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These trends are inherently linked because the 2 members of the parent\u2010infant dyad are interdependent for their well\u2010being. Several systemic factors contribute to suboptimal health outcomes, including health care siloes under the medical specialization paradigm, multiple care transitions, and lack of care coordination during the postnatal year. Despite the clear positive impact of breastfeeding on parent and child health outcomes, as a dyadic specialty, lactation care does not have an obvious home within the siloed United States health care system. The objective of this article is to propose implementation of a comprehensive dyadic care model for birthing parents and infants during the postnatal year, including a focus on provider\u2010level lactation management. Practical issues, such as clinic workflows, financial sustainability, workforce development solutions, and scope of practice issues are discussed. Midwives are ideally positioned to be leaders in the provision of dyadic perinatal care during the postnatal year, with long\u2010term implications for parent and infant health.<\/jats:p>","DOI":"10.1111\/jmwh.70158","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:16:53Z","timestamp":1784629013000},"page":"869-876","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Comprehensive Dyadic Perinatal Care During the Postnatal Year"],"prefix":"10.1111","volume":"71","author":[{"given":"Katie T.","family":"Kivlighan","sequence":"first","affiliation":[{"name":"College of Nursing University of New Mexico  Albuquerque New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah R.","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Columbia School of Nursing  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Edwardson","sequence":"additional","affiliation":[{"name":"College of Nursing University of New Mexico  Albuquerque New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Burtner","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry, University of Rochester  Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria R.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Stony Brook Medicine  Stony Brook New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Henning","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Sinai Hospital  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Swisher\u2010Rosa","sequence":"additional","affiliation":[{"name":"Boston Medical Center  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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