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] |
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 7 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.