Appendix F Table shells 12-21-2006

Table Shells

Table Shell 1: Indicators of practices that support breastfeeding in maternity care facility X compared to other maternity care facilities in the U.S.

	Score for maternity care facility X	Mean score for maternity care facilities with 301-1500 births in previous year	Mean score for all non-profit maternity care facilities	Mean score for all urban maternity care facilities	Mean score all state X maternity care facilities	Mean score all U.S. maternity care facilities
Mother’s prenatal instruction
Initiating breastfeeding after vaginal birth
Initiating breastfeeding after c-section birth
Breastfeeding instruction
Supplementation
Rooming-In
Feeding schedules
Pacifiers
Hospital discharge
Hospital policy

Table Shell 2: Cardinal characteristics of hospitals

	Number of hospitals responding to question	Mean (95%CI)
Number of obstetric beds
Number of live births
Percentage of births that were delivered by c-section
Percentage of laboring women given epidurals
Percentage of laboring women receiving medication to speed up labor

Table Shell 3: Nominal characteristics of hospitals

	Percentage of hospitals (95% CI)
Urban Rural
Hospital Ownership Not for profit For profit Government owned Military
Teaching hospital Not teaching hospital
Highest level of neonatal care Healthy newborn Special care (Level 1 or Level 2 NICU) Intensive care (Level 3 NICU)

Table Shell 4: Extent to which hospitals implement breastfeeding-related maternity care practices

	Mean Score	Percentage of hospitals (95% Confidence Interval)
		Low	Medium	High
Mother’s prenatal instruction
Initiating breastfeeding after vaginal birth
Initiating breastfeeding after c-section birth
Breastfeeding instruction
Supplementation
Rooming-In
Feeding schedules
Pacifiers
Hospital discharge
Staff instruction & Personnel
Hospital policy

Table Shell 5: Indicators by state and region

	Mean score
State & Region	Mother’s prenatal instruction	Initiating breastfeeding after vaginal birth	Initiating breastfeeding after c-section birth	Breastfeeding instruction
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Micronesia
Guam
Northern Mariana Islands
Midway Islands
Puerto Rico
U.S. Virgin Islands
U.S. Total
Census Tract 1
Census Tract 2
Census Tract 3
Census Tract 4
Census Tract 5
Census Tract 6
Census Tract 7
Census Tract 8
Census Tract 9
Census Tract 10

Table Shell 6: Content of hospital policies

	Percentage of hospitals (95% Confidence Interval)
formal in-service training programs for hospital staff
prenatal classes informing mothers of the benefits of breastfeeding
asking about mothers’ feeding plans
initiating breastfeeding within 60 minutes after uncomplicated vaginal birth
initiating breastfeeding after recovery for births by uncomplicated cesarean section
showing mothers how to express breast milk and maintain lactation should they be separated from their infants
giving breastfed infants food or drink other than breast milk
24-hour/day rooming-in
breastfeeding on-demand and duration and frequency of individual feedings
use of pacifiers by breastfed infants
referral of mothers with breastfeeding problems to appropriate resources (e.g. lactation consultant/specialist, community support group, medical provider, WIC Program)
referral of mothers to appropriate community breastfeeding resources upon discharge

Table Shell 7. Extent to which hospitals implement breastfeeding-related maternity care practices by number of births in previous year

Extent to which hospitals implement breastfeeding-related maternity care practices:
	Percentage of hospitals (95% Confidence Interval)
	Low	Medium	High
Mother’s prenatal instruction < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Initiating breastfeeding after vaginal birth < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Initiating breastfeeding after c-section birth < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Breastfeeding instruction < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Supplementation < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Rooming-In < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Feeding schedules < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Pacifiers < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Hospital discharge < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Staff instruction & Personnel < 300 births in previous year 301-1500 births in previous year >1500 births in previous year
Hospital policy < 300 births in previous year 301-1500 births in previous year >1500 births in previous year

Table Shell 8 Percentage of hospitals (95%CI) providing training to new maternity care staff nurses by geographic location of hospital

	Extent of training provided to new maternity care nurses
Geographic location of hospital	<4 hours	5-18 hours	18+ hours
Urban
Rural
Size of hospital
<300 births in previous year
301-1500 births in prev. year
>1500 births in previous year
Hospital ownership
Not for profit
For profit
Government owned
Military
Teaching hospital
Yes
No

Appendix F F-9

Table Shells