2015 mPINC State Reports - Text Only

Alabama

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Alabama:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 87% of eligible Alabama hospitals took part. (n=41) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:55, 2009 survey score:57, 2011 survey score:63, 2013 survey score:67, 2015 survey score: 72 Examine ideal responses to selected items in Alabama hospitals for 2007–2015.

A bar chart showing Alabama data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Alabama results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Alabama are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Alabama and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Alabama2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Alabama hospitals with ideal responses (2007-2015 surveys) shows Alabama hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Alabama hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Alabama with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 7% of Alabama hospitals had complete hospital policies.
• In CDC’s 2009 survey, 16% of Alabama hospitals had complete hospital policies.
• In CDC’s 2011 survey, 13% of Alabama hospitals had complete hospital policies.
• In CDC’s 2013 survey, 8% of Alabama hospitals had complete hospital policies.
• In CDC’s 2015 survey, 20% of Alabama hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Alabama with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 9% of Alabama hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 14% of Alabama hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 13% of Alabama hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 13% of Alabama hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 18% of Alabama hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Alabama with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 20% of Alabama hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 29% of Alabama hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 20% of Alabama hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 20% of Alabama hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 24% of Alabama hospitals were adequate.

A multi-dimensional table shows Alabama hospitals’ responses to mPINC survey items that contribute to the Alabama mPINC score. It describes the ideal response for each item and the percentages of Alabama hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Alabama:
Total Score (out of 100):72, Overall Rank (out of 53) 47th.

Subscore for Labor and Delivery Care: 76, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 76% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 51% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 46% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 55% gave the ideal response
• Routine procedures are performed skin-to-skin: 24% gave the ideal response
• Subscore for Feeding of Breastfed Infants: 81, Survey items contributing to this subscore:
• Initial feeding is breast milk (vaginal births): 76% gave the ideal response
• Initial feeding is breast milk (cesarean births): 71% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 18% gave the ideal response
• Water and glucose water are not used: 90% gave the ideal response

Subscore for Breastfeeding Assistance: 83, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 90% gave the ideal response
• Staff teach breastfeeding cues to patients: 81% gave the ideal response
• Staff teach patients not to limit suckling time: 56% gave the ideal response
• Staff directly observe & assess breastfeeding: 78% gave the ideal response
• Staff use a standard feeding assessment tool: 63% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 32% gave the ideal response

Subscore for Contact Between Mother and Infant: 69, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 59% gave the ideal response
• Mother-infant pairs room-in at night: 66% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 24% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 8% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 88% gave the ideal response

Subscore for Hospital Discharge Care: 52, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 24% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 56% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 75, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 20% gave the ideal response
• Breastfeeding policy is effectively communicated: 83% gave the ideal response
• Facility documents infant feeding rates in patient population: 85% gave the ideal response
• Facility provides breastfeeding support to employees: 83% gave the ideal response
• Facility does not receive infant formula free of charge: 15% gave the ideal response
• Breastfeeding is included in prenatal patient education: 97% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 83% gave the ideal response

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Alaska

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Alaska:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 72% of eligible Alaska hospitals took part. (n=21) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:73, 2009 survey score:74, 2011 survey score:78, 2013 survey score:82, 2015 survey score: 82 Examine ideal responses to selected items in Alaska hospitals for 2007–2015.

A bar chart showing Alaska data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Alaska results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Alaska are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Alaska and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Alaska2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Alaska hospitals with ideal responses (2007-2015 surveys) shows Alaska hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Alaska hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Alaska with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 8% of Alaska hospitals had complete hospital policies.
• In CDC’s 2009 survey, 13% of Alaska hospitals had complete hospital policies.
• In CDC’s 2011 survey, 16% of Alaska hospitals had complete hospital policies.
• In CDC’s 2013 survey, 19% of Alaska hospitals had complete hospital policies.
• In CDC’s 2015 survey, 24% of Alaska hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Alaska with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 43% of Alaska hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 63% of Alaska hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 58% of Alaska hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 61% of Alaska hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 57% of Alaska hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Alaska with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 46% of Alaska hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 16% of Alaska hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 35% of Alaska hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 39% of Alaska hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 57% of Alaska hospitals were adequate.

A multi-dimensional table shows Alaska hospitals’ responses to mPINC survey items that contribute to the Alaska mPINC score. It describes the ideal response for each item and the percentages of Alaska hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Alaska:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 90, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 90% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 91% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 70% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 73% gave the ideal response
• Routine procedures are performed skin-to-skin: 70% gave the ideal response

Subscore for Feeding of Breastfed Infants: 92, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 95% gave the ideal response
• Initial feeding is breast milk (cesarean births): 100% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 57% gave the ideal response
• Water and glucose water are not used: 90% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 86% gave the ideal response
• Staff teach breastfeeding cues to patients: 95% gave the ideal response
• Staff teach patients not to limit suckling time: 62% gave the ideal response
• Staff directly observe & assess breastfeeding: 95% gave the ideal response
• Staff use a standard feeding assessment tool: 62% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 65% gave the ideal response

Subscore for Contact Between Mother and Infant: 91, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 91% gave the ideal response
• Mother-infant pairs room-in at night: 95% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 76% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 15% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 88, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 57% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 95% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 67, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 24% gave the ideal response
• Breastfeeding policy is effectively communicated: 62% gave the ideal response
• Facility documents infant feeding rates in patient population: 81% gave the ideal response
• Facility provides breastfeeding support to employees: 65% gave the ideal response
• Facility does not receive infant formula free of charge: 43% gave the ideal response
• Breastfeeding is included in prenatal patient education: 70% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 43% gave the ideal response

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Arizona

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Arizona:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 75% of eligible Arizona hospitals took part. (n=41) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:62, 2009 survey score:64, 2011 survey score:73, 2013 survey score:75, 2015 survey score: 79 Examine ideal responses to selected items in Arizona hospitals for 2007–2015.

A bar chart showing Arizona data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Arizona results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Arizona are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Arizona and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Arizona2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Arizona hospitals with ideal responses (2007-2015 surveys) shows Arizona hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Arizona hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Arizona with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 3% of Arizona hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Arizona hospitals had complete hospital policies.
• In CDC’s 2011 survey, 13% of Arizona hospitals had complete hospital policies.
• In CDC’s 2013 survey, 24% of Arizona hospitals had complete hospital policies.
• In CDC’s 2015 survey, 20% of Arizona hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Arizona with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 13% of Arizona hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 16% of Arizona hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 28% of Arizona hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 13% of Arizona hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 34% of Arizona hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Arizona with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 3% of Arizona hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 21% of Arizona hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 20% of Arizona hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 16% of Arizona hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 24% of Arizona hospitals were adequate.

A multi-dimensional table shows Arizona hospitals’ responses to mPINC survey items that contribute to the Arizona mPINC score. It describes the ideal response for each item and the percentages of Arizona hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Arizona:
Total Score (out of 100):79, Overall Rank (out of 53) 27th.

Subscore for Labor and Delivery Care: 86, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 76% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 70% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 71% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 53% gave the ideal response
• Routine procedures are performed skin-to-skin: 50% gave the ideal response

Subscore for Feeding of Breastfed Infants: 87, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 73% gave the ideal response
• Initial feeding is breast milk (cesarean births): 61% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 34% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 93% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 88% gave the ideal response
• Staff teach breastfeeding cues to patients: 90% gave the ideal response
• Staff teach patients not to limit suckling time: 66% gave the ideal response
• Staff directly observe & assess breastfeeding: 83% gave the ideal response
• Staff use a standard feeding assessment tool: 76% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 47% gave the ideal response

Subscore for Contact Between Mother and Infant: 92, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 90% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 80% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 20% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 97% gave the ideal response

Subscore for Hospital Discharge Care: 67, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 24% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 83% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 74, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 20% gave the ideal response
• Breastfeeding policy is effectively communicated: 71% gave the ideal response
• Facility documents infant feeding rates in patient population: 68% gave the ideal response
• Facility provides breastfeeding support to employees: 73% gave the ideal response
• Facility does not receive infant formula free of charge: 37% gave the ideal response
• Breastfeeding is included in prenatal patient education: 93% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 63% gave the ideal response

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Arkansas

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Arkansas:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 85% of eligible Arkansas hospitals took part. (n=34) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:48, 2009 survey score:52, 2011 survey score:55, 2013 survey score:62, 2015 survey score: 67 Examine ideal responses to selected items in Arkansas hospitals for 2007–2015.

A bar chart showing Arkansas data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Arkansas results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Arkansas are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Arkansas and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Arkansas2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Arkansas hospitals with ideal responses (2007-2015 surveys) shows Arkansas hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Arkansas hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Arkansas with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 8% of Arkansas hospitals had complete hospital policies.
• In CDC’s 2009 survey, 9% of Arkansas hospitals had complete hospital policies.
• In CDC’s 2011 survey, 22% of Arkansas hospitals had complete hospital policies.
• In CDC’s 2013 survey, 4% of Arkansas hospitals had complete hospital policies.
• In CDC’s 2015 survey, 11% of Arkansas hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Arkansas with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 0% of Arkansas hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 14% of Arkansas hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 7% of Arkansas hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 23% of Arkansas hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 3% of Arkansas hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Arkansas with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 15% of Arkansas hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 13% of Arkansas hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 21% of Arkansas hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 21% of Arkansas hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 15% of Arkansas hospitals were adequate.

A multi-dimensional table shows Arkansas hospitals’ responses to mPINC survey items that contribute to the Arkansas mPINC score. It describes the ideal response for each item and the percentages of Arkansas hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Arkansas:
Total Score (out of 100):67, Overall Rank (out of 53) 52nd.

Subscore for Labor and Delivery Care: 68, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 62% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 46% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 44% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 55% gave the ideal response
• Routine procedures are performed skin-to-skin: 15% gave the ideal response

Subscore for Feeding of Breastfed Infants: 74, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 71% gave the ideal response
• Initial feeding is breast milk (cesarean births): 74% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 3% gave the ideal response
• Water and glucose water are not used: 65% gave the ideal response

Subscore for Breastfeeding Assistance: 80, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 79% gave the ideal response
• Staff teach breastfeeding cues to patients: 71% gave the ideal response
• Staff teach patients not to limit suckling time: 49% gave the ideal response
• Staff directly observe & assess breastfeeding: 77% gave the ideal response
• Staff use a standard feeding assessment tool: 65% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 32% gave the ideal response

Subscore for Contact Between Mother and Infant: 71, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 47% gave the ideal response
• Mother-infant pairs room-in at night: 75% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 40% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 97% gave the ideal response

Subscore for Hospital Discharge Care: 52, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 15% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 59% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 63, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 11% gave the ideal response
• Breastfeeding policy is effectively communicated: 79% gave the ideal response
• Facility documents infant feeding rates in patient population: 68% gave the ideal response
• Facility provides breastfeeding support to employees: 62% gave the ideal response
• Facility does not receive infant formula free of charge: 12% gave the ideal response
• Breastfeeding is included in prenatal patient education: 88% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 59% gave the ideal response

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California

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across California:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 76% of eligible California hospitals took part. (n=200) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:69, 2009 survey score:73, 2011 survey score:79, 2013 survey score:83, 2015 survey score: 85 Examine ideal responses to selected items in California hospitals for 2007–2015.

A bar chart showing California data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of California results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across California are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in California and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. California2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of California hospitals with ideal responses (2007-2015 surveys) shows California hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in California hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in California with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 18% of California hospitals had complete hospital policies.
• In CDC’s 2009 survey, 22% of California hospitals had complete hospital policies.
• In CDC’s 2011 survey, 30% of California hospitals had complete hospital policies.
• In CDC’s 2013 survey, 43% of California hospitals had complete hospital policies.
• In CDC’s 2015 survey, 44% of California hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in California with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 14% of California hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 21% of California hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 21% of California hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 24% of California hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 27% of California hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in California with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 23% of California hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 31% of California hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 28% of California hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 30% of California hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 28% of California hospitals were adequate.

A multi-dimensional table shows California hospitals’ responses to mPINC survey items that contribute to the California mPINC score. It describes the ideal response for each item and the percentages of California hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for California:
Total Score (out of 100):85, Overall Rank (out of 53) 7th.

Subscore for Labor and Delivery Care: 90, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 94% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 78% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 67% gave the ideal response
• Routine procedures are performed skin-to-skin: 60% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 87% gave the ideal response
• Initial feeding is breast milk (cesarean births): 82% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 27% gave the ideal response
• Water and glucose water are not used: 95% gave the ideal response

Subscore for Breastfeeding Assistance: 93, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 99% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 95% gave the ideal response
• Staff teach breastfeeding cues to patients: 91% gave the ideal response
• Staff teach patients not to limit suckling time: 70% gave the ideal response
• Staff directly observe & assess breastfeeding: 91% gave the ideal response
• Staff use a standard feeding assessment tool: 91% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 74% gave the ideal response

Subscore for Contact Between Mother and Infant: 92, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 88% gave the ideal response
• Mother-infant pairs room-in at night: 95% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 83% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 27% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 93% gave the ideal response

Subscore for Hospital Discharge Care: 74, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 28% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 94% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 85, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 44% gave the ideal response
• Breastfeeding policy is effectively
  communicated: 87% gave the ideal response
• Facility documents infant feeding rates
  in patient population: 90% gave the ideal
  response
• Facility provides breastfeeding support
  to employees: 79% gave the ideal response
• Facility does not receive infant formula
  free of charge: 63% gave the ideal
  response
• Breastfeeding is included in prenatal
  patient education: 90% gave the ideal
  response
• Facility has a designated staff member
  who coordinates lactation care: 79% gave
  the ideal response

---

Colorado

CDC National Survey: Maternity Practices
in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease
Prevention and Health Promotion, Division of Nutrition, Physical Activity, and
Obesity, US Department of Health and Human Services, Centers for Disease
Control and Prevention (CDC)

Changes in maternity care improve
breastfeeding outcomes. CDC’s mPINC Reports have what you need to understand
and improve care across Colorado:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all
    hospitals’ scores
  • POLICIES for staff training and infant
    feeding care
  • PRACTICES in supplementing breastfed
    infants
  • PROTOCOLS for support after discharge
    to home

What is mPINC? mPINC is CDC’s national
survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey
questions measure infant feeding care practices, policies, and staffing
expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every
other year, CDC invites all maternity hospitals nationwide to participate in
mPINC. In 2015, 89% of eligible Colorado hospitals took part. (n=47) In states with free-standing birth centers,
this includes hospitals and birth center. Compare total scores from 2007 through
2015: 2007 survey score:66, 2009 survey
score:71, 2011 survey score:77, 2013 survey score:79, 2015 survey score: 85 Examine ideal responses to selected
items in Colorado hospitals for
2007–2015.

A bar chart showing Colorado data for selected items since 2007 is
explained on page 2 of this report.

Make mPINC work for you. Use your mPINC
data to bring together partners, identify gaps, celebrate achievements, and
prioritize next steps.

A table of Colorado results from the 2015 survey is explained on page 3 of
this report.

Action ideas: Use your mPINC summary
data to: Help hospitals meet Joint Commission Perinatal Care Core Measure
breastfeeding requirements, Ensure hospital staff across Colorado are trained in infant feeding care,
Celebrate the Baby-Friendly hospitals in Colorado and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires,
past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and
Prevention. Colorado2015 Report, CDC
Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA.
September 2016.

A bar chart titled: Percentage of Colorado hospitals with ideal responses
(2007-2015 surveys) shows Colorado hospitals’ responses to three specific mPINC survey items. The numbers in this
chart describe for each survey year how commonly the policies in Colorado hospitals were complete, feeding practices
were appropriate, and discharge protocols were adequate. Percentages for each
survey year are approximate.

The first set of numbers indicates the
percentage of hospitals in Colorado with
complete hospital policies, meaning the hospital policy includes all 10 model
policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 12% of Colorado hospitals had complete hospital policies.
• In CDC’s 2009 survey, 11% of Colorado hospitals had complete hospital policies.
• In CDC’s 2011 survey, 23% of Colorado hospitals had complete hospital policies.
• In CDC’s 2013 survey, 27% of Colorado hospitals had complete hospital policies.
• In CDC’s 2015 survey, 34% of Colorado hospitals had complete hospital policies.

The second set of numbers indicates the
percentage of hospitals in Colorado with
appropriate feeding practices, meaning supplemental feedings to breastfeeding
infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices
  in 22% of Colorado hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices
  in 13% of Colorado hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices
  in 27% of Colorado hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices
  in 21% of Colorado hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices
  in 28% of Colorado hospitals were appropriate.

The third set of numbers indicates the
percentage of hospitals in Colorado with
adequate discharge protocols, meaning hospitals provide appropriate discharge
planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge
  protocols in 21% of Colorado hospitals were adequate.
• In CDC’s 2009 survey, discharge
  protocols in 20% of Colorado hospitals were adequate.
• In CDC’s 2011 survey, discharge
  protocols in 35% of Colorado hospitals were adequate.
• In CDC’s 2013 survey, discharge
  protocols in 34% of Colorado hospitals were adequate.
• In CDC’s 2015 survey, discharge
  protocols in 32% of Colorado hospitals were adequate.

A multi-dimensional table shows Colorado hospitals’ responses to mPINC survey
items that contribute to the Colorado mPINC score. It describes the ideal response for each item and the percentages
of Colorado hospitals that gave the ideal
response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Colorado:
Total Score (out of 100):85, Overall Rank (out of 53) 7th.

Subscore for Labor and Delivery Care: 91, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least
  30 min w/in 1 hour (vaginal births): 94%
  gave the ideal response
• Initial skin-to-skin contact is at least
  30 min w/in 2 hours (cesarean births): 80%
  gave the ideal response
• Initial breastfeeding opportunity is
  w/in 1 hour (vaginal births): 72% gave
  the ideal response
• Initial breastfeeding opportunity is
  w/in 2 hours (cesarean births): 86% gave
  the ideal response
• Routine procedures are performed
  skin-to-skin: 51% gave the ideal response

Subscore for Feeding of Breastfed
Infants: 90, Survey items contributing to
this subscore:

• Initial feeding is breast milk (vaginal
  births): 85% gave the ideal response
• Initial feeding is breast milk (cesarean
  births): 84% gave the ideal response
• Supplemental feedings to breastfeeding
  infants are rare (2^nd bar chart item): 28% gave the ideal response
• Water and glucose water are not used: 94% gave the ideal response

Subscore for Breastfeeding Assistance: 93, Survey items contributing to this subscore:

• Infant Feeding decision is documented in
  the patient chart: 98% gave the ideal
  response
• Staff provide breastfeeding advice &
  instructions to patients: 100% gave the
  ideal response
• Staff teach breastfeeding cues to
  patients: 94% gave the ideal response
• Staff teach patients not to limit
  suckling time: 67% gave the ideal
  response
• Staff directly observe & assess
  breastfeeding: 98% gave the ideal
  response
• Staff use a standard feeding assessment
  tool: 87% gave the ideal response
• Staff rarely provide pacifiers to
  breastfeeding infants: 66% gave the ideal
  response

Subscore for Contact Between Mother and
Infant: 93, Survey items contributing to
this subscore:

• Mother-infant pairs are not separated
  for postpartum transition: 89% gave the
  ideal response
• Mother-infant pairs room-in at night: 94% gave the ideal response
• Mother-infant pairs are not separated
  during the hospital stay: 79% gave the
  ideal response
• Infant procedures, assessment, care are
  in the patient room: 30% gave the ideal
  response
• Non-rooming-in infants are brought to
  mothers at night for feeding: 97% gave
  the ideal response

Subscore for Hospital Discharge Care: 74, Survey items contributing to this subscore:

• Staff provide appropriate discharge
  planning (3^rd bar chart item): 32%
  gave the ideal response
• Discharge packs containing infant
  formula samples and marketing products are not given to breastfeeding patients: 92% gave the ideal response

Subscore for Structural &
Organizational Aspects of Care Delivery: 82,
Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 34% gave the ideal response
• Breastfeeding policy is effectively communicated: 83% gave the ideal response
• Facility documents infant feeding rates in patient population: 87% gave the ideal response
• Facility provides breastfeeding support to employees: 83% gave the ideal response
• Facility does not receive infant formula free of charge: 49% gave the ideal response
• Breastfeeding is included in prenatal patient education: 89% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 83% gave the ideal response

---

Connecticut

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Connecticut:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 85% of eligible Connecticut hospitals took part. (n=23) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:70, 2009 survey score:71, 2011 survey score:76, 2013 survey score:82, 2015 survey score: 83 Examine ideal responses to selected items in Connecticut hospitals for 2007–2015.

A bar chart showing Connecticut data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Connecticut results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Connecticut are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Connecticut and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Connecticut2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Connecticut hospitals with ideal responses (2007-2015 surveys) shows Connecticut hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Connecticut hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Connecticut with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 9% of Connecticut hospitals had complete hospital policies.
• In CDC’s 2009 survey, 29% of Connecticut hospitals had complete hospital policies.
• In CDC’s 2011 survey, 35% of Connecticut hospitals had complete hospital policies.
• In CDC’s 2013 survey, 50% of Connecticut hospitals had complete hospital policies.
• In CDC’s 2015 survey, 52% of Connecticut hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Connecticut with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 14% of Connecticut hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 18% of Connecticut hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 22% of Connecticut hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 5% of Connecticut hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 9% of Connecticut hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Connecticut with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 9% of Connecticut hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 21% of Connecticut hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 25% of Connecticut hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 13% of Connecticut hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 17% of Connecticut hospitals were adequate.

A multi-dimensional table shows Connecticut hospitals’ responses to mPINC survey items that contribute to the Connecticut mPINC score. It describes the ideal response for each item and the percentages of Connecticut hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Connecticut:
Total Score (out of 100):83, Overall Rank (out of 53) 10th.

Subscore for Labor and Delivery Care: 91, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 91% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 82% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 82% gave the ideal response
• Routine procedures are performed skin-to-skin: 70% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 91% gave the ideal response
• Initial feeding is breast milk (cesarean births): 96% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 9% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 92, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 96% gave the ideal response
• Staff teach patients not to limit suckling time: 77% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 83% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 48% gave the ideal response

Subscore for Contact Between Mother and Infant: 83, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 91% gave the ideal response
• Mother-infant pairs room-in at night: 74% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 48% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 5% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 81% gave the ideal response

Subscore for Hospital Discharge Care: 66, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 17% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 91% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 86, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 52% gave the ideal response
• Breastfeeding policy is effectively communicated: 96% gave the ideal response
• Facility documents infant feeding rates in patient population: 78% gave the ideal response
• Facility provides breastfeeding support to employees: 91% gave the ideal response
• Facility does not receive infant formula free of charge: 57% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 86% gave the ideal response

---

Delaware

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Delaware:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 100% of eligible Delaware hospitals took part. (n=7) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:63, 2009 survey score:67, 2011 survey score:77, 2013 survey score:86, 2015 survey score: 90 Examine ideal responses to selected items in Delaware hospitals for 2007–2015.

A bar chart showing Delaware data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Delaware results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Delaware are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Delaware and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Delaware2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Delaware hospitals with ideal responses (2007-2015 surveys) shows Delaware hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Delaware hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Delaware with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of Delaware hospitals had complete hospital policies.
• In CDC’s 2009 survey, 0% of Delaware hospitals had complete hospital policies.
• In CDC’s 2011 survey, 50% of Delaware hospitals had complete hospital policies.
• In CDC’s 2013 survey, 50% of Delaware hospitals had complete hospital policies.
• In CDC’s 2015 survey, 86% of Delaware hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Delaware with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 43% of Delaware hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 0% of Delaware hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 33% of Delaware hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 17% of Delaware hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 43% of Delaware hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Delaware with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 29% of Delaware hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 40% of Delaware hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 33% of Delaware hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 50% of Delaware hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 29% of Delaware hospitals were adequate.

A multi-dimensional table shows Delaware hospitals’ responses to mPINC survey items that contribute to the Delaware mPINC score. It describes the ideal response for each item and the percentages of Delaware hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Delaware:
Total Score (out of 100):90, Overall Rank (out of 53) 2nd.

Subscore for Labor and Delivery Care: 91, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 86% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 43% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 100% gave the ideal response
• Routine procedures are performed skin-to-skin: 86% gave the ideal response

Subscore for Feeding of Breastfed Infants: 96, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 100% gave the ideal response
• Initial feeding is breast milk (cesarean births): 100% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 43% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 99, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 100% gave the ideal response
• Staff directly observe & assess breastfeeding: 86% gave the ideal response
• Staff use a standard feeding assessment tool: 100% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 100% gave the ideal response

Subscore for Contact Between Mother and Infant: 90, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 86% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 71% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 17% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 83% gave the ideal response

Subscore for Hospital Discharge Care: 80, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 29% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 97, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 86% gave the ideal response
• Breastfeeding policy is effectively communicated: 100% gave the ideal response
• Facility documents infant feeding rates in patient population: 100% gave the ideal response
• Facility provides breastfeeding support to employees: 86% gave the ideal response
• Facility does not receive infant formula free of charge: 86% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 100% gave the ideal response

---

District of Columbia

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across District of Columbia:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 57% of eligible District of Columbia hospitals took part. (n=4) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:76, 2009 survey score:72, 2011 survey score:79, 2013 survey score:80, 2015 survey score: 82 Examine ideal responses to selected items in District of Columbia hospitals for 2007–2015.

A bar chart showing District of Columbia data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of District of Columbia results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across District of Columbia are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in District of Columbia and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. District of Columbia2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of District of Columbia hospitals with ideal responses (2007-2015 surveys) shows District of Columbia hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in District of Columbia hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in District of Columbia with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of District of Columbia hospitals had complete hospital policies.
• In CDC’s 2009 survey, 17% of District of Columbia hospitals had complete hospital policies.
• In CDC’s 2011 survey, 20% of District of Columbia hospitals had complete hospital policies.
• In CDC’s 2013 survey, 33% of District of Columbia hospitals had complete hospital policies.
• In CDC’s 2015 survey, 25% of District of Columbia hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in District of Columbia with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 25% of District of Columbia hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 20% of District of Columbia hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 20% of District of Columbia hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 20% of District of Columbia hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 0% of District of Columbia hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in District of Columbia with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 50% of District of Columbia hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 17% of District of Columbia hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 40% of District of Columbia hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 83% of District of Columbia hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 25% of District of Columbia hospitals were adequate.

A multi-dimensional table shows District of Columbia hospitals’ responses to mPINC survey items that contribute to the District of Columbia mPINC score. It describes the ideal response for each item and the percentages of District of Columbia hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for District of Columbia:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 76, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 0% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 33% gave the ideal response
• Routine procedures are performed skin-to-skin: 25% gave the ideal response

Subscore for Feeding of Breastfed Infants: 78, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 50% gave the ideal response
• Initial feeding is breast milk (cesarean births): 50% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 0% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 85, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 75% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 75% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 50% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 25% gave the ideal response

Subscore for Contact Between Mother and Infant: 86, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 50% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 75% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 83, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 25% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 90, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 25% gave the ideal response
• Breastfeeding policy is effectively communicated: 75% gave the ideal response
• Facility documents infant feeding rates in patient population: 100% gave the ideal response
• Facility provides breastfeeding support to employees: 100% gave the ideal response
• Facility does not receive infant formula free of charge: 75% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 75% gave the ideal response

---

Florida

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Florida:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 76% of eligible Florida hospitals took part. (n=109) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:68, 2009 survey score:65, 2011 survey score:69, 2013 survey score:78, 2015 survey score: 80 Examine ideal responses to selected items in Florida hospitals for 2007–2015.

A bar chart showing Florida data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Florida results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Florida are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Florida and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Florida2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Florida hospitals with ideal responses (2007-2015 surveys) shows Florida hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Florida hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Florida with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 14% of Florida hospitals had complete hospital policies.
• In CDC’s 2009 survey, 13% of Florida hospitals had complete hospital policies.
• In CDC’s 2011 survey, 17% of Florida hospitals had complete hospital policies.
• In CDC’s 2013 survey, 31% of Florida hospitals had complete hospital policies.
• In CDC’s 2015 survey, 38% of Florida hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Florida with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 34% of Florida hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 15% of Florida hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 18% of Florida hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 28% of Florida hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 26% of Florida hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Florida with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 29% of Florida hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 26% of Florida hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 33% of Florida hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 29% of Florida hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 34% of Florida hospitals were adequate.

A multi-dimensional table shows Florida hospitals’ responses to mPINC survey items that contribute to the Florida mPINC score. It describes the ideal response for each item and the percentages of Florida hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Florida:
Total Score (out of 100):80, Overall Rank (out of 53) 22nd.

Subscore for Labor and Delivery Care: 86, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 84% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 59% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 64% gave the ideal response
• Routine procedures are performed skin-to-skin: 56% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 79% gave the ideal response
• Initial feeding is breast milk (cesarean births): 71% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 26% gave the ideal response
• Water and glucose water are not used: 95% gave the ideal response

Subscore for Breastfeeding Assistance: 89, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 97% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 89% gave the ideal response
• Staff teach patients not to limit suckling time: 67% gave the ideal response
• Staff directly observe & assess breastfeeding: 94% gave the ideal response
• Staff use a standard feeding assessment tool: 75% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 53% gave the ideal response

Subscore for Contact Between Mother and Infant: 90, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 87% gave the ideal response
• Mother-infant pairs room-in at night: 96% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 77% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 33% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 93% gave the ideal response

Subscore for Hospital Discharge Care: 65, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 34% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 73% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 77, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 38% gave the ideal response
• Breastfeeding policy is effectively communicated: 72% gave the ideal response
• Facility documents infant feeding rates in patient population: 84% gave the ideal response
• Facility provides breastfeeding support to employees: 73% gave the ideal response
• Facility does not receive infant formula free of charge: 29% gave the ideal response
• Breastfeeding is included in prenatal patient education: 95% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 78% gave the ideal response

---

Georgia

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Georgia:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 78% of eligible Georgia hospitals took part. (n=60) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:56, 2009 survey score:59, 2011 survey score:65, 2013 survey score:69, 2015 survey score: 75 Examine ideal responses to selected items in Georgia hospitals for 2007–2015.

A bar chart showing Georgia data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Georgia results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Georgia are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Georgia and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Georgia2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Georgia hospitals with ideal responses (2007-2015 surveys) shows Georgia hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Georgia hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Georgia with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 6% of Georgia hospitals had complete hospital policies.
• In CDC’s 2009 survey, 5% of Georgia hospitals had complete hospital policies.
• In CDC’s 2011 survey, 16% of Georgia hospitals had complete hospital policies.
• In CDC’s 2013 survey, 24% of Georgia hospitals had complete hospital policies.
• In CDC’s 2015 survey, 12% of Georgia hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Georgia with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 11% of Georgia hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 10% of Georgia hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 11% of Georgia hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 11% of Georgia hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 18% of Georgia hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Georgia with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 7% of Georgia hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 14% of Georgia hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 14% of Georgia hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 20% of Georgia hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 19% of Georgia hospitals were adequate.

A multi-dimensional table shows Georgia hospitals’ responses to mPINC survey items that contribute to the Georgia mPINC score. It describes the ideal response for each item and the percentages of Georgia hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Georgia:
Total Score (out of 100):75, Overall Rank (out of 53) 38th.

Subscore for Labor and Delivery Care: 80, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 78% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 59% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 55% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 59% gave the ideal response
• Routine procedures are performed skin-to-skin: 38% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 75% gave the ideal response
• Initial feeding is breast milk (cesarean births): 64% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 18% gave the ideal response
• Water and glucose water are not used: 97% gave the ideal response

Subscore for Breastfeeding Assistance: 87, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 92% gave the ideal response
• Staff teach breastfeeding cues to patients: 88% gave the ideal response
• Staff teach patients not to limit suckling time: 48% gave the ideal response
• Staff directly observe & assess breastfeeding: 88% gave the ideal response
• Staff use a standard feeding assessment tool: 82% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 36% gave the ideal response

Subscore for Contact Between Mother and Infant: 79, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 68% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 52% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 12% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response

Subscore for Hospital Discharge Care: 61, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 19% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 77% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 70, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 12% gave the ideal response
• Breastfeeding policy is effectively communicated: 80% gave the ideal response
• Facility documents infant feeding rates in patient population: 70% gave the ideal response
• Facility provides breastfeeding support to employees: 82% gave the ideal response
• Facility does not receive infant formula free of charge: 19% gave the ideal response
• Breastfeeding is included in prenatal patient education: 83% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 66% gave the ideal response

---

Hawaii

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Hawaii:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 100% of eligible Hawaii hospitals took part. (n=12) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:62, 2009 survey score:65, 2011 survey score:76, 2013 survey score:80, 2015 survey score: 80 Examine ideal responses to selected items in Hawaii hospitals for 2007–2015.

A bar chart showing Hawaii data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Hawaii results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Hawaii are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Hawaii and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Hawaii2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Hawaii hospitals with ideal responses (2007-2015 surveys) shows Hawaii hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Hawaii hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Hawaii with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 11% of Hawaii hospitals had complete hospital policies.
• In CDC’s 2009 survey, 11% of Hawaii hospitals had complete hospital policies.
• In CDC’s 2011 survey, 0% of Hawaii hospitals had complete hospital policies.
• In CDC’s 2013 survey, 18% of Hawaii hospitals had complete hospital policies.
• In CDC’s 2015 survey, 25% of Hawaii hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Hawaii with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 11% of Hawaii hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 0% of Hawaii hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 29% of Hawaii hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 27% of Hawaii hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 42% of Hawaii hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Hawaii with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 0% of Hawaii hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 11% of Hawaii hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 43% of Hawaii hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 18% of Hawaii hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 25% of Hawaii hospitals were adequate.

A multi-dimensional table shows Hawaii hospitals’ responses to mPINC survey items that contribute to the Hawaii mPINC score. It describes the ideal response for each item and the percentages of Hawaii hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Hawaii:
Total Score (out of 100):80, Overall Rank (out of 53) 22nd.

Subscore for Labor and Delivery Care: 89, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 60% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 82% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 70% gave the ideal response
• Routine procedures are performed skin-to-skin: 80% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 82% gave the ideal response
• Initial feeding is breast milk (cesarean births): 60% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 42% gave the ideal response
• Water and glucose water are not used: 92% gave the ideal response

Subscore for Breastfeeding Assistance: 91, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 92% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 50% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 83% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 83% gave the ideal response

Subscore for Contact Between Mother and Infant: 85, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 92% gave the ideal response
• Mother-infant pairs room-in at night: 83% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 75% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 9% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response
• Subscore for Hospital Discharge Care: 69, Survey items contributing to this subscore:
• Staff provide appropriate discharge planning (3^rd bar chart item): 25% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 83% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 75, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 25% gave the ideal response
• Breastfeeding policy is effectively communicated: 67% gave the ideal response
• Facility documents infant feeding rates in patient population: 92% gave the ideal response
• Facility provides breastfeeding support to employees: 83% gave the ideal response
• Facility does not receive infant formula free of charge: 42% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 50% gave the ideal response

---

Idaho

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Idaho:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 78% of eligible Idaho hospitals took part. (n=29) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:66, 2009 survey score:68, 2011 survey score:73, 2013 survey score:76, 2015 survey score: 78 Examine ideal responses to selected items in Idaho hospitals for 2007–2015.

A bar chart showing Idaho data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Idaho results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Idaho are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Idaho and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Idaho2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Idaho hospitals with ideal responses (2007-2015 surveys) shows Idaho hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Idaho hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Idaho with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 19% of Idaho hospitals had complete hospital policies.
• In CDC’s 2009 survey, 10% of Idaho hospitals had complete hospital policies.
• In CDC’s 2011 survey, 33% of Idaho hospitals had complete hospital policies.
• In CDC’s 2013 survey, 8% of Idaho hospitals had complete hospital policies.
• In CDC’s 2015 survey, 22% of Idaho hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Idaho with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 33% of Idaho hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 35% of Idaho hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 26% of Idaho hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 46% of Idaho hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 52% of Idaho hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Idaho with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 19% of Idaho hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 27% of Idaho hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 33% of Idaho hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 37% of Idaho hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 52% of Idaho hospitals were adequate.

A multi-dimensional table shows Idaho hospitals’ responses to mPINC survey items that contribute to the Idaho mPINC score. It describes the ideal response for each item and the percentages of Idaho hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Idaho:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 90, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 86% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 68% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 79% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 75% gave the ideal response
• Routine procedures are performed skin-to-skin: 61% gave the ideal response

Subscore for Feeding of Breastfed Infants: 90, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 79% gave the ideal response
• Initial feeding is breast milk (cesarean births): 76% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 52% gave the ideal response
• Water and glucose water are not used: 89% gave the ideal response

Subscore for Breastfeeding Assistance: 89, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 96% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 90% gave the ideal response
• Staff teach breastfeeding cues to patients: 93% gave the ideal response
• Staff teach patients not to limit suckling time: 64% gave the ideal response
• Staff directly observe & assess breastfeeding: 90% gave the ideal response
• Staff use a standard feeding assessment tool: 79% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 59% gave the ideal response

Subscore for Contact Between Mother and Infant: 89, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 79% gave the ideal response
• Mother-infant pairs room-in at night: 93% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 78% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 88% gave the ideal response

Subscore for Hospital Discharge Care: 63, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 52% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 59% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 73, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 22% gave the ideal response
• Breastfeeding policy is effectively communicated: 72% gave the ideal response
• Facility documents infant feeding rates in patient population: 82% gave the ideal response
• Facility provides breastfeeding support to employees: 62% gave the ideal response
• Facility does not receive infant formula free of charge: 28% gave the ideal response
• Breastfeeding is included in prenatal patient education: 89% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 70% gave the ideal response

---

Illinois

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Illinois:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 77% of eligible Illinois hospitals took part. (n=87) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:60, 2009 survey score:63, 2011 survey score:66, 2013 survey score:77, 2015 survey score: 81 Examine ideal responses to selected items in Illinois hospitals for 2007–2015.

A bar chart showing Illinois data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Illinois results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Illinois are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Illinois and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Illinois2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Illinois hospitals with ideal responses (2007-2015 surveys) shows Illinois hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Illinois hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Illinois with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 11% of Illinois hospitals had complete hospital policies.
• In CDC’s 2009 survey, 14% of Illinois hospitals had complete hospital policies.
• In CDC’s 2011 survey, 11% of Illinois hospitals had complete hospital policies.
• In CDC’s 2013 survey, 29% of Illinois hospitals had complete hospital policies.
• In CDC’s 2015 survey, 45% of Illinois hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Illinois with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 11% of Illinois hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 16% of Illinois hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 19% of Illinois hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 15% of Illinois hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 15% of Illinois hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Illinois with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 27% of Illinois hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 19% of Illinois hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 23% of Illinois hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 29% of Illinois hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 23% of Illinois hospitals were adequate.

A multi-dimensional table shows Illinois hospitals’ responses to mPINC survey items that contribute to the Illinois mPINC score. It describes the ideal response for each item and the percentages of Illinois hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Illinois:
Total Score (out of 100):81, Overall Rank (out of 53) 20th.

Subscore for Labor and Delivery Care: 85, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 89% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 63% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 61% gave the ideal response
• Routine procedures are performed skin-to-skin: 45% gave the ideal response

Subscore for Feeding of Breastfed Infants: 84, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 77% gave the ideal response
• Initial feeding is breast milk (cesarean births): 71% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 15% gave the ideal response
• Water and glucose water are not used: 94% gave the ideal response

Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 98% gave the ideal response
• Staff teach breastfeeding cues to patients: 92% gave the ideal response
• Staff teach patients not to limit suckling time: 69% gave the ideal response
• Staff directly observe & assess breastfeeding: 92% gave the ideal response
• Staff use a standard feeding assessment tool: 83% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 52% gave the ideal response

Subscore for Contact Between Mother and Infant: 86, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 84% gave the ideal response
• Mother-infant pairs room-in at night: 91% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 57% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 18% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 92% gave the ideal response

Subscore for Hospital Discharge Care: 65, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 23% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 79% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 80, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 45% gave the ideal response
• Breastfeeding policy is effectively communicated: 92% gave the ideal response
• Facility documents infant feeding rates in patient population: 87% gave the ideal response
• Facility provides breastfeeding support to employees: 86% gave the ideal response
• Facility does not receive infant formula free of charge: 21% gave the ideal response
• Breastfeeding is included in prenatal patient education: 97% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 76% gave the ideal response

---

Indiana

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Indiana:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 97% of eligible Indiana hospitals took part. (n=89) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:62, 2009 survey score:64, 2011 survey score:68, 2013 survey score:76, 2015 survey score: 80 Examine ideal responses to selected items in Indiana hospitals for 2007–2015.

A bar chart showing Indiana data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Indiana results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Indiana are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Indiana and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Indiana2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Indiana hospitals with ideal responses (2007-2015 surveys) shows Indiana hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Indiana hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Indiana with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 11% of Indiana hospitals had complete hospital policies.
• In CDC’s 2009 survey, 13% of Indiana hospitals had complete hospital policies.
• In CDC’s 2011 survey, 18% of Indiana hospitals had complete hospital policies.
• In CDC’s 2013 survey, 38% of Indiana hospitals had complete hospital policies.
• In CDC’s 2015 survey, 35% of Indiana hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Indiana with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 23% of Indiana hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 20% of Indiana hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 21% of Indiana hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 24% of Indiana hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 24% of Indiana hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Indiana with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 24% of Indiana hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 32% of Indiana hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 28% of Indiana hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 36% of Indiana hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 38% of Indiana hospitals were adequate.

A multi-dimensional table shows Indiana hospitals’ responses to mPINC survey items that contribute to the Indiana mPINC score. It describes the ideal response for each item and the percentages of Indiana hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Indiana:
Total Score (out of 100):80, Overall Rank (out of 53) 22nd.

Subscore for Labor and Delivery Care: 88, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 91% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 77% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 72% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 71% gave the ideal response
• Routine procedures are performed skin-to-skin: 61% gave the ideal response

Subscore for Feeding of Breastfed Infants: 87, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 85% gave the ideal response
• Initial feeding is breast milk (cesarean births): 79% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 24% gave the ideal response
• Water and glucose water are not used: 91% gave the ideal response

Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 96% gave the ideal response
• Staff teach patients not to limit suckling time: 71% gave the ideal response
• Staff directly observe & assess breastfeeding: 97% gave the ideal response
• Staff use a standard feeding assessment tool: 82% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 41% gave the ideal response

Subscore for Contact Between Mother and Infant: 80, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 81% gave the ideal response
• Mother-infant pairs room-in at night: 85% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 39% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 10% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 95% gave the ideal response

Subscore for Hospital Discharge Care: 70, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 38% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 81% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 79, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 35% gave the ideal response
• Breastfeeding policy is effectively communicated: 88% gave the ideal response
• Facility documents infant feeding rates in patient population: 87% gave the ideal response
• Facility provides breastfeeding support to employees: 76% gave the ideal response
• Facility does not receive infant formula free of charge: 24% gave the ideal response
• Breastfeeding is included in prenatal patient education: 96% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 82% gave the ideal response

---

Iowa

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Iowa:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 95% of eligible Iowa hospitals took part. (n=72) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:61, 2011 survey score:67, 2013 survey score:69, 2015 survey score: 75 Examine ideal responses to selected items in Iowa hospitals for 2007–2015.

A bar chart showing Iowa data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Iowa results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Iowa are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Iowa and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Iowa2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Iowa hospitals with ideal responses (2007-2015 surveys) shows Iowa hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Iowa hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Iowa with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 13% of Iowa hospitals had complete hospital policies.
• In CDC’s 2009 survey, 6% of Iowa hospitals had complete hospital policies.
• In CDC’s 2011 survey, 13% of Iowa hospitals had complete hospital policies.
• In CDC’s 2013 survey, 8% of Iowa hospitals had complete hospital policies.
• In CDC’s 2015 survey, 13% of Iowa hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Iowa with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 17% of Iowa hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 13% of Iowa hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 16% of Iowa hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 17% of Iowa hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 31% of Iowa hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Iowa with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 51% of Iowa hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 44% of Iowa hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 51% of Iowa hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 55% of Iowa hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 67% of Iowa hospitals were adequate.

A multi-dimensional table shows Iowa hospitals’ responses to mPINC survey items that contribute to the Iowa mPINC score. It describes the ideal response for each item and the percentages of Iowa hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Iowa:
Total Score (out of 100):75, Overall Rank (out of 53) 38th.

Subscore for Labor and Delivery Care: 85, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 73% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 69% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 74% gave the ideal response
• Routine procedures are performed skin-to-skin: 41% gave the ideal response
• Subscore for Feeding of Breastfed Infants: 88, Survey items contributing to this subscore:
• Initial feeding is breast milk (vaginal births): 79% gave the ideal response
• Initial feeding is breast milk (cesarean births): 79% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 31% gave the ideal response
• Water and glucose water are not used: 91% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 93% gave the ideal response
• Staff teach breastfeeding cues to patients: 89% gave the ideal response
• Staff teach patients not to limit suckling time: 45% gave the ideal response
• Staff directly observe & assess breastfeeding: 94% gave the ideal response
• Staff use a standard feeding assessment tool: 89% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 28% gave the ideal response

Subscore for Contact Between Mother and Infant: 75, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 87% gave the ideal response
• Mother-infant pairs room-in at night: 73% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 20% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 3% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response

Subscore for Hospital Discharge Care: 64, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 67% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 44% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 72, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 13% gave the ideal response
• Breastfeeding policy is effectively communicated: 76% gave the ideal response
• Facility documents infant feeding rates in patient population: 82% gave the ideal response
• Facility provides breastfeeding support to employees: 75% gave the ideal response
• Facility does not receive infant formula free of charge: 6% gave the ideal response
• Breastfeeding is included in prenatal patient education: 99% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 70% gave the ideal response

---

Island Territories

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Island Territories:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 86% of eligible Island Territories hospitals took part. (n=6) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:n/a, 2009 survey score:57, 2011 survey score:71, 2013 survey score:73, 2015 survey score: 72 Examine ideal responses to selected items in Island Territories hospitals for 2007–2015.

A bar chart showing Island Territories data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Island Territories results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Island Territories are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Island Territories and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Island Territories2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Island Territories hospitals with ideal responses (2007-2015 surveys) shows Island Territories hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Island Territories hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Island Territories with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of Island Territories hospitals had complete hospital policies.
• In CDC’s 2009 survey, 20% of Island Territories hospitals had complete hospital policies.
• In CDC’s 2011 survey, 40% of Island Territories hospitals had complete hospital policies.
• In CDC’s 2013 survey, 17% of Island Territories hospitals had complete hospital policies.
• In CDC’s 2015 survey, 33% of Island Territories hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Island Territories with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 0% of Island Territories hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 0% of Island Territories hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 0% of Island Territories hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 0% of Island Territories hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 17% of Island Territories hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Island Territories with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 0% of Island Territories hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 17% of Island Territories hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 20% of Island Territories hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 83% of Island Territories hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 0% of Island Territories hospitals were adequate.

A multi-dimensional table shows Island Territories hospitals’ responses to mPINC survey items that contribute to the Island Territories mPINC score. It describes the ideal response for each item and the percentages of Island Territories hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Island Territories:
Total Score (out of 100):72, Overall Rank (out of 53) 47th.

Subscore for Labor and Delivery Care: 71, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 40% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 50% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 0% gave the ideal response
• Routine procedures are performed skin-to-skin: 50% gave the ideal response

Subscore for Feeding of Breastfed Infants: 83, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 83% gave the ideal response
• Initial feeding is breast milk (cesarean births): 60% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 17% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 86, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 83% gave the ideal response
• Staff teach breastfeeding cues to patients: 67% gave the ideal response
• Staff teach patients not to limit suckling time: 33% gave the ideal response
• Staff directly observe & assess breastfeeding: 83% gave the ideal response
• Staff use a standard feeding assessment tool: 67% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 83% gave the ideal response

Subscore for Contact Between Mother and Infant: 84, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 33% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 100% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 33% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 65, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 0% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 83% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 69, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 33% gave the ideal response
• Breastfeeding policy is effectively communicated: 50% gave the ideal response
• Facility documents infant feeding rates in patient population: 100% gave the ideal response
• Facility provides breastfeeding support to employees: 83% gave the ideal response
• Facility does not receive infant formula free of charge: 50% gave the ideal response
• Breastfeeding is included in prenatal patient education: 50% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 50% gave the ideal response

---

Kansas

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Kansas:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 93% of eligible Kansas hospitals took part. (n=64) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:59, 2009 survey score:62, 2011 survey score:64, 2013 survey score:70, 2015 survey score: 76 Examine ideal responses to selected items in Kansas hospitals for 2007–2015.

A bar chart showing Kansas data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Kansas results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Kansas are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Kansas and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Kansas2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Kansas hospitals with ideal responses (2007-2015 surveys) shows Kansas hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Kansas hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Kansas with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 10% of Kansas hospitals had complete hospital policies.
• In CDC’s 2009 survey, 7% of Kansas hospitals had complete hospital policies.
• In CDC’s 2011 survey, 7% of Kansas hospitals had complete hospital policies.
• In CDC’s 2013 survey, 5% of Kansas hospitals had complete hospital policies.
• In CDC’s 2015 survey, 18% of Kansas hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Kansas with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 28% of Kansas hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 29% of Kansas hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 27% of Kansas hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 34% of Kansas hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 52% of Kansas hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Kansas with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 31% of Kansas hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 25% of Kansas hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 31% of Kansas hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 36% of Kansas hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 44% of Kansas hospitals were adequate.

A multi-dimensional table shows Kansas hospitals’ responses to mPINC survey items that contribute to the Kansas mPINC score. It describes the ideal response for each item and the percentages of Kansas hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Kansas:
Total Score (out of 100):76, Overall Rank (out of 53) 36th.

Subscore for Labor and Delivery Care: 88, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 70% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 80% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 79% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 93% gave the ideal response
• Routine procedures are performed skin-to-skin: 48% gave the ideal response

Subscore for Feeding of Breastfed Infants: 90, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 87% gave the ideal response
• Initial feeding is breast milk (cesarean births): 91% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 52% gave the ideal response
• Water and glucose water are not used: 81% gave the ideal response

Subscore for Breastfeeding Assistance: 83, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 97% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 92% gave the ideal response
• Staff teach breastfeeding cues to patients: 84% gave the ideal response
• Staff teach patients not to limit suckling time: 52% gave the ideal response
• Staff directly observe & assess breastfeeding: 89% gave the ideal response
• Staff use a standard feeding assessment tool: 45% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 44% gave the ideal response

Subscore for Contact Between Mother and Infant: 86, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 84% gave the ideal response
• Mother-infant pairs room-in at night: 91% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 59% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 13% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 96% gave the ideal response

Subscore for Hospital Discharge Care: 69, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 44% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 67% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 66, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 18% gave the ideal response
• Breastfeeding policy is effectively communicated: 70% gave the ideal response
• Facility documents infant feeding rates in patient population: 62% gave the ideal response
• Facility provides breastfeeding support to employees: 59% gave the ideal response
• Facility does not receive infant formula free of charge: 13% gave the ideal response
• Breastfeeding is included in prenatal patient education: 93% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 55% gave the ideal response

---

Kentucky

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Kentucky:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 77% of eligible Kentucky hospitals took part. (n=37) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:57, 2011 survey score:60, 2013 survey score:70, 2015 survey score: 73 Examine ideal responses to selected items in Kentucky hospitals for 2007–2015.

A bar chart showing Kentucky data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Kentucky results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Kentucky are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Kentucky and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Kentucky2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Kentucky hospitals with ideal responses (2007-2015 surveys) shows Kentucky hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Kentucky hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Kentucky with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 14% of Kentucky hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Kentucky hospitals had complete hospital policies.
• In CDC’s 2011 survey, 10% of Kentucky hospitals had complete hospital policies.
• In CDC’s 2013 survey, 18% of Kentucky hospitals had complete hospital policies.
• In CDC’s 2015 survey, 16% of Kentucky hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Kentucky with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 5% of Kentucky hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 7% of Kentucky hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 17% of Kentucky hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Kentucky hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 16% of Kentucky hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Kentucky with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 14% of Kentucky hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 15% of Kentucky hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 9% of Kentucky hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 21% of Kentucky hospitals were adequate.

In CDC’s 2015 survey, discharge protocols in 22% of Kentucky hospitals were adequate.

A multi-dimensional table shows Kentucky hospitals’ responses to mPINC survey items that contribute to the Kentucky mPINC score. It describes the ideal response for each item and the percentages of Kentucky hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Kentucky:
Total Score (out of 100):73, Overall Rank (out of 53) 44th.

Subscore for Labor and Delivery Care: 88, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 95% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 75% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 70% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 62% gave the ideal response
• Routine procedures are performed skin-to-skin: 51% gave the ideal response

Subscore for Feeding of Breastfed Infants: 79, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 73% gave the ideal response
• Initial feeding is breast milk (cesarean births): 78% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 16% gave the ideal response
• Water and glucose water are not used: 74% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 95% gave the ideal response
• Staff teach breastfeeding cues to patients: 95% gave the ideal response
• Staff teach patients not to limit suckling time: 63% gave the ideal response
• Staff directly observe & assess breastfeeding: 76% gave the ideal response
• Staff use a standard feeding assessment tool: 78% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 31% gave the ideal response

Subscore for Contact Between Mother and Infant: 71, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 54% gave the ideal response
• Mother-infant pairs room-in at night: 81% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 21% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 6% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 95% gave the ideal response

Subscore for Hospital Discharge Care: 52, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 22% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 54% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 72, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 16% gave the ideal response
• Breastfeeding policy is effectively communicated: 81% gave the ideal response
• Facility documents infant feeding rates in patient population: 78% gave the ideal response
• Facility provides breastfeeding support to employees: 81% gave the ideal response
• Facility does not receive infant formula free of charge: 8% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 68% gave the ideal response

---

Louisiana

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Louisiana:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 92% of eligible Louisiana hospitals took part. (n=48) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:54, 2009 survey score:60, 2011 survey score:65, 2013 survey score:71, 2015 survey score: 76 Examine ideal responses to selected items in Louisiana hospitals for 2007–2015.

A bar chart showing Louisiana data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Louisiana results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Louisiana are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Louisiana and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Louisiana2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Louisiana hospitals with ideal responses (2007-2015 surveys) shows Louisiana hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Louisiana hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Louisiana with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 7% of Louisiana hospitals had complete hospital policies.
• In CDC’s 2009 survey, 23% of Louisiana hospitals had complete hospital policies.
• In CDC’s 2011 survey, 24% of Louisiana hospitals had complete hospital policies.
• In CDC’s 2013 survey, 28% of Louisiana hospitals had complete hospital policies.
• In CDC’s 2015 survey, 42% of Louisiana hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Louisiana with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 12% of Louisiana hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 14% of Louisiana hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 16% of Louisiana hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 16% of Louisiana hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 23% of Louisiana hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Louisiana with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 11% of Louisiana hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 33% of Louisiana hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 16% of Louisiana hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 27% of Louisiana hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 25% of Louisiana hospitals were adequate.

A multi-dimensional table shows Louisiana hospitals’ responses to mPINC survey items that contribute to the Louisiana mPINC score. It describes the ideal response for each item and the percentages of Louisiana hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Louisiana:
Total Score (out of 100):76, Overall Rank (out of 53) 36th.

Subscore for Labor and Delivery Care: 80, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 79% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 61% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 50% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 61% gave the ideal response
• Routine procedures are performed skin-to-skin: 33% gave the ideal response
• Subscore for Feeding of Breastfed Infants: 83, Survey items contributing to this subscore:
• Initial feeding is breast milk (vaginal births): 71% gave the ideal response
• Initial feeding is breast milk (cesarean births): 65% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 23% gave the ideal response
• Water and glucose water are not used: 85% gave the ideal response

Subscore for Breastfeeding Assistance: 89, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 92% gave the ideal response
• Staff teach patients not to limit suckling time: 68% gave the ideal response
• Staff directly observe & assess breastfeeding: 90% gave the ideal response
• Staff use a standard feeding assessment tool: 77% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 60% gave the ideal response

Subscore for Contact Between Mother and Infant: 72, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 63% gave the ideal response
• Mother-infant pairs room-in at night: 81% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 35% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 9% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response
• Subscore for Hospital Discharge Care: 66, Survey items contributing to this subscore:
• Staff provide appropriate discharge planning (3^rd bar chart item): 25% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 85% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 77, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 42% gave the ideal response
• Breastfeeding policy is effectively communicated: 85% gave the ideal response
• Facility documents infant feeding rates in patient population: 90% gave the ideal response
• Facility provides breastfeeding support to employees: 77% gave the ideal response
• Facility does not receive infant formula free of charge: 17% gave the ideal response
• Breastfeeding is included in prenatal patient education: 94% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 75% gave the ideal response

---

Maine

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Maine:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 93% of eligible Maine hospitals took part. (n=27) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:77, 2009 survey score:79, 2011 survey score:83, 2013 survey score:82, 2015 survey score: 84 Examine ideal responses to selected items in Maine hospitals for 2007–2015.

A bar chart showing Maine data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Maine results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Maine are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Maine and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Maine2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Maine hospitals with ideal responses (2007-2015 surveys) shows Maine hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Maine hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Maine with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 24% of Maine hospitals had complete hospital policies.
• In CDC’s 2009 survey, 32% of Maine hospitals had complete hospital policies.
• In CDC’s 2011 survey, 44% of Maine hospitals had complete hospital policies.
• In CDC’s 2013 survey, 33% of Maine hospitals had complete hospital policies.
• In CDC’s 2015 survey, 22% of Maine hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Maine with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 48% of Maine hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 36% of Maine hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 48% of Maine hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 71% of Maine hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 54% of Maine hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Maine with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 53% of Maine hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 54% of Maine hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 59% of Maine hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 71% of Maine hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 67% of Maine hospitals were adequate.

A multi-dimensional table shows Maine hospitals’ responses to mPINC survey items that contribute to the Maine mPINC score. It describes the ideal response for each item and the percentages of Maine hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Maine:
Total Score (out of 100):84, Overall Rank (out of 53) 9th.

Subscore for Labor and Delivery Care: 94, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 96% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 72% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 93% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 79% gave the ideal response
• Routine procedures are performed skin-to-skin: 78% gave the ideal response

Subscore for Feeding of Breastfed Infants: 91, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 82% gave the ideal response
• Initial feeding is breast milk (cesarean births): 80% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 54% gave the ideal response
• Water and glucose water are not used: 92% gave the ideal response

Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 74% gave the ideal response
• Staff directly observe & assess breastfeeding: 96% gave the ideal response
• Staff use a standard feeding assessment tool: 56% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 70% gave the ideal response

Subscore for Contact Between Mother and Infant: 85, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 82% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 50% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 8% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 96% gave the ideal response

Subscore for Hospital Discharge Care: 85, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 67% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 85% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 76, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 22% gave the ideal response
• Breastfeeding policy is effectively communicated: 78% gave the ideal response
• Facility documents infant feeding rates in patient population: 85% gave the ideal response
• Facility provides breastfeeding support to employees: 74% gave the ideal response
• Facility does not receive infant formula free of charge: 41% gave the ideal response
• Breastfeeding is included in prenatal patient education: 96% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 52% gave the ideal response

---

Maryland

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Maryland:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 89% of eligible Maryland hospitals took part. (n=31) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:68, 2011 survey score:70, 2013 survey score:76, 2015 survey score: 82 Examine ideal responses to selected items in Maryland hospitals for 2007–2015.

A bar chart showing Maryland data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Maryland results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Maryland are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Maryland and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Maryland2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Maryland hospitals with ideal responses (2007-2015 surveys) shows Maryland hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Maryland hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Maryland with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 3% of Maryland hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Maryland hospitals had complete hospital policies.
• In CDC’s 2011 survey, 10% of Maryland hospitals had complete hospital policies.
• In CDC’s 2013 survey, 25% of Maryland hospitals had complete hospital policies.
• In CDC’s 2015 survey, 29% of Maryland hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Maryland with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 15% of Maryland hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 36% of Maryland hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 20% of Maryland hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 25% of Maryland hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 26% of Maryland hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Maryland with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 24% of Maryland hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 19% of Maryland hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 30% of Maryland hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 25% of Maryland hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 29% of Maryland hospitals were adequate.

A multi-dimensional table shows Maryland hospitals’ responses to mPINC survey items that contribute to the Maryland mPINC score. It describes the ideal response for each item and the percentages of Maryland hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Maryland:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 86, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 77% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 72% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 71% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 66% gave the ideal response
• Routine procedures are performed skin-to-skin: 36% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 77% gave the ideal response
• Initial feeding is breast milk (cesarean births): 69% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 26% gave the ideal response
• Water and glucose water are not used: 97% gave the ideal response
• Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:
• Infant Feeding decision is documented in the patient chart: 97% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 87% gave the ideal response
• Staff teach patients not to limit suckling time: 67% gave the ideal response
• Staff directly observe & assess breastfeeding: 87% gave the ideal response
• Staff use a standard feeding assessment tool: 81% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 69% gave the ideal response

Subscore for Contact Between Mother and Infant: 86, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 81% gave the ideal response
• Mother-infant pairs room-in at night: 87% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 67% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 17% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 96% gave the ideal response

Subscore for Hospital Discharge Care: 74, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 29% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 97% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 84, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 29% gave the ideal response
• Breastfeeding policy is effectively communicated: 93% gave the ideal response
• Facility documents infant feeding rates in patient population: 84% gave the ideal response
• Facility provides breastfeeding support to employees: 90% gave the ideal response
• Facility does not receive infant formula free of charge: 52% gave the ideal response
• Breastfeeding is included in prenatal patient education: 93% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 87% gave the ideal response

---

Massachusetts

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Massachusetts:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 91% of eligible Massachusetts hospitals took part. (n=42) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:75, 2009 survey score:79, 2011 survey score:84, 2013 survey score:84, 2015 survey score: 87 Examine ideal responses to selected items in Massachusetts hospitals for 2007–2015.

A bar chart showing Massachusetts data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Massachusetts results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Massachusetts are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Massachusetts and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Massachusetts2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Massachusetts hospitals with ideal responses (2007-2015 surveys) shows Massachusetts hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Massachusetts hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Massachusetts with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 29% of Massachusetts hospitals had complete hospital policies.
• In CDC’s 2009 survey, 40% of Massachusetts hospitals had complete hospital policies.
• In CDC’s 2011 survey, 42% of Massachusetts hospitals had complete hospital policies.
• In CDC’s 2013 survey, 41% of Massachusetts hospitals had complete hospital policies.
• In CDC’s 2015 survey, 52% of Massachusetts hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Massachusetts with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 25% of Massachusetts hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 33% of Massachusetts hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 30% of Massachusetts hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Massachusetts hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 24% of Massachusetts hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Massachusetts with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 28% of Massachusetts hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 30% of Massachusetts hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 35% of Massachusetts hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 27% of Massachusetts hospitals were adequate.

In CDC’s 2015 survey, discharge protocols in 36% of Massachusetts hospitals were adequate.

A multi-dimensional table shows Massachusetts hospitals’ responses to mPINC survey items that contribute to the Massachusetts mPINC score. It describes the ideal response for each item and the percentages of Massachusetts hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Massachusetts:
Total Score (out of 100):87, Overall Rank (out of 53) 5th.

Subscore for Labor and Delivery Care: 94, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 98% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 90% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 90% gave the ideal response
• Routine procedures are performed skin-to-skin: 63% gave the ideal response

Subscore for Feeding of Breastfed Infants: 90, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 88% gave the ideal response
• Initial feeding is breast milk (cesarean births): 82% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 24% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 95, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 98% gave the ideal response
• Staff teach breastfeeding cues to patients: 95% gave the ideal response
• Staff teach patients not to limit suckling time: 70% gave the ideal response
• Staff directly observe & assess breastfeeding: 95% gave the ideal response
• Staff use a standard feeding assessment tool: 93% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 74% gave the ideal response

Subscore for Contact Between Mother and Infant: 88, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 91% gave the ideal response
• Mother-infant pairs room-in at night: 93% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 52% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 28% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 98% gave the ideal response

Subscore for Hospital Discharge Care: 82, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 36% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 86, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 52% gave the ideal response
• Breastfeeding policy is effectively communicated: 95% gave the ideal response
• Facility documents infant feeding rates in patient population: 91% gave the ideal response
• Facility provides breastfeeding support to employees: 88% gave the ideal response
• Facility does not receive infant formula free of charge: 48% gave the ideal response
• Breastfeeding is included in prenatal patient education: 98% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 85% gave the ideal response

---

Michigan

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Michigan:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 86% of eligible Michigan hospitals took part. (n=73) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:64, 2009 survey score:65, 2011 survey score:67, 2013 survey score:73, 2015 survey score: 78 Examine ideal responses to selected items in Michigan hospitals for 2007–2015.

A bar chart showing Michigan data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Michigan results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Michigan are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Michigan and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Michigan2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Michigan hospitals with ideal responses (2007-2015 surveys) shows Michigan hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Michigan hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Michigan with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 11% of Michigan hospitals had complete hospital policies.
• In CDC’s 2009 survey, 20% of Michigan hospitals had complete hospital policies.
• In CDC’s 2011 survey, 20% of Michigan hospitals had complete hospital policies.
• In CDC’s 2013 survey, 25% of Michigan hospitals had complete hospital policies.
• In CDC’s 2015 survey, 33% of Michigan hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Michigan with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 15% of Michigan hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 17% of Michigan hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 12% of Michigan hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Michigan hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 14% of Michigan hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Michigan with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 27% of Michigan hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 22% of Michigan hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 21% of Michigan hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 30% of Michigan hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 33% of Michigan hospitals were adequate.

A multi-dimensional table shows Michigan hospitals’ responses to mPINC survey items that contribute to the Michigan mPINC score. It describes the ideal response for each item and the percentages of Michigan hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Michigan:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 86, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 79% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 69% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 75% gave the ideal response
• Routine procedures are performed skin-to-skin: 44% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 85% gave the ideal response
• Initial feeding is breast milk (cesarean births): 80% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 14% gave the ideal response
• Water and glucose water are not used: 90% gave the ideal response

Subscore for Breastfeeding Assistance: 86, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 99% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 93% gave the ideal response
• Staff teach breastfeeding cues to patients: 88% gave the ideal response
• Staff teach patients not to limit suckling time: 49% gave the ideal response
• Staff directly observe & assess breastfeeding: 88% gave the ideal response
• Staff use a standard feeding assessment tool: 74% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 36% gave the ideal response

Subscore for Contact Between Mother and Infant: 85, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 93% gave the ideal response
• Mother-infant pairs room-in at night: 94% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 55% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 9% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response

Subscore for Hospital Discharge Care: 67, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 33% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 81% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 76, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 33% gave the ideal response
• Breastfeeding policy is effectively communicated: 85% gave the ideal response
• Facility documents infant feeding rates in patient population: 75% gave the ideal response
• Facility provides breastfeeding support to employees: 89% gave the ideal response
• Facility does not receive infant formula free of charge: 30% gave the ideal response
• Breastfeeding is included in prenatal patient education: 94% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 64% gave the ideal response

---

Minnesota

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Minnesota:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 82% of eligible Minnesota hospitals took part. (n=75) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:65, 2009 survey score:67, 2011 survey score:72, 2013 survey score:77, 2015 survey score: 82 Examine ideal responses to selected items in Minnesota hospitals for 2007–2015.

A bar chart showing Minnesota data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Minnesota results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Minnesota are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Minnesota and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Minnesota2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Minnesota hospitals with ideal responses (2007-2015 surveys) shows Minnesota hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Minnesota hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Minnesota with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 16% of Minnesota hospitals had complete hospital policies.
• In CDC’s 2009 survey, 12% of Minnesota hospitals had complete hospital policies.
• In CDC’s 2011 survey, 19% of Minnesota hospitals had complete hospital policies.
• In CDC’s 2013 survey, 20% of Minnesota hospitals had complete hospital policies.
• In CDC’s 2015 survey, 38% of Minnesota hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Minnesota with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 25% of Minnesota hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 30% of Minnesota hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 32% of Minnesota hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 44% of Minnesota hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 38% of Minnesota hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Minnesota with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 39% of Minnesota hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 33% of Minnesota hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 42% of Minnesota hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 54% of Minnesota hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 56% of Minnesota hospitals were adequate.

A multi-dimensional table shows Minnesota hospitals’ responses to mPINC survey items that contribute to the Minnesota mPINC score. It describes the ideal response for each item and the percentages of Minnesota hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Minnesota:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 91, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 87% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 81% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 69% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 81% gave the ideal response
• Routine procedures are performed skin-to-skin: 63% gave the ideal response

Subscore for Feeding of Breastfed Infants: 88, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 82% gave the ideal response
• Initial feeding is breast milk (cesarean births): 83% gave the ideal response

Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 38% gave the ideal response

• Water and glucose water are not used: 86% gave the ideal response
• Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:
• Infant Feeding decision is documented in the patient chart: 99% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 87% gave the ideal response
• Staff teach breastfeeding cues to patients: 83% gave the ideal response
• Staff teach patients not to limit suckling time: 68% gave the ideal response
• Staff directly observe & assess breastfeeding: 85% gave the ideal response
• Staff use a standard feeding assessment tool: 84% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 59% gave the ideal response

Subscore for Contact Between Mother and Infant: 85, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 92% gave the ideal response
• Mother-infant pairs room-in at night: 89% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 53% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 6% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 94% gave the ideal response

Subscore for Hospital Discharge Care: 85, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 56% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 89% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 81, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 38% gave the ideal response
• Breastfeeding policy is effectively communicated: 84% gave the ideal response
• Facility documents infant feeding rates in patient population: 76% gave the ideal response
• Facility provides breastfeeding support to employees: 69% gave the ideal response
• Facility does not receive infant formula free of charge: 56% gave the ideal response
• Breastfeeding is included in prenatal patient education: 97% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 75% gave the ideal response

---

Mississippi

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Mississippi:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 71% of eligible Mississippi hospitals took part. (n=30) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:50, 2009 survey score:51, 2011 survey score:51, 2013 survey score:59, 2015 survey score: 60 Examine ideal responses to selected items in Mississippi hospitals for 2007–2015.

A bar chart showing Mississippi data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Mississippi results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Mississippi are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Mississippi and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Mississippi2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Mississippi hospitals with ideal responses (2007-2015 surveys) shows Mississippi hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Mississippi hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Mississippi with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 6% of Mississippi hospitals had complete hospital policies.
• In CDC’s 2009 survey, 4% of Mississippi hospitals had complete hospital policies.
• In CDC’s 2011 survey, 9% of Mississippi hospitals had complete hospital policies.
• In CDC’s 2013 survey, 15% of Mississippi hospitals had complete hospital policies.
• In CDC’s 2015 survey, 11% of Mississippi hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Mississippi with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 19% of Mississippi hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 4% of Mississippi hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 0% of Mississippi hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 11% of Mississippi hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 13% of Mississippi hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Mississippi with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 16% of Mississippi hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 18% of Mississippi hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 18% of Mississippi hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 29% of Mississippi hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 21% of Mississippi hospitals were adequate.

A multi-dimensional table shows Mississippi hospitals’ responses to mPINC survey items that contribute to the Mississippi mPINC score. It describes the ideal response for each item and the percentages of Mississippi hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Mississippi:
Total Score (out of 100):60, Overall Rank (out of 53) 53rd.

Subscore for Labor and Delivery Care: 65, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 62% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 40% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 48% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 43% gave the ideal response
• Routine procedures are performed skin-to-skin: 17% gave the ideal response

Subscore for Feeding of Breastfed Infants: 76, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 70% gave the ideal response
• Initial feeding is breast milk (cesarean births): 63% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 13% gave the ideal response
• Water and glucose water are not used: 72% gave the ideal response

Subscore for Breastfeeding Assistance: 81, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 93% gave the ideal response
• Staff teach breastfeeding cues to patients: 90% gave the ideal response
• Staff teach patients not to limit suckling time: 64% gave the ideal response
• Staff directly observe & assess breastfeeding: 83% gave the ideal response
• Staff use a standard feeding assessment tool: 43% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 28% gave the ideal response

Subscore for Contact Between Mother and Infant: 62, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 23% gave the ideal response
• Mother-infant pairs room-in at night: 70% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 29% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 11% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 82% gave the ideal response

Subscore for Hospital Discharge Care: 36, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 21% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 23% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 60, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 11% gave the ideal response
• Breastfeeding policy is effectively communicated: 55% gave the ideal response
• Facility documents infant feeding rates in patient population: 80% gave the ideal response
• Facility provides breastfeeding support to employees: 53% gave the ideal response
• Facility does not receive infant formula free of charge: 7% gave the ideal response
• Breastfeeding is included in prenatal patient education: 82% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 53% gave the ideal response

---

Missouri

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Missouri:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 79% of eligible Missouri hospitals took part. (n=53) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:63, 2009 survey score:64, 2011 survey score:66, 2013 survey score:71, 2015 survey score: 75 Examine ideal responses to selected items in Missouri hospitals for 2007–2015.

A bar chart showing Missouri data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Missouri results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Missouri are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Missouri and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Missouri2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Missouri hospitals with ideal responses (2007-2015 surveys) shows Missouri hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Missouri hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Missouri with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 16% of Missouri hospitals had complete hospital policies.
• In CDC’s 2009 survey, 10% of Missouri hospitals had complete hospital policies.
• In CDC’s 2011 survey, 12% of Missouri hospitals had complete hospital policies.
• In CDC’s 2013 survey, 12% of Missouri hospitals had complete hospital policies.
• In CDC’s 2015 survey, 28% of Missouri hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Missouri with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 21% of Missouri hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 24% of Missouri hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 27% of Missouri hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 27% of Missouri hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 26% of Missouri hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Missouri with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 20% of Missouri hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 38% of Missouri hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 24% of Missouri hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 33% of Missouri hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 25% of Missouri hospitals were adequate.

A multi-dimensional table shows Missouri hospitals’ responses to mPINC survey items that contribute to the Missouri mPINC score. It describes the ideal response for each item and the percentages of Missouri hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Missouri:

Total Score (out of 100):75, Overall Rank (out of 53) 38th. Subscore for Labor and Delivery Care: 87, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 76% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 78% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 73% gave the ideal response
• Routine procedures are performed skin-to-skin: 42% gave the ideal response

Subscore for Feeding of Breastfed Infants: 87, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 79% gave the ideal response
• Initial feeding is breast milk (cesarean births): 77% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 26% gave the ideal response
• Water and glucose water are not used: 90% gave the ideal response

Subscore for Breastfeeding Assistance: 87, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 93% gave the ideal response
• Staff teach breastfeeding cues to patients: 89% gave the ideal response
• Staff teach patients not to limit suckling time: 47% gave the ideal response
• Staff directly observe & assess breastfeeding: 85% gave the ideal response
• Staff use a standard feeding assessment tool: 76% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 51% gave the ideal response

Subscore for Contact Between Mother and Infant: 79, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 83% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 36% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 10% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 92% gave the ideal response

Subscore for Hospital Discharge Care: 57, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 25% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 62% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 74, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 28% gave the ideal response
• Breastfeeding policy is effectively communicated: 83% gave the ideal response
• Facility documents infant feeding rates in patient population: 81% gave the ideal response
• Facility provides breastfeeding support to employees: 81% gave the ideal response
• Facility does not receive infant formula free of charge: 17% gave the ideal response
• Breastfeeding is included in prenatal patient education: 90% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 75% gave the ideal response

---

Montana

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Montana:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 90% of eligible Montana hospitals took part. (n=28) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:63, 2009 survey score:66, 2011 survey score:69, 2013 survey score:80, 2015 survey score: 82 Examine ideal responses to selected items in Montana hospitals for 2007–2015.

A bar chart showing Montana data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Montana results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Montana are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Montana and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Montana2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Montana hospitals with ideal responses (2007-2015 surveys) shows Montana hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Montana hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Montana with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 7% of Montana hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Montana hospitals had complete hospital policies.
• In CDC’s 2011 survey, 8% of Montana hospitals had complete hospital policies.
• In CDC’s 2013 survey, 28% of Montana hospitals had complete hospital policies.
• In CDC’s 2015 survey, 37% of Montana hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Montana with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 31% of Montana hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 54% of Montana hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 39% of Montana hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 50% of Montana hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 57% of Montana hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Montana with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 33% of Montana hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 31% of Montana hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 29% of Montana hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 55% of Montana hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 46% of Montana hospitals were adequate.

A multi-dimensional table shows Montana hospitals’ responses to mPINC survey items that contribute to the Montana mPINC score. It describes the ideal response for each item and the percentages of Montana hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Montana:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 90, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 82% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 77% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 77% gave the ideal response
• Routine procedures are performed skin-to-skin: 79% gave the ideal response

Subscore for Feeding of Breastfed Infants: 91, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 89% gave the ideal response
• Initial feeding is breast milk (cesarean births): 82% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 57% gave the ideal response
• Water and glucose water are not used: 93% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 93% gave the ideal response
• Staff teach patients not to limit suckling time: 77% gave the ideal response
• Staff directly observe & assess breastfeeding: 89% gave the ideal response
• Staff use a standard feeding assessment tool: 68% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 43% gave the ideal response

Subscore for Contact Between Mother and Infant: 92, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 89% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 75% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 25% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 71, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 46% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 68% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 74, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 37% gave the ideal response
• Breastfeeding policy is effectively communicated: 61% gave the ideal response
• Facility documents infant feeding rates in patient population: 75% gave the ideal response
• Facility provides breastfeeding support to employees: 50% gave the ideal response
• Facility does not receive infant formula free of charge: 39% gave the ideal response
• Breastfeeding is included in prenatal patient education: 93% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 68% gave the ideal response

---

Nebraska

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Nebraska:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 91% of eligible Nebraska hospitals took part. (n=48) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:60, 2011 survey score:64, 2013 survey score:68, 2015 survey score: 71 Examine ideal responses to selected items in Nebraska hospitals for 2007–2015.

A bar chart showing Nebraska data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Nebraska results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Nebraska are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Nebraska and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Nebraska2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Nebraska hospitals with ideal responses (2007-2015 surveys) shows Nebraska hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Nebraska hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Nebraska with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 2% of Nebraska hospitals had complete hospital policies.
• In CDC’s 2009 survey, 6% of Nebraska hospitals had complete hospital policies.
• In CDC’s 2011 survey, 15% of Nebraska hospitals had complete hospital policies.
• In CDC’s 2013 survey, 14% of Nebraska hospitals had complete hospital policies.
• In CDC’s 2015 survey, 7% of Nebraska hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Nebraska with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 18% of Nebraska hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 27% of Nebraska hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 22% of Nebraska hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Nebraska hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 29% of Nebraska hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Nebraska with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 26% of Nebraska hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 29% of Nebraska hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 30% of Nebraska hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 32% of Nebraska hospitals were adequate.

In CDC’s 2015 survey, discharge protocols in 29% of Nebraska hospitals were adequate.

A multi-dimensional table shows Nebraska hospitals’ responses to mPINC survey items that contribute to the Nebraska mPINC score. It describes the ideal response for each item and the percentages of Nebraska hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Nebraska:
Total Score (out of 100):71, Overall Rank (out of 53) 50th.

Subscore for Labor and Delivery Care: 83, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 73% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 70% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 72% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 75% gave the ideal response
• Routine procedures are performed skin-to-skin: 38% gave the ideal response

Subscore for Feeding of Breastfed Infants: 87, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 72% gave the ideal response
• Initial feeding is breast milk (cesarean births): 72% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 29% gave the ideal response
• Water and glucose water are not used: 89% gave the ideal response

Subscore for Breastfeeding Assistance: 83, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 85% gave the ideal response
• Staff teach breastfeeding cues to patients: 81% gave the ideal response
• Staff teach patients not to limit suckling time: 56% gave the ideal response
• Staff directly observe & assess breastfeeding: 81% gave the ideal response
• Staff use a standard feeding assessment tool: 73% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 22% gave the ideal response

Subscore for Contact Between Mother and Infant: 84, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 83% gave the ideal response
• Mother-infant pairs room-in at night: 94% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 52% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 2% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response

Subscore for Hospital Discharge Care: 57, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 29% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 58% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 68, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 7% gave the ideal response
• Breastfeeding policy is effectively communicated: 70% gave the ideal response
• Facility documents infant feeding rates in patient population: 60% gave the ideal response
• Facility provides breastfeeding support to employees: 58% gave the ideal response
• Facility does not receive infant formula free of charge: 21% gave the ideal response
• Breastfeeding is included in prenatal patient education: 87% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 78% gave the ideal response

---

Nevada

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Nevada:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 67% of eligible Nevada hospitals took part. (n=12) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:56, 2011 survey score:60, 2013 survey score:71, 2015 survey score: 75 Examine ideal responses to selected items in Nevada hospitals for 2007–2015.

A bar chart showing Nevada data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Nevada results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Nevada are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Nevada and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Nevada2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Nevada hospitals with ideal responses (2007-2015 surveys) shows Nevada hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Nevada hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Nevada with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 8% of Nevada hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Nevada hospitals had complete hospital policies.
• In CDC’s 2011 survey, 7% of Nevada hospitals had complete hospital policies.
• In CDC’s 2013 survey, 38% of Nevada hospitals had complete hospital policies.
• In CDC’s 2015 survey, 33% of Nevada hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Nevada with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 8% of Nevada hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 0% of Nevada hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 20% of Nevada hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 44% of Nevada hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 27% of Nevada hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Nevada with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 15% of Nevada hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 14% of Nevada hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 13% of Nevada hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 0% of Nevada hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 25% of Nevada hospitals were adequate.

A multi-dimensional table shows Nevada hospitals’ responses to mPINC survey items that contribute to the Nevada mPINC score. It describes the ideal response for each item and the percentages of Nevada hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Nevada:

Total Score (out of 100):75, Overall Rank (out of 53) 38th. Subscore for Labor and Delivery Care: 72, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 58% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 33% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 42% gave the ideal response
• Routine procedures are performed skin-to-skin: 33% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 75% gave the ideal response
• Initial feeding is breast milk (cesarean births): 75% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 27% gave the ideal response
• Water and glucose water are not used: 90% gave the ideal response

Subscore for Breastfeeding Assistance: 85, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 75% gave the ideal response
• Staff teach breastfeeding cues to patients: 83% gave the ideal response
• Staff teach patients not to limit suckling time: 18% gave the ideal response
• Staff directly observe & assess breastfeeding: 75% gave the ideal response
• Staff use a standard feeding assessment tool: 83% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 46% gave the ideal response

Subscore for Contact Between Mother and Infant: 84, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 75% gave the ideal response
• Mother-infant pairs room-in at night: 92% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 55% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 10% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 70% gave the ideal response

Subscore for Hospital Discharge Care: 59, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 25% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 75% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 75, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 33% gave the ideal response
• Breastfeeding policy is effectively communicated: 92% gave the ideal response
• Facility documents infant feeding rates in patient population: 67% gave the ideal response
• Facility provides breastfeeding support to employees: 75% gave the ideal response
• Facility does not receive infant formula free of charge: 42% gave the ideal response
• Breastfeeding is included in prenatal patient education: 83% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 55% gave the ideal response

---

New Hampshire

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across New Hampshire:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 86% of eligible New Hampshire hospitals took part. (n=18) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:81, 2009 survey score:81, 2011 survey score:88, 2013 survey score:91, 2015 survey score: 90 Examine ideal responses to selected items in New Hampshire hospitals for 2007–2015.

A bar chart showing New Hampshire data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of New Hampshire results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across New Hampshire are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in New Hampshire and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. New Hampshire2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of New Hampshire hospitals with ideal responses (2007-2015 surveys) shows New Hampshire hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in New Hampshire hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in New Hampshire with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 24% of New Hampshire hospitals had complete hospital policies.
• In CDC’s 2009 survey, 33% of New Hampshire hospitals had complete hospital policies.
• In CDC’s 2011 survey, 38% of New Hampshire hospitals had complete hospital policies.
• In CDC’s 2013 survey, 52% of New Hampshire hospitals had complete hospital policies.
• In CDC’s 2015 survey, 67% of New Hampshire hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in New Hampshire with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 67% of New Hampshire hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 48% of New Hampshire hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 52% of New Hampshire hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 57% of New Hampshire hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 56% of New Hampshire hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in New Hampshire with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 68% of New Hampshire hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 62% of New Hampshire hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 71% of New Hampshire hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 61% of New Hampshire hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 56% of New Hampshire hospitals were adequate.

A multi-dimensional table shows New Hampshire hospitals’ responses to mPINC survey items that contribute to the New Hampshire mPINC score. It describes the ideal response for each item and the percentages of New Hampshire hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for New Hampshire:
Total Score (out of 100):90, Overall Rank (out of 53) 2nd

Subscore for Labor and Delivery Care: 94, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 100% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 78% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 83% gave the ideal response
• Routine procedures are performed skin-to-skin: 88% gave the ideal response

Subscore for Feeding of Breastfed Infants: 95, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 89% gave the ideal response
• Initial feeding is breast milk (cesarean births): 94% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 56% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 94, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 94% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 89% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 78% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 78% gave the ideal response

Subscore for Contact Between Mother and Infant: 89, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 100% gave the ideal response
• Mother-infant pairs room-in at night: 89% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 59% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 12% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 91, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 56% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 86, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 67% gave the ideal response
• Breastfeeding policy is effectively communicated: 89% gave the ideal response
• Facility documents infant feeding rates in patient population: 78% gave the ideal response
• Facility provides breastfeeding support to employees: 94% gave the ideal response
• Facility does not receive infant formula free of charge: 44% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 83% gave the ideal response

---

New Jersey

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across New Jersey:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 80% of eligible New Jersey hospitals took part. (n=39) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:60, 2009 survey score:62, 2011 survey score:71, 2013 survey score:78, 2015 survey score: 83 Examine ideal responses to selected items in New Jersey hospitals for 2007–2015.

A bar chart showing New Jersey data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of New Jersey results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across New Jersey are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in New Jersey and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. New Jersey2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of New Jersey hospitals with ideal responses (2007-2015 surveys) shows New Jersey hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in New Jersey hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in New Jersey with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 14% of New Jersey hospitals had complete hospital policies.
• In CDC’s 2009 survey, 20% of New Jersey hospitals had complete hospital policies.
• In CDC’s 2011 survey, 25% of New Jersey hospitals had complete hospital policies.
• In CDC’s 2013 survey, 38% of New Jersey hospitals had complete hospital policies.
• In CDC’s 2015 survey, 56% of New Jersey hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in New Jersey with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 2% of New Jersey hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 10% of New Jersey hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 9% of New Jersey hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 17% of New Jersey hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 13% of New Jersey hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in New Jersey with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 7% of New Jersey hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 9% of New Jersey hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 16% of New Jersey hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 28% of New Jersey hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 21% of New Jersey hospitals were adequate.

A multi-dimensional table shows New Jersey hospitals’ responses to mPINC survey items that contribute to the New Jersey mPINC score. It describes the ideal response for each item and the percentages of New Jersey hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for New Jersey:
Total Score (out of 100):83, Overall Rank (out of 53) 10th.

Subscore for Labor and Delivery Care: 89, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 90% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 95% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 69% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 72% gave the ideal response
• Routine procedures are performed skin-to-skin: 56% gave the ideal response

Subscore for Feeding of Breastfed Infants: 85, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 80% gave the ideal response
• Initial feeding is breast milk (cesarean births): 80% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 13% gave the ideal response
• Water and glucose water are not used: 92% gave the ideal response

Subscore for Breastfeeding Assistance: 94, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 67% gave the ideal response
• Staff directly observe & assess breastfeeding: 92% gave the ideal response
• Staff use a standard feeding assessment tool: 92% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 66% gave the ideal response

Subscore for Contact Between Mother and Infant: 77, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 67% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 32% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 18% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 90% gave the ideal response

Subscore for Hospital Discharge Care: 68, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 21% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 90% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 85, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 56% gave the ideal response
• Breastfeeding policy is effectively communicated: 95% gave the ideal response
• Facility documents infant feeding rates in patient population: 90% gave the ideal response
• Facility provides breastfeeding support to employees: 95% gave the ideal response
• Facility does not receive infant formula free of charge: 39% gave the ideal response
• Breastfeeding is included in prenatal patient education: 95% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 84% gave the ideal response

---

New Mexico

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across New Mexico:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 84% of eligible New Mexico hospitals took part. (n=27) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:64, 2009 survey score:64, 2011 survey score:69, 2013 survey score:77, 2015 survey score: 81 Examine ideal responses to selected items in New Mexico hospitals for 2007–2015.

A bar chart showing New Mexico data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of New Mexico results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across New Mexico are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in New Mexico and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. New Mexico2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of New Mexico hospitals with ideal responses (2007-2015 surveys) shows New Mexico hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in New Mexico hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in New Mexico with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of New Mexico hospitals had complete hospital policies.
• In CDC’s 2009 survey, 6% of New Mexico hospitals had complete hospital policies.
• In CDC’s 2011 survey, 13% of New Mexico hospitals had complete hospital policies.
• In CDC’s 2013 survey, 27% of New Mexico hospitals had complete hospital policies.
• In CDC’s 2015 survey, 46% of New Mexico hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in New Mexico with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 35% of New Mexico hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 25% of New Mexico hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 27% of New Mexico hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 32% of New Mexico hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 22% of New Mexico hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in New Mexico with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 22% of New Mexico hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 10% of New Mexico hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 24% of New Mexico hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 14% of New Mexico hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 33% of New Mexico hospitals were adequate.

A multi-dimensional table shows New Mexico hospitals’ responses to mPINC survey items that contribute to the New Mexico mPINC score. It describes the ideal response for each item and the percentages of New Mexico hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for New Mexico:
Total Score (out of 100):81, Overall Rank (out of 53) 20th.

Subscore for Labor and Delivery Care: 88, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 96% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 59% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 77% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 64% gave the ideal response
• Routine procedures are performed skin-to-skin: 63% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 85% gave the ideal response
• Initial feeding is breast milk (cesarean births): 68% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 22% gave the ideal response
• Water and glucose water are not used: 92% gave the ideal response

Subscore for Breastfeeding Assistance: 90, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 93% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 89% gave the ideal response
• Staff teach breastfeeding cues to patients: 89% gave the ideal response
• Staff teach patients not to limit suckling time: 68% gave the ideal response
• Staff directly observe & assess breastfeeding: 89% gave the ideal response
• Staff use a standard feeding assessment tool: 85% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 56% gave the ideal response

Subscore for Contact Between Mother and Infant: 95, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 89% gave the ideal response
• Mother-infant pairs room-in at night: 96% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 89% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 47% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 75, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 33% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 85% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 72, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 46% gave the ideal response
• Breastfeeding policy is effectively communicated: 77% gave the ideal response
• Facility documents infant feeding rates in patient population: 77% gave the ideal response
• Facility provides breastfeeding support to employees: 70% gave the ideal response
• Facility does not receive infant formula free of charge: 41% gave the ideal response
• Breastfeeding is included in prenatal patient education: 84% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 50% gave the ideal response

---

New York

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across New York:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 81% of eligible New York hospitals took part. (n=99) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:67, 2009 survey score:67, 2011 survey score:73, 2013 survey score:80, 2015 survey score: 82 Examine ideal responses to selected items in New York hospitals for 2007–2015.

A bar chart showing New York data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of New York results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across New York are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in New York and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. New York2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of New York hospitals with ideal responses (2007-2015 surveys) shows New York hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in New York hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in New York with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 23% of New York hospitals had complete hospital policies.
• In CDC’s 2009 survey, 26% of New York hospitals had complete hospital policies.
• In CDC’s 2011 survey, 38% of New York hospitals had complete hospital policies.
• In CDC’s 2013 survey, 55% of New York hospitals had complete hospital policies.
• In CDC’s 2015 survey, 47% of New York hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in New York with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 25% of New York hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 17% of New York hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 23% of New York hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 27% of New York hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 17% of New York hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in New York with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 30% of New York hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 28% of New York hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 35% of New York hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 42% of New York hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 39% of New York hospitals were adequate.

A multi-dimensional table shows New York hospitals’ responses to mPINC survey items that contribute to the New York mPINC score. It describes the ideal response for each item and the percentages of New York hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for New York:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 83, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 83% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 64% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 69% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 56% gave the ideal response
• Routine procedures are performed skin-to-skin: 45% gave the ideal response

Subscore for Feeding of Breastfed Infants: 83, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 78% gave the ideal response
• Initial feeding is breast milk (cesarean births): 63% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 17% gave the ideal response
• Water and glucose water are not used: 95% gave the ideal response

Subscore for Breastfeeding Assistance: 91, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 93% gave the ideal response
• Staff teach patients not to limit suckling time: 71% gave the ideal response
• Staff directly observe & assess breastfeeding: 93% gave the ideal response
• Staff use a standard feeding assessment tool: 76% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 69% gave the ideal response

Subscore for Contact Between Mother and Infant: 78, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 70% gave the ideal response
• Mother-infant pairs room-in at night: 88% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 40% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 11% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 83% gave the ideal response

Subscore for Hospital Discharge Care: 81, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 39% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 85, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 47% gave the ideal response
• Breastfeeding policy is effectively communicated: 94% gave the ideal response
• Facility documents infant feeding rates in patient population: 94% gave the ideal response
• Facility provides breastfeeding support to employees: 85% gave the ideal response
• Facility does not receive infant formula free of charge: 35% gave the ideal response
• Breastfeeding is included in prenatal patient education: 97% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 90% gave the ideal response

---

North Carolina

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across North Carolina:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 71% of eligible North Carolina hospitals took part. (n=60) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:62, 2011 survey score:67, 2013 survey score:75, 2015 survey score: 78 Examine ideal responses to selected items in North Carolina hospitals for 2007–2015.

A bar chart showing North Carolina data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of North Carolina results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across North Carolina are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in North Carolina and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. North Carolina2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of North Carolina hospitals with ideal responses (2007-2015 surveys) shows North Carolina hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in North Carolina hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in North Carolina with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 10% of North Carolina hospitals had complete hospital policies.
• In CDC’s 2009 survey, 14% of North Carolina hospitals had complete hospital policies.
• In CDC’s 2011 survey, 16% of North Carolina hospitals had complete hospital policies.
• In CDC’s 2013 survey, 26% of North Carolina hospitals had complete hospital policies.
• In CDC’s 2015 survey, 34% of North Carolina hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in North Carolina with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 9% of North Carolina hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 6% of North Carolina hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 10% of North Carolina hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 15% of North Carolina hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 19% of North Carolina hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in North Carolina with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 23% of North Carolina hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 26% of North Carolina hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 22% of North Carolina hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 18% of North Carolina hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 22% of North Carolina hospitals were adequate.

A multi-dimensional table shows North Carolina hospitals’ responses to mPINC survey items that contribute to the North Carolina mPINC score. It describes the ideal response for each item and the percentages of North Carolina hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for North Carolina:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 80, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 51% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 56% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 57% gave the ideal response
• Routine procedures are performed skin-to-skin: 39% gave the ideal response

Subscore for Feeding of Breastfed Infants: 82, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 70% gave the ideal response
• Initial feeding is breast milk (cesarean births): 71% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 19% gave the ideal response
• Water and glucose water are not used: 83% gave the ideal response

Subscore for Breastfeeding Assistance: 89, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 95% gave the ideal response
• Staff teach breastfeeding cues to patients: 87% gave the ideal response
• Staff teach patients not to limit suckling time: 54% gave the ideal response
• Staff directly observe & assess breastfeeding: 86% gave the ideal response
• Staff use a standard feeding assessment tool: 87% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 53% gave the ideal response

Subscore for Contact Between Mother and Infant: 84, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 85% gave the ideal response
• Mother-infant pairs room-in at night: 90% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 61% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 14% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 92% gave the ideal response

Subscore for Hospital Discharge Care: 68, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 22% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 88% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 76, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 34% gave the ideal response
• Breastfeeding policy is effectively communicated: 68% gave the ideal response
• Facility documents infant feeding rates in patient population: 83% gave the ideal response
• Facility provides breastfeeding support to employees: 78% gave the ideal response
• Facility does not receive infant formula free of charge: 28% gave the ideal response
• Breastfeeding is included in prenatal patient education: 90% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 75% gave the ideal response

---

North Dakota

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across North Dakota:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 92% of eligible North Dakota hospitals took part. (n=11) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:59, 2009 survey score:64, 2011 survey score:72, 2013 survey score:75, 2015 survey score: 73 Examine ideal responses to selected items in North Dakota hospitals for 2007–2015.

A bar chart showing North Dakota data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of North Dakota results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across North Dakota are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in North Dakota and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. North Dakota2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of North Dakota hospitals with ideal responses (2007-2015 surveys) shows North Dakota hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in North Dakota hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in North Dakota with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 12% of North Dakota hospitals had complete hospital policies.
• In CDC’s 2009 survey, 17% of North Dakota hospitals had complete hospital policies.
• In CDC’s 2011 survey, 55% of North Dakota hospitals had complete hospital policies.
• In CDC’s 2013 survey, 29% of North Dakota hospitals had complete hospital policies.
• In CDC’s 2015 survey, 18% of North Dakota hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in North Dakota with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 13% of North Dakota hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 25% of North Dakota hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 27% of North Dakota hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 25% of North Dakota hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 27% of North Dakota hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in North Dakota with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 24% of North Dakota hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 33% of North Dakota hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 36% of North Dakota hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 38% of North Dakota hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 27% of North Dakota hospitals were adequate.

A multi-dimensional table shows North Dakota hospitals’ responses to mPINC survey items that contribute to the North Dakota mPINC score. It describes the ideal response for each item and the percentages of North Dakota hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for North Dakota:
Total Score (out of 100):73, Overall Rank (out of 53) 44th.

Subscore for Labor and Delivery Care: 84, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 73% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 73% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 73% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 55% gave the ideal response
• Routine procedures are performed skin-to-skin: 27% gave the ideal response

Subscore for Feeding of Breastfed Infants: 85, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 91% gave the ideal response
• Initial feeding is breast milk (cesarean births): 82% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 27% gave the ideal response
• Water and glucose water are not used: 73% gave the ideal response

Subscore for Breastfeeding Assistance: 85, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 91% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 91% gave the ideal response
• Staff teach patients not to limit suckling time: 56% gave the ideal response
• Staff directly observe & assess breastfeeding: 82% gave the ideal response
• Staff use a standard feeding assessment tool: 73% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 27% gave the ideal response

Subscore for Contact Between Mother and Infant: 72, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 64% gave the ideal response
• Mother-infant pairs room-in at night: 70% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 27% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 80% gave the ideal response

Subscore for Hospital Discharge Care: 60, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 27% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 55% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 75, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 18% gave the ideal response
• Breastfeeding policy is effectively communicated: 91% gave the ideal response
• Facility documents infant feeding rates in patient population: 90% gave the ideal response
• Facility provides breastfeeding support to employees: 82% gave the ideal response
• Facility does not receive infant formula free of charge: 18% gave the ideal response
• Breastfeeding is included in prenatal patient education: 91% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 73% gave the ideal response

---

Ohio

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Ohio:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 83% of eligible Ohio hospitals took part. (n=90) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:67, 2009 survey score:69, 2011 survey score:71, 2013 survey score:76, 2015 survey score: 80 Examine ideal responses to selected items in Ohio hospitals for 2007–2015.

A bar chart showing Ohio data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Ohio results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Ohio are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Ohio and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Ohio2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Ohio hospitals with ideal responses (2007-2015 surveys) shows Ohio hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Ohio hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Ohio with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 9% of Ohio hospitals had complete hospital policies.
• In CDC’s 2009 survey, 19% of Ohio hospitals had complete hospital policies.
• In CDC’s 2011 survey, 21% of Ohio hospitals had complete hospital policies.
• In CDC’s 2013 survey, 26% of Ohio hospitals had complete hospital policies.
• In CDC’s 2015 survey, 29% of Ohio hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Ohio with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 24% of Ohio hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 20% of Ohio hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 17% of Ohio hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Ohio hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 19% of Ohio hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Ohio with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 55% of Ohio hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 41% of Ohio hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 44% of Ohio hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 44% of Ohio hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 41% of Ohio hospitals were adequate.

A multi-dimensional table shows Ohio hospitals’ responses to mPINC survey items that contribute to the Ohio mPINC score. It describes the ideal response for each item and the percentages of Ohio hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Ohio:
Total Score (out of 100):80, Overall Rank (out of 53) 22nd

Subscore for Labor and Delivery Care: 85, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 78% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 71% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 64% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 71% gave the ideal response
• Routine procedures are performed skin-to-skin: 35% gave the ideal response

Subscore for Feeding of Breastfed Infants: 86, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 77% gave the ideal response
• Initial feeding is breast milk (cesarean births): 76% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 19% gave the ideal response
• Water and glucose water are not used: 91% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 99% gave the ideal response
• Staff teach breastfeeding cues to patients: 89% gave the ideal response
• Staff teach patients not to limit suckling time: 67% gave the ideal response
• Staff directly observe & assess breastfeeding: 93% gave the ideal response
• Staff use a standard feeding assessment tool: 73% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 38% gave the ideal response

Subscore for Contact Between Mother and Infant: 79, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 88% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 33% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 6% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 87% gave the ideal response

Subscore for Hospital Discharge Care: 70, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 41% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 74% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 81, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 29% gave the ideal response
• Breastfeeding policy is effectively communicated: 88% gave the ideal response
• Facility documents infant feeding rates in patient population: 90% gave the ideal response
• Facility provides breastfeeding support to employees: 94% gave the ideal response
• Facility does not receive infant formula free of charge: 24% gave the ideal response
• Breastfeeding is included in prenatal patient education: 98% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 89% gave the ideal response

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Oklahoma

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Oklahoma:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 80% of eligible Oklahoma hospitals took part. (n=43) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:55, 2011 survey score:62, 2013 survey score:71, 2015 survey score: 78 Examine ideal responses to selected items in Oklahoma hospitals for 2007–2015.

A bar chart showing Oklahoma data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Oklahoma results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Oklahoma are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Oklahoma and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Oklahoma2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Oklahoma hospitals with ideal responses (2007-2015 surveys) shows Oklahoma hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Oklahoma hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Oklahoma with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 7% of Oklahoma hospitals had complete hospital policies.
• In CDC’s 2009 survey, 8% of Oklahoma hospitals had complete hospital policies.
• In CDC’s 2011 survey, 9% of Oklahoma hospitals had complete hospital policies.
• In CDC’s 2013 survey, 11% of Oklahoma hospitals had complete hospital policies.
• In CDC’s 2015 survey, 31% of Oklahoma hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Oklahoma with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 13% of Oklahoma hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 8% of Oklahoma hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 8% of Oklahoma hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 33% of Oklahoma hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 23% of Oklahoma hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Oklahoma with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 6% of Oklahoma hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 14% of Oklahoma hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 22% of Oklahoma hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 24% of Oklahoma hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 23% of Oklahoma hospitals were adequate.

A multi-dimensional table shows Oklahoma hospitals’ responses to mPINC survey items that contribute to the Oklahoma mPINC score. It describes the ideal response for each item and the percentages of Oklahoma hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Oklahoma:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 85, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 86% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 77% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 61% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 72% gave the ideal response
• Routine procedures are performed skin-to-skin: 33% gave the ideal response

Subscore for Feeding of Breastfed Infants: 87, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 77% gave the ideal response
• Initial feeding is breast milk (cesarean births): 74% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 23% gave the ideal response
• Water and glucose water are not used: 91% gave the ideal response

Subscore for Breastfeeding Assistance: 91, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 95% gave the ideal response
• Staff teach breastfeeding cues to patients: 86% gave the ideal response
• Staff teach patients not to limit suckling time: 60% gave the ideal response
• Staff directly observe & assess breastfeeding: 88% gave the ideal response
• Staff use a standard feeding assessment tool: 91% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 56% gave the ideal response

Subscore for Contact Between Mother and Infant: 86, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 86% gave the ideal response
• Mother-infant pairs room-in at night: 79% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 54% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 22% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 97% gave the ideal response

Subscore for Hospital Discharge Care: 62, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 23% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 74% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 70, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 31% gave the ideal response
• Breastfeeding policy is effectively communicated: 78% gave the ideal response
• Facility documents infant feeding rates in patient population: 67% gave the ideal response
• Facility provides breastfeeding support to employees: 81% gave the ideal response
• Facility does not receive infant formula free of charge: 26% gave the ideal response
• Breastfeeding is included in prenatal patient education: 91% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 61% gave the ideal response

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Oregon

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Oregon:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 75% of eligible Oregon hospitals took part. (n=46) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:74, 2009 survey score:77, 2011 survey score:80, 2013 survey score:85, 2015 survey score: 86 Examine ideal responses to selected items in Oregon hospitals for 2007–2015.

A bar chart showing Oregon data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Oregon results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Oregon are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Oregon and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Oregon2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Oregon hospitals with ideal responses (2007-2015 surveys) shows Oregon hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Oregon hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Oregon with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 13% of Oregon hospitals had complete hospital policies.
• In CDC’s 2009 survey, 12% of Oregon hospitals had complete hospital policies.
• In CDC’s 2011 survey, 12% of Oregon hospitals had complete hospital policies.
• In CDC’s 2013 survey, 27% of Oregon hospitals had complete hospital policies.
• In CDC’s 2015 survey, 39% of Oregon hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Oregon with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 39% of Oregon hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 42% of Oregon hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 38% of Oregon hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 60% of Oregon hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 67% of Oregon hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Oregon with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 31% of Oregon hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 23% of Oregon hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 23% of Oregon hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 31% of Oregon hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 37% of Oregon hospitals were adequate.

A multi-dimensional table shows Oregon hospitals’ responses to mPINC survey items that contribute to the Oregon mPINC score. It describes the ideal response for each item and the percentages of Oregon hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Oregon:
Total Score (out of 100):86, Overall Rank (out of 53) 6th.

Subscore for Labor and Delivery Care: 94, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 91% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 83% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 91% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 90% gave the ideal response
• Routine procedures are performed skin-to-skin: 72% gave the ideal response

Subscore for Feeding of Breastfed Infants: 95, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 98% gave the ideal response
• Initial feeding is breast milk (cesarean births): 98% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 67% gave the ideal response
• Water and glucose water are not used: 93% gave the ideal response

Subscore for Breastfeeding Assistance: 94, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 96% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 91% gave the ideal response
• Staff teach patients not to limit suckling time: 76% gave the ideal response
• Staff directly observe & assess breastfeeding: 98% gave the ideal response
• Staff use a standard feeding assessment tool: 89% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 64% gave the ideal response

Subscore for Contact Between Mother and Infant: 95, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 98% gave the ideal response
• Mother-infant pairs room-in at night: 98% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 85% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 27% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 77, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 37% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 89% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 82, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 39% gave the ideal response
• Breastfeeding policy is effectively communicated: 84% gave the ideal response
• Facility documents infant feeding rates in patient population: 85% gave the ideal response
• Facility provides breastfeeding support to employees: 72% gave the ideal response
• Facility does not receive infant formula free of charge: 54% gave the ideal response
• Breastfeeding is included in prenatal patient education: 91% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 84% gave the ideal response

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Pennsylvania

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Pennsylvania:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 90% of eligible Pennsylvania hospitals took part. (n=87) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:64, 2011 survey score:66, 2013 survey score:74, 2015 survey score: 78 Examine ideal responses to selected items in Pennsylvania hospitals for 2007–2015.

A bar chart showing Pennsylvania data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Pennsylvania results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Pennsylvania are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Pennsylvania and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Pennsylvania2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Pennsylvania hospitals with ideal responses (2007-2015 surveys) shows Pennsylvania hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Pennsylvania hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Pennsylvania with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 9% of Pennsylvania hospitals had complete hospital policies.
• In CDC’s 2009 survey, 15% of Pennsylvania hospitals had complete hospital policies.
• In CDC’s 2011 survey, 17% of Pennsylvania hospitals had complete hospital policies.
• In CDC’s 2013 survey, 24% of Pennsylvania hospitals had complete hospital policies.
• In CDC’s 2015 survey, 36% of Pennsylvania hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Pennsylvania with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 24% of Pennsylvania hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 21% of Pennsylvania hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 17% of Pennsylvania hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 29% of Pennsylvania hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 18% of Pennsylvania hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Pennsylvania with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 33% of Pennsylvania hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 37% of Pennsylvania hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 34% of Pennsylvania hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 29% of Pennsylvania hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 31% of Pennsylvania hospitals were adequate.

A multi-dimensional table shows Pennsylvania hospitals’ responses to mPINC survey items that contribute to the Pennsylvania mPINC score. It describes the ideal response for each item and the percentages of Pennsylvania hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Pennsylvania:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 80, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 78% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 65% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 57% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 59% gave the ideal response
• Routine procedures are performed skin-to-skin: 37% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 87% gave the ideal response
• Initial feeding is breast milk (cesarean births): 83% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 18% gave the ideal response
• Water and glucose water are not used: 95% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 99% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 97% gave the ideal response
• Staff teach breastfeeding cues to patients: 87% gave the ideal response
• Staff teach patients not to limit suckling time: 64% gave the ideal response
• Staff directly observe & assess breastfeeding: 84% gave the ideal response
• Staff use a standard feeding assessment tool: 79% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 44% gave the ideal response

Subscore for Contact Between Mother and Infant: 77, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 67% gave the ideal response
• Mother-infant pairs room-in at night: 78% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 32% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 15% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 85% gave the ideal response

Subscore for Hospital Discharge Care: 68, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 31% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 79% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 77, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 36% gave the ideal response
• Breastfeeding policy is effectively communicated: 84% gave the ideal response
• Facility documents infant feeding rates in patient population: 79% gave the ideal response
• Facility provides breastfeeding support to employees: 83% gave the ideal response
• Facility does not receive infant formula free of charge: 17% gave the ideal response
• Breastfeeding is included in prenatal patient education: 98% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 74% gave the ideal response

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Puerto Rico

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Puerto Rico:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 53% of eligible Puerto Rico hospitals took part. (n=18) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:55, 2009 survey score:58, 2011 survey score:60, 2013 survey score:61, 2015 survey score: 69 Examine ideal responses to selected items in Puerto Rico hospitals for 2007–2015.

A bar chart showing Puerto Rico data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Puerto Rico results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Puerto Rico are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Puerto Rico and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Puerto Rico2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Puerto Rico hospitals with ideal responses (2007-2015 surveys) shows Puerto Rico hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Puerto Rico hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Puerto Rico with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of Puerto Rico hospitals had complete hospital policies.
• In CDC’s 2009 survey, 15% of Puerto Rico hospitals had complete hospital policies.
• In CDC’s 2011 survey, 14% of Puerto Rico hospitals had complete hospital policies.
• In CDC’s 2013 survey, 15% of Puerto Rico hospitals had complete hospital policies.
• In CDC’s 2015 survey, 28% of Puerto Rico hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Puerto Rico with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 0% of Puerto Rico hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 14% of Puerto Rico hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 43% of Puerto Rico hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 8% of Puerto Rico hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 6% of Puerto Rico hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Puerto Rico with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 0% of Puerto Rico hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 0% of Puerto Rico hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 0% of Puerto Rico hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 0% of Puerto Rico hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 22% of Puerto Rico hospitals were adequate.

A multi-dimensional table shows Puerto Rico hospitals’ responses to mPINC survey items that contribute to the Puerto Rico mPINC score. It describes the ideal response for each item and the percentages of Puerto Rico hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Puerto Rico:
Total Score (out of 100):69, Overall Rank (out of 53) 51st

Subscore for Labor and Delivery Care: 67, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 78% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 18% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 71% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 19% gave the ideal response
• Routine procedures are performed skin-to-skin: 56% gave the ideal response

Subscore for Feeding of Breastfed Infants: 68, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 72% gave the ideal response
• Initial feeding is breast milk (cesarean births): 50% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 6% gave the ideal response
• Water and glucose water are not used: 59% gave the ideal response

Subscore for Breastfeeding Assistance: 81, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 94% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 83% gave the ideal response
• Staff teach patients not to limit suckling time: 39% gave the ideal response
• Staff directly observe & assess breastfeeding: 67% gave the ideal response
• Staff use a standard feeding assessment tool: 39% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 100% gave the ideal response

Subscore for Contact Between Mother and Infant: 65, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 6% gave the ideal response
• Mother-infant pairs room-in at night: 81% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 38% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 83% gave the ideal response

Subscore for Hospital Discharge Care: 67, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 22% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 89% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 62, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 28% gave the ideal response
• Breastfeeding policy is effectively communicated: 89% gave the ideal response
• Facility documents infant feeding rates in patient population: 78% gave the ideal response
• Facility provides breastfeeding support to employees: 18% gave the ideal response
• Facility does not receive infant formula free of charge: 0% gave the ideal response
• Breastfeeding is included in prenatal patient education: 47% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 53% gave the ideal response

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Rhode Island

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Rhode Island:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 100% of eligible Rhode Island hospitals took part. (n=5) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:77, 2009 survey score:81, 2011 survey score:81, 2013 survey score:86, 2015 survey score: 96 Examine ideal responses to selected items in Rhode Island hospitals for 2007–2015.

A bar chart showing Rhode Island data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Rhode Island results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Rhode Island are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Rhode Island and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Rhode Island2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Rhode Island hospitals with ideal responses (2007-2015 surveys) shows Rhode Island hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Rhode Island hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Rhode Island with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 40% of Rhode Island hospitals had complete hospital policies.
• In CDC’s 2009 survey, 71% of Rhode Island hospitals had complete hospital policies.
• In CDC’s 2011 survey, 33% of Rhode Island hospitals had complete hospital policies.
• In CDC’s 2013 survey, 60% of Rhode Island hospitals had complete hospital policies.
• In CDC’s 2015 survey, 100% of Rhode Island hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Rhode Island with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 40% of Rhode Island hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 29% of Rhode Island hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 20% of Rhode Island hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 33% of Rhode Island hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 80% of Rhode Island hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Rhode Island with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 40% of Rhode Island hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 14% of Rhode Island hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 17% of Rhode Island hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 17% of Rhode Island hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 80% of Rhode Island hospitals were adequate.

A multi-dimensional table shows Rhode Island hospitals’ responses to mPINC survey items that contribute to the Rhode Island mPINC score. It describes the ideal response for each item and the percentages of Rhode Island hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Rhode Island:
Total Score (out of 100):96, Overall Rank (out of 53) 1st

Subscore for Labor and Delivery Care: 98, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 100% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 100% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 80% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 100% gave the ideal response
• Routine procedures are performed skin-to-skin: 80% gave the ideal response

Subscore for Feeding of Breastfed Infants: 97, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 100% gave the ideal response
• Initial feeding is breast milk (cesarean births): 100% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 80% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 100, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 100% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 100% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 100% gave the ideal response

Subscore for Contact Between Mother and Infant: 96, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 100% gave the ideal response
• Mother-infant pairs room-in at night: 80% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 100% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 40% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 98, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 80% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 95, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 100% gave the ideal response
• Breastfeeding policy is effectively communicated: 100% gave the ideal response
• Facility documents infant feeding rates in patient population: 100% gave the ideal response
• Facility provides breastfeeding support to employees: 80% gave the ideal response
• Facility does not receive infant formula free of charge: 80% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 100% gave the ideal response

---

South Carolina

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across South Carolina:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 70% of eligible South Carolina hospitals took part. (n=32) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:62, 2011 survey score:67, 2013 survey score:78, 2015 survey score: 78 Examine ideal responses to selected items in South Carolina hospitals for 2007–2015.

A bar chart showing South Carolina data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of South Carolina results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across South Carolina are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in South Carolina and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. South Carolina2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of South Carolina hospitals with ideal responses (2007-2015 surveys) shows South Carolina hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in South Carolina hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in South Carolina with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 12% of South Carolina hospitals had complete hospital policies.
• In CDC’s 2009 survey, 6% of South Carolina hospitals had complete hospital policies.
• In CDC’s 2011 survey, 11% of South Carolina hospitals had complete hospital policies.
• In CDC’s 2013 survey, 36% of South Carolina hospitals had complete hospital policies.
• In CDC’s 2015 survey, 47% of South Carolina hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in South Carolina with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 16% of South Carolina hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 22% of South Carolina hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 26% of South Carolina hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 27% of South Carolina hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 25% of South Carolina hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in South Carolina with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 28% of South Carolina hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 31% of South Carolina hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 32% of South Carolina hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 47% of South Carolina hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 44% of South Carolina hospitals were adequate.

A multi-dimensional table shows South Carolina hospitals’ responses to mPINC survey items that contribute to the South Carolina mPINC score. It describes the ideal response for each item and the percentages of South Carolina hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for South Carolina:
Total Score (out of 100):78, Overall Rank (out of 53) 28th.

Subscore for Labor and Delivery Care: 82, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 81% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 52% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 55% gave the ideal response
• Routine procedures are performed skin-to-skin: 50% gave the ideal response

Subscore for Feeding of Breastfed Infants: 85, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 81% gave the ideal response
• Initial feeding is breast milk (cesarean births): 77% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 25% gave the ideal response
• Water and glucose water are not used: 83% gave the ideal response

Subscore for Breastfeeding Assistance: 88, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 97% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 97% gave the ideal response
• Staff teach patients not to limit suckling time: 58% gave the ideal response
• Staff directly observe & assess breastfeeding: 84% gave the ideal response
• Staff use a standard feeding assessment tool: 75% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 53% gave the ideal response

Subscore for Contact Between Mother and Infant: 78, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 66% gave the ideal response
• Mother-infant pairs room-in at night: 84% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 55% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 31% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 79% gave the ideal response

Subscore for Hospital Discharge Care: 71, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 44% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 75% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 78, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 47% gave the ideal response
• Breastfeeding policy is effectively communicated: 75% gave the ideal response
• Facility documents infant feeding rates in patient population: 78% gave the ideal response
• Facility provides breastfeeding support to employees: 74% gave the ideal response
• Facility does not receive infant formula free of charge: 47% gave the ideal response
• Breastfeeding is included in prenatal patient education: 90% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 67% gave the ideal response

---

South Dakota

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across South Dakota:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 86% of eligible South Dakota hospitals took part. (n=19) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:58, 2011 survey score:63, 2013 survey score:70, 2015 survey score: 74 Examine ideal responses to selected items in South Dakota hospitals for 2007–2015.

A bar chart showing South Dakota data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of South Dakota results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across South Dakota are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in South Dakota and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. South Dakota2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of South Dakota hospitals with ideal responses (2007-2015 surveys) shows South Dakota hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in South Dakota hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in South Dakota with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 17% of South Dakota hospitals had complete hospital policies.
• In CDC’s 2009 survey, 0% of South Dakota hospitals had complete hospital policies.
• In CDC’s 2011 survey, 21% of South Dakota hospitals had complete hospital policies.
• In CDC’s 2013 survey, 33% of South Dakota hospitals had complete hospital policies.
• In CDC’s 2015 survey, 33% of South Dakota hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in South Dakota with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 16% of South Dakota hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 19% of South Dakota hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 37% of South Dakota hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 26% of South Dakota hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 32% of South Dakota hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in South Dakota with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 53% of South Dakota hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 43% of South Dakota hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 30% of South Dakota hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 54% of South Dakota hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 42% of South Dakota hospitals were adequate.

A multi-dimensional table shows South Dakota hospitals’ responses to mPINC survey items that contribute to the South Dakota mPINC score. It describes the ideal response for each item and the percentages of South Dakota hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for South Dakota:
Total Score (out of 100):74, Overall Rank (out of 53) 43rd.

Subscore for Labor and Delivery Care: 83, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 74% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 67% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 63% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 63% gave the ideal response
• Routine procedures are performed skin-to-skin: 63% gave the ideal response

Subscore for Feeding of Breastfed Infants: 84, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 79% gave the ideal response
• Initial feeding is breast milk (cesarean births): 74% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 32% gave the ideal response
• Water and glucose water are not used: 84% gave the ideal response

Subscore for Breastfeeding Assistance: 86, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 95% gave the ideal response
• Staff teach breastfeeding cues to patients: 90% gave the ideal response
• Staff teach patients not to limit suckling time: 53% gave the ideal response
• Staff directly observe & assess breastfeeding: 72% gave the ideal response
• Staff use a standard feeding assessment tool: 74% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 37% gave the ideal response

Subscore for Contact Between Mother and Infant: 81, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 58% gave the ideal response
• Mother-infant pairs room-in at night: 84% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 35% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 7% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 93% gave the ideal response

Subscore for Hospital Discharge Care: 55, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 42% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 42% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 74, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 33% gave the ideal response
• Breastfeeding policy is effectively communicated: 72% gave the ideal response
• Facility documents infant feeding rates in patient population: 83% gave the ideal response
• Facility provides breastfeeding support to employees: 63% gave the ideal response
• Facility does not receive infant formula free of charge: 16% gave the ideal response
• Breastfeeding is included in prenatal patient education: 100% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 78% gave the ideal response

---

Tennessee

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Tennessee:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 85% of eligible Tennessee hospitals took part. (n=57) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:57, 2009 survey score:60, 2011 survey score:62, 2013 survey score:67, 2015 survey score: 72 Examine ideal responses to selected items in Tennessee hospitals for 2007–2015.

A bar chart showing Tennessee data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Tennessee results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Tennessee are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Tennessee and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Tennessee2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Tennessee hospitals with ideal responses (2007-2015 surveys) shows Tennessee hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Tennessee hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Tennessee with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 10% of Tennessee hospitals had complete hospital policies.
• In CDC’s 2009 survey, 11% of Tennessee hospitals had complete hospital policies.
• In CDC’s 2011 survey, 22% of Tennessee hospitals had complete hospital policies.
• In CDC’s 2013 survey, 16% of Tennessee hospitals had complete hospital policies.
• In CDC’s 2015 survey, 32% of Tennessee hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Tennessee with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 13% of Tennessee hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 21% of Tennessee hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 15% of Tennessee hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 19% of Tennessee hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 11% of Tennessee hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Tennessee with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 14% of Tennessee hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 12% of Tennessee hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 10% of Tennessee hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 17% of Tennessee hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 19% of Tennessee hospitals were adequate.

A multi-dimensional table shows Tennessee hospitals’ responses to mPINC survey items that contribute to the Tennessee mPINC score. It describes the ideal response for each item and the percentages of Tennessee hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Tennessee:
Total Score (out of 100):72, Overall Rank (out of 53) 47th.

Subscore for Labor and Delivery Care: 79, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 57% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 59% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 65% gave the ideal response
• Routine procedures are performed skin-to-skin: 35% gave the ideal response

Subscore for Feeding of Breastfed Infants: 80, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 68% gave the ideal response
• Initial feeding is breast milk (cesarean births): 65% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 11% gave the ideal response
• Water and glucose water are not used: 84% gave the ideal response

Subscore for Breastfeeding Assistance: 85, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 88% gave the ideal response
• Staff teach breastfeeding cues to patients: 88% gave the ideal response
• Staff teach patients not to limit suckling time: 52% gave the ideal response
• Staff directly observe & assess breastfeeding: 88% gave the ideal response
• Staff use a standard feeding assessment tool: 72% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 39% gave the ideal response

Subscore for Contact Between Mother and Infant: 73, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 70% gave the ideal response
• Mother-infant pairs room-in at night: 80% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 28% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 8% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 85% gave the ideal response

Subscore for Hospital Discharge Care: 51, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 19% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 59% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 74, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 32% gave the ideal response
• Breastfeeding policy is effectively communicated: 86% gave the ideal response
• Facility documents infant feeding rates in patient population: 91% gave the ideal response
• Facility provides breastfeeding support to employees: 64% gave the ideal response
• Facility does not receive infant formula free of charge: 12% gave the ideal response
• Breastfeeding is included in prenatal patient education: 93% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 71% gave the ideal response

---

Texas

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Texas:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 74% of eligible Texas hospitals took part. (n=204) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:58, 2009 survey score:62, 2011 survey score:66, 2013 survey score:73, 2015 survey score: 77 Examine ideal responses to selected items in Texas hospitals for 2007–2015.

A bar chart showing Texas data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Texas results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Texas are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Texas and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Texas2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Texas hospitals with ideal responses (2007-2015 surveys) shows Texas hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Texas hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Texas with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 7% of Texas hospitals had complete hospital policies.
• In CDC’s 2009 survey, 12% of Texas hospitals had complete hospital policies.
• In CDC’s 2011 survey, 15% of Texas hospitals had complete hospital policies.
• In CDC’s 2013 survey, 24% of Texas hospitals had complete hospital policies.
• In CDC’s 2015 survey, 32% of Texas hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Texas with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 17% of Texas hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 21% of Texas hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 19% of Texas hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 21% of Texas hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 23% of Texas hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Texas with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 21% of Texas hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 22% of Texas hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 23% of Texas hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 23% of Texas hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 31% of Texas hospitals were adequate.

A multi-dimensional table shows Texas hospitals’ responses to mPINC survey items that contribute to the Texas mPINC score. It describes the ideal response for each item and the percentages of Texas hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Texas:
Total Score (out of 100):77, Overall Rank (out of 53) 34th.

Subscore for Labor and Delivery Care: 81, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 77% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 62% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 68% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 55% gave the ideal response
• Routine procedures are performed skin-to-skin: 46% gave the ideal response

Subscore for Feeding of Breastfed Infants: 84, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 75% gave the ideal response
• Initial feeding is breast milk (cesarean births): 67% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 23% gave the ideal response
• Water and glucose water are not used: 91% gave the ideal response

Subscore for Breastfeeding Assistance: 87, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 95% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 90% gave the ideal response
• Staff teach breastfeeding cues to patients: 85% gave the ideal response
• Staff teach patients not to limit suckling time: 57% gave the ideal response
• Staff directly observe & assess breastfeeding: 89% gave the ideal response
• Staff use a standard feeding assessment tool: 72% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 58% gave the ideal response

Subscore for Contact Between Mother and Infant: 85, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 75% gave the ideal response
• Mother-infant pairs room-in at night: 91% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 61% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 20% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 91% gave the ideal response

Subscore for Hospital Discharge Care: 68, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 31% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 81% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 71, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 32% gave the ideal response
• Breastfeeding policy is effectively communicated: 74% gave the ideal response
• Facility documents infant feeding rates in patient population: 76% gave the ideal response
• Facility provides breastfeeding support to employees: 74% gave the ideal response
• Facility does not receive infant formula free of charge: 36% gave the ideal response
• Breastfeeding is included in prenatal patient education: 80% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 62% gave the ideal response

---

Utah

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Utah:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 76% of eligible Utah hospitals took part. (n=37) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:62, 2009 survey score:64, 2011 survey score:69, 2013 survey score:72, 2015 survey score: 75 Examine ideal responses to selected items in Utah hospitals for 2007–2015.

A bar chart showing Utah data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Utah results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Utah are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Utah and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Utah2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Utah hospitals with ideal responses (2007-2015 surveys) shows Utah hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Utah hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Utah with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 10% of Utah hospitals had complete hospital policies.
• In CDC’s 2009 survey, 9% of Utah hospitals had complete hospital policies.
• In CDC’s 2011 survey, 17% of Utah hospitals had complete hospital policies.
• In CDC’s 2013 survey, 18% of Utah hospitals had complete hospital policies.
• In CDC’s 2015 survey, 14% of Utah hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Utah with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 17% of Utah hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 19% of Utah hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 20% of Utah hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 36% of Utah hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 28% of Utah hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Utah with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 16% of Utah hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 11% of Utah hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 24% of Utah hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 20% of Utah hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 24% of Utah hospitals were adequate.

A multi-dimensional table shows Utah hospitals’ responses to mPINC survey items that contribute to the Utah mPINC score. It describes the ideal response for each item and the percentages of Utah hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Utah:
Total Score (out of 100):75, Overall Rank (out of 53) 38th.

Subscore for Labor and Delivery Care: 86, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 87% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 74% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 81% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 70% gave the ideal response
• Routine procedures are performed skin-to-skin: 46% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 89% gave the ideal response
• Initial feeding is breast milk (cesarean births): 83% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 28% gave the ideal response
• Water and glucose water are not used: 97% gave the ideal response

Subscore for Breastfeeding Assistance: 86, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 87% gave the ideal response
• Staff teach breastfeeding cues to patients: 84% gave the ideal response
• Staff teach patients not to limit suckling time: 43% gave the ideal response
• Staff directly observe & assess breastfeeding: 78% gave the ideal response
• Staff use a standard feeding assessment tool: 84% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 30% gave the ideal response

Subscore for Contact Between Mother and Infant: 82, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 76% gave the ideal response
• Mother-infant pairs room-in at night: 86% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 48% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 88% gave the ideal response

Subscore for Hospital Discharge Care: 59, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 24% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 61% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 70, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 14% gave the ideal response
• Breastfeeding policy is effectively communicated: 75% gave the ideal response
• Facility documents infant feeding rates in patient population: 56% gave the ideal response
• Facility provides breastfeeding support to employees: 69% gave the ideal response
• Facility does not receive infant formula free of charge: 31% gave the ideal response
• Breastfeeding is included in prenatal patient education: 88% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 65% gave the ideal response

---

Vermont

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Vermont:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 92% of eligible Vermont hospitals took part. (n=11) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:81, 2009 survey score:76, 2011 survey score:76, 2013 survey score:88, 2015 survey score: 88 Examine ideal responses to selected items in Vermont hospitals for 2007–2015.

A bar chart showing Vermont data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Vermont results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Vermont are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Vermont and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Vermont2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Vermont hospitals with ideal responses (2007-2015 surveys) shows Vermont hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Vermont hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Vermont with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 18% of Vermont hospitals had complete hospital policies.
• In CDC’s 2009 survey, 40% of Vermont hospitals had complete hospital policies.
• In CDC’s 2011 survey, 30% of Vermont hospitals had complete hospital policies.
• In CDC’s 2013 survey, 44% of Vermont hospitals had complete hospital policies.
• In CDC’s 2015 survey, 9% of Vermont hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Vermont with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 73% of Vermont hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 70% of Vermont hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 70% of Vermont hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 78% of Vermont hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 73% of Vermont hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Vermont with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 27% of Vermont hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 50% of Vermont hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 40% of Vermont hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 56% of Vermont hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 55% of Vermont hospitals were adequate.

A multi-dimensional table shows Vermont hospitals’ responses to mPINC survey items that contribute to the Vermont mPINC score. It describes the ideal response for each item and the percentages of Vermont hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Vermont:
Total Score (out of 100):88, Overall Rank (out of 53) 4th.

Subscore for Labor and Delivery Care: 96, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 100% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 70% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 80% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 80% gave the ideal response
• Routine procedures are performed skin-to-skin: 91% gave the ideal response

Subscore for Feeding of Breastfed Infants: 93, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 64% gave the ideal response
• Initial feeding is breast milk (cesarean births): 70% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 73% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 94, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 100% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 91% gave the ideal response
• Staff directly observe & assess breastfeeding: 100% gave the ideal response
• Staff use a standard feeding assessment tool: 64% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 91% gave the ideal response

Subscore for Contact Between Mother and Infant: 91, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 100% gave the ideal response
• Mother-infant pairs room-in at night: 91% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 82% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 9% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 90, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 55% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 100% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 79, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 9% gave the ideal response
• Breastfeeding policy is effectively communicated: 91% gave the ideal response
• Facility documents infant feeding rates in patient population: 91% gave the ideal response
• Facility provides breastfeeding support to employees: 82% gave the ideal response
• Facility does not receive infant formula free of charge: 27% gave the ideal response
• Breastfeeding is included in prenatal patient education: 91% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 73% gave the ideal response

---

Virginia

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Virginia:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 79% of eligible Virginia hospitals took part. (n=48) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:61, 2009 survey score:63, 2011 survey score:67, 2013 survey score:76, 2015 survey score: 80 Examine ideal responses to selected items in Virginia hospitals for 2007–2015.

A bar chart showing Virginia data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Virginia results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Virginia are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Virginia and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Virginia2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Virginia hospitals with ideal responses (2007-2015 surveys) shows Virginia hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Virginia hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Virginia with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 8% of Virginia hospitals had complete hospital policies.
• In CDC’s 2009 survey, 13% of Virginia hospitals had complete hospital policies.
• In CDC’s 2011 survey, 11% of Virginia hospitals had complete hospital policies.
• In CDC’s 2013 survey, 28% of Virginia hospitals had complete hospital policies.
• In CDC’s 2015 survey, 41% of Virginia hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Virginia with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 15% of Virginia hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 30% of Virginia hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 32% of Virginia hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 25% of Virginia hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 25% of Virginia hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Virginia with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 17% of Virginia hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 14% of Virginia hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 30% of Virginia hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 18% of Virginia hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 21% of Virginia hospitals were adequate.

A multi-dimensional table shows Virginia hospitals’ responses to mPINC survey items that contribute to the Virginia mPINC score. It describes the ideal response for each item and the percentages of Virginia hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Virginia:
Total Score (out of 100):80, Overall Rank (out of 53) 22nd

Subscore for Labor and Delivery Care: 87, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 85% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 79% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 75% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 74% gave the ideal response
• Routine procedures are performed skin-to-skin: 48% gave the ideal response

Subscore for Feeding of Breastfed Infants: 89, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 88% gave the ideal response
• Initial feeding is breast milk (cesarean births): 86% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 25% gave the ideal response
• Water and glucose water are not used: 94% gave the ideal response

Subscore for Breastfeeding Assistance: 92, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 96% gave the ideal response
• Staff teach breastfeeding cues to patients: 92% gave the ideal response
• Staff teach patients not to limit suckling time: 76% gave the ideal response
• Staff directly observe & assess breastfeeding: 96% gave the ideal response
• Staff use a standard feeding assessment tool: 85% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 48% gave the ideal response

Subscore for Contact Between Mother and Infant: 80, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 81% gave the ideal response
• Mother-infant pairs room-in at night: 88% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 46% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 14% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 93% gave the ideal response

Subscore for Hospital Discharge Care: 68, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 21% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 83% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 77, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 41% gave the ideal response
• Breastfeeding policy is effectively communicated: 78% gave the ideal response
• Facility documents infant feeding rates in patient population: 81% gave the ideal response
• Facility provides breastfeeding support to employees: 76% gave the ideal response
• Facility does not receive infant formula free of charge: 33% gave the ideal response
• Breastfeeding is included in prenatal patient education: 96% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 70% gave the ideal response

---

Washington

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Washington:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 81% of eligible Washington hospitals took part. (n=59) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:72, 2009 survey score:75, 2011 survey score:77, 2013 survey score:82, 2015 survey score: 83 Examine ideal responses to selected items in Washington hospitals for 2007–2015.

A bar chart showing Washington data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Washington results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Washington are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Washington and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Washington2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Washington hospitals with ideal responses (2007-2015 surveys) shows Washington hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Washington hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Washington with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 5% of Washington hospitals had complete hospital policies.
• In CDC’s 2009 survey, 10% of Washington hospitals had complete hospital policies.
• In CDC’s 2011 survey, 16% of Washington hospitals had complete hospital policies.
• In CDC’s 2013 survey, 17% of Washington hospitals had complete hospital policies.
• In CDC’s 2015 survey, 15% of Washington hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Washington with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 44% of Washington hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 36% of Washington hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 46% of Washington hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 48% of Washington hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 47% of Washington hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Washington with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 32% of Washington hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 28% of Washington hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 31% of Washington hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 33% of Washington hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 41% of Washington hospitals were adequate.

A multi-dimensional table shows Washington hospitals’ responses to mPINC survey items that contribute to the Washington mPINC score. It describes the ideal response for each item and the percentages of Washington hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Washington:
Total Score (out of 100):83, Overall Rank (out of 53) 10th.

Subscore for Labor and Delivery Care: 91, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 88% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 78% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 77% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 71% gave the ideal response
• Routine procedures are performed skin-to-skin: 70% gave the ideal response
• Subscore for Feeding of Breastfed Infants: 91, Survey items contributing to this subscore:
• Initial feeding is breast milk (vaginal births): 88% gave the ideal response
• Initial feeding is breast milk (cesarean births): 78% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 47% gave the ideal response
• Water and glucose water are not used: 93% gave the ideal response

Subscore for Breastfeeding Assistance: 91, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 98% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 98% gave the ideal response
• Staff teach breastfeeding cues to patients: 90% gave the ideal response
• Staff teach patients not to limit suckling time: 67% gave the ideal response
• Staff directly observe & assess breastfeeding: 95% gave the ideal response
• Staff use a standard feeding assessment tool: 80% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 60% gave the ideal response

Subscore for Contact Between Mother and Infant: 96, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 97% gave the ideal response
• Mother-infant pairs room-in at night: 98% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 93% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 33% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 75, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 41% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 88% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 78, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 15% gave the ideal response
• Breastfeeding policy is effectively communicated: 80% gave the ideal response
• Facility documents infant feeding rates in patient population: 92% gave the ideal response
• Facility provides breastfeeding support to employees: 69% gave the ideal response
• Facility does not receive infant formula free of charge: 59% gave the ideal response
• Breastfeeding is included in prenatal patient education: 81% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 64% gave the ideal response

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West Virginia

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across West Virginia:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 88% of eligible West Virginia hospitals took part. (n=23) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:55, 2009 survey score:58, 2011 survey score:60, 2013 survey score:69, 2015 survey score: 73 Examine ideal responses to selected items in West Virginia hospitals for 2007–2015.

A bar chart showing West Virginia data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of West Virginia results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across West Virginia are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in West Virginia and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. West Virginia2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of West Virginia hospitals with ideal responses (2007-2015 surveys) shows West Virginia hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in West Virginia hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in West Virginia with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 11% of West Virginia hospitals had complete hospital policies.
• In CDC’s 2009 survey, 4% of West Virginia hospitals had complete hospital policies.
• In CDC’s 2011 survey, 12% of West Virginia hospitals had complete hospital policies.
• In CDC’s 2013 survey, 8% of West Virginia hospitals had complete hospital policies.
• In CDC’s 2015 survey, 13% of West Virginia hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in West Virginia with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 8% of West Virginia hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 21% of West Virginia hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 25% of West Virginia hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 24% of West Virginia hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 18% of West Virginia hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in West Virginia with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 15% of West Virginia hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 7% of West Virginia hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 4% of West Virginia hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 28% of West Virginia hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 26% of West Virginia hospitals were adequate.

A multi-dimensional table shows West Virginia hospitals’ responses to mPINC survey items that contribute to the West Virginia mPINC score. It describes the ideal response for each item and the percentages of West Virginia hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for West Virginia:
Total Score (out of 100):73, Overall Rank (out of 53) 44th.

Subscore for Labor and Delivery Care: 84, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 91% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 68% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 59% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 43% gave the ideal response
• Routine procedures are performed skin-to-skin: 52% gave the ideal response

Subscore for Feeding of Breastfed Infants: 81, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 77% gave the ideal response
• Initial feeding is breast milk (cesarean births): 71% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 18% gave the ideal response
• Water and glucose water are not used: 77% gave the ideal response

Subscore for Breastfeeding Assistance: 83, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 91% gave the ideal response
• Staff teach breastfeeding cues to patients: 78% gave the ideal response
• Staff teach patients not to limit suckling time: 52% gave the ideal response
• Staff directly observe & assess breastfeeding: 83% gave the ideal response
• Staff use a standard feeding assessment tool: 57% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 48% gave the ideal response

Subscore for Contact Between Mother and Infant: 77, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 57% gave the ideal response
• Mother-infant pairs room-in at night: 83% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 40% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 14% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 72, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 26% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 87% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 71, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 13% gave the ideal response
• Breastfeeding policy is effectively communicated: 78% gave the ideal response
• Facility documents infant feeding rates in patient population: 87% gave the ideal response
• Facility provides breastfeeding support to employees: 65% gave the ideal response
• Facility does not receive infant formula free of charge: 26% gave the ideal response
• Breastfeeding is included in prenatal patient education: 86% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 55% gave the ideal response

---

Wisconsin

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Wisconsin:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 85% of eligible Wisconsin hospitals took part. (n=82) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:69, 2009 survey score:71, 2011 survey score:76, 2013 survey score:79, 2015 survey score: 82 Examine ideal responses to selected items in Wisconsin hospitals for 2007–2015.

A bar chart showing Wisconsin data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Wisconsin results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Wisconsin are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Wisconsin and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Wisconsin2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Wisconsin hospitals with ideal responses (2007-2015 surveys) shows Wisconsin hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Wisconsin hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Wisconsin with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 17% of Wisconsin hospitals had complete hospital policies.
• In CDC’s 2009 survey, 14% of Wisconsin hospitals had complete hospital policies.
• In CDC’s 2011 survey, 19% of Wisconsin hospitals had complete hospital policies.
• In CDC’s 2013 survey, 20% of Wisconsin hospitals had complete hospital policies.
• In CDC’s 2015 survey, 29% of Wisconsin hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Wisconsin with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 30% of Wisconsin hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 34% of Wisconsin hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 46% of Wisconsin hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 35% of Wisconsin hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 46% of Wisconsin hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Wisconsin with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 43% of Wisconsin hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 39% of Wisconsin hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 39% of Wisconsin hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 49% of Wisconsin hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 44% of Wisconsin hospitals were adequate.

A multi-dimensional table shows Wisconsin hospitals’ responses to mPINC survey items that contribute to the Wisconsin mPINC score. It describes the ideal response for each item and the percentages of Wisconsin hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Wisconsin:
Total Score (out of 100):82, Overall Rank (out of 53) 13th.

Subscore for Labor and Delivery Care: 90, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 89% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 79% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 81% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 78% gave the ideal response
• Routine procedures are performed skin-to-skin: 57% gave the ideal response

Subscore for Feeding of Breastfed Infants: 92, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 90% gave the ideal response
• Initial feeding is breast milk (cesarean births): 87% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 46% gave the ideal response
• Water and glucose water are not used: 94% gave the ideal response

Subscore for Breastfeeding Assistance: 92, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 99% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 96% gave the ideal response
• Staff teach breastfeeding cues to patients: 94% gave the ideal response
• Staff teach patients not to limit suckling time: 69% gave the ideal response
• Staff directly observe & assess breastfeeding: 95% gave the ideal response
• Staff use a standard feeding assessment tool: 82% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 54% gave the ideal response

Subscore for Contact Between Mother and Infant: 83, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 95% gave the ideal response
• Mother-infant pairs room-in at night: 82% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 39% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 6% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 99% gave the ideal response

Subscore for Hospital Discharge Care: 77, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 44% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 90% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 80, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 29% gave the ideal response
• Breastfeeding policy is effectively communicated: 80% gave the ideal response
• Facility documents infant feeding rates in patient population: 90% gave the ideal response
• Facility provides breastfeeding support to employees: 78% gave the ideal response
• Facility does not receive infant formula free of charge: 31% gave the ideal response
• Breastfeeding is included in prenatal patient education: 98% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 79% gave the ideal response

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Wyoming

CDC National Survey: Maternity Practices in Infant Nutrition and Care (mPINC)

National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, US Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)

Changes in maternity care improve breastfeeding outcomes.

CDC’s mPINC Reports have what you need to understand and improve care across Wyoming:

• 2015 survey scores and ranks
• Action ideas to improve outcomes
• Trends across all mPINC surveys:
  • New! TOTAL SCORES averaging all hospitals’ scores
  • POLICIES for staff training and infant feeding care
  • PRACTICES in supplementing breastfed infants
  • PROTOCOLS for support after discharge to home

What is mPINC?

mPINC is CDC’s national survey of maternity practices in infant nutrition and care.

What does mPINC measure?

Survey questions measure infant feeding care practices, policies, and staffing expectations in place at hospitals that provide maternity services.

Who is included in mPINC surveys?

Every other year, CDC invites all maternity hospitals nationwide to participate in mPINC. In 2015, 81% of eligible Wyoming hospitals took part. (n=17) In states with free-standing birth centers, this includes hospitals and birth center. Compare total scores from 2007 through 2015: 2007 survey score:68, 2009 survey score:62, 2011 survey score:70, 2013 survey score:71, 2015 survey score: 77 Examine ideal responses to selected items in Wyoming hospitals for 2007–2015.

A bar chart showing Wyoming data for selected items since 2007 is explained on page 2 of this report.

Make mPINC work for you. Use your mPINC data to bring together partners, identify gaps, celebrate achievements, and prioritize next steps.

A table of Wyoming results from the 2015 survey is explained on page 3 of this report.

Action ideas: Use your mPINC summary data to: Help hospitals meet Joint Commission Perinatal Care Core Measure breastfeeding requirements, Ensure hospital staff across Wyoming are trained in infant feeding care, Celebrate the Baby-Friendly hospitals in Wyoming and show how to use mPINC to work toward Baby-Friendly designation.

Learn how mPINC works. Questionnaires, past survey results, and more is at www.cdc.gov/mpinc

Suggested Citation:

Centers for Disease Control and Prevention. Wyoming2015 Report, CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2016.

A bar chart titled: Percentage of Wyoming hospitals with ideal responses (2007-2015 surveys) shows Wyoming hospitals’ responses to three specific mPINC survey items. The numbers in this chart describe for each survey year how commonly the policies in Wyoming hospitals were complete, feeding practices were appropriate, and discharge protocols were adequate. Percentages for each survey year are approximate.

The first set of numbers indicates the percentage of hospitals in Wyoming with complete hospital policies, meaning the hospital policy includes all 10 model policy elements described in the survey. This is a measure of hospitals’ Structural and Organizational Aspects of Care Delivery.

• In CDC’s 2007 survey, 0% of Wyoming hospitals had complete hospital policies.
• In CDC’s 2009 survey, 18% of Wyoming hospitals had complete hospital policies.
• In CDC’s 2011 survey, 6% of Wyoming hospitals had complete hospital policies.
• In CDC’s 2013 survey, 12% of Wyoming hospitals had complete hospital policies.
• In CDC’s 2015 survey, 18% of Wyoming hospitals had complete hospital policies.

The second set of numbers indicates the percentage of hospitals in Wyoming with appropriate feeding practices, meaning supplemental feedings to breastfeeding infants are rare. This is a measure of hospital care related to Feeding of Breastfed Infants.

• In CDC’s 2007 survey, feeding practices in 21% of Wyoming hospitals were appropriate.
• In CDC’s 2009 survey, feeding practices in 29% of Wyoming hospitals were appropriate.
• In CDC’s 2011 survey, feeding practices in 53% of Wyoming hospitals were appropriate.
• In CDC’s 2013 survey, feeding practices in 22% of Wyoming hospitals were appropriate.
• In CDC’s 2015 survey, feeding practices in 35% of Wyoming hospitals were appropriate.

The third set of numbers indicates the percentage of hospitals in Wyoming with adequate discharge protocols, meaning hospitals provide appropriate discharge planning (referrals and other multi-modal support). This is a measure of Hospital Discharge Care.

• In CDC’s 2007 survey, discharge protocols in 40% of Wyoming hospitals were adequate.
• In CDC’s 2009 survey, discharge protocols in 47% of Wyoming hospitals were adequate.
• In CDC’s 2011 survey, discharge protocols in 61% of Wyoming hospitals were adequate.
• In CDC’s 2013 survey, discharge protocols in 67% of Wyoming hospitals were adequate.
• In CDC’s 2015 survey, discharge protocols in 71% of Wyoming hospitals were adequate.

A multi-dimensional table shows Wyoming hospitals’ responses to mPINC survey items that contribute to the Wyoming mPINC score. It describes the ideal response for each item and the percentages of Wyoming hospitals that gave the ideal response, separated by Care Dimension and related Subscore

2015 mPINC Survey results for Wyoming:
Total Score (out of 100):77, Overall Rank (out of 53) 34th.

Subscore for Labor and Delivery Care: 92, Survey items contributing to this subscore:

• Initial skin-to-skin contact is at least 30 min w/in 1 hour (vaginal births): 88% gave the ideal response
• Initial skin-to-skin contact is at least 30 min w/in 2 hours (cesarean births): 94% gave the ideal response
• Initial breastfeeding opportunity is w/in 1 hour (vaginal births): 82% gave the ideal response
• Initial breastfeeding opportunity is w/in 2 hours (cesarean births): 100% gave the ideal response
• Routine procedures are performed skin-to-skin: 47% gave the ideal response

Subscore for Feeding of Breastfed Infants: 91, Survey items contributing to this subscore:

• Initial feeding is breast milk (vaginal births): 81% gave the ideal response
• Initial feeding is breast milk (cesarean births): 77% gave the ideal response
• Supplemental feedings to breastfeeding infants are rare (2^nd bar chart item): 35% gave the ideal response
• Water and glucose water are not used: 100% gave the ideal response

Subscore for Breastfeeding Assistance: 87, Survey items contributing to this subscore:

• Infant Feeding decision is documented in the patient chart: 100% gave the ideal response
• Staff provide breastfeeding advice & instructions to patients: 94% gave the ideal response
• Staff teach breastfeeding cues to patients: 100% gave the ideal response
• Staff teach patients not to limit suckling time: 44% gave the ideal response
• Staff directly observe & assess breastfeeding: 94% gave the ideal response
• Staff use a standard feeding assessment tool: 100% gave the ideal response
• Staff rarely provide pacifiers to breastfeeding infants: 25% gave the ideal response

Subscore for Contact Between Mother and Infant: 91, Survey items contributing to this subscore:

• Mother-infant pairs are not separated for postpartum transition: 77% gave the ideal response
• Mother-infant pairs room-in at night: 100% gave the ideal response
• Mother-infant pairs are not separated during the hospital stay: 81% gave the ideal response
• Infant procedures, assessment, care are in the patient room: 0% gave the ideal response
• Non-rooming-in infants are brought to mothers at night for feeding: 100% gave the ideal response

Subscore for Hospital Discharge Care: 70, Survey items contributing to this subscore:

• Staff provide appropriate discharge planning (3^rd bar chart item): 71% gave the ideal response
• Discharge packs containing infant formula samples and marketing products are not given to breastfeeding patients: 53% gave the ideal response

Subscore for Structural & Organizational Aspects of Care Delivery: 62, Items contributing to this subscore:

• Breastfeeding policy includes all 10 model policy elements (1^st bar chart item): 18% gave the ideal response
• Breastfeeding policy is effectively communicated: 71% gave the ideal response
• Facility documents infant feeding rates in patient population: 65% gave the ideal response
• Facility provides breastfeeding support to employees: 59% gave the ideal response
• Facility does not receive infant formula free of charge: 18% gave the ideal response
• Breastfeeding is included in prenatal patient education: 69% gave the ideal response
• Facility has a designated staff member who coordinates lactation care: 47% gave the ideal response