Dyadic Care Interventions and Outcomes for Mothers and Their Infants: A Scoping Review
Molly E McAdow1, Josefa L Martinez-Brockman2, Alyssa A Grimshaw3
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, Yale University, New Haven, Connecticut.
Maternal-infant dyadic care models streamline services, potentially reducing postpartum complications. This review identifies 10 models, highlighting home visits and improved maternal mental health and infant outcomes.
Area of Science:
- Maternal and Child Health
- Healthcare Delivery Models
- Public Health Interventions
Background:
- Simultaneous care for mothers and infants (dyadic care) shows promise in reducing postpartum morbidity and mortality.
- Existing literature presents a wide range of implemented dyadic care models globally.
- Understanding these models is crucial for optimizing postpartum care strategies.
Purpose of the Study:
- To conduct a scoping review of maternal-infant dyadic care models implemented worldwide.
- To summarize the outcomes measured in studies of dyadic care interventions.
- To identify opportunities for future research and clinical practice in maternal-infant dyadic care.
Main Methods:
- A comprehensive literature search was performed across 8 databases up to December 24, 2024.
- Included studies focused on interventions providing simultaneous care for mother and infant within one year postpartum.
- Studies were excluded if they evaluated standard care or were purely educational.
Main Results:
- 117 studies from 28 countries identified 10 distinct dyadic care models.
- Home visits by medical professionals were the most frequently studied model.
- Commonly assessed outcomes included maternal mental health, infant rehospitalization, and breastfeeding rates, with varied efficacy reported.
Conclusions:
- Dyadic care interventions present a significant opportunity to enhance healthcare delivery for mothers and infants.
- These models can improve trust between families and healthcare providers.
- Implementing dyadic care holds potential for improving health outcomes throughout the life course.
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