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pdf CDC Survey of
Maternity Practices in Infant Nutrition and Care
mPINC
Benchmark
Report
2O13 Survey Results
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i Your facility’s percentile is the point below which the indicated percent of scores fall in each group. For example, if your National percentile is 50, then you are performing better
than half of all facilities nationwide. If your State percentile is 66 or 67, you are performing better than about two-thirds of the facilities in your state. If your Similar Size percentile is
99, you are performing better than almost all other facilities nationwide with a similar number of births per year.
ii Facility size estimates are based on annual birth census as reported by the mPINC survey respondent and/or the American Hospital Association (when respondent did not provide
data).
2
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Facility Benchmark Report
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Dimension Subscores are calculated as a simple average of the individual item scores
within each domain. Subscores are not calculated when less than half of items in that
domain received a score.
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possible and beneficial in both vaginal and Cesarean deliveries. These
practices should be initiated within one hour of vaginal birth and
within two hours of Cesarean birth.
3
2013 Survey
mPINC
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This measure reports what percent of patients have the
opportunity to breastfeed within 2 hours of uncomplicated
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This measure reports what percent of patients have the
opportunity to breastfeed within 1 hour of uncomplicated
vaginal birth.
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assessments skin-to-skin increases infant stability,
is safe for mother and infant,11 and improves
breastfeeding outcomes by reducing unnecessary
separation of mother and infant.12
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This measure reports how many patients experience
mother-infant skin-to-skin contact for at least 30 minutes
within 2 hours of uncomplicated Cesarean birth.
Early initiation of breastfeeding increases overall
breastfeeding duration and reduces a mother’s risk
of delayed onset of milk production.10
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This measure reports how many patients experience
mother-infant skin-to-skin contact for at least 30 minutes
within 1 hour of uncomplicated vaginal birth.
Skin-to-skin contact improves infant ability to
establish breastfeeding.9
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and hypoglycemic17 neonates all recommend
against routine supplementation with formula,
glucose water, or water.
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This measure reports what percent of breastfeeding infants
receive breast milk as their first feeding after uncomplicated
vaginal birth.
This measure reports what percent of breastfeeding infants
receive breast milk as their first feeding after uncomplicated
Cesarean birth.
This measure reports what percent of breastfeeding infants
receive non-breast milk feedings.
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glucose water and/or water.
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Standard documentation of infant feeding
decisions is important in order to adequately
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documented in medical records.
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This measure reports how many patients who are breastfeeding,
benefits and methods of breastfeeding to ensure
intend to breastfeed, are provided advice and instructions
that the feeding decision is a fully informed one.19 orabout
breastfeeding.
Patient education is important in order to establish
20,21
breastfeeding.
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scheduled frequency or duration of feedings.22
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instructions to limit suckling at the breast to a specific length of
time.
The AAP recommends formal evaluation of
breastfeeding performance by trained observers
during the first 24-48 hours of life.19
This measure reports how many patients received a directly
observed breastfeeding assessment by facility staff.
Standardized breastfeeding assessment tools
improve comparability and validity of findings.23-25
This measure reports whether breastfeeding is assessed using a
standardized or adapted assessment tool.
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infants’ neurologic states.22
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during the transition from labor and delivery care to their
receiving patient care units.
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duration or quality of maternal sleep.29
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mother to breastfeed reduces chances the infant will
receive supplemental feeds.31,32
This measure reports how many hours breastfeeding
mother-infant pairs are separated at night.
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patients are removed from mothers’ rooms.
This measure reports how many patients who are not
rooming-in receive the infant from the nursery for
breastfeeding at night.
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Staff training ensures standard capacity to provide
evidence-based care, learn about39-42new information, and
maintain patient support skills. Staff training
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Like other critical nursing competencies, regular
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The AAP and ACOG recommend against
distributing infant formula “discharge packs”15,36
This measure reports whether breastfeeding patients are given
because it reduces exclusive breastfeeding rates and “discharge packs” containing product marketing infant formula
samples.
implies health care professional endorsement of
specific commercial items.37-39
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This measure reports how many modes of ambulatory
The AAP clinical practice guidelines recommend
examination of all infants by a qualified health care breastfeeding support are offered:
Physical Contact—Home/hospital visit;
professional within 48 hours of hospital discharge
Active Reaching Out—Phone call to patient;
to assess breastfeeding.33 Ensuring post discharge
Referral—Providing information about:
ambulatory support improves breastfeeding
Available phone numbers, support groups, lactation
consultant/specialist, WIC, outpatient clinics.
outcomes.34-35
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The AAP recommends inclusion of specific
elements in facility breastfeeding policies.15 The
Academy of Breastfeeding Medicine’s clinical
protocol lists components of a model breastfeeding
policy.16
This measure reports the number of model breastfeeding policy
elements in your facility’s breastfeeding policy.
Effective intra-professional communication
increases the likelihood that a facility’s
breastfeeding policy will be implemented
appropriately.48,49
This measure reports the modes used to inform staff about
breastfeeding policies:
In person—In-service training, new staff orientation, new
staff training, staff meeting;
Printed/online materials—Policy posted, newsle"er.
Standardized documentation of patient decisions
allows for valid internal assessment, monitoring
and improvement of quality of care, and improves
staff collaboration and support of patients’
decisions.50
This measures reports your facility’s policy for documentation
of patient infant feeding plans and practices.
The AMA and AWHONN recommend medical
facilities support all lactating employees by
providing appropriate time and facilities to express
and store milk during the work day.51,52 The US
Breastfeeding Commi"ee recommends specific
workplace supports.53
This measure reports how many supports are provided to
lactating staff:
Critical supports—Room to express milk, electric breast
pump for staff use, permission to express milk on breaks;
Additional supports—On-site child care, breastfeeding
support group for staff, access to lactation consultant/
specialist, paid maternity leave other than accrued leave.
The ADA guidelines for mandatory elements of
infant formula HACCP plans54 apply to purchased
and free infant formula. The AMA recognizes the
inherent conflict of interest this kind of financial
support introduces.55,56
This measure reports whether your facility receives infant
formula free of charge from manufacturers.
Patient education about breastfeeding improves
breastfeeding rates.20
This measure reports whether breastfeeding is a component of
prenatal patient education opportunities.
A designated Lactation Coordinator demonstrates
consideration of lactation support as an essential
and necessary function of intrapartum care.57
This measure reports whether your facility has a designated
person who oversees lactation care within the facility.
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| File Type | application/pdf |
| Author | Srk3 |
| File Modified | 2017-04-03 |
| File Created | 2017-02-10 |