Postpartum care for parent–infant dyads: A community midwifery model.

Introduction: Postpartum health is in crisis in the United States, with rising pregnancy‐related mortality and worsening racial inequities. The World Health Organization recommends four postpartum visits during the 6 weeks after childbirth, yet standard postpartum care in the United States is generally one visit 6 weeks after birth. We present community midwifery postpartum care in the United States as a model concordant with World Health Organization guidelines, describing this model of care and its potential to improve postpartum health for birthing people and babies. Methods: We conducted semi‐structured interviews with 34 community midwives providing care in birth centers and home settings in Oregon and California. A multidisciplinary team analyzed data using reflexive thematic analysis. Results: A total of 24 participants were Certified Professional Midwives; 10 were certified nurse‐midwives. A total of 14 midwives identified as people of color. Most spoke multiple languages. We describe six key elements of the community midwifery model of postpartum care: (1) multiple visits, including home visits; typically five to eight over six weeks postpartum; (2) care for the parent–infant dyad; (3) continuity of personalized care; (4) relationship‐centered care; (5) planning and preparation for postpartum; and (6) focus on postpartum rest. Conclusion: The community midwifery model of postpartum care is a guideline‐concordant approach to caring for the parent–infant dyad and may address rising pregnancy‐related morbidity and mortality in the United States. [ABSTRACT FROM AUTHOR]