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Implementation of Comprehensive Dyadic Perinatal Care During the Postnatal Year
Katie T Kivlighan1, Sarah R Weinstein2, Nicholas Edwardson1
1College of Nursing, University of New Mexico, Albuquerque, New Mexico.
Journal of Midwifery & Women'S Health
|July 21, 2026
Summary
The US faces high rates of maternal and infant health issues post-birth. A comprehensive dyadic care model, integrating lactation support and led by midwives, can improve parent and infant well-being.
Area of Science:
- Public Health
- Maternal-Child Health
- Healthcare Systems
Background:
- High rates of pregnancy-related and infant morbidity/mortality in the US postnatal year.
- Systemic issues like healthcare silos, care transitions, and poor coordination impact parent-infant dyad well-being.
- Lactation care lacks a defined place in the fragmented US healthcare system despite its benefits.
Purpose of the Study:
- To propose a comprehensive dyadic care model for the postnatal year.
- To integrate provider-level lactation management into this model.
- To address practical implementation challenges for this dyadic care approach.
Main Methods:
- Conceptual model proposal.
- Discussion of practical implementation issues: clinic workflows, financial sustainability, workforce development, scope of practice.
- Identification of midwives as leaders in dyadic perinatal care.
Main Results:
- A proposed comprehensive dyadic care model for the postnatal period.
- Identification of key implementation factors for successful integration.
- Midwives identified as optimal leaders for dyadic perinatal care.
Conclusions:
- A comprehensive dyadic care model can address the high burden of postnatal morbidity and mortality.
- Integrating lactation management and coordinated care is crucial for parent-infant well-being.
- Midwives are well-positioned to lead the implementation of dyadic perinatal care.
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