 15.3 | 15.9 |
New England | 22.8 | 58.9 | 98.4 | 69.0 | 98.4 | 40.5 | 26.0 | 92.1 | 50.0 | 38.1 |
Middle Atlantic | 16.0 | 52.7 | 95.5 | 44.6 | 90.9 | 20.7 | 16.3 | 80.4 | 27.9 | 27.1 |
South Atlantic | 9.3 | 46.8 | 89.8 | 39.3 | 87.7 | 17.3 | 31.1 | 79.6 | 25.8 | 20.7 |
*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 by facility type, size, NICU level, and region | |||||
---|---|---|---|---|---|
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2007 | |||||
Number of ideal practices | |||||
0-2 | 3-5 | 6-8 | 9-10 | N | |
All | 10.9 | 60.5 | 26.3 | 2.3 | 2181 |
Type of facility | |||||
Birth center | 1.3 | 0.0 | 73.4 | 25.3 | 79 |
Government hospital | 15.0 | 60.6 | 22.8 | 1.6 | 434 |
Non-profit hospital | 9.9 | 62.2 | 26.4 | 1.6 | 1401 |
Private hospital | 12.7 | 72.2 | 14.3 | 0.8 | 245 |
Military hospital | 9.1 | 36.4 | 54.5 | 0.0 | 22 |
Size of facility | |||||
0-249 | 11.1 | 53.0 | 30.9 | 4.9 | 485 |
250-499 | 12.2 | 62.2 | 24.1 | 1.6 | 370 |
500-999 | 10.7 | 62.9 | 25.0 | 1.3 | 448 |
1000-1999 | 10.8 | 62.5 | 25.0 | 1.7 | 464 |
2000-4999 | 8.7 | 62.5 | 27.0 | 1.7 | 355 |
5000 or more | 15.3 | 64.4 | 18.6 | 1.7 | 59 |
Teaching hospital | |||||
Yes | 11.0 | 57.9 | 28.3 | 2.8 | 145 |
No | 11.2 | 63.1 | 24.3 | 1.4 | 1957 |
Birth center | 1.3 | 0.0 | 73.4 | 25.3 | 79 |
Level of Neonatal Care | |||||
Unknown | 14.3 | 71.4 | 14.3 | 0.0 | 7 |
Healthy newborn only | 12.7 | 55.4 | 28.4 | 3.6 | 892 |
Level 1 or 2 NICU | 10.3 | 64.7 | 23.6 | 1.4 | 885 |
Level 3 NICU | 8.1 | 62.2 | 28.0 | 1.8 | 397 |
Census region | |||||
Pacific | 8.3 | 51.1 | 36.0 | 4.7 | 278 |
Mountain | 13.0 | 58.0 | 27.2 | 1.8 | 169 |
West North Central | 11.0 | 68.3 | 20.3 | 0.3 | 300 |
East North Central | 8.6 | 61.8 | 27.0 | 2.6 | 382 |
West South Central | 17.4 | 62.3 | 18.2 | 2.0 | 247 |
East South Central | 13.6 | 67.5 | 18.2 | 0.6 | 154 |
New England | 1.8 | 40.4 | 50.5 | 7.3 | 109 |
Middle Atlantic | 7.7 | 60.6 | 30.8 | 1.0 | 208 |
South Atlantic | 13.2 | 62.9 | 21.6 | 2.4 | 334 |