mPINC™ Regional Report

At a glance

CDC’s Maternity Practices in Infant Nutrition and Care (mPINC) survey measures care practices and policies related to breastfeeding in hospitals with maternity care services. Learn about mPINC total and subdomain scores by region and state for 2022.

mPINC™ 2022 regional report

mPINC is CDC’s national survey of Maternity Practices in Infant Nutrition and Care. The survey measures care practices and policies that affect newborn feeding, feeding education, staff skills, and hospital discharge support. CDC invites all hospitals with maternity services in the United States and U.S. territories to participate. In 2022, a total of 1,994 of 2,779 eligible hospitals participated (72%).

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mPINC 2022 State Scores by Region
mPINC State and Regional Scores

mPINC total and subdomain scoresa by region and state, 2022

Regionb Participation of Eligible Hospitals Total Immediate Postpartum Care Rooming-In Feeding Practices Feeding Education & Support Discharge Support Institutional Management
United States 72% (1994 of 2779) 81 84 76 81 94 78 76
Northeast 78% (183 of 235) 86 88 80 83 96 86 83
Connecticut 67% (16 of 24) 87 87 73 84 97 89 91
Maine 92% (23 of 25) 85 86 71 88 97 87 83
Massachusetts 93% (37 of 40) 88 93 86 82 96 86 83
New Hampshire 88% (14 of 16) 91 95 86 92 98 93 81
New York 70% (83 of 119) 85 84 79 80 95 85 84
Vermont 91% (10 of 11) 87 90 87 92 97 83 74
Western 67% (275 of 410) 85 89 82 85 95 80 78
Alaska 79% (15 of 19) 82 88 80 88 95 72 70
California 68% (152 of 225) 87 89 83 85 96 81 87
Hawaii 83% (10 of 12) 75 87 71 81 89 55 65
Idaho 80% (24 of 30) 77 84 68 82 91 75 60
Nevada 44% (8 of 18) 79 81 78 73 92 78 71
Oregon 63% (30 of 48) 87 91 84 89 96 92 72
Washington 62% (36 of 58) 86 91 86 91 95 84 69
Mid-Atlantic 71% (195 of 274) 82 84 75 80 95 79 79
Delaware 71% (5 of 7) 93 93 83 90 100 95 98
Maryland 78% (25 of 32) 82 84 78 80 96 72 83
New Jersey 83% (40 of 48) 85 86 73 78 97 86 86
Pennsylvania 83% (67 of 81) 82 88 75 82 94 77 74
Puerto Rico 40% (12 of 30) 73 59 74 58 94 79 76
Virginia 55% (30 of 55) 81 84 71 83 96 73 77
West Virginia 76% (16 of 21) 81 75 79 78 95 84 75
Midwest 78% (450 of 579) 81 85 72 82 94 78 74
Illinois 68% (65 of 95) 80 81 80 79 93 76 74
Indiana 88% (74 of 84) 83 81 73 85 96 80 81
Iowa 93% (53 of 57) 73 83 58 80 93 69 56
Michigan 73% (58 of 79) 80 85 71 78 93 76 78
Minnesota 68% (55 of 81) 81 86 74 83 90 82 72
Ohio 84% (81 of 97) 84 88 78 81 96 81 80
Wisconsin 74% (64 of 86) 82 88 68 86 96 79 73
Mountain Plains 76% (231 of 302) 80 84 74 82 94 79 69
Colorado 71% (41 of 58) 86 87 85 87 95 81 85
Kansas 82% (47 of 57) 82 87 73 86 96 81 68
Missouri 78% (47 of 60) 80 82 76 79 95 80 70
Montana 81% (21 of 26) 86 89 78 95 97 82 75
Nebraska 94% (46 of 49) 74 82 67 75 89 76 55
North Dakota 58% (7 of 12) 79 79 63 80 91 79 80
South Dakota 65% (13 of 20) 73 78 65 82 92 67 51
Wyoming 45% (9 of 20) 75 82 68 73 87 72 65
Southwest 68% (322 of 471) 80 82 76 77 93 75 77
Arizona 48% (20 of 42) 77 78 83 71 91 71 69
Arkansas 64% (25 of 39) 76 79 71 68 95 71 71
Louisiana 92% (46 of 50) 82 80 76 77 96 79 82
New Mexico 63% (19 of 30) 88 91 80 88 94 87 85
Oklahoma 64% (29 of 45) 85 89 81 82 97 82 82
Texas 67% (148 of 220) 80 81 76 76 92 75 78
Utah 78% (35 of 45) 77 86 70 78 92 68 70
Southeast 67% (332 of 492) 79 78 75 76 95 73 75
Alabama 78% (36 of 46) 73 70 64 77 95 67 65
Florida 60% (66 of 110) 83 84 84 80 94 74 80
Georgia 51% (38 of 75) 78 81 70 75 94 73 76
Kentucky 74% (35 of 47) 74 79 68 71 95 68 67
Mississippi 80% (33 of 41) 82 84 77 71 96 74 91
North Carolina 74% (56 of 76) 82 80 82 78 95 80 78
South Carolina 61% (23 of 38) 80 76 74 77 96 79 79
Tennessee 76% (45 of 59) 72 64 67 74 94 68 67
a Total and subdomain scores may be impacted by the proportion of participating hospitals in each state; response rates should be considered when interpreting results.

b Data are not reported for the District of Columbia (Mid-Atlantic Region), Rhode Island (Northeast Region), Guam (Western Region), the U.S. Virgin Islands (Northeast Region), American Samoa (Western Region), and the Northern Mariana Islands (Western Region), due to small sample size. Scores from participating hospitals in these states and territories are included in the regional and national-level scores. Regions are listed in descending order by total score and states are listed in alphabetical order within each region. Regions are defined by the U.S. Department of Agriculture’s Food and Nutrition Service.

mPINC total scores, by state, 2022

Map showing results of mPINC data in 2022.
mPINC total scores, by state, 2022 map.

Figure Details: The ranges for mPINC total score are categorized by tertiles. State-level scores were not reported for the District of Columbia, Rhode Island, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands due to small sample size.
Regions are defined by the U.S. Department of Agriculture's Food and Nutrition Service.

Suggested Citation: Centers for Disease Control and Prevention. 2022 State Scores by Region, CDC Survey of Maternity Care Practices in Infant Nutrition and Care. U.S. Dept of Health and Human Services; 2023.

About the mPINC™ Trademark ‎

The mPINC™ trademark (word and logo) are owned by the U.S. Department of Health and Human Services. An organization's participation in CDC's mPINC survey does not imply endorsement by the U.S. Department of Health and Human Services or the Centers for Disease Control and Prevention.
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Content Source:
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)