mPINC Surveys Show Texas Hospitals Need Improvement
The CDC’s mPINC survey scores U.S. birth facilities for seven maternity care practice dimensions. Survey results indicate that most birth facilities fall short in providing evidence-based maternity care that is fully supportive of breastfeeding. Texas’s 2011 composite quality practice score was 66 out of 100, placing it in the third quartile of all states.
Strengths in Texas incude staff providing breastfeeding advice and instructions to patients and results indicate facility staff consistently ask about and document mothers’ infant feeding decisions.
The CDC recommends that Texas birth facilities integrate maternity care into related hospital-wide Quality Improvement efforts. In addition, the CDC encourages statewide utilization of the Joint Commission’s Perinatal Care Core Measure Set, which includes exclusive breastfeeding at discharge, in hospital data collection.
Was your hospital one of the nearly 200 Texas birthing facilities that participated in the 2011 CDC mPINC survey?
If so, you should have received benchmark reports from the CDC summarizing your hospital’s self-appraised performance in seven dimensions of maternity care related to breastfeeding support. These confidential reports were mailed to the following staff:
- Survey Respondent
- Hospital Administrator/CEO
- Quality Improvement Director
- Obstetrics Medical Director
- Pediatrics Medical Director
- Mother Baby Nurse Manager
Find information about the survey, benchmark reports, scoring methods and complete references as well as State and national mPINC data HERE.
Texas Women Report on their Maternity Care Experiences
The Texas 2011 WIC Infant Feeding Practices Survey was administered by the Texas Department of State Health Services with new mothers participating in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). The survey examined factors associated with a mother reporting she did not breastfeed as long as she wanted to.
The prevalence of breastfeeding initiation for the sample population was 81.5 percent. More than half of the respondents (54.6 percent) who breastfed said they did not breastfeed for as long as they wanted. Hispanics were most likely, and whites were least likely to meet their personal breastfeeding goals. However, women who reported experiencing Ten Step maternity care practices were more likely to report that they were able to meet their personal breastfeeding goals, even when adjusting for other factors.
Maternity Care Experiences
Although the majority of respondents who initiated breastfeeding reported experiencing certain practices known to be supportive of breastfeeding, more than half said they did not experience evidence-based care practices such as breastfeeding in the first hour postpartum, breastfeeding exclusively during the hospital stay, avoiding the use of pacifiers, and avoiding the marketing of infant formula by facility staff.
How well is your region of Texas performing? Click the links below to find out which region your facility belongs to and learn more about the infant feeding practices in your area!