High-risk pregnant women, mothers at risk of postpartum depression, preterm infants (<37 weeks), newborns with feeding difficulties, and infants requiring early intervention follow-up.

The L.I.G.H.T. CARE model provides integrated, continuous care for high-risk mothers and infants from pregnancy through childbirth, postpartum care, and early intervention. The program combines shared decision-making, innovative patented medical devices, SPARC-T holistic assessment, postpartum depression screening, feeding assessment for preterm infants, multidisciplinary teamwork, and digital follow-up through the LINE platform. Premature infants receive continuous developmental monitoring until two years of age, ensuring timely intervention and coordinated care. Standardized clinical pathways, innovative technologies, and digital management improve maternal and infant safety, care quality, patient engagement, and interdisciplinary collaboration. This comprehensive model establishes a safe, innovative, and scalable approach to high-risk maternal and infant care and serves as a benchmark for perinatal nursing practice in Taiwan.

• An innovative L.I.G.H.T. integrated care model for high risk mothers and infants was developed, incorporating five core dimensions and 11 targeted initiatives to establish a replicable and sustainable clinical care framework. This model delivers integrated emotional, humanistic, breastfeeding, and developmental support, creating a safe, reassuring, and compassionate mother-infant care environment.

• By integrating the Edinburgh Postnatal Depression Scale (EPDS) and SPARC-T holistic assessment, the model effectively reduces the positive screening rate for postpartum depression among high risk mothers.

• A LINE based follow up system led by preterm infant case managers improved two-year follow-up rates and enabled early detection and timely intervention through regular clinic visits.

Annual average of 347 high-risk pregnancy visits. Neonatal feeding difficulty positive rate: 22.7%.

Provides integrated care for high-risk mothers and infants from pregnancy to early intervention. Standardized services include SPARC-T holistic assessment, postpartum depression screening, feeding assessment for preterm infants, and multidisciplinary interventions. In 2024, 70 preterm infants received care; 27 required feeding rehabilitation, and all 27 were successfully weaned from nasogastric tubes. The LINE-based follow-up program achieved over 90% completion through two years of age. Three innovative care pathways were standardized with 100% SOP implementation. Overall SOP compliance reached 96.8%. SMART Pump achieved an infusion error rate below 0.01%. Quantitative blood sampling reduced repeat sampling to below 4%, while medication errors remained zero.

• Zero incidents of infant falls related to maternal fatigue were reported.

• Following the implementation of SMART pumps, the rate of medication administration errors was reduced to 0 per 1,000 administrations.

• The improved neonatal identification ankle band, featuring an enhanced Velcro design and barcode-scanning convenience, strengthened patient identification safety, achieving a 100% correct neonatal identification rate.

The patented Safe Breastfeeding Pillow prevents infant falls, improves maternal comfort during breastfeeding, and achieved a 96% satisfaction rate. The IV Catheter Protector secures intravenous lines, prevents accidental dislodgement, reduces skin irritation in newborns, and achieved 100% family satisfaction. More than 100 positive comments were posted by parents of preterm infants on the LINE community and Google Reviews, expressing appreciation for the team's continuous care and follow-up.

L.I.G.H.T. CARE aligned with international perinatal care. Implemented the EPDS postpartum screening tool. Digital LINE follow-up aligned with telehealth practice. SMART PUMP supports international smart infusion standards. Care model benchmarked against international practice.

• L.I.G.H.T. Integrated Care Model：Incorporates five core dimensions and 11 targeted initiatives to provide integrated emotional, humanistic, breastfeeding, and developmental support, enhancing maternal-infant safety and care quality.

• Comprehensive Assessment Integration：Combines SPARC-T holistic assessment, postpartum depression screening, and evaluations of feeding difficulties in preterm infants to deliver high-precision, human-centered care.

• Long-term Follow-up Mechanism：Utilizes a LINE Official Account (LINE OA) based system to track preterm infant development up to two years, establishing an interdisciplinary long-term follow up and psychological support framework that ensures high quality, efficient, and safe nursing care.