Nutrition, Physical Activity, and Obesity
In 2011, New York had a birth facility score of 73 out of a possible 100 (22).
The US Surgeon General recommends that maternity care practices throughout the United States fully support breastfeeding (14). A review of evidence by the Cochrane Collaboration found that institutional changes in maternity care practices effectively increased breastfeeding initiation and duration rates (23). CDC’s National Survey of Maternity Practices in Infant Nutrition and Care assesses and scores the extent to which hospitals and birth centers implement multiple evidence-based strategies that support breastfeeding (22).
Definitions: Average birth facility score for breastfeeding support: The state birth facility score for breastfeeding represents the average score across participating birth facilities in a state. Each participating birth facility, based on its response to a self-administered survey, was scored on multiple evidence-based practices that support breastfeeding across seven categories: 1) labor and delivery, 2) breastfeeding assistance, 3) mother-newborn contact, 4) newborn feeding practices, 5) breastfeeding support after discharge, 6) nurse/birth attendant breastfeeding training and education, and 7) structural and organizational factors related to breastfeeding (22). The total score can range from 0 to 100, with a higher score representing more support. The national average score across all states was 70.
Average birth facility score for breastfeeding support
State average birth facility score for breastfeeding support:
Simplified Rating System
A more detailed explanation of the rating system for nutrition, physical activity, and obesity is available at http://www.cdc.gov/stltpublichealth/psr/npao/.
The policy or practice is established in accordance with supporting evidence and/or expert recommendations or is widely implemented.
The policy or practice is established in partial accordance with supporting evidence and/or expert recommendations or is not as widely implemented as at the green rating level.
The policy or practice is either absent or not established in accordance with supporting evidence and/or expert recommendations or is not widely implemented.