birth centers in the U.S. that provide maternity care were invited to participate. This report describes specific opportunities to improve mother-baby care at hospitals and birth centers in Nebraska in order to more successfully meet national quality of care standards for perinatal care. For more information about the mPINC survey, visit www.cdc.gov/mpinc Changes in Maternity Care Practices Improve Breastfeeding Rates Breastfeeding provides optimal nutrition for infants and is associated with decreased risk for infant morbidity and mortality as well as maternal morbidity. 1 Maternity practices in hospitals and birth centers can influence breastfeeding behaviors during a period critical to successful establishment of lactation. 2 The literature, including a Cochrane review, found that institutional changes in maternity care practices to make them more supportive of breastfeeding increased initiation and duration of breastfeeding. 3Strengths in Breastfeeding Support in Nebraska Facilitie
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