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