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)-2009 | ||||||||||
Model policy | Assess staff competency | Prenatal breastfeeding education | Early initiation | Teach breastfeeding techniques | Limit supplements | Rooming-in | Teach feeding cues | Limit pacifiers | Discharge support | |
All | 14.4 | 49.7 | 92.8 | 51.0 | 89.2 | 21.5 | 33.4 | 82.2 | 30.5 | 26.8 |
Type of facility | ||||||||||
Birth center | 11.0 | 43.6 | 87.9 | 92.4 | 94.1 | 79.3 | 99.2 | 90.7 | 94.0 | 76.3 |
Government hospital | 11.4 | 40.5 | 84.6 | 45.8 | 84.2 | 18.4 | 34.8 | 74.4 | 26.8 | 25.3 |
Non-profit hospital | 16.5 | 52.0 | 96.0 | 50.8 | 90.6 | 19.8 | 28.8 | 83.9 | 29.2 | 26.0 |
Private hospital | 8.7 | 56.7 | 91.3 | 44.3 | 88.7 | 14.2 | 26.9 | 82.8 | 18.4 | 15.9 |
Military hospital | 30.0 | 23.8 | 95.2 | 57.1 | 80.9 | 20.0 | 85.7 | 76.2 | 47.6 | 23.8 |
Teaching hospital† | ||||||||||
Yes | 24.9 | 61.4 | 97.7 | 36.6 | 93.8 | 11.6 | 31.0 | 84.7 | 39.2 | 23.2 |
No | 13.8 | 49.1 | 92.7 | 49.9 | 88.6 | 19.3 | 30.2 | 81.6 | 26.6 | 24.7 |
Size of facility | ||||||||||
0-249 | 7.0 | 33.3 | 83.5 | 61.0 | 85.5 | 38.1 | 46.5 | 78.1 | 40.6 | 34.0 |
250-499 | 11.6 | 42.0 | 90.6 | 54.1 | 89.6 | 21.2 | 27.3 | 83.6 | 23.8 | 27.6 |
500-999 | 11.8 | 51.6 | 95.4 | 49.2 | 89.0 | 17.5 | 29.9 | 80.0 | 25.2 | 23.8 |
1000-1999 | 19.3 | 61.5 | 97.5 | 49.2 | 91.4 | 16.7 | 27.2 | 86.6 | 26.9 | 27.3 |
2000-4999 | 22.7 | 61.0 | 97.4 | 39.9 | 90.9 | 11.5 | 32.6 | 83.4 | 31.9 | 20.4 |
5000 or more | 25.0 | 63.5 | 100.0 | 38.7 | 90.5 | 7.9 | 30.6 | 82.5 | 41.9 | 17.5 |
Level of Neonatal Care | ||||||||||
Healthy newborn only | 8.9 | 41.2 | 87.3 | 57.0 | 87.5 | 30.6 | 39.8 | 79.9 | 35.9 | 30.4 |
Level 1 or 2 NICU | 15.4 | 51.8 | 96.1 | 49.9 | 89.7 | 16.9 | 28.9 | 83.6 | 23.1 | 24.2 |
Level 3 NICU | 23.6 | 62.2 | 97.4 | 41.3 | 91.4 | 12.1 | 29.0 | 84.1 | 33.5 | 24.8 |
Census region | ||||||||||
Pacific | 17.8 | 50.4 | 90.2 | 59.7 | 89.8 | 28.3 | 69.8 | 81.8 | 47.7 | 27.8 |
Mountain | 9.6 | 46.3 | 91.7 | 60.7 | 83.3 | 23.4 | 53.0 | 77.8 | 26.9 | 22.4 |
West North Central | 8.3 | 31.4 | 93.8 | 52.4 | 87.7 | 24.4 | 20.6 | 77.4 | 18.9 | 34.5 |
East North Central | 16.0 | 50.3 | 98.0 | 51.4 | 91.7 | 21.2 | 20.9 | 85.5 | 23.9 | 30.8 |
West South Central | 12.2 | 47.8 | 81.9 | 38.8 | 85.5 | 17.0 | 38.8 | 78.3 | 27.8 | 21.0 |
East South Central | 10.4 | 55.2 | 91.3 | 39.9 | 89.1 | 13.1 | 12.2 | 79.5 | 18.5 | 18.4 |
New England | 37.1 | 66.9 | 97.0 | 64.2 | 95.5 | 35.9 | 29.5 | 94.8 | 52.7 | 38.8 |
Middle Atlantic | 20.8 | 62.2 | 97.5 | 50.8 | 92.2 | 17.5 | 15.0 | 85.5 | 36.1 | 28.1 |
South Atlantic | 10.0 | 52.7 | 94.2 | 46.4 | 89.7 | 16.7 | 32.8 | 83.5 | 31.4 | 20.6 |
*Sample sizes vary slightly for each of the ten indicators, ranging from n=2547–2661. Estimates may vary slightly from other reports of mPINC data. †Birth centers are excluded from teaching hospital categorizations. |
Table 8.2a Percent of hospitals by number of recommended policies and practices | |||||
---|---|---|---|---|---|
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2009 | |||||
0 - 2 | 3 - 5 | 6 - 8 | 9 - 10 | N | |
All | 8.7 | 54.3 | 33.5 | 3.6 | 2322 |
Type of facility | |||||
Birth center | 0.0 | 5.9 | 67.3 | 26.7 | 101 |
Government hospital | 16.3 | 54.4 | 27.8 | 1.5 | 454 |
Non-profit hospital | 6.5 | 56.8 | 33.5 | 3.1 | 1473 |
Private hospital | 11.0 | 59.1 | 28.8 | 1.1 | 274 |
Military hospital | 5.3 | 47.4 | 47.4 | 0.0 | 19 |
Teaching hospital* | |||||
Yes | 5.2 | 56.1 | 35.5 | 3.2 | 155 |
No | 9.4 | 56.6 | 31.6 | 2.5 | 2065 |
Size of facility | |||||
0-249 | 11.6 | 47.4 | 34.0 | 7.0 | 500 |
250-499 | 10.2 | 56.1 | 30.7 | 3.1 | 394 |
500-999 | 10.1 | 54.2 | 33.1 | 2.5 | 483 |
1000-1999 | 6.4 | 57.0 | 33.8 | 2.8 | 470 |
2000-4999 | 5.3 | 58.1 | 34.5 | 2.2 | 412 |
5000 or more | 3.6 | 60.0 | 34.6 | 1.8 | 55 |
Level of Neonatal Care | |||||
Healthy newborn only | 10.1 | 50.3 | 34.2 | 5.4 | 940 |
Level 1 or 2 NICU | 8.6 | 57.9 | 30.8 | 2.7 | 893 |
Level 3 NICU | 5.8 | 55.4 | 37.2 | 1.7 | 486 |
Census region | |||||
Pacific | 4.5 | 38.5 | 50.5 | 6.5 | 309 |
Mountain | 7.7 | 51.4 | 35.5 | 5.5 | 183 |
West North Central | 13.4 | 62.6 | 22.1 | 1.9 | 321 |
East North Central | 7.3 | 58.3 | 32.5 | 2.0 | 400 |
West South Central | 15.5 | 53.8 | 26.7 | 4.0 | 277 |
East South Central | 12.6 | 63.6 | 23.2 | 0.7 | 151 |
New England | 0.8 | 39.8 | 45.5 | 13.8 | 123 |
Middle Atlantic | 5.2 | 55.2 | 37.7 | 1.9 | 212 |
South Atlantic | 7.8 | 58.7 | 31.8 | 1.7 | 346 |
*Birth centers are excluded from teaching hospital categorizations. |