Toolbox: Dyad Care in Immediate Postpartum

Resources and Tools

To show the list of resources and tools available within each category, click "Click to Expand" under the category subhead. Click on the icon to the left of the resource you wish to download or, in the case of a weblink, be taken to. You can also search our entire library of resources and tools by keyword, category or topic by going to our "Browse All' page


DocumentsDelayed Cord Clamping and S25 Protocol- Baystate Medical Center
This algorithm compliments the policy for delayed cord clamping in term infants from Baystate Medical Center.

Audit Tools

DocumentsDyad Care Audit Tool
Measure and track your progress using evidence-based process and outcome measures.


Clinical Education/Staff Training Resources

DocumentsClinical Challenges To Maintaining Intact Cord
This power point presentation outlines potential challenges to the implementation of delayed cord clamping, highlighting management options.

DocumentsPlacental Transfusion FAQ
Common questions regarding placental transfusion and the relationship to delayed cord clamping are provided in this resource from experts in newborn cord management.

LinkInnovative Approaches to Promoting Breastfeeding
This link provided by the Agency for Healthcare Research and Quality and includes multiple resources and links to assist hospitals and their staff to promote breastfeeding.

Improvement Stories

LinkIncreasing Use of Skin to Skin Immediately After Birth
At Henry Ford Hospital a team of three, a nurse, a neonatal nurse practitioner and a nurse midwife changed practice to make skin to skin the standard of care after all vaginal births.

LinkDelayed Cord Clamping for Selected Cesarean Sections
The High River Hospital Community Maternity Program adopted recommended delayed cord clamping practice for vaginal births, then extended the practice to C/S patients as well, when appropriate.

Model Policies

DocumentsDelayed Cord Clamping Clinical Guideline- Baystate Medical Center
This is a policy for term infants and use of delayed cord clamping from Baystate Medical Center.

DocumentsDaily Care Assessment of Baby After Birth
Hospital policy example focused on how to complete newborn assessments in the immediate period after birth. Assessments include bathing, vitamin K administration, umbilical cord care, etc.) Developed by Calgary Health Region.

DocumentsInfant Feeding Policy-USCF
An Infant Feeding Policy from San Francisco General Hospital, a Baby-Friendly Hospital.

Patient Education/Shared Decision Making

DocumentsSkin to Skin Clinic Handout for Clients
A prenatal education handout promoting skin to skin care for families developed by Henry Ford Hospital.

Position Statements/Related Guidelines/Toolkits

LinkImplementing TJC Care Core Measure Toolkit
This tool kit is provided by the U.S. Breastfeeding Task Force to aid hospitals in implementing the Joint Commission Core Measure on exclusive breastfeeding measure.

LinkImproving Health Care Response to Obstetric Hemorrhage Toolkit
Toolkit resource for improving health care response to obstetric hemorrhage. Developed by the California Maternal Quality Care Collaborative.

LinkImplementing TJC Measure on Exclusive Breastfeeding Toolkit
Link to PDF toolkit that helps to implement the Joint Commission Core Measure on Exclusive Breast Milk Feeding, including evidence-based recommendations, documentation guidelines, and sample audit tools. Created by the United States Breastfeeding Committee (USBC).

LinkMother-Baby Dyad Care Implementation Toolkit (PMCH)INACTIVE
This toolkit from includes evidence-based clinical guidelines, pre-test, training program slide deck, and audit tool. Created by the Provincial Council for Maternal and Child Health (PMCH). BROKEN LINK. Tool made inactive until replacement link is given.

LinkBaby-Friendly Hospital Initiative (BFHI)
The Baby-Friendly Hospital Initiative (BFHI) recognizes and awards birthing facilities that successfully implement the "Ten Steps to Successful Breastfeeding" and the International Code of Marketing of Breast-milk Substitutes. Settings providing maternity care throughout the US and US Territories may earn designation as a Baby-Friendly Hospital by successfully completing a designation program and passing an on-site assessment.

Photo 2011 and provided courtesy of the
American Academy of Nursing, SternerTurner Media


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