Related Experiment Video

Updated: Aug 6, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
11:50

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

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
PubMed

Insights

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.

Keywords:
breastfeedingdyadhealth care workforceinfantlactationmidwifemortalityparentpostpartumprimary care

Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...