Amid these concerns, postpartum care is often fragmented among maternal and pediatric providers, and 20 to 40% of women do not attend a postpartum visit. Rising maternal mortality and morbidity in the US have made this work an even greater priority. Our goal is to bring together mothers, health care providers, and other stakeholders to define what families need most during the 4th Trimester.

Based on the unmet health priorities that stakeholders identify, we will design research studies to deliver optimal care during this critical period, improving outcomes for mothers, infants and families.

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Key questions

Patients: What prenatal, intrapartum, and postpartum support did you find helpful? How do you define successful breast-feeding? What clinical services and support were unhelpful? When you needed help, was it easy to access? Did they receive consistent advice and messaging? What problems were particularly challenging?

Providers: What training have you had regarding management of common breastfeeding challenges? What do you feel comfortable managing? What’s outside your scope? What evidence do you rely on to address your patients’ breastfeeding challenges? What is not known?

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