Table 3.1a: Documentation of infant feeding decisions by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How often infant feeding decisions are documented in medical records
Rarely Sometimes Often Almost always Not sure N
All 0.2 0.1 1.4 98 0.4 2489
Type of facility
Birth center 1.8 0 0.6 96.4 1.2 167
Government hospital 0 0.4 2.4 97 0.2 463
Non-profit hospital 0.1 0 1 98.6 0.3 1530
Private hospital 0 0 2.3 97.4 0.3 309
Military hospital 0 0 5 95 0 20
Teaching hospital
Yes 0 0.5 4.2 95.3 0 192
No 0 0 1.3 98.3 0.3 2130
Size of facility
1-249 0.5 0 1.9 97 0.5 569
250-499 0 0 0.9 98.7 0.4 462
500-999 0 0.2 1.5 97.7 0.6 479
1000-1999 0.2 0 1 98.6 0.2 488
2000-4999 0 0.2 2 97.7 0 441
5000 or more 0 0 0 100 0 50
Level of Neonatal Care
Healthy newborn only 0.3 0 1.6 97.6 0.5 1113
Level 2 special care 0.1 0.1 0.8 98.7 0.3 746
Level 3 NICU 0 0.2 1.5 98.1 0.2 540
Level 4 Regional NICU 0 0 4.4 95.6 0 90
Census region
Pacific 0.3 0 1.5 97.9 0.3 330
Mountain 0 0 3 96.6 0.4 234
West North Central 0 0 1.5 97.9 0.6 335
East North Central 0 0 0.7 98.8 0.5 406
West South Central 0.6 0.6 1.9 96.5 0.3 317
East South Central 0 0 0 99.4 0.6 157
New England 0 0 0.8 99.2 0 120
Middle Atlantic 0 0 1.4 98.6 0 217
South Atlantic 0.3 0 1.6 97.9 0.3 373
Table 3.2a: Provision of advice & instructions for breastfeeding patients by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many breastfeeding patients are provided advice & instructions about breastfeeding
Few Some Many Most Not sure N
All 0.1 0.4 6.1 93.3 0 2487
Type of facility
Birth center 0.6 0 7.7 91.7 0 169
Government hospital 0.2 0.9 9.9 89 0 463
Non-profit hospital 0 0.2 4.7 95 0.1 1527
Private hospital 0 1.3 6.8 91.9 0 308
Military hospital 0 0 0 100 0 20
Teaching hospital
Yes 0 0 5.7 94.3 0 192
No 0 0.5 6 93.4 0 2126
Size of facility
1-249 0.2 0.5 8.1 91.2 0 571
250-499 0.2 0.9 6.5 92.4 0 460
500-999 0 0.8 5.4 93.5 0.2 479
1000-1999 0 0 5.1 94.9 0 486
2000-4999 0 0 5 95 0 441
5000 or more 0 0 6 94 0 50
Level of Neonatal Care
Healthy newborn only 0.2 0.5 6.7 92.5 0.1 1112
Level 2 special care 0 0.7 5.8 93.6 0 745
Level 3 NICU 0 0 5.6 94.4 0 540
Level 4 Regional NICU 0 0 5.6 94.4 0 90
Census region
Pacific 0 0 5.7 94.3 0 331
Mountain 0 0.4 8.1 91.5 0 234
West North Central 0 1.2 7.8 91 0 335
East North Central 0 0.5 3.4 95.8 0.2 406
West South Central 0.6 1.3 7.9 90.2 0 316
East South Central 0 0 9.6 90.4 0 157
New England 0 0 0.8 99.2 0 119
Middle Atlantic 0 0 4.2 95.8 0 216
South Atlantic 0 0 6.4 93.6 0 373
Table 3.3a: Education on infant cues to feed by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  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 0.1 0.9 9.4 89.4 0.2 2488
Type of facility
Birth center 0.6 0 4.1 94.7 0.6 169
Government hospital 0.2 1.9 11.9 86 0 463
Non-profit hospital 0 0.5 8.5 90.8 0.2 1527
Private hospital 0 1.9 13.3 84.8 0 309
Military hospital 0 0 10 90 0 20
Teaching hospital
Yes 0 0.5 8.3 91.1 0 192
No 0 1 10 88.8 0.1 2127
Size of facility
1-249 0.4 1.1 8.6 89.8 0.2 571
250-499 0 1.5 12.4 85.9 0.2 460
500-999 0 1.7 8.6 89.6 0.2 479
1000-1999 0 0 9 91 0 487
2000-4999 0 0.5 8.2 91.2 0.2 441
5000 or more 0 0 16 84 0 50
Level of Neonatal Care
Healthy newborn only 0.2 1.3 9.7 88.5 0.3 1112
Level 2 special care 0 0.8 9.5 89.7 0 746
Level 3 NICU 0 0.4 9.3 90.2 0.2 540
Level 4 Regional NICU 0 0 6.7 93.3 0 90
Census region
Pacific 0 0.3 8.8 90.9 0 331
Mountain 0 0 9 91 0 234
West North Central 0 2.4 11.3 86.3 0 335
East North Central 0 0.5 8.1 91.1 0.2 406
West South Central 0.3 2.5 12.7 84.2 0.3 316
East South Central 0.6 0.6 11.5 87.3 0 157
New England 0 0 1.7 98.3 0 119
Middle Atlantic 0 0 7.4 92.1 0.5 216
South Atlantic 0 0.8 10.2 88.8 0.3 374
Table 3.4a: Education on limitation to time suckling by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  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 60.5 18.1 9 8.8 3.5 2481
Type of facility
Birth center 82.1 5.4 3.6 6.5 2.4 168
Government hospital 54.2 19.7 11.2 11.9 3 463
Non-profit hospital 62.3 18.2 8.3 7.9 3.3 1524
Private hospital 49 22.2 12.1 10.8 5.9 306
Military hospital 55 25 15 0 5 20
Teaching hospital
Yes 72.9 18.2 2.1 5.2 1.6 192
No 57.6 19.1 10.1 9.3 3.8 2121
Size of facility
1-249 54.5 16.9 11.1 13.2 4.4 569
250-499 55 20.7 8.9 11.3 4.1 460
500-999 62.4 15.9 10.4 7.3 4 479
1000-1999 63 18.1 9.5 6.8 2.7 486
2000-4999 68 19.5 5 5 2.5 437
5000 or more 70 20 4 4 2 50
Level of Neonatal Care
Healthy newborn only 57.5 17.8 10 10.6 4.1 1109
Level 2 special care 59.8 18.2 9.6 9.3 3.2 743
Level 3 NICU 64.9 18.9 7.4 5.8 3 539
Level 4 Regional NICU 75.6 17.8 2.2 1.1 3.3 90
Census region
Pacific 66.5 18.3 5.2 6.7 3.4 328
Mountain 56.7 18.5 7.3 12.9 4.7 233
West North Central 52.4 25.1 11.1 8.1 3.3 334
East North Central 63.1 17.7 7.1 8.1 3.9 406
West South Central 57.1 17.5 13.3 9.8 2.2 315
East South Central 56.1 14.6 14.6 10.8 3.8 157
New England 78 13.6 2.5 5.1 0.8 118
Middle Atlantic 64.5 17.5 6.5 7.4 4.1 217
South Atlantic 58.7 15.8 11.3 9.9 4.3 373
Table 3.5a: Directly observed breastfeeding assessments by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many breastfeeding patients receive a directly observed breastfeeding assessment
Few Some Many Most Not sure N
All 0 1.7 8.6 89.4 0.2 2486
Type of facility
Birth center 0 0.6 0.6 98.8 0 168
Government hospital 0 1.5 10.8 87.5 0.2 463
Non-profit hospital 0 1.6 7.8 90.4 0.2 1527
Private hospital 0.3 3.2 13.6 82.1 0.6 308
Military hospital 0 5 5 90 0 20
Teaching hospital
Yes 0 0.5 6.8 92.7 0 192
No 0 1.9 9.4 88.4 0.3 2126
Size of facility
1-249 0 1.8 7 90.9 0.4 570
250-499 0.2 1.7 8 89.6 0.4 461
500-999 0 2.1 12.1 85.6 0.2 478
1000-1999 0 1 8.9 90.1 0 485
2000-4999 0 2.3 7 90.5 0.2 442
5000 or more 0 0 8 92 0 50
Level of Neonatal Care
Healthy newborn only 0.1 1.8 8.5 89.3 0.4 1112
Level 2 special care 0 1.2 10.3 88.3 0.1 744
Level 3 NICU 0 2.2 6.5 91.1 0.2 540
Level 4 Regional NICU 0 2.2 7.8 90 0 90
Census region
Pacific 0 0.9 6.1 93 0 330
Mountain 0 1.3 10.7 87.6 0.4 234
West North Central 0.3 2.1 10.7 86.6 0.3 335
East North Central 0 1.7 4.9 93.1 0.2 406
West South Central 0 2.5 9.8 87.3 0.3 316
East South Central 0 1.9 17.2 80.3 0.6 157
New England 0 0 1.7 98.3 0 119
Middle Atlantic 0 2.3 8.3 89.4 0 217
South Atlantic 0 1.9 9.1 88.7 0.3 372
Table 3.6a: Use of a standardized breastfeeding assessment tool by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  Is breastfeeding assessed using a standardized or adapted assessment tool
Yes No N
All 77.9 22.1 2485
Type of facility
Birth center 28 72 168
Government hospital 75.2 24.8 463
Non-profit hospital 82.4 17.6 1527
Private hospital 86 14 307
Military hospital 95 5 20
Teaching hospital
Yes 89.5 10.5 190
No 80.9 19.1 2127
Size of facility
1-249 57.9 42.1 570
250-499 72.9 27.1 462
500-999 83.9 16.1 478
1000-1999 87.4 12.6 485
2000-4999 90.9 9.1 440
5000 or more 90 10 50
Level of Neonatal Care
Healthy newborn only 67.7 32.3 1113
Level 2 special care 84.4 15.6 745
Level 3 NICU 87.3 12.7 537
Level 4 Regional NICU 94.4 5.6 90
Census region
Pacific 85.5 14.5 332
Mountain 81.6 18.4 234
West North Central 74.3 25.7 334
East North Central 78 22 404
West South Central 75.6 24.4 315
East South Central 66.7 33.3 156
New England 79 21 119
Middle Atlantic 80.3 19.7 218
South Atlantic 77.2 22.8 373
Table 3.7a: Provision of pacifiers by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many breastfed infants are given pacifiers by facility staff
Few Some Many Most Not sure N
All 51.8 24.2 18.5 4.2 1.2 2487
Type of facility
Birth center 97.6 1.2 1.2 0 0 169
Government hospital 47.7 24.2 20.3 6.9 0.9 463
Non-profit hospital 50.6 25.9 18.5 3.5 1.4 1527
Private hospital 36.4 30.2 26 5.8 1.6 308
Military hospital 90 5 5 0 0 20
Teaching hospital
Yes 62 22.4 13.5 1 1 192
No 47.3 26.2 20.3 4.8 1.4 2126
Size of facility
1-249 57.2 22.3 15.4 4.2 0.9 570
250-499 42.5 26 25.6 4.8 1.1 461
500-999 44.8 27 21.8 5.4 1 478
1000-1999 53.6 23.2 18.7 3.5 1 487
2000-4999 58.3 23.8 12.2 3.4 2.3 441
5000 or more 70 18 10 0 2 50
Level of Neonatal Care
Healthy newborn only 52.9 22.8 19.2 4 1 1113
Level 2 special care 45.6 28.1 20 5 1.3 745
Level 3 NICU 54.9 23.7 15.4 4.1 1.9 539
Level 4 Regional NICU 71.1 13.3 15.6 0 0 90
Census region
Pacific 70.2 16.6 10.5 1.8 0.9 332
Mountain 46.8 27.5 15.9 7.3 2.6 233
West North Central 41.3 26.6 25.4 6 0.6 334
East North Central 44.3 29.5 20.3 4.5 1.5 404
West South Central 54.6 22.4 18 3.5 1.6 317
East South Central 32.5 29.3 28 8.3 1.9 157
New England 70.8 17.5 11.7 0 0 120
Middle Atlantic 58.3 21.1 17 2.8 0.9 218
South Atlantic 52.2 24.7 18.5 3.5 1.1 372