At a glance
Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 6 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 6: Supplementing
Do not provide breastfed newborns with any food or fluids other than breast milk, unless medically indicated.*
| Ten Steps Competency1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Non-medically indicated supplementation | Percent of healthy, term breastfed newborns who are fed infant formula. | Feeding Practices | D3_a1 | <20% Not ideal: ≥20% |
[Include response] | [Yes or no] |
| Counseling on the importance of exclusive breastfeeding | Frequency that staff counsel breastfeeding mothers who request infant formula about possible health consequences for their infant and the success of breastfeeding. | Feeding Practices | E3 | Almost always Not ideal: Often, Sometimes, or Rarely |
[Include response] | [Yes or no] |
| Instruction of formula feeding techniques and safe preparation, and handling of formula | Among mothers whose newborns are fed any formula, percent of mothers
taught:
|
Feeding Education | E4_a1/E4_a2 | Most to both items Not ideal: Many, Some, or Few to either item |
[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 6 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.