Table 6.1b: Breastfeeding education of new staff by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2011
	How many hours of breastfeeding education do new nurses/birth attendants receive
	None	<1	1-3	4-7	8-17	18 or more	Not sure	N
All	5.8	9.7	27.9	20.8	18.9	12.2	4.7	2719
State
AK	10.0	5.0	20.0	15.0	20.0	5.0	25.0	20
AL	4.3	6.5	41.3	17.4	15.2	8.7	6.5	46
AR	3.6	28.6	39.3	14.3	10.7	0.0	3.6	28
AZ	12.5	7.5	17.5	32.5	25.0	5.0	0.0	40
CA	5.0	6.9	17.0	15.1	23.9	27.1	5.0	218
CO	6.3	8.3	31.3	20.8	22.9	10.4	0.0	48
CT	4.2	4.2	12.5	16.7	20.8	37.5	4.2	24
DC	0.0	0.0	40.0	0.0	20.0	20.0	20.0	5
DE	0.0	0.0	66.7	16.7	16.7	0.0	0.0	6
FL	4.5	12.4	31.5	24.7	6.7	11.2	9.0	89
GA	6.7	8.0	42.7	24.0	12.0	1.3	5.3	75
HI	14.3	14.3	14.3	28.6	14.3	14.3	0.0	7
IA	5.6	12.7	38.0	19.7	15.5	5.6	2.8	71
ID	7.4	7.4	33.3	11.1	29.6	7.4	3.7	27
IL	1.9	9.3	33.3	21.3	19.4	10.2	4.6	108
IN	6.5	9.8	31.5	25.0	14.1	9.8	3.3	92
KS	9.8	16.4	27.9	16.4	18.0	4.9	6.6	61
KY	6.7	17.8	33.3	20.0	20.0	2.2	0.0	45
LA	8.0	10.0	24.0	30.0	22.0	6.0	0.0	50
MA	2.2	0.0	10.9	23.9	30.4	30.4	2.2	46
MD	3.3	6.7	26.7	40.0	13.3	10.0	0.0	30
ME	0.0	19.2	7.7	15.4	11.5	38.5	7.7	26
MI	5.2	11.7	22.1	29.9	20.8	7.8	2.6	77
MN	6.7	16.9	34.8	16.9	15.7	6.7	2.2	89
MO	7.9	12.7	27.0	20.6	17.5	12.7	1.6	63
MS	13.6	27.3	36.4	4.5	9.1	9.1	0.0	22
MT	10.7	7.1	28.6	14.3	7.1	17.9	14.3	28
NC	5.1	6.4	17.9	37.2	19.2	10.3	3.8	78
ND	9.1	0.0	18.2	36.4	9.1	18.2	9.1	11
NE	8.5	19.1	42.6	8.5	8.5	8.5	4.3	47
NH	0.0	4.8	9.5	14.3	4.8	52.4	14.3	21
NJ	2.3	6.8	27.3	15.9	22.7	20.5	4.5	44
NM	15.4	19.2	26.9	7.7	11.5	3.8	15.4	26
NV	20.0	0.0	40.0	20.0	13.3	6.7	0.0	15
NY	0.9	0.9	29.0	18.7	24.3	21.5	4.7	107
OH	3.2	8.6	32.3	24.7	21.5	6.5	3.2	93
OK	10.2	16.3	24.5	10.2	26.5	6.1	6.1	49
OR	1.9	9.4	22.6	28.3	17.0	13.2	7.5	53
PA	5.5	5.5	25.3	31.9	23.1	5.5	3.3	91
PI	0.0	40.0	40.0	20.0	0.0	0.0	0.0	5
PR	14.3	14.3	57.1	0.0	0.0	14.3	0.0	7
RI	0.0	0.0	16.7	0.0	66.7	16.7	0.0	6
SC	5.3	10.5	36.8	18.4	13.2	10.5	5.3	38
SD	5.0	15.0	35.0	20.0	20.0	5.0	0.0	20
TN	1.7	8.3	45.0	25.0	8.3	8.3	3.3	60
TX	9.8	11.6	20.0	18.1	23.3	13.0	4.2	215
UT	2.4	2.4	34.1	17.1	31.7	4.9	7.3	41
VA	7.0	9.3	30.2	18.6	18.6	9.3	7.0	43
VT	10.0	20.0	20.0	0.0	30.0	10.0	10.0	10
WA	3.0	7.6	25.8	18.2	21.2	13.6	10.6	66
WI	3.5	4.7	27.9	25.6	22.1	10.5	5.8	86
WV	14.3	14.3	39.3	7.1	10.7	10.7	3.6	28
WY	11.1	0.0	22.2	33.3	0.0	22.2	11.1	18

Table 6.2b: Annual breastfeeding education of current staff by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2011
	How many hours of breastfeeding education current nurses/birth attendants received in past year
	None	<1	1-2	3-4	5 or more	Not sure	N
All	4.0	15.0	37.4	18.1	18.0	7.5	2729
State
AK	10.0	10.0	45.0	5.0	5.0	25.0	20
AL	2.2	8.7	43.5	17.4	15.2	13.0	46
AR	7.1	32.1	25.0	21.4	7.1	7.1	28
AZ	5.0	10.0	22.5	25.0	32.5	5.0	40
CA	2.8	7.3	36.7	20.2	26.6	6.4	218
CO	4.2	20.8	39.6	18.8	14.6	2.1	48
CT	0.0	4.2	20.8	33.3	37.5	4.2	24
DC	0.0	0.0	40.0	0.0	40.0	20.0	5
DE	0.0	0.0	66.7	16.7	16.7	0.0	6
FL	5.6	11.2	43.8	18.0	11.2	10.1	89
GA	2.7	13.3	33.3	32.0	10.7	8.0	75
HI	0.0	0.0	0.0	42.9	42.9	14.3	7
IA	1.4	16.9	45.1	19.7	9.9	7.0	71
ID	0.0	7.4	44.4	11.1	22.2	14.8	27
IL	1.8	20.2	47.7	15.6	10.1	4.6	109
IN	3.3	21.7	41.3	18.5	14.1	1.1	92
KS	6.6	21.3	42.6	11.5	14.8	3.3	61
KY	13.6	13.6	36.4	6.8	20.5	9.1	44
LA	0.0	3.9	47.1	33.3	11.8	3.9	51
MA	0.0	8.9	22.2	31.1	33.3	4.4	45
MD	0.0	16.7	36.7	23.3	20.0	3.3	30
ME	0.0	7.4	33.3	33.3	11.1	14.8	27
MI	6.5	19.5	41.6	11.7	13.0	7.8	77
MN	2.2	27.0	29.2	13.5	20.2	7.9	89
MO	7.8	20.3	40.6	15.6	10.9	4.7	64
MS	13.6	31.8	31.8	13.6	4.5	4.5	22
MT	10.7	17.9	28.6	7.1	28.6	7.1	28
NC	5.1	2.6	35.9	25.6	23.1	7.7	78
ND	9.1	0.0	63.6	27.3	0.0	0.0	11
NE	2.1	25.5	38.3	10.6	4.3	19.1	47
NH	0.0	4.8	42.9	14.3	28.6	9.5	21
NJ	2.3	6.8	40.9	15.9	31.8	2.3	44
NM	11.5	11.5	30.8	15.4	19.2	11.5	26
NV	20.0	13.3	40.0	6.7	20.0	0.0	15
NY	0.9	5.6	40.2	19.6	29.0	4.7	107
OH	0.0	21.5	41.9	9.7	21.5	5.4	93
OK	8.2	18.4	26.5	14.3	22.4	10.2	49
OR	1.9	18.9	32.1	18.9	15.1	13.2	53
PA	2.2	23.9	40.2	13.0	7.6	13.0	92
PI	40.0	0.0	40.0	0.0	0.0	20.0	5
PR	0.0	14.3	14.3	71.4	0.0	0.0	7
RI	0.0	0.0	66.7	16.7	16.7	0.0	6
SC	5.3	18.4	34.2	31.6	7.9	2.6	38
SD	10.0	30.0	35.0	10.0	15.0	0.0	20
TN	5.0	21.7	46.7	11.7	8.3	6.7	60
TX	5.9	14.6	26.0	19.2	23.7	10.5	219
UT	2.4	11.9	31.0	16.7	23.8	14.3	42
VA	6.8	15.9	43.2	9.1	18.2	6.8	44
VT	0.0	20.0	40.0	10.0	30.0	0.0	10
WA	3.0	12.1	37.9	13.6	21.2	12.1	66
WI	2.3	14.9	43.7	23.0	13.8	2.3	87
WV	7.1	17.9	39.3	10.7	14.3	10.7	28
WY	5.6	11.1	44.4	22.2	5.6	11.1	18

Table 6.3b: Coverage of breastfeeding education by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2011
	How many nurses/birth attendants received breastfeeding education in past year
	Few	Some	Many	Most	Not sure	N
All	12.6	18.5	16.1	50.5	2.2	2730
State
AK	25.0	20.0	10.0	35.0	10.0	20
AL	13.0	21.7	15.2	45.7	4.3	46
AR	32.1	17.9	14.3	32.1	3.6	28
AZ	7.5	12.5	15.0	65.0	0.0	40
CA	7.4	12.4	18.4	60.4	1.4	217
CO	16.7	10.4	14.6	58.3	0.0	48
CT	4.2	16.7	12.5	66.7	0.0	24
DC	0.0	0.0	20.0	80.0	0.0	5
DE	0.0	16.7	0.0	83.3	0.0	6
FL	8.0	23.9	14.8	51.1	2.3	88
GA	6.7	24.0	22.7	45.3	1.3	75
HI	14.3	28.6	28.6	28.6	0.0	7
IA	8.5	21.1	26.8	40.8	2.8	71
ID	3.7	25.9	22.2	48.1	0.0	27
IL	11.9	17.4	16.5	53.2	0.9	109
IN	7.6	15.2	7.6	69.6	0.0	92
KS	19.7	34.4	18.0	27.9	0.0	61
KY	20.0	17.8	15.6	44.4	2.2	45
LA	7.8	15.7	23.5	52.9	0.0	51
MA	2.2	6.5	2.2	87.0	2.2	46
MD	6.7	23.3	20.0	46.7	3.3	30
ME	7.4	18.5	3.7	66.7	3.7	27
MI	15.6	13.0	18.2	51.9	1.3	77
MN	18.0	23.6	13.5	42.7	2.2	89
MO	18.8	23.4	21.9	35.9	0.0	64
MS	27.3	31.8	13.6	22.7	4.5	22
MT	25.0	14.3	14.3	39.3	7.1	28
NC	12.8	17.9	10.3	56.4	2.6	78
ND	9.1	9.1	18.2	63.6	0.0	11
NE	22.9	27.1	14.6	31.3	4.2	48
NH	4.8	4.8	23.8	61.9	4.8	21
NJ	4.5	13.6	15.9	65.9	0.0	44
NM	23.1	15.4	26.9	30.8	3.8	26
NV	33.3	20.0	0.0	46.7	0.0	15
NY	3.7	19.4	21.3	53.7	1.9	108
OH	8.6	14.0	14.0	62.4	1.1	93
OK	14.3	24.5	16.3	40.8	4.1	49
OR	5.7	26.4	18.9	47.2	1.9	53
PA	13.0	19.6	15.2	47.8	4.3	92
PI	60.0	0.0	20.0	20.0	0.0	5
PR	14.3	14.3	57.1	14.3	0.0	7
RI	0.0	33.3	16.7	50.0	0.0	6
SC	23.7	10.5	13.2	50.0	2.6	38
SD	30.0	25.0	15.0	30.0	0.0	20
TN	21.7	11.7	16.7	48.3	1.7	60
TX	12.9	18.0	13.8	49.8	5.5	217
UT	16.7	19.0	21.4	40.5	2.4	42
VA	18.2	9.1	20.5	52.3	0.0	44
VT	20.0	20.0	30.0	30.0	0.0	10
WA	10.4	26.9	16.4	44.8	1.5	67
WI	6.9	20.7	8.0	63.2	1.1	87
WV	25.0	28.6	14.3	28.6	3.6	28
WY	38.9	22.2	11.1	22.2	5.6	18

Table 6.4b: Competency testing by state
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)-2011
	How often are nurses/birth attendants assessed for competency in breastfeeding management & support
	At least once a year	Less than once a year	Not assessed	N
All	54.9	13.4	31.8	2725
State
AK	35.0	25.0	40.0	20
AL	73.9	15.2	10.9	46
AR	35.7	25.0	39.3	28
AZ	55.0	20.0	25.0	40
CA	66.1	14.7	19.3	218
CO	70.8	10.4	18.8	48
CT	66.7	16.7	16.7	24
DC	60.0	0.0	40.0	5
DE	66.7	16.7	16.7	6
FL	67.4	3.4	29.2	89
GA	58.7	10.7	30.7	75
HI	42.9	14.3	42.9	7
IA	37.1	12.9	50.0	70
ID	44.4	11.1	44.4	27
IL	53.2	18.3	28.4	109
IN	51.1	14.1	34.8	92
KS	32.8	14.8	52.5	61
KY	53.3	6.7	40.0	45
LA	74.5	5.9	19.6	51
MA	84.8	4.3	10.9	46
MD	66.7	16.7	16.7	30
ME	65.4	7.7	26.9	26
MI	44.2	22.1	33.8	77
MN	40.9	19.3	39.8	88
MO	46.9	12.5	40.6	64
MS	28.6	14.3	57.1	21
MT	32.1	14.3	53.6	28
NC	65.4	7.7	26.9	78
ND	72.7	18.2	9.1	11
NE	25.0	20.8	54.2	48
NH	66.7	14.3	19.0	21
NJ	77.3	6.8	15.9	44
NM	42.3	11.5	46.2	26
NV	40.0	0.0	60.0	15
NY	68.2	11.2	20.6	107
OH	64.5	14.0	21.5	93
OK	46.9	16.3	36.7	49
OR	46.2	23.1	30.8	52
PA	46.2	10.8	43.0	93
PI	60.0	20.0	20.0	5
PR	85.7	14.3	0.0	7
RI	50.0	16.7	33.3	6
SC	50.0	15.8	34.2	38
SD	35.0	25.0	40.0	20
TN	58.3	18.3	23.3	60
TX	57.3	7.8	34.9	218
UT	52.5	12.5	35.0	40
VA	52.3	13.6	34.1	44
VT	10.0	20.0	70.0	10
WA	50.0	13.6	36.4	66
WI	54.0	13.8	32.2	87
WV	35.7	17.9	46.4	28
WY	33.3	11.1	55.6	18