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) -- 2013 |
|
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 |
26.2 |
60.1 |
91.0 |
64.8 |
92.1 |
26.6 |
44.9 |
87.2 |
45.0 |
32.2 |
Type of facility |
Birth center |
16.4 |
57.5 |
86.4 |
94.6 |
95.2 |
89.0 |
98.8 |
94.5 |
97.0 |
75.3 |
Government hospital |
23.6 |
50.2 |
85.6 |
59.2 |
87.9 |
21.7 |
39.6 |
80.5 |
37.0 |
29.9 |
Non-profit hospital |
29.0 |
61.8 |
93.5 |
64.9 |
93.9 |
23.6 |
40.6 |
89.1 |
44.5 |
31.5 |
Private hospital |
21.0 |
68.0 |
88.5 |
58.5 |
88.0 |
16.2 |
44.3 |
85.3 |
32.2 |
17.8 |
Military hospital |
24.0 |
42.3 |
96.2 |
52.0 |
92.3 |
42.3 |
76.9 |
76.9 |
57.7 |
34.6 |
Teaching hospital |
Yes |
55.5 |
75.8 |
96.2 |
53.0 |
94.0 |
8.8 |
35.7 |
88.0 |
49.2 |
27.7 |
No |
24.5 |
59.0 |
90.9 |
63.6 |
91.8 |
23.5 |
41.7 |
86.6 |
40.9 |
29.5 |
Birth center |
16.4 |
57.5 |
86.4 |
94.6 |
95.2 |
89.0 |
98.8 |
94.5 |
97.0 |
75.3 |
Size of facility |
1-249 |
13.2 |
43.9 |
81.2 |
70.2 |
92.3 |
50.2 |
55.3 |
85.8 |
52.3 |
48.8 |
250-499 |
19.3 |
50.8 |
88.1 |
68.3 |
89.5 |
30.2 |
42.1 |
85.3 |
38.4 |
29.6 |
500-999 |
21.5 |
64.7 |
94.9 |
62.7 |
91.8 |
22.4 |
41.9 |
86.1 |
41.7 |
33.1 |
1000-1999 |
34.8 |
69.6 |
95.9 |
62.3 |
94.4 |
16.2 |
42.6 |
90.7 |
43.8 |
24.8 |
2000-4999 |
41.5 |
71.8 |
96.1 |
62.2 |
92.4 |
11.9 |
42.1 |
88.4 |
47.0 |
22.4 |
5000 or more |
64.4 |
78.3 |
91.7 |
45.8 |
93.3 |
5.0 |
31.7 |
88.3 |
54.2 |
16.7 |
Level of Neonatal Care |
Healthy newborn only |
17.7 |
49.6 |
86.1 |
69.8 |
91.9 |
39.0 |
51.6 |
87.1 |
47.6 |
39.0 |
Level 2 special care |
25.2 |
63.6 |
93.7 |
62.3 |
91.7 |
21.1 |
40.2 |
86.5 |
40.4 |
28.5 |
Level 3 NICU |
41.1 |
72.7 |
96.1 |
58.7 |
93.4 |
11.9 |
39.7 |
89.3 |
45.1 |
24.8 |
Level 4 Regional NICU |
48.9 |
80.7 |
95.5 |
62.8 |
92.0 |
12.5 |
35.2 |
82.8 |
55.7 |
27.3 |
Census region |
Pacific |
33.8 |
62.3 |
88.6 |
76.1 |
94.3 |
35.1 |
81.5 |
90.9 |
63.4 |
31.2 |
Mountain |
22.6 |
53.8 |
88.2 |
68.6 |
88.4 |
31.1 |
64.6 |
84.5 |
44.1 |
29.0 |
West North Central |
13.6 |
42.0 |
92.7 |
64.0 |
94.1 |
29.5 |
30.9 |
83.1 |
33.0 |
44.5 |
East North Central |
27.8 |
59.4 |
95.8 |
61.3 |
92.0 |
23.5 |
28.0 |
85.9 |
40.7 |
38.0 |
West South Central |
21.0 |
61.7 |
82.9 |
60.1 |
86.4 |
22.3 |
48.3 |
83.7 |
43.1 |
23.5 |
East South Central |
14.7 |
67.8 |
88.9 |
57.4 |
90.2 |
16.9 |
22.2 |
88.4 |
26.3 |
20.8 |
New England |
42.9 |
71.2 |
99.2 |
78.7 |
99.2 |
38.7 |
37.8 |
96.9 |
65.4 |
40.2 |
Middle Atlantic |
39.6 |
68.1 |
94.0 |
67.2 |
97.0 |
26.1 |
28.9 |
91.4 |
47.2 |
33.9 |
South Atlantic |
26.9 |
65.7 |
91.3 |
58.1 |
91.3 |
21.4 |
49.6 |
87.7 |
46.5 |
26.5 |
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) -- 2013 |
|
Number of ideal practices |
0-2 |
3-5 |
6-8 |
9-10 |
N |
All |
4.6 |
41.5 |
45.9 |
8.0 |
2437 |
Type of facility |
Birth center |
0.7 |
2.1 |
58.7 |
38.5 |
143 |
Government hospital |
8.4 |
46.9 |
40.6 |
4.1 |
441 |
Non-profit hospital |
3.3 |
42.5 |
47.0 |
7.2 |
1513 |
Private hospital |
6.6 |
48.4 |
41.1 |
3.8 |
316 |
Military hospital |
8.3 |
25.0 |
58.3 |
8.3 |
24 |
Teaching hospital |
Yes |
2.8 |
36.2 |
55.4 |
5.6 |
177 |
No |
5.0 |
44.6 |
44.2 |
6.2 |
2117 |
Size of facility |
1-249 |
5.8 |
37.7 |
42.6 |
13.8 |
530 |
250-499 |
7.1 |
44.0 |
42.0 |
6.9 |
436 |
500-999 |
4.4 |
44.2 |
44.4 |
7.0 |
525 |
1000-1999 |
2.9 |
40.9 |
49.7 |
6.5 |
479 |
2000-4999 |
2.7 |
40.8 |
50.9 |
5.6 |
409 |
5000 or more |
1.7 |
43.1 |
51.7 |
3.4 |
58 |
Level of Neonatal Care |
Healthy newborn only |
5.4 |
39.1 |
45.0 |
10.4 |
1035 |
Level 2 special care |
5.0 |
45.7 |
42.1 |
7.2 |
796 |
Level 3 NICU |
2.1 |
40.9 |
52.4 |
4.6 |
521 |
Level 4 Regional NICU |
4.7 |
35.3 |
51.8 |
8.2 |
85 |
Census region |
Pacific |
1.2 |
26.9 |
58.4 |
13.5 |
334 |
Mountain |
3.7 |
39.7 |
48.1 |
8.4 |
214 |
West North Central |
5.1 |
49.8 |
41.1 |
3.9 |
333 |
East North Central |
5.8 |
44.5 |
43.2 |
6.5 |
398 |
West South Central |
8.2 |
43.9 |
42.9 |
5.1 |
294 |
East South Central |
6.9 |
52.5 |
38.1 |
2.5 |
160 |
New England |
0.8 |
25.6 |
57.0 |
16.5 |
121 |
Middle Atlantic |
2.7 |
42.1 |
45.2 |
10.0 |
221 |
South Atlantic |
4.7 |
43.4 |
42.8 |
9.1 |
362 |