At a glance
ob体育's Maternity Practices in Infant Nutrition and Care (mPINC) survey measures practices and policies supportive of breastfeeding in hospitals with maternity care services. Learn about mPINC scores by region and state for 2024.
mPINC 2024 regional report
mPINC is ob体育's national survey of Maternity Practices in Infant Nutrition and Care. The survey measures practices and policies that affect newborn feeding, feeding education, staff training and skills, and hospital discharge support. About every two years, ob体育 invites all hospitals with maternity services in the United States and U.S. territories to participate. In 2024, a total of 2,070 of 2,657 eligible hospitals participated (78%).
mPINC scoresa by region and state, 2024
Regionb | Participation of Eligible Hospitals | Total | Immediate Postpartum Care | Rooming-In | Feeding Practices | Feeding Education & Support | Discharge Support | Institutional Management |
---|---|---|---|---|---|---|---|---|
United States | 78% (2070 of 2657) | 82 | 84 | 77 | 80 | 95 | 78 | 77 |
Western | 69% (269 of 391) | 86 | 88 | 86 | 85 | 95 | 83 | 80 |
Alaska | 74% (14 of 19) | 77 | 82 | 81 | 80 | 92 | 71 | 57 |
California | 65% (138 of 211) | 89 | 88 | 89 | 86 | 97 | 84 | 89 |
Hawaii | 83% (10 of 12) | 78 | 88 | 63 | 87 | 89 | 75 | 69 |
Idaho | 52% (15 of 29) | 79 | 87 | 70 | 84 | 93 | 72 | 70 |
Nevada | 81% (13 of 16) | 76 | 75 | 78 | 70 | 94 | 73 | 68 |
Oregon | 73% (35 of 48) | 87 | 89 | 86 | 89 | 95 | 89 | 76 |
Washington | 79% (44 of 56) | 86 | 90 | 89 | 84 | 95 | 84 | 73 |
Northeast | 84% (193 of 230) | 86 | 87 | 80 | 83 | 96 | 86 | 84 |
Connecticut | 70% (16 of 23) | 88 | 89 | 79 | 85 | 96 | 91 | 87 |
Maine | 91% (20 of 22) | 82 | 87 | 70 | 86 | 96 | 80 | 70 |
Massachusetts | 95% (37 of 39) | 89 | 90 | 86 | 83 | 97 | 87 | 88 |
New Hampshire | 100% (15 of 15) | 90 | 93 | 79 | 94 | 96 | 93 | 85 |
New York | 78% (90 of 115) | 84 | 83 | 79 | 78 | 96 | 85 | 86 |
Rhode Island | 100% (5 of 5) | 87 | 90 | 85 | 87 | 98 | 80 | 79 |
Vermont | 91% (10 of 11) | 90 | 96 | 79 | 94 | 98 | 93 | 83 |
Mid-Atlantic | 81% (194 of 240) | 82 | 84 | 77 | 79 | 94 | 80 | 81 |
Delaware | 71% (5 of 7) | 93 | 97 | 90 | 77 | 98 | 100 | 98 |
Maryland | 67% (22 of 33) | 83 | 85 | 76 | 83 | 94 | 77 | 86 |
New Jersey | 87% (40 of 46) | 84 | 84 | 75 | 76 | 99 | 83 | 86 |
Pennsylvania | 91% (70 of 77) | 83 | 87 | 78 | 81 | 92 | 82 | 75 |
Virginia | 69% (36 of 52) | 82 | 83 | 79 | 80 | 94 | 76 | 80 |
West Virginia | 90% (18 of 20) | 76 | 75 | 67 | 72 | 95 | 71 | 75 |
Midwest | 85% (461 of 544) | 82 | 86 | 73 | 82 | 95 | 78 | 75 |
Illinois | 79% (69 of 87) | 81 | 81 | 78 | 80 | 95 | 77 | 76 |
Indiana | 90% (71 of 79) | 83 | 85 | 73 | 83 | 95 | 79 | 82 |
Iowa | 93% (52 of 56) | 76 | 84 | 62 | 82 | 93 | 72 | 63 |
Michigan | 84% (63 of 75) | 79 | 84 | 72 | 77 | 92 | 75 | 71 |
Minnesota | 81% (62 of 77) | 81 | 86 | 72 | 83 | 92 | 81 | 70 |
Ohio | 87% (78 of 90) | 85 | 90 | 75 | 84 | 97 | 82 | 83 |
Wisconsin | 83% (66 of 80) | 85 | 91 | 74 | 87 | 97 | 83 | 77 |
Southeast | 72% (340 of 473) | 81 | 82 | 77 | 76 | 95 | 74 | 77 |
Alabama | 79% (34 of 43) | 76 | 75 | 72 | 75 | 94 | 72 | 69 |
Florida | 65% (67 of 103) | 85 | 84 | 90 | 80 | 95 | 79 | 82 |
Georgia | 65% (46 of 71) | 78 | 81 | 72 | 72 | 94 | 72 | 76 |
Kentucky | 78% (36 of 46) | 74 | 82 | 71 | 71 | 94 | 63 | 66 |
Mississippi | 85% (33 of 39) | 87 | 90 | 82 | 76 | 97 | 83 | 95 |
North Carolina | 68% (52 of 76) | 84 | 87 | 77 | 83 | 94 | 79 | 81 |
South Carolina | 77% (30 of 39) | 80 | 79 | 74 | 76 | 94 | 77 | 78 |
Tennessee | 75% (42 of 56) | 76 | 78 | 71 | 75 | 95 | 68 | 68 |
Southwest | 78% (355 of 457) | 80 | 82 | 77 | 76 | 94 | 74 | 76 |
Arizona | 61% (25 of 41) | 76 | 81 | 84 | 70 | 92 | 58 | 69 |
Arkansas | 92% (33 of 36) | 71 | 74 | 67 | 61 | 94 | 66 | 66 |
Louisiana | 94% (46 of 49) | 85 | 88 | 82 | 80 | 96 | 83 | 81 |
New Mexico | 67% (18 of 27) | 88 | 93 | 85 | 83 | 94 | 86 | 86 |
Oklahoma | 93% (41 of 44) | 79 | 84 | 73 | 76 | 93 | 74 | 71 |
Texas | 75% (161 of 216) | 81 | 82 | 78 | 77 | 95 | 75 | 79 |
Utah | 70% (31 of 44) | 78 | 77 | 77 | 81 | 90 | 70 | 74 |
Mountain Plains | 82% (239 of 290) | 79 | 84 | 72 | 81 | 93 | 76 | 68 |
Colorado | 81% (43 of 53) | 86 | 85 | 83 | 90 | 95 | 85 | 81 |
Kansas | 85% (46 of 54) | 81 | 86 | 73 | 83 | 94 | 78 | 70 |
Missouri | 77% (46 of 60) | 77 | 79 | 66 | 77 | 93 | 73 | 71 |
Montana | 85% (22 of 26) | 84 | 90 | 74 | 93 | 97 | 82 | 70 |
Nebraska | 90% (43 of 48) | 75 | 86 | 69 | 74 | 90 | 72 | 56 |
North Dakota | 75% (9 of 12) | 78 | 86 | 76 | 74 | 91 | 78 | 64 |
South Dakota | 95% (18 of 19) | 75 | 83 | 64 | 75 | 95 | 71 | 59 |
Wyoming | 67% (12 of 18) | 73 | 79 | 68 | 78 | 86 | 63 | 62 |
Puerto Rico | 54% (14 of 26) | 73 | 60 | 75 | 62 | 94 | 73 | 73 |
Island Territories | 83% (5 of 6) | 61 | 68 | 65 | 44 | 74 | 60 | 54 |
mPINC total scores, by state, 2024

Figure Details: The ranges for mPINC total score are categorized by tertiles. State-level scores were not reported for the District of Columbia due to small sample size.
Suggested Citation: Centers for Disease Control and Prevention. 2024 State Scores by Region, ob体育 Survey of Maternity Care Practices in Infant Nutrition and Care. U.S. Dept of Health and Human Services; 2024.