2026 Hospital Report

Attachment 3b 2026 Hospital Report.pdf

[NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

2026 Hospital Report

OMB: 0920-0743

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2026

mPINC Hospital Report
Hospital Name
Street Address
City, State Abbreviation, Zip Code
H99998

Hospital Total Score

84

TOTAL AVERAGE SCORES

The Maternity Practices in Infant Nutrition and Care
(mPINC™) Survey is a national survey of newborn feeding
practices in hospitals in the United States and territories that
provided maternity services in the last year. Battelle Health
conducted this survey for the Centers for Disease Control and
Prevention (CDC). Information about the mPINC survey and
interpreting your scores is available here:

United States

82

Region Total Average (Southeast)§

79

Similar-Sized Hospitals
(Hospitals with 1000-1999 births per year)¶

82

Understanding your scores: Your Subscore for each section is the mean of the items in that section.
Subscores are not provided if half or more of the items in that section do not have a score. Your Total
Score is the mean of the six Subscores and is not provided if any Subscore is not scored. Any missing
responses are indicated by “---*” on this report. “NS†” indicates that an item score, Subscore, or Total
Score could not be calculated. Definitions for Region and Similar-Sized Hospitals can be found on page
8 of this report.

https://www.cdc.gov/breastfeeding/data/mpinc/index.htm
Page 1 of 8 | View your subscores on the following pages 

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 2 OF 8



2026 mPINC Hospital Report

Immediate Postpartum Care

Hospital

Your Subscore

The Birthing Hospital (Not Real)

79

SUBSCORES
 Immediate Postpartum Care
Rooming In

Feeding Practices

Management

United States

Region

Similar-Sized Hospitals

76

87

85
IDEAL
RESPONSE

YOUR
RESPONSE

YOUR
SCORE

Most

Most

100

 if not breastfeeding, for at least one hour.

Most

Most

After Cesarean delivery, percent of newborns who
remain in uninterrupted skin-to-skin contact with their
mothers as soon as the mother is responsive and alert:

Most

Some

 if not breastfeeding, for at least one hour.

Most

Few

Transition

Percent of vaginally delivered newborns separated from their
mothers before starting rooming-in.

Few

Few

100

Monitoring
Following
Birth

Percent of newborns who receive continuous observed
monitoring throughout the first two hours immediately
following birth.

Most

Most

100

MEASURE

Immediate
Skin-ToSkin
Contact
(Vaginal)

Feeding Education
Discharge Support Institutional

Subscore Averages

Immediate
Skin-ToSkin
Contact
(Cesarean)

EXPLANATION

After vaginal delivery, percent of newborns who
remain in uninterrupted skin-to-skin contact with
their mothers immediately after birth:
 if breastfeeding, until the first breastfeeding is completed.

 if breastfeeding, until the first breastfeeding is completed.

15

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 3 OF 8

2026 mPINC Hospital Report

Rooming-In

Hospital

Your Subscore

The Birthing Hospital (Not Real)

67

SUBSCORES
Immediate Postpartum Care

MEASURE

Rooming-In

 Rooming In Feeding

Support

United States

Region

Similar-Sized Hospitals

70

83

74
IDEAL
RESPONSE

YOUR
RESPONSE

YOUR
SCORE

>=80%

30

30

Mother's
Room

Mother's Room

 hearing screening.

Mother's
Room

Mother's Room

 pulse oximetry screening.

Mother's
Room

Mother's Room

 routine labs/blood draws/injections.

Mother's
Room

Elsewhere

 newborn bath.

Mother's
Room

Mother's Room

Yes

Yes

EXPLANATION

Percent of newborns who stay in the room with their mothers
for 24 hours/day (not including separation for medical
reasons).
Indicates usual location of newborns during:
 pediatric exams/rounds.

Practices Feeding
Education Discharge

Subscore Averages

MotherInfant
Separation

Institutional Management

Rooming-In
Safety

Indicates whether your hospital has a protocol requiring frequent
observations of high-risk, mother-infant dyads by nurses to
ensure safety of the infant while they are together.

70

100

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 4 OF 8

2026 mPINC Hospital Report

Feeding Practices

Hospital

Your Subscore

The Birthing Hospital (Not Real)

80

SUBSCORES
Immediate Postpartum Care
Rooming In
 Feeding Practices
Feeding Education Discharge
Support Institutional
Management

MEASURE

Subscore Averages
United States

Region

Similar-Sized Hospitals

84

87

82

EXPLANATION

FormulaFeeding of
Breastfed
Infants

Percent of healthy, term, breastfed newborns who are fed
infant formula.

Glucose
Monitoring

Indicates whether hospital performs routine blood glucose
monitoring of full-term healthy newborns NOT at risk for
hypoglycemia.

Formula
Counseling
for
Breastfeeding
Mothers

Frequency that staff counsel breastfeeding mothers who
request infant formula about possible health consequences for
their infant and the success of breastfeeding.

IDEAL
RESPONSE

YOUR
RESPONSE

YOUR
SCORE

<20%

30

70

No

No

100

Almost
always

Often

70

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 5 OF 8

2026 mPINC Hospital Report

Feeding Education

Hospital

Your Subscore

The Birthing Hospital (Not Real)

80

SUBSCORES
Immediate Postpartum Care
Rooming In

MEASURE

Formula
Preparation &
Feeding
Techniques

Feeding Practices
 Feeding Education

Feeding Cues
& Pacifiers

Subscore Averages
United States

Region

Similar-Sized Hospitals

88

93

90

EXPLANATION

Among mothers whose newborns are fed any formula,
percent of breastfeeding mothers taught:
 appropriate formula feeding techniques.

IDEAL
RESPONSE

YOUR
RESPONSE

Most

Most

100

 how to safely prepare and feed formula.

Most

Most

Most

Many

Most

Many

Most

Many

Percent of breastfeeding mothers who are taught or
shown how to:
 recognize and respond to their newborn’s feeding cues.

Discharge Support Institutional

 breastfeed as often and as long as their newborn wants.

Management

 understand the use and risks of artificial nipples and pacifiers.

Percent of breastfeeding mothers who are taught or
shown how to:

Identify/Solve
Breastfeeding
Problems

YOUR
SCORE

Many

 position and latch their newborn for breastfeeding.

Most

 assess effective breastfeeding by observing their newborn’s
latch and the presence of audible swallowing.

Most

Many

 assess effective breastfeeding by observing their newborn’s
elimination patterns.

Most

Many

Most

Many

 hand express breast milk.

70

70

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 6 OF 8

2026 mPINC Hospital Report

Discharge Support

Hospital

Your Subscore

The Birthing Hospital (Not Real)

100

SUBSCORES
Immediate Postpartum Care

MEASURE

Feeding Education
 Discharge Support
Institutional Management

United States

Region

Similar-Sized Hospitals

72

84

100

EXPLANATION

IDEAL
RESPONSE

YOUR
RESPONSE

YOUR
SCORE

Yes

Yes

100

Yes

Yes

100

Yes to any

Yes/Yes/Yes

100

No to all 3

No/No/No

100

Indicates whether your hospital’s discharge criteria for

Pre-Discharge breastfeeding newborns requires direct observation of at least
Criteria
one effective feeding at the breast within the 8 hours prior to
discharge.

Rooming In
Feeding Practices

Subscore Averages

PostDischarge
Follow-Up
Visit
PostDischarge
Breastfeeding
Support

Indicates whether your hospital’s discharge criteria for
breastfeeding newborns requires scheduling of the first
follow-up visit with a health care provider.

Indicates whether your hospital’s routine discharge
support to breastfeeding mothers includes:
a) in-person follow-up visits/appointments for lactation support,
b) personalized phone calls to mother to ask about
breastfeeding, or
c) formalized, coordinated referrals to lactation providers in
the community when additional support is needed.

Distribution
of Infant
Formula or
FormulaRelated
Supplies/
Coupons as
Gifts

Indicates whether your hospital gives mothers any of
these items free of charge (not including items
prescribed as part of medical care):
a) infant formula,
b) feeding bottles/nipples, nipple shields, or pacifiers, or
c) coupons, discounts, or educational materials from companies
that make or sell infant formula or feeding products.

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 7 OF 8

2026 mPINC Hospital Report

Institutional Management

Hospital

Your Subscore

The Birthing Hospital (Not Real)

100

SUBSCORES
Immediate Postpartum Care

MEASURE

Nurse Skill
Competency

Rooming In
Feeding Practices
Feeding Education
Discharge Support
 Institutional Management

Subscore Averages
United States

Region

Similar-Sized Hospitals

65

74

82
IDEAL
RESPONSE

YOUR
RESPONSE

 Placement and monitoring of the newborn skin-to-skin with
the mother immediately following birth.

Yes

Yes

 Assisting with effective newborn positioning and latch for
breastfeeding.

Yes

Yes

 Assessment of milk transfer during breastfeeding.

Yes

Yes

 Assessment of maternal pain related to breastfeeding.

Yes

Yes

 Teaching hand expression of breast milk.

Yes

Yes

 Teaching safe formula preparation and feeding.

Yes

Yes

Yes

Yes

100

Yes

Yes

100

Pays fair
market price

Pays fair market
price

100

EXPLANATION

YOUR
SCORE

Indicates which competency skills are required of nurses:

Nurse
Competency
Assessment

Assesses whether formal assessment of clinical competency in
breastfeeding support and lactation management is required
of nurses.

Documentation
of Exclusive
Breastfeeding

Indicates whether your hospital records/tracks exclusive
breastfeeding throughout the entire hospitalization.

Acquisition of
Infant Formula

Indicates how your hospital acquires infant formula.

100

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity

PAGE 8 OF 8

2026 mPINC Hospital Report

Hospital

Institutional Management (Continued)
MEASURE

IDEAL
RESPONSE

EXPLANATION

YOUR
RESPONSE

YOUR
SCORE

Indicates whether your hospital has a policy requiring:

The Birthing Hospital (Not Real)

SUBSCORES
Immediate Postpartum Care
Rooming In

Written
Policies

 documentation of medical justification or informed consent
for giving non-breast milk feedings to breastfed newborns.

Yes

 formal assessment of staff’s clinical competency in
breastfeeding support.

Yes

Yes

 documentation of prenatal breastfeeding education.

Yes

Yes

Yes/Yes

Yes/ Yes

 staff to teach mothers breastfeeding techniques AND staff
to show mothers how to express milk.

Yes

100

Feeding Education

 purchase of infant formula and related breast milk
substitutes by the hospital at fair market value AND a policy
prohibiting distribution of free infant formula, infant feeding
products, and infant formula coupons.

Discharge Support

 staff to provide mothers with resources for support after
discharge.

Yes

Yes

 Institutional Management

 placement of all newborns skin-to-skin with their mother at
birth or soon thereafter.

Yes

Yes

About the Maternity Practices in
Infant Nutrition and Care
(mPINC)™ trademark: The mPINC
trademark (word and logo) are owned
by the U.S. Department of Health and
Human Services in the United States.
An organization’s participation in
CDC’s mPINC survey does not imply
endorsement by the U.S. Department
of Health and Human Services or the
Centers for Disease Control and
Prevention.

 the option for mothers to room-in with their newborns.

Yes

Yes

Feeding Practices

§ Regions:
Island Territories
Mid-Atlantic
Midwest
Mountain Plains
Northeast
Puerto Rico
Southeast
Southwest
West

Yes/Yes

Yes/ Yes

(American Samoa, Guam, Northern Mariana Islands, U.S. Virgin Islands)
(Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia, West Virginia)
(Illinois, Indiana, Iowa, Michigan, Minnesota, Ohio, Wisconsin)
(Colorado, Kansas, Missouri, Montana, Nebraska, North Dakota, South Dakota, Wyoming)
(Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont)
(Puerto Rico)
(Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)
(Arizona, Arkansas, Louisiana, New Mexico, Oklahoma, Texas, Utah)
(Alaska, California, Hawaii, Idaho, Nevada, Oregon, Washington)

¶ Similar-Sized Hospitals: number of annual births in the following ranges: <250, 250-499, 500-999, 1000-1999, 2000-4999, >=5000
*

--- indicates a missing response

† NS indicates no score (an item score, Subscore, or Total Score could not be calculated)

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity


File Typeapplication/pdf
File Title2022 Maternity Practices in Infant Nutrition and Care (mPINC) Survey Hospital Report
AuthorMarks, Kristin (CDC/NCCDPHP/DNPAO)
File Modified2025-06-09
File Created2025-06-09

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