At a glance
Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 7 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 7: Rooming-in
Enable mothers and their infants to remain together and to practice rooming-in 24 hours a day.*
| Ten Steps Competency1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Mother-infant separation after birth | Percent of vaginally-delivered newborns separated from their mothers before starting rooming-in. | Immediate Postpartum Care | C3 | Few Not ideal: Some, Many, Most, or Not an option |
[Include response] | [Yes or no] |
| Rooming-in for 24 hours/day | Percent of newborns who stay in the room with their mothers for 24 hours/day (not including separation for medical reasons). | Rooming-in | C4_a1 | 80%+ Not ideal: <80% |
[Include response] | [Yes or no] |
| Mother-infant separation while rooming-in | Indicates usual location of newborns during:
|
Rooming-in | C6_a1/C6_a2/C6_a4/C6_a5/C6_a6 | In mother's room for all situations Not ideal: Not in a mother's room for any situation |
[Include response] | [Yes or no] |
| Observation of mother-infant dyads to ensure 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. | Rooming-in | C7 | Yes Not ideal: No |
[Include response] | [Yes or no] |
- 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.