At a glance
Learn which questions in ob体育's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 1 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 1: Hospital policies
Comply fully with the and relevant World Health Assembly resolutions. Have a written infant feeding policy that you routinely communicate to staff and parents. Establish ongoing monitoring and data-management systems.*
| Ten Steps Competency1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Compliance with the Code: Acquisition of infant formula | Indicates how your hospital acquires infant formula. | Institutional Management | G4_a1 | Pays fair market price Not ideal: Receives free or unknown/unsure |
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| Compliance with the Code: Distribution of infant formula or formula-related supplies/coupons as gifts | Indicates whether your hospital gives mothers any of these items free of charge (not including items prescribed as part of medical care):
a) infant formula, b) feeding bottles/nipples, nipple shields, or pacifiers, or c) coupons, discounts, or educational materials from companies that make or sell infant formula or feeding products. |
Discharge Support | G5_a1/G5_a2/ G5_a3 | No to all three items Not ideal: Yes to any item |
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| Written infant feeding policies | Indicates whether your hospital has a policy requiring…
…documentation of medical justification or informed consent for giving non-breast milk feedings to breastfed newborns. |
Institutional Management | G2_a1 | Yes Not ideal: No |
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| Written infant feeding policies | …formal assessment of staff’s clinical competency in breastfeeding support. | Institutional Management | G2_a2 | Yes Not ideal: No |
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| Written infant feeding policies | …documentation of prenatal breastfeeding education. | Institutional Management | G2_a4 | Yes Not ideal: No |
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| Written infant feeding policies | …staff to teach mothers breastfeeding techniques AND staff to show mothers how to express milk. | Institutional Management | G2_a5/G2_a6 | Yes to both items Not ideal: No to either item |
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| Written infant feeding policies | …purchase of infant formula and related breast milk substitutes by the hospital at fair market value AND a policy prohibiting distribution of free infant formula, infant feeding products, and infant formula coupons. | Institutional Management | G2_a8/G2_a12 | Yes to both items Not ideal: No to either item |
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| Written infant feeding policies | …staff to provide mothers with resources for support after discharge. | Institutional Management | G2_a9 | Yes Not ideal: No |
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| Written infant feeding policies | …placement of all newborns skin-to-skin with their mother at birth or soon thereafter. | Institutional Management | G2_a7 | Yes Not ideal: No |
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| Written infant feeding policies | …the option for mothers to room-in with their newborns. | Institutional Management | G2_a11 | Yes Not ideal: No |
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| Monitoring and data-management system | Indicates whether your hospital records/tracks exclusive breastfeeding throughout the entire hospitalization. | Institutional Management | G1 | Yes Not ideal: 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 1 in the . Although this tool evaluates many aspects of each of the Ten Steps, it does not assess every aspect. You cannot assess every aspect of each step using mPINC™ data alone.
†Ideal responses are in bold.
- World Health Organization. Geneva: World Health Organization; 2018.