Table 6.1a: Breastfeeding education of new staff by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many hours of breastfeeding education do new nurses/birth attendants receive
None <1 1-3 4-7 8-17 18 or more Not sure N
All 4.6 7.3 22.5 17.1 19.2 24 5.3 2485
Type of facility
Birth center 13.8 6.6 18.6 7.8 10.2 18 25.1 167
Government hospital 7.3 12.5 22.5 13.8 13 27 3.9 463
Non-profit hospital 2.6 6.2 21.5 18.7 21.8 26 3.2 1527
Private hospital 4.5 5.8 29.5 20.1 19.8 13 7.1 308
Military hospital 20 5 25 0 30 20 0 20
Teaching hospital
Yes 0 1.6 7.3 9.4 27.6 53.6 0.5 192
No 4.3 7.9 24.2 18.5 19.1 21.8 4.1 2126
Size of facility
1-249 10.9 15.6 27.2 13.5 9.6 10.9 12.3 570
250-499 6.3 8.5 33.7 15.2 14.1 16.7 5.4 460
500-999 3.5 7.5 25.5 17.3 20 21.5 4.6 479
1000-1999 1.2 3.3 16 22.8 26.3 28.2 2.1 486
2000-4999 0.2 0.2 10.5 17.3 27.5 43.4 0.9 440
5000 or more 0 2 8 14 24 52 0 50
Level of Neonatal Care
Healthy newborn only 7.5 11.7 28.4 14.4 13.7 15.8 8.6 1113
Level 2 special care 3.5 5.5 22 20 20.7 24.2 4 744
Level 3 NICU 1.1 1.9 13 18.7 28.8 35.6 0.9 539
Level 4 Regional NICU 0 1.1 11.2 15.7 18 53.9 0 89
Census region
Pacific 4.9 6.1 16.4 12.5 16.4 37.1 6.7 329
Mountain 9.4 6.4 21.4 15.8 20.1 20.9 6 234
West North Central 4.2 15 31.4 18 13.8 12.9 4.8 334
East North Central 1.7 5.2 25.2 17.8 20.7 24.4 4.9 405
West South Central 8.2 7 21.2 16.5 22.2 18.7 6.3 316
East South Central 7.6 11.5 25.5 21 15.9 15.9 2.5 157
New England 0.8 3.4 12.6 13.4 24.4 41.2 4.2 119
Middle Atlantic 1.8 4.1 17 18.3 24.3 29.8 4.6 218
South Atlantic 3.5 6.2 24.1 19.6 18.5 22.8 5.4 373
Table 6.2a: Annual breastfeeding education of current staff by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many hours of breastfeeding education current nurses/birth attendants received in past year
None <1 1-2 3-4 5 or more Not sure N
All 3.4 11.1 33 20 25.6 6.9 2488
Type of facility
Birth center 6.6 6.6 22.8 17.4 24.6 22.2 167
Government hospital 5 14.5 29 16.2 28.1 7.1 462
Non-profit hospital 2.5 10.7 35.3 21.6 24.8 5.1 1530
Private hospital 3.2 10.4 34 19.1 26.2 7.1 309
Military hospital 15 10 25 20 25 5 20
Teaching hospital
Yes 1.6 5.2 37 20.8 31.8 3.6 192
No 3.3 12 33.5 20.2 25.1 6 2129
Size of facility
1-249 6.7 15.1 27.1 16.2 20.4 14.6 569
250-499 5.4 13.9 30.3 17.7 25.8 6.9 462
500-999 2.5 10.6 36.3 20.5 24.6 5.4 479
1000-1999 1.4 8.6 36.9 25.6 24.4 3.1 488
2000-4999 0.7 7.3 34.8 20.7 33.4 3.2 440
5000 or more 0 2 42 20 34 2 50
Level of Neonatal Care
Healthy newborn only 4.9 13.3 31.9 17.3 22.3 10.3 1112
Level 2 special care 3.5 10.6 35.1 20.9 25 5 747
Level 3 NICU 0.7 7.6 32.5 24.7 31.5 3 539
Level 4 Regional NICU 0 8.9 33.3 18.9 34.4 4.4 90
Census region
Pacific 1.5 7.9 35.3 17.6 29.5 8.2 329
Mountain 7.7 8.5 32.9 20.9 21.4 8.5 234
West North Central 4.2 18.3 32 18.3 17.4 9.9 334
East North Central 1.5 14.8 36.5 20.7 22 4.4 405
West South Central 5.7 8.5 28.7 18.3 30.9 7.9 317
East South Central 5.1 12.1 26.1 21.7 31.2 3.8 157
New England 2.5 5 34.2 24.2 26.7 7.5 120
Middle Atlantic 1.4 8.3 32.1 23.4 31.2 3.7 218
South Atlantic 2.7 10.4 35 19.8 25.4 6.7 374
Table 6.3a: Coverage of breastfeeding education by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How many nurses/birth attendants received breastfeeding education in past year
Few Some Many Most Not sure N
All 10.1 12.9 12.5 61.4 3.1 2487
Type of facility
Birth center 13.2 9 13.2 51.5 13.2 167
Government hospital 16.4 14.5 14.9 51.2 3 463
Non-profit hospital 7.5 12.8 12.2 65.6 2 1528
Private hospital 10.7 12.3 11.3 62.5 3.2 309
Military hospital 25 25 0 40 10 20
Teaching hospital
Yes 2.6 6.8 10.4 79.2 1 192
No 10.5 13.7 12.7 60.5 2.5 2128
Size of facility
1-249 22.2 18.7 13.4 38.7 7 568
250-499 14.3 16.7 10.6 55.4 3 462
500-999 7.5 13.6 10.9 65.6 2.5 479
1000-1999 3.1 7.8 14.5 73.8 0.8 488
2000-4999 1.8 7 12.7 76.6 1.8 440
5000 or more 0 6 16 78 0 50
Level of Neonatal Care
Healthy newborn only 15.7 17.7 12.4 49.4 4.8 1112
Level 2 special care 8.6 10.6 11.9 66.5 2.4 747
Level 3 NICU 2.2 6.3 13.9 76.5 1.1 540
Level 4 Regional NICU 0 11.4 11.4 76.1 1.1 88
Census region
Pacific 8.5 14.3 16.1 58.1 3 329
Mountain 13.3 14.6 10.3 56.2 5.6 233
West North Central 17.4 16.8 17.4 45.5 3 334
East North Central 5.9 11.6 9.1 71.2 2.2 406
West South Central 11 11.7 12.3 59.6 5.4 317
East South Central 12.7 12.7 8.9 61.8 3.8 157
New England 5 10.8 11.7 71.7 0.8 120
Middle Atlantic 6.9 9.2 12.4 70.5 0.9 217
South Atlantic 9.1 12.3 12.3 63.6 2.7 374
Table 6.4a: Competency testing by facility type, size, NICU level, and region
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) -- 2015
  How often are nurses/birth attendants assessed for competency in breastfeeding management & support
At least once a year Less than once a year Not assessed N
All 59.6 12.1 28.3 2486
Type of facility
Birth center 51.2 6.5 42.3 168
Government hospital 51.4 11.9 36.7 463
Non-profit hospital 62.2 13 24.8 1527
Private hospital 64.3 10.4 25.3 308
Military hospital 50 15 35 20
Teaching hospital
Yes 70.8 12.5 16.7 192
No 59.3 12.5 28.3 2126
Size of facility
1-249 41.2 10.7 48.1 568
250-499 51.2 15.2 33.6 461
500-999 63 13.2 23.8 479
1000-1999 71.3 11.5 17.2 488
2000-4999 74.5 9.5 15.9 440
5000 or more 68 16 16 50
Level of Neonatal Care
Healthy newborn only 49.9 12.1 37.9 1112
Level 2 special care 62.6 12.6 24.8 745
Level 3 NICU 73.5 10.9 15.6 540
Level 4 Regional NICU 71.9 13.5 14.6 89
Census region
Pacific 58.1 15.5 26.4 329
Mountain 51.1 12.9 36.1 233
West North Central 38.6 16.5 44.9 334
East North Central 65.9 11.9 22.2 405
West South Central 63.6 9.8 26.6 316
East South Central 59.9 8.9 31.2 157
New England 67.5 10.8 21.7 120
Middle Atlantic 70.2 9.6 20.2 218
South Atlantic 66 9.9 24.1 374