Relationship-Centered Care in a Novel Dual-Visit Model COVID Nursery Follow-Up Clinic

Area of Science:

• Neonatal care
• Maternal-fetal medicine
• Infectious disease epidemiology

Background:

• The COVID-19 pandemic necessitated adaptations in healthcare delivery, particularly for vulnerable populations.
• Infants born to mothers with SARS-CoV-2 infection require specialized follow-up care.
• Traditional in-person visits pose challenges for some mother-infant dyads.

Observation:

• Establishment of the COVID Nursery Follow-Up Clinic at an academic medical center in New York City.
• Development of a novel dual-visit model integrating telehealth and in-person evaluations.
• Addressing the need for medically necessary in-person assessments for infants when mothers face barriers to traditional visits.

Findings:

• The dual-visit model facilitates timely and inclusive care for the mother/infant couplet.
• Telehealth components enable remote monitoring and initial assessments.
• In-person visits are strategically utilized for essential medical evaluations, ensuring infant well-being.
• This model supports relationship-centered care despite logistical challenges.

Implications:

• This innovative model can serve as a template for managing high-risk infant follow-up during public health crises.
• It demonstrates the feasibility of hybrid care models in neonatal settings.
• Enhances accessibility and continuity of care for mother-infant dyads facing unique circumstances.
• Promotes relationship-centered care delivery in challenging healthcare environments.