Table 3.1b: Documentation of infant feeding decisions, by state
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 1.5 97.8 0.4 2576
State
AK 0.0 0.0 0.0 100.0 0.0 21
AL 0.0 0.0 0.0 100.0 0.0 41
AR 0.0 0.0 0.0 97.1 2.9 34
AZ 0.0 0.0 7.3 92.7 0.0 41
CA 0.5 0.0 0.5 98.5 0.5 200
CO 0.0 0.0 2.1 97.9 0.0 47
CT 0.0 0.0 0.0 100.0 0.0 23
DC 0.0 0.0 0.0 100.0 0.0 4
DE 0.0 0.0 0.0 100.0 0.0 7
FL 0.0 0.0 2.8 97.2 0.0 108
GA 0.0 0.0 1.7 98.3 0.0 60
HI 0.0 0.0 8.3 91.7 0.0 12
IA 0.0 0.0 0.0 98.6 1.4 72
ID 0.0 0.0 3.4 93.1 3.4 29
IL 1.1 0.0 1.1 97.7 0.0 87
IN 0.0 0.0 0.0 98.9 1.1 89
IT* 0.0 0.0 0.0 100.0 0.0 6
KS 0.0 0.0 3.1 96.9 0.0 64
KY 0.0 0.0 0.0 100.0 0.0 37
LA 0.0 2.1 0.0 97.9 0.0 48
MA 0.0 0.0 0.0 100.0 0.0 42
MD 3.2 0.0 0.0 96.8 0.0 31
ME 0.0 0.0 0.0 100.0 0.0 27
MI 0.0 0.0 1.4 97.3 1.4 73
MN 0.0 0.0 1.3 97.3 1.3 75
MO 0.0 0.0 1.9 98.1 0.0 53
MS 0.0 0.0 0.0 96.7 3.3 30
MT 0.0 0.0 0.0 100.0 0.0 28
NC 0.0 0.0 0.0 98.3 1.7 60
ND 0.0 0.0 9.1 90.9 0.0 11
NE 0.0 0.0 2.1 95.8 2.1 48
NH 0.0 0.0 5.6 94.4 0.0 18
NJ 0.0 0.0 0.0 100.0 0.0 39
NM 0.0 0.0 7.4 92.6 0.0 27
NV 0.0 0.0 0.0 100.0 0.0 12
NY 0.0 0.0 2.1 97.9 0.0 97
OH 0.0 0.0 0.0 100.0 0.0 90
OK 0.0 0.0 0.0 100.0 0.0 43
OR 0.0 0.0 4.3 95.7 0.0 46
PA 0.0 0.0 1.1 98.9 0.0 87
PR 0.0 0.0 5.9 94.1 0.0 17
RI 0.0 0.0 0.0 100.0 0.0 5
SC 0.0 0.0 3.1 96.9 0.0 32
SD 0.0 0.0 0.0 100.0 0.0 19
TN 0.0 0.0 0.0 100.0 0.0 57
TX 1.5 0.5 3.4 94.6 0.0 204
UT 0.0 0.0 0.0 100.0 0.0 37
VA 0.0 0.0 0.0 100.0 0.0 48
VT 0.0 0.0 0.0 100.0 0.0 11
WA 0.0 0.0 1.8 98.2 0.0 57
WI 0.0 0.0 1.2 98.8 0.0 82
WV 0.0 0.0 0.0 100.0 0.0 23
WY 0.0 0.0 0.0 100.0 0.0 17
*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) -- 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 93.4 0.0 2575
State
AK 0.0 0.0 14.3 85.7 0.0 21
AL 0.0 0.0 9.8 90.2 0.0 41
AR 0.0 5.9 14.7 79.4 0.0 34
AZ 0.0 0.0 12.2 87.8 0.0 41
CA 0.0 0.0 5.5 94.5 0.0 200
CO 0.0 0.0 0.0 100.0 0.0 47
CT 0.0 0.0 0.0 100.0 0.0 23
DC 0.0 0.0 25.0 75.0 0.0 4
DE 0.0 0.0 0.0 100.0 0.0 7
FL 0.0 0.0 6.5 93.5 0.0 108
GA 0.0 0.0 8.3 91.7 0.0 60
HI 0.0 0.0 0.0 100.0 0.0 12
IA 0.0 0.0 6.9 93.1 0.0 72
ID 0.0 0.0 10.3 89.7 0.0 29
IL 0.0 1.1 1.1 97.7 0.0 87
IN 0.0 0.0 5.6 94.4 0.0 89
IT* 0.0 0.0 16.7 83.3 0.0 6
KS 0.0 1.6 6.3 92.2 0.0 64
KY 0.0 0.0 5.4 94.6 0.0 37
LA 0.0 0.0 6.3 93.8 0.0 48
MA 0.0 0.0 2.4 97.6 0.0 41
MD 0.0 0.0 6.5 93.5 0.0 31
ME 0.0 0.0 0.0 100.0 0.0 27
MI 0.0 0.0 6.8 91.8 1.4 73
MN 0.0 1.3 12.0 86.7 0.0 75
MO 0.0 1.9 5.7 92.5 0.0 53
MS 0.0 0.0 6.7 93.3 0.0 30
MT 0.0 0.0 0.0 100.0 0.0 28
NC 0.0 0.0 5.0 95.0 0.0 60
ND 0.0 0.0 0.0 100.0 0.0 11
NE 0.0 0.0 14.6 85.4 0.0 48
NH 0.0 0.0 0.0 100.0 0.0 18
NJ 0.0 0.0 0.0 100.0 0.0 39
NM 0.0 0.0 11.1 88.9 0.0 27
NV 0.0 0.0 25.0 75.0 0.0 12
NY 0.0 0.0 6.2 93.8 0.0 97
OH 0.0 0.0 1.1 98.9 0.0 90
OK 0.0 0.0 4.7 95.3 0.0 43
OR 0.0 0.0 6.5 93.5 0.0 46
PA 0.0 0.0 3.5 96.5 0.0 86
PR 0.0 0.0 5.6 94.4 0.0 18
RI 0.0 0.0 0.0 100.0 0.0 5
SC 0.0 0.0 6.3 93.8 0.0 32
SD 0.0 5.3 0.0 94.7 0.0 19
TN 0.0 0.0 12.3 87.7 0.0 57
TX 1.0 1.0 7.9 90.1 0.0 203
UT 0.0 2.7 10.8 86.5 0.0 37
VA 0.0 0.0 4.2 95.8 0.0 48
VT 0.0 0.0 0.0 100.0 0.0 11
WA 0.0 0.0 1.7 98.3 0.0 58
WI 0.0 1.2 2.4 96.3 0.0 82
WV 0.0 0.0 8.7 91.3 0.0 23
WY 0.0 0.0 5.9 94.1 0.0 17
*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) -- 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 9.5 89.3 0.2 2576
State
AK 0.0 0.0 4.8 95.2 0.0 21
AL 0.0 0.0 19.5 80.5 0.0 41
AR 0.0 2.9 26.5 70.6 0.0 34
AZ 0.0 0.0 9.8 90.2 0.0 41
CA 0.0 0.5 8.5 91.0 0.0 200
CO 0.0 0.0 6.4 93.6 0.0 47
CT 0.0 0.0 4.3 95.7 0.0 23
DC 0.0 0.0 0.0 100.0 0.0 4
DE 0.0 0.0 0.0 100.0 0.0 7
FL 0.0 0.9 10.1 89.0 0.0 109
GA 0.0 0.0 11.7 88.3 0.0 60
HI 0.0 0.0 0.0 100.0 0.0 12
IA 0.0 0.0 11.1 88.9 0.0 72
ID 0.0 0.0 6.9 93.1 0.0 29
IL 0.0 1.1 6.9 92.0 0.0 87
IN 0.0 0.0 4.5 95.5 0.0 89
IT* 0.0 0.0 33.3 66.7 0.0 6
KS 0.0 1.6 14.1 84.4 0.0 64
KY 0.0 2.7 2.7 94.6 0.0 37
LA 0.0 2.1 6.3 91.7 0.0 48
MA 0.0 2.4 2.4 95.1 0.0 41
MD 0.0 3.2 9.7 83.9 3.2 31
ME 0.0 0.0 0.0 100.0 0.0 27
MI 0.0 1.4 11.0 86.3 1.4 73
MN 0.0 4.0 13.3 82.7 0.0 75
MO 0.0 1.9 9.4 88.7 0.0 53
MS 3.3 0.0 6.7 90.0 0.0 30
MT 0.0 0.0 7.1 92.9 0.0 28
NC 0.0 0.0 13.3 86.7 0.0 60
ND 0.0 0.0 9.1 90.9 0.0 11
NE 0.0 4.2 14.6 81.3 0.0 48
NH 0.0 0.0 0.0 100.0 0.0 18
NJ 0.0 0.0 0.0 100.0 0.0 39
NM 0.0 0.0 11.1 88.9 0.0 27
NV 0.0 0.0 16.7 83.3 0.0 12
NY 0.0 0.0 7.2 92.8 0.0 97
OH 0.0 0.0 11.1 88.9 0.0 90
OK 0.0 0.0 14.0 86.0 0.0 43
OR 0.0 0.0 8.7 91.3 0.0 46
PA 0.0 0.0 12.8 86.0 1.2 86
PR 0.0 0.0 16.7 83.3 0.0 18
RI 0.0 0.0 0.0 100.0 0.0 5
SC 0.0 0.0 3.1 96.9 0.0 32
SD 0.0 5.3 5.3 89.5 0.0 19
TN 0.0 0.0 12.3 87.7 0.0 57
TX 0.5 3.0 11.3 84.7 0.5 203
UT 0.0 0.0 16.2 83.8 0.0 37
VA 0.0 2.1 6.3 91.7 0.0 48
VT 0.0 0.0 0.0 100.0 0.0 11
WA 0.0 0.0 10.3 89.7 0.0 58
WI 0.0 0.0 6.1 93.9 0.0 82
WV 0.0 0.0 21.7 78.3 0.0 23
WY 0.0 0.0 0.0 100.0 0.0 17
*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) -- 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 60.1 18.2 9.0 9.1 3.7 2569
State
AK 61.9 19.0 9.5 9.5 0.0 21
AL 56.1 12.2 24.4 7.3 0.0 41
AR 47.1 2.9 29.4 17.6 2.9 34
AZ 62.5 12.5 12.5 7.5 5.0 40
CA 68.2 15.7 6.6 6.6 3.0 198
CO 63.8 19.1 6.4 6.4 4.3 47
CT 73.9 17.4 0.0 4.3 4.3 23
DC 75.0 25.0 0.0 0.0 0.0 4
DE 100.0 0.0 0.0 0.0 0.0 7
FL 63.0 16.7 8.3 6.5 5.6 108
GA 46.7 28.3 8.3 15.0 1.7 60
HI 50.0 8.3 8.3 33.3 0.0 12
IA 43.1 36.1 5.6 11.1 4.2 72
ID 62.1 3.4 6.9 24.1 3.4 29
IL 67.8 14.9 4.6 10.3 2.3 87
IN 68.5 14.6 6.7 6.7 3.4 89
IT* 33.3 33.3 16.7 16.7 0.0 6
KS 51.6 25.0 14.1 7.8 1.6 64
KY 59.5 18.9 13.5 2.7 5.4 37
LA 66.7 12.5 14.6 4.2 2.1 48
MA 70.0 15.0 7.5 7.5 0.0 40
MD 64.5 16.1 12.9 3.2 3.2 31
ME 74.1 22.2 0.0 3.7 0.0 27
MI 47.9 24.7 11.0 13.7 2.7 73
MN 64.9 16.2 9.5 5.4 4.1 74
MO 47.2 34.0 11.3 7.5 0.0 53
MS 60.0 13.3 6.7 13.3 6.7 30
MT 71.4 10.7 3.6 7.1 7.1 28
NC 50.0 13.3 16.7 13.3 6.7 60
ND 45.5 27.3 9.1 0.0 18.2 11
NE 52.1 16.7 14.6 10.4 6.3 48
NH 88.9 0.0 5.6 5.6 0.0 18
NJ 61.5 17.9 2.6 10.3 7.7 39
NM 63.0 14.8 3.7 11.1 7.4 27
NV 16.7 41.7 8.3 25.0 8.3 12
NY 67.3 13.3 8.2 6.1 5.1 98
OH 62.2 18.9 4.4 7.8 6.7 90
OK 58.1 16.3 18.6 4.7 2.3 43
OR 69.6 19.6 2.2 0.0 8.7 46
PA 62.8 22.1 5.8 8.1 1.2 86
PR 38.9 11.1 11.1 38.9 0.0 18
RI 100.0 0.0 0.0 0.0 0.0 5
SC 56.3 25.0 6.3 9.4 3.1 32
SD 52.6 15.8 21.1 10.5 0.0 19
TN 49.1 15.8 10.5 19.3 5.3 57
TX 55.4 21.3 9.9 11.4 2.0 202
UT 43.2 35.1 13.5 8.1 0.0 37
VA 70.8 10.4 6.3 6.3 6.3 48
VT 90.9 9.1 0.0 0.0 0.0 11
WA 63.2 22.8 3.5 5.3 5.3 57
WI 64.6 15.9 8.5 4.9 6.1 82
WV 52.2 8.7 26.1 13.0 0.0 23
WY 41.2 17.6 0.0 35.3 5.9 17
*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) -- 2015
  How many breastfeeding patients receive a directly observed breastfeeding assessment
Few Some Many Most Not sure N
All 0.0 1.7 8.7 89.3 0.2 2574
State
AK 0.0 0.0 4.8 95.2 0.0 21
AL 0.0 2.4 19.5 78.0 0.0 41
AR 0.0 8.8 14.7 76.5 0.0 34
AZ 0.0 2.4 14.6 82.9 0.0 41
CA 0.0 1.5 7.5 91.0 0.0 199
CO 0.0 0.0 2.1 95.7 2.1 47
CT 0.0 0.0 0.0 100.0 0.0 23
DC 0.0 0.0 0.0 100.0 0.0 4
DE 0.0 0.0 14.3 85.7 0.0 7
FL 0.0 2.8 3.7 93.5 0.0 108
GA 0.0 0.0 11.7 88.3 0.0 60
HI 0.0 0.0 0.0 100.0 0.0 11
IA 0.0 0.0 5.6 94.4 0.0 72
ID 0.0 0.0 10.3 89.7 0.0 29
IL 0.0 2.3 5.7 92.0 0.0 87
IN 0.0 0.0 3.4 96.6 0.0 89
IT* 0.0 0.0 16.7 83.3 0.0 6
KS 0.0 3.1 7.8 89.1 0.0 64
KY 0.0 2.7 21.6 75.7 0.0 37
LA 0.0 0.0 10.4 89.6 0.0 48
MA 0.0 0.0 4.9 95.1 0.0 41
MD 0.0 3.2 9.7 83.9 3.2 31
ME 0.0 0.0 3.7 96.3 0.0 27
MI 0.0 5.5 6.8 86.3 1.4 73
MN 0.0 1.3 13.3 85.3 0.0 75
MO 1.9 3.8 9.4 84.9 0.0 53
MS 0.0 3.3 13.3 80.0 3.3 30
MT 0.0 0.0 10.7 89.3 0.0 28
NC 0.0 0.0 13.6 86.4 0.0 59
ND 0.0 0.0 18.2 81.8 0.0 11
NE 0.0 6.3 12.5 81.3 0.0 48
NH 0.0 0.0 0.0 100.0 0.0 18
NJ 0.0 2.6 5.1 92.3 0.0 39
NM 0.0 0.0 11.1 88.9 0.0 27
NV 0.0 0.0 25.0 75.0 0.0 12
NY 0.0 1.0 6.2 92.8 0.0 97
OH 0.0 1.1 5.6 93.3 0.0 90
OK 0.0 0.0 11.6 88.4 0.0 43
OR 0.0 0.0 2.2 97.8 0.0 46
PA 0.0 3.4 12.6 83.9 0.0 87
PR 0.0 5.6 27.8 66.7 0.0 18
RI 0.0 0.0 0.0 100.0 0.0 5
SC 0.0 6.3 9.4 84.4 0.0 32
SD 0.0 0.0 26.3 68.4 5.3 19
TN 0.0 0.0 12.3 87.7 0.0 57
TX 0.0 2.5 8.9 88.2 0.5 203
UT 0.0 5.4 16.2 78.4 0.0 37
VA 0.0 0.0 4.2 95.8 0.0 48
VT 0.0 0.0 0.0 100.0 0.0 11
WA 0.0 0.0 5.1 94.9 0.0 59
WI 0.0 0.0 4.9 95.1 0.0 82
WV 0.0 0.0 17.4 82.6 0.0 23
WY 0.0 0.0 5.9 94.1 0.0 17
*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) -- 2015
  Is breastfeeding assessed using a standardized or adapted assessment tool
Yes No N
All 77.8 22.2 2573
State
AK 61.9 38.1 21
AL 62.5 37.5 40
AR 64.7 35.3 34
AZ 75.6 24.4 41
CA 90.5 9.5 200
CO 87.2 12.8 47
CT 82.6 17.4 23
DC 50.0 50.0 4
DE 100.0 0.0 7
FL 75.0 25.0 108
GA 81.7 18.3 60
HI 83.3 16.7 12
IA 88.7 11.3 71
ID 79.3 20.7 29
IL 82.8 17.2 87
IN 82.0 18.0 89
IT* 66.7 33.3 6
KS 45.3 54.7 64
KY 78.4 21.6 37
LA 77.1 22.9 48
MA 92.7 7.3 41
MD 80.6 19.4 31
ME 55.6 44.4 27
MI 74.0 26.0 73
MN 84.0 16.0 75
MO 75.5 24.5 53
MS 43.3 56.7 30
MT 67.9 32.1 28
NC 86.7 13.3 60
ND 72.7 27.3 11
NE 72.9 27.1 48
NH 77.8 22.2 18
NJ 92.3 7.7 39
NM 85.2 14.8 27
NV 83.3 16.7 12
NY 75.5 24.5 98
OH 73.0 27.0 89
OK 90.7 9.3 43
OR 89.1 10.9 46
PA 79.3 20.7 87
PR 38.9 61.1 18
RI 100.0 0.0 5
SC 75.0 25.0 32
SD 73.7 26.3 19
TN 71.9 28.1 57
TX 72.3 27.7 202
UT 83.8 16.2 37
VA 85.4 14.6 48
VT 63.6 36.4 11
WA 79.7 20.3 59
WI 81.5 18.5 81
WV 56.5 43.5 23
WY 100.0 0.0 17
*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) -- 2015
  How many breastfed infants are given pacifiers by facility staff
Few Some Many Most Not sure N
All 51.7 24.4 18.5 4.2 1.2 2574
State
AK 61.9 14.3 14.3 4.8 4.8 21
AL 31.7 34.1 26.8 7.3 0.0 41
AR 32.4 29.4 35.3 2.9 0.0 34
AZ 43.9 24.4 19.5 4.9 7.3 41
CA 74.0 16.0 8.0 2.0 0.0 200
CO 66.0 21.3 8.5 4.3 0.0 47
CT 47.8 26.1 26.1 0.0 0.0 23
DC 25.0 25.0 50.0 0.0 0.0 4
DE 100.0 0.0 0.0 0.0 0.0 7
FL 52.3 24.8 20.2 1.8 0.9 109
GA 35.0 28.3 23.3 10.0 3.3 60
HI 83.3 16.7 0.0 0.0 0.0 12
IA 27.8 26.4 38.9 5.6 1.4 72
ID 55.2 27.6 3.4 6.9 6.9 29
IL 51.2 29.1 12.8 5.8 1.2 86
IN 40.4 30.3 22.5 5.6 1.1 89
IT* 83.3 16.7 0.0 0.0 0.0 6
KS 43.8 37.5 14.1 4.7 0.0 64
KY 29.7 37.8 27.0 2.7 2.7 37
LA 58.3 16.7 18.8 4.2 2.1 48
MA 73.8 19.0 7.1 0.0 0.0 42
MD 66.7 16.7 10.0 3.3 3.3 30
ME 70.4 14.8 14.8 0.0 0.0 27
MI 34.7 30.6 29.2 2.8 2.8 72
MN 58.7 20.0 16.0 5.3 0.0 75
MO 50.9 22.6 18.9 7.5 0.0 53
MS 26.7 20.0 46.7 3.3 3.3 30
MT 42.9 25.0 25.0 7.1 0.0 28
NC 52.5 23.7 22.0 1.7 0.0 59
ND 27.3 18.2 36.4 18.2 0.0 11
NE 21.3 25.5 44.7 6.4 2.1 47
NH 77.8 16.7 5.6 0.0 0.0 18
NJ 64.1 30.8 2.6 0.0 2.6 39
NM 55.6 25.9 11.1 7.4 0.0 27
NV 41.7 41.7 8.3 0.0 8.3 12
NY 68.0 14.4 16.5 0.0 1.0 97
OH 37.8 31.1 24.4 5.6 1.1 90
OK 55.8 23.3 18.6 2.3 0.0 43
OR 63.0 19.6 15.2 0.0 2.2 46
PA 43.7 24.1 25.3 6.9 0.0 87
PR 100.0 0.0 0.0 0.0 0.0 18
RI 100.0 0.0 0.0 0.0 0.0 5
SC 53.1 25.0 15.6 6.3 0.0 32
SD 36.8 47.4 15.8 0.0 0.0 19
TN 38.6 24.6 19.3 15.8 1.8 57
TX 56.9 22.5 14.7 3.9 2.0 204
UT 29.7 37.8 21.6 10.8 0.0 37
VA 47.9 31.3 18.8 2.1 0.0 48
VT 90.9 0.0 9.1 0.0 0.0 11
WA 59.3 20.3 15.3 3.4 1.7 59
WI 52.4 31.7 12.2 1.2 2.4 82
WV 47.8 30.4 17.4 4.3 0.0 23
WY 25.0 18.8 37.5 18.8 0.0 16
*State abbreviation 'IT' is Island Territories, and includes American Samoa, Guam, Northern Mariana Islands, and US Virgin Islands.