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 |
[Include response] | [Yes or 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, or 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 any item Not ideal: No to all items |
[Include response] | [Yes or no] |
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.
- World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: implementing the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.