Step 10 - mPINC™ Tool

For Everyone

At a glance

Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 10 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.

Step 10: Discharge

Coordinate discharge so parents and their infants have timely access to ongoing support and care.*

Ten Steps Competency1 mPINC Item mPINC Domain mPINC Data Element Ideal Response Hospital Response Did the Hospital Select the Ideal Response?
Coordination of discharge to ensure appropriate follow-up care Indicates whether your hospital's discharge criteria for breastfeeding newborns requires scheduling of the first follow-up visit with a health care provider. Discharge Support E5_a3 Yes
Not ideal: No
   
Coordination of discharge to ensure ongoing breastfeeding support 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 mothers to ask about breastfeeding, and c) formalized, coordinated referrals to lactation providers in the community when additional support is needed. Discharge Support E6_a1/E6_a2/ E6_a3 Yes to all items
Not ideal: No to any item(s)
   

Note:

This tool does not correspond to or replace Baby-Friendly USA's on-site assessments or Baby-Friendly designation.


*This step aligns with step 10 in the Ten Steps to Successful Breastfeeding. Although this tool assesses many aspects of each of the Ten Steps, it does not assess every aspect. Every aspect of each Step cannot be assessed using mPINC data alone.

Ideal responses are in bold.

Downloads

Content Source
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
About This Page
Published: October 15, 2024
Updated: August 4, 2026

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: August 4, 2026

The information on this page was last reviewed by subject matter experts to ensure accuracy.