Table 3.1b: Documentation of infant feeding decisions by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How often infant feeding decisions are documented in medical records
Rarely Sometimes Often Almost always Not sure N
All 0.3 0.2 1.4 98.0 0.0 2665
State
AK 0.0 0.0 0.0 100.0 0.0 18
AL 5.0 0.0 0.0 95.0 0.0 40
AR 3.6 0.0 0.0 96.4 0.0 28
AZ 2.7 0.0 0.0 94.6 2.7 37
CA 0.5 0.0 1.0 98.6 0.0 208
CO 2.3 0.0 4.5 93.2 0.0 44
CT 0.0 0.0 4.2 95.8 0.0 24
DC 0.0 0.0 16.7 83.3 0.0 6
DE 0.0 0.0 0.0 100.0 0.0 6
FL 0.0 0.0 1.0 99.0 0.0 102
GA 0.0 0.0 0.0 100.0 0.0 70
HI 0.0 0.0 0.0 100.0 0.0 11
IA 0.0 1.4 0.0 98.6 0.0 74
ID 0.0 0.0 0.0 100.0 0.0 27
IL 0.0 0.0 2.1 97.9 0.0 94
IN 0.0 0.0 2.3 97.7 0.0 87
IT* 0.0 0.0 0.0 100.0 0.0 6
KS 0.0 1.6 4.8 93.5 0.0 62
KY 0.0 0.0 4.5 95.5 0.0 44
LA 0.0 0.0 0.0 100.0 0.0 45
MA 0.0 0.0 2.3 97.7 0.0 44
MD 0.0 0.0 3.6 96.4 0.0 28
ME 0.0 0.0 4.2 95.8 0.0 24
MI 0.0 0.0 0.0 100.0 0.0 71
MN 0.0 0.0 2.3 97.7 0.0 87
MO 0.0 0.0 0.0 100.0 0.0 60
MS 0.0 0.0 0.0 100.0 0.0 35
MT 0.0 0.0 0.0 100.0 0.0 28
NC 1.5 0.0 1.5 97.0 0.0 66
ND 0.0 0.0 0.0 100.0 0.0 8
NE 0.0 0.0 2.3 97.7 0.0 44
NH 0.0 0.0 0.0 100.0 0.0 23
NJ 0.0 0.0 2.2 97.8 0.0 46
NM 0.0 0.0 3.4 96.6 0.0 29
NV 0.0 0.0 0.0 100.0 0.0 16
NY 0.0 0.0 2.0 98.0 0.0 102
OH 0.0 0.0 0.0 100.0 0.0 96
OK 0.0 0.0 2.2 97.8 0.0 46
OR 0.0 0.0 1.9 98.1 0.0 52
PA 0.0 0.0 0.0 100.0 0.0 87
PR 0.0 0.0 0.0 100.0 0.0 13
RI 0.0 0.0 0.0 100.0 0.0 6
SC 0.0 0.0 0.0 100.0 0.0 38
SD 0.0 0.0 0.0 100.0 0.0 24
TN 0.0 0.0 0.0 100.0 0.0 58
TX 0.5 1.4 3.2 95.0 0.0 218
UT 0.0 0.0 4.9 95.1 0.0 41
VA 0.0 2.2 0.0 97.8 0.0 45
VT 0.0 0.0 0.0 100.0 0.0 9
WA 0.0 0.0 0.0 100.0 0.0 61
WI 0.0 0.0 0.0 100.0 0.0 84
WV 0.0 0.0 0.0 100.0 0.0 25
WY 0.0 0.0 0.0 100.0 0.0 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands. 
Table 3.2b: Provision of advice & instructions for breastfeeding patients by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many breastfeeding patients are provided advice & instructions about breastfeeding
  Few Some Many Most N
All 0.1 0.8 7.0 92.2 2666
State
AK 0.0 0.0 11.1 88.9 18
AL 2.5 2.5 10.0 85.0 40
AR 0.0 0.0 25.0 75.0 28
AZ 0.0 0.0 10.5 89.5 38
CA 0.0 1.4 4.3 94.2 208
CO 0.0 0.0 9.1 90.9 44
CT 0.0 0.0 0.0 100.0 24
DC 0.0 0.0 0.0 100.0 6
DE 0.0 0.0 0.0 100.0 6
FL 0.0 0.0 8.8 91.2 102
GA 0.0 1.4 8.6 90.0 70
HI 0.0 0.0 0.0 100.0 11
IA 0.0 0.0 2.7 97.3 74
ID 0.0 3.7 7.4 88.9 27
IL 0.0 3.2 6.4 90.4 94
IN 0.0 1.1 8.0 90.8 87
IT* 0.0 0.0 50.0 50.0 6
KS 0.0 1.6 6.5 91.9 62
KY 0.0 0.0 4.5 95.5 44
LA 0.0 2.2 11.1 86.7 45
MA 0.0 0.0 0.0 100.0 44
MD 0.0 0.0 10.7 89.3 28
ME 0.0 0.0 4.2 95.8 24
MI 0.0 0.0 12.7 87.3 71
MN 0.0 1.1 9.2 89.7 87
MO 0.0 0.0 3.3 96.7 60
MS 0.0 2.9 11.4 85.7 35
MT 0.0 0.0 10.3 89.7 29
NC 0.0 0.0 4.5 95.5 66
ND 0.0 0.0 12.5 87.5 8
NE 0.0 0.0 2.3 97.7 43
NH 0.0 0.0 0.0 100.0 23
NJ 0.0 0.0 2.2 97.8 46
NM 0.0 0.0 3.4 96.6 29
NV 0.0 0.0 18.8 81.3 16
NY 0.0 0.0 3.9 96.1 102
OH 0.0 0.0 8.3 91.7 96
OK 0.0 0.0 15.2 84.8 46
OR 0.0 0.0 3.8 96.2 52
PA 0.0 0.0 2.3 97.7 87
PR 0.0 0.0 15.4 84.6 13
RI 0.0 0.0 0.0 100.0 6
SC 0.0 2.6 5.3 92.1 38
SD 0.0 0.0 4.2 95.8 24
TN 0.0 0.0 6.9 93.1 58
TX 0.5 1.4 10.1 88.1 218
UT 0.0 4.9 12.2 82.9 41
VA 0.0 0.0 6.7 93.3 45
VT 0.0 0.0 0.0 100.0 9
WA 0.0 0.0 3.3 96.7 61
WI 0.0 0.0 1.2 98.8 84
WV 0.0 0.0 12.0 88.0 25
WY 0.0 5.6 11.1 83.3 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.
Table 3.3b: Education on infant cues to feed by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many patients are taught to recognize & respond to infant cues rather than feeding on a set schedule
  Few Some Many Most Not sure N
All 0.2 1.0 11.4 87.0 0.3 2666
State
AK 0.0 0.0 11.1 88.9 0.0 18
AL 0.0 0.0 7.5 92.5 0.0 40
AR 0.0 3.6 21.4 75.0 0.0 28
AZ 0.0 0.0 10.5 89.5 0.0 38
CA 0.0 1.4 8.7 88.9 1.0 208
CO 0.0 0.0 20.5 77.3 2.3 44
CT 0.0 0.0 4.2 95.8 0.0 24
DC 0.0 0.0 0.0 100.0 0.0 6
DE 0.0 0.0 0.0 100.0 0.0 6
FL 0.0 0.0 8.8 90.2 1.0 102
GA 1.4 1.4 15.7 81.4 0.0 70
HI 0.0 0.0 9.1 90.9 0.0 11
IA 0.0 0.0 8.1 91.9 0.0 74
ID 3.7 0.0 11.1 85.2 0.0 27
IL 0.0 1.1 14.9 84.0 0.0 94
IN 0.0 1.1 11.5 87.4 0.0 87
IT* 0.0 0.0 33.3 66.7 0.0 6
KS 0.0 3.2 22.6 74.2 0.0 62
KY 2.3 0.0 6.8 90.9 0.0 44
LA 0.0 2.2 4.4 93.3 0.0 45
MA 0.0 0.0 2.3 97.7 0.0 44
MD 0.0 0.0 17.9 82.1 0.0 28
ME 0.0 0.0 8.3 91.7 0.0 24
MI 0.0 0.0 22.5 77.5 0.0 71
MN 0.0 1.1 19.5 79.3 0.0 87
MO 0.0 0.0 10.0 90.0 0.0 60
MS 0.0 5.7 17.1 77.1 0.0 35
MT 0.0 0.0 3.4 96.6 0.0 29
NC 0.0 1.5 4.5 92.4 1.5 66
ND 0.0 0.0 12.5 87.5 0.0 8
NE 0.0 0.0 18.6 81.4 0.0 43
NH 0.0 0.0 0.0 100.0 0.0 23
NJ 0.0 0.0 2.2 97.8 0.0 46
NM 0.0 0.0 13.8 86.2 0.0 29
NV 0.0 0.0 18.8 81.3 0.0 16
NY 0.0 0.0 8.8 91.2 0.0 102
OH 0.0 0.0 11.5 88.5 0.0 96
OK 2.2 2.2 17.4 78.3 0.0 46
OR 0.0 0.0 5.8 94.2 0.0 52
PA 0.0 0.0 11.5 87.4 1.1 87
PR 0.0 7.7 15.4 76.9 0.0 13
RI 0.0 0.0 0.0 100.0 0.0 6
SC 0.0 5.3 7.9 86.8 0.0 38
SD 0.0 4.2 16.7 75.0 4.2 24
TN 0.0 1.7 8.6 87.9 1.7 58
TX 0.5 1.4 14.2 83.9 0.0 218
UT 2.4 4.9 12.2 78.0 2.4 41
VA 0.0 0.0 13.3 86.7 0.0 45
VT 0.0 0.0 0.0 100.0 0.0 9
WA 0.0 0.0 6.6 93.4 0.0 61
WI 0.0 0.0 9.5 90.5 0.0 84
WV 0.0 4.0 4.0 92.0 0.0 25
WY 0.0 5.6 16.7 77.8 0.0 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.
Table 3.4b: Education on limitation to time suckling by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How often are breastfeeding patients instructed to limit suckling at the breast to a specific length of time
Rarely Sometimes Often Almost always Not sure N
All 54.6 19.2 12.1 10.8 3.3 2660
State
AK 66.7 16.7 5.6 5.6 5.6 18
AL 50.0 15.0 10.0 15.0 10.0 40
AR 14.8 14.8 33.3 33.3 3.7 27
AZ 55.3 15.8 13.2 10.5 5.3 38
CA 62.0 18.3 8.7 9.6 1.4 208
CO 50.0 25.0 15.9 6.8 2.3 44
CT 83.3 8.3 0.0 8.3 0.0 24
DC 16.7 16.7 33.3 33.3 0.0 6
DE 83.3 16.7 0.0 0.0 0.0 6
FL 59.8 17.6 12.7 8.8 1.0 102
GA 50.0 15.7 17.1 11.4 5.7 70
HI 54.5 36.4 0.0 9.1 0.0 11
IA 44.6 27.0 18.9 6.8 2.7 74
ID 44.4 22.2 18.5 14.8 0.0 27
IL 53.2 21.3 10.6 11.7 3.2 94
IN 53.5 24.4 9.3 10.5 2.3 86
IT* 16.7 33.3 16.7 33.3 0.0 6
KS 50.0 17.7 19.4 12.9 0.0 62
KY 50.0 18.2 11.4 15.9 4.5 44
LA 63.6 6.8 13.6 11.4 4.5 44
MA 81.8 15.9 2.3 0.0 0.0 44
MD 53.6 21.4 14.3 7.1 3.6 28
ME 75.0 4.2 8.3 12.5 0.0 24
MI 38.6 35.7 11.4 10.0 4.3 70
MN 55.2 12.6 18.4 8.0 5.7 87
MO 45.0 35.0 11.7 6.7 1.7 60
MS 34.3 25.7 17.1 17.1 5.7 35
MT 62.1 10.3 10.3 10.3 6.9 29
NC 56.1 18.2 9.1 13.6 3.0 66
ND 62.5 0.0 37.5 0.0 0.0 8
NE 47.6 26.2 4.8 9.5 11.9 42
NH 82.6 8.7 4.3 4.3 0.0 23
NJ 63.0 13.0 8.7 10.9 4.3 46
NM 44.8 27.6 13.8 10.3 3.4 29
NV 37.5 18.8 18.8 12.5 12.5 16
NY 67.6 12.7 7.8 9.8 2.0 102
OH 61.5 24.0 5.2 5.2 4.2 96
OK 47.8 23.9 10.9 13.0 4.3 46
OR 63.5 15.4 1.9 9.6 9.6 52
PA 67.8 18.4 9.2 3.4 1.1 87
PR 30.8 15.4 15.4 30.8 7.7 13
RI 83.3 16.7 0.0 0.0 0.0 6
SC 50.0 28.9 7.9 10.5 2.6 38
SD 58.3 29.2 4.2 8.3 0.0 24
TN 39.7 20.7 17.2 17.2 5.2 58
TX 44.0 18.8 18.8 15.1 3.2 218
UT 48.8 9.8 26.8 14.6 0.0 41
VA 59.1 15.9 4.5 15.9 4.5 44
VT 88.9 0.0 0.0 11.1 0.0 9
WA 59.0 18.0 9.8 9.8 3.3 61
WI 64.3 16.7 8.3 4.8 6.0 84
WV 48.0 12.0 28.0 12.0 0.0 25
WY 27.8 27.8 11.1 33.3 0.0 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.
Table 3.5b: Directly observed breastfeeding assessments by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many breastfeeding patients receive a directly observed breastfeeding assessment
  Few Some Many Most Not sure N
All 0.2 1.5 11.6 86.6 0.1 2665
State
AK 0.0 0.0 5.6 94.4 0.0 18
AL 0.0 2.5 10.0 87.5 0.0 40
AR 0.0 10.7 25.0 64.3 0.0 28
AZ 0.0 0.0 2.6 94.7 2.6 38
CA 0.0 1.4 8.7 89.9 0.0 208
CO 0.0 2.3 7.0 90.7 0.0 43
CT 0.0 0.0 4.2 95.8 0.0 24
DC 0.0 0.0 16.7 83.3 0.0 6
DE 0.0 16.7 0.0 83.3 0.0 6
FL 0.0 0.0 7.8 92.2 0.0 102
GA 0.0 0.0 11.4 88.6 0.0 70
HI 0.0 0.0 9.1 90.9 0.0 11
IA 0.0 0.0 13.5 86.5 0.0 74
ID 0.0 0.0 11.1 88.9 0.0 27
IL 0.0 2.1 18.1 79.8 0.0 94
IN 0.0 1.1 10.3 88.5 0.0 87
IT* 0.0 0.0 50.0 50.0 0.0 6
KS 0.0 1.6 17.7 80.6 0.0 62
KY 0.0 2.3 11.4 86.4 0.0 44
LA 0.0 4.4 17.8 77.8 0.0 45
MA 0.0 0.0 0.0 100.0 0.0 44
MD 0.0 3.6 17.9 78.6 0.0 28
ME 0.0 0.0 0.0 100.0 0.0 24
MI 0.0 2.8 16.9 80.3 0.0 71
MN 0.0 0.0 16.1 83.9 0.0 87
MO 0.0 0.0 8.3 91.7 0.0 60
MS 0.0 0.0 14.3 85.7 0.0 35
MT 0.0 3.4 10.3 86.2 0.0 29
NC 0.0 3.0 12.1 84.8 0.0 66
ND 0.0 0.0 0.0 100.0 0.0 8
NE 2.3 2.3 13.6 81.8 0.0 44
NH 0.0 0.0 0.0 100.0 0.0 23
NJ 0.0 2.2 6.5 91.3 0.0 46
NM 0.0 0.0 6.9 93.1 0.0 29
NV 0.0 0.0 31.3 68.8 0.0 16
NY 0.0 1.0 7.8 90.2 1.0 102
OH 0.0 0.0 12.5 87.5 0.0 96
OK 0.0 2.2 19.6 78.3 0.0 46
OR 1.9 0.0 5.8 92.3 0.0 52
PA 0.0 1.1 9.2 89.7 0.0 87
PR 0.0 0.0 23.1 76.9 0.0 13
RI 0.0 0.0 0.0 100.0 0.0 6
SC 0.0 2.6 7.9 89.5 0.0 38
SD 0.0 4.2 20.8 75.0 0.0 24
TN 1.7 3.4 13.8 81.0 0.0 58
TX 1.4 1.8 17.0 79.8 0.0 218
UT 0.0 5.0 15.0 80.0 0.0 40
VA 0.0 2.2 6.7 91.1 0.0 45
VT 0.0 0.0 0.0 100.0 0.0 9
WA 0.0 0.0 11.5 88.5 0.0 61
WI 0.0 0.0 6.0 94.0 0.0 84
WV 0.0 4.0 12.0 84.0 0.0 25
WY 0.0 5.6 5.6 88.9 0.0 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.
Table 3.6b: Use of a standardized breastfeeding assessment tool by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  Is breastfeeding assessed using a standardized or adapted assessment tool
  Yes No N
All 71.5 28.5 2664
State
AK 72.2 27.8 18
AL 45.0 55.0 40
AR 46.4 53.6 28
AZ 78.9 21.1 38
CA 90.4 9.6 208
CO 79.1 20.9 43
CT 66.7 33.3 24
DC 50.0 50.0 6
DE 83.3 16.7 6
FL 67.6 32.4 102
GA 70.0 30.0 70
HI 72.7 27.3 11
IA 74.3 25.7 74
ID 74.1 25.9 27
IL 74.5 25.5 94
IN 74.7 25.3 87
IT* 33.3 66.7 6
KS 35.5 64.5 62
KY 65.9 34.1 44
LA 77.8 22.2 45
MA 84.1 15.9 44
MD 75.0 25.0 28
ME 58.3 41.7 24
MI 78.9 21.1 71
MN 82.8 17.2 87
MO 73.3 26.7 60
MS 45.7 54.3 35
MT 53.6 46.4 28
NC 75.8 24.2 66
ND 62.5 37.5 8
NE 52.3 47.7 44
NH 73.9 26.1 23
NJ 80.4 19.6 46
NM 75.9 24.1 29
NV 87.5 12.5 16
NY 66.7 33.3 102
OH 64.6 35.4 96
OK 69.6 30.4 46
OR 78.8 21.2 52
PA 79.3 20.7 87
PR 30.8 69.2 13
RI 100.0 0.0 6
SC 81.6 18.4 38
SD 79.2 20.8 24
TN 65.5 34.5 58
TX 66.1 33.9 218
UT 77.5 22.5 40
VA 62.2 37.8 45
VT 66.7 33.3 9
WA 80.3 19.7 61
WI 73.8 26.2 84
WV 40.0 60.0 25
WY 94.4 5.6 18
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.
Table 3.7b: Provision of pacifiers by state CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2013
  How many breastfed infants are given pacifiers by facility staff
  Few Some Many Most Not sure N
All 44.6 27.0 21.7 5.8 0.9 2661
State
AK 55.6 27.8 16.7 0.0 0.0 18
AL 25.0 20.0 37.5 15.0 2.5 40
AR 40.7 22.2 22.2 11.1 3.7 27
AZ 44.7 39.5 13.2 0.0 2.6 38
CA 66.7 21.3 9.2 1.9 1.0 207
CO 37.2 46.5 7.0 4.7 4.7 43
CT 54.2 25.0 16.7 4.2 0.0 24
DC 50.0 16.7 16.7 0.0 16.7 6
DE 66.7 33.3 0.0 0.0 0.0 6
FL 47.1 27.5 18.6 4.9 2.0 102
GA 34.3 15.7 35.7 14.3 0.0 70
HI 54.5 36.4 9.1 0.0 0.0 11
IA 21.6 35.1 33.8 8.1 1.4 74
ID 40.7 18.5 37.0 3.7 0.0 27
IL 44.7 24.5 27.7 2.1 1.1 94
IN 35.6 32.2 24.1 6.9 1.1 87
IT* 83.3 16.7 0.0 0.0 0.0 6
KS 27.4 46.8 17.7 8.1 0.0 62
KY 22.7 38.6 34.1 4.5 0.0 44
LA 45.5 15.9 27.3 11.4 0.0 44
MA 56.8 18.2 18.2 6.8 0.0 44
MD 50.0 39.3 10.7 0.0 0.0 28
ME 75.0 16.7 8.3 0.0 0.0 24
MI 26.8 42.3 25.4 5.6 0.0 71
MN 50.6 21.8 14.9 11.5 1.1 87
MO 38.3 28.3 26.7 6.7 0.0 60
MS 22.9 28.6 28.6 17.1 2.9 35
MT 58.6 24.1 17.2 0.0 0.0 29
NC 40.9 37.9 19.7 1.5 0.0 66
ND 50.0 12.5 37.5 0.0 0.0 8
NE 15.9 34.1 34.1 11.4 4.5 44
NH 78.3 21.7 0.0 0.0 0.0 23
NJ 52.2 21.7 21.7 4.3 0.0 46
NM 62.1 13.8 10.3 10.3 3.4 29
NV 50.0 25.0 25.0 0.0 0.0 16
NY 55.9 24.5 12.7 4.9 2.0 102
OH 33.7 37.9 18.9 8.4 1.1 95
OK 28.3 32.6 30.4 8.7 0.0 46
OR 57.7 23.1 15.4 3.8 0.0 52
PA 33.3 33.3 27.6 5.7 0.0 87
PR 100.0 0.0 0.0 0.0 0.0 13
RI 66.7 33.3 0.0 0.0 0.0 6
SC 50.0 18.4 31.6 0.0 0.0 38
SD 21.7 30.4 39.1 8.7 0.0 23
TN 29.3 31.0 29.3 10.3 0.0 58
TX 45.9 23.9 24.3 5.0 0.9 218
UT 36.6 22.0 31.7 9.8 0.0 41
VA 46.7 17.8 28.9 6.7 0.0 45
VT 88.9 0.0 11.1 0.0 0.0 9
WA 57.4 23.0 19.7 0.0 0.0 61
WI 56.0 22.6 16.7 2.4 2.4 84
WV 48.0 24.0 24.0 4.0 0.0 25
WY 16.7 22.2 33.3 27.8 0.0 18