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 |