Hospitals and HUG Your Baby

Today’s hospitals face the often overwhelming task of providing efficient, evidence-based education for maternity patients. HUG Your Baby is here to help:

  • PROMOTE BABY-FRIENDLY CARE AND EDUCATION:– mother is  prepared to meet WHO recommendations and her own breastfeeding goals
  • ENHANCE ‘READINESS FOR DISCHARGE’ – mother views herself as ready to care for self and baby
  • FACILITATE ‘RESPONSIVE PARENTING’ – parents are able to understand and respond appropriately to baby’s behavior
  • EXEMPLIFY ANCC MAGNET GOALS– nurses are empowered to lead, develop and assess innovative and effective programs

Challenges facing today’s hospitals include . . .

  • Shortened hospital stays
  • Decreased attendance of patients at prenatal, breastfeeding, and childbirth classes
  • Diversity of patients’ education, culture, family constellation
  • Importance of HCAHPS scores, which are tied to Medicaid reimbursement. Scores reflect patients’ satisfaction with hospital staff’s ability:
    • to give information in a way that mothers understand;
    • to prepare mothers to care for themselves and their babies after discharge.

Benefits of HUG Your Baby Training and Resources

  • Provides multicultural/inclusive images and family-friendly language.
  • Reinforces Baby-Friendly, “Readiness for Discharge” and “Responsive Parenting” guidelines.
  • Provides resources for evaluation of HUG Your Baby in your hospital. Click Research Resources to access resources.
  • Is likely to increase HCAHPS scores and reimbursement to hospital.

Components of HUG Your Baby for your Hospital

(Choose one or all of the following HUG training and resources.)

 

Training for STAFF

  • One-Day workshop (Innovative Strategies, Tools and Techniques to Help Parents Understand and Care for their Newborn) includes information:
    • on needs of today’s young families
    • to help parents understand infant behavior
    • to prevent and solve problems around baby’s crying and sleeping
    •  to promote breastfeeding duration by reviewing Roadmap to Breastfeeding Success 
    • to boost parent confidence and enhance provider-parent communication with HUG Your Baby Strategies
    • to facilitate learning using case studies and demonstration of HUG techniques with a real family
    • 6 hours CERPS or Contact Hours for staff who attend
  • Basic two-hour online training (Birth, Breastfeeding and Beyond) for those unable to attend one-day workshop. Includes:
    • overview of basic information on newborn behavior and Roadmap described above
    • 2 CERPS or 2 Contact Hours credit
    • Click HERE for outline of Birth, Breastfeeding and Beyond online course
  • Certified HUG Teacher (CHT) training for staff who teach childbirth and breastfeeding education, and new parenting classes. Basic CHT coursework included in the one-day workshop. Certification involves:
    • Completion of the one-day workshop
    • Documenting and submitting: how they used HUG resources and techniques with 4 parents, or 3 parents and a parent class; and a reflection on their process of HUG Your Baby training
    • Participants are given teaching materials (handouts, DVD, powerpoint)
    • CHT certificate provided, confirming 6 Contact Hours credit
  • Hospital HUG Trainers (HHT) for clinical leaders wishing to champion implementation of the HUG program and to provide program sustainability.
    • Pre-requisites include: experience in adult learning; confirmation as an effective trainer; holding a position to provide continuing education and staff support in the hospital; completion of Birth, Breastfeeding and Beyond and Certified HUG Teacher training; and 2 additional days of HHT training.
    • HHTs are given resources to offer a HUG one-day workshop, to facilitate ongoing staff training, and quarterly conference-call support with the HUG developer for one year.

Education for PARENTS

  • 20-minute parent education video can be uploaded to your hospital’s newborn channel or to patient tablets
    • Available in ENGLISH and SPANISH
    • Winner of National Health Information Award 
    • Information to help parents prevent and solve problems around infant crying, eating, sleeping and attachment
    • Family-friendly language
    • Click HERE to see preview
  • HUG Your Baby and You! handout helps parents in the hospital reflect on information presented in HUG parent video. Nurses can then personalized teaching based on parents’ questions about THEIR newborn.

  • Roadmap to Breastfeeding Success handout at discharge helps mothers  anticipate how upcoming changes in baby’s development may impact their breastfeeding experience (birth to one year)
  • HUG E-Newsletters Series after discharge
    • Offers information and video links about breastfeeding, and baby’s growth and development, over the next year
    • Newsletters arrive weekly for 12 weeks, then monthly until one year
    • Distributed by Constant Contact, a HIPPA-Certified newsletter distribution company
    • Click HERE to see sample E-Newsletter (for 2-week-old)
    • Click HERE to see sample E-Newsletter (for 4-month-old)

Research Results of Using HUG Your Baby (See bibliography below.)

  • NICU fathers increased their knowledge of infant behavior.1
  • Postpartum mothers in a SCN (Special Care Nursery) demonstrated decreased maternal stress and increased maternal confidence.2
  • Student nurses increased their ability and confidence to: recognize infant behaviors, interpret those behaviors, and teach parents to respond appropriately to their infant.3
  • Childbirth educators, doulas and nurses reported that the HUG online course offered important tools and strategies for teaching parents about newborn behavior.4
  • Breastfeeding peer counselors taking a HUG digital course demonstrated increased knowledge of how child development impacts breastfeeding, expressed a stronger intention to teach parents about normal child behavior, and reported greater confidence to do so.5

Other research and literature on value of teaching about infant behavior (See bibliography below.)

    • Teaching “Responsive Parenting”–the ability to read and respond appropriately to a baby’s body language and behaviors–reduces the BMI of children at one and three years old.6
    • Misinterpreting a baby’s normal behaviors, or viewing a baby as “not satisfied,” causes women to add formula, begin solids prematurely, or abandon breastfeeding altogether.7
    • Effective breastfeeding interventions are associated with increased breastfeeding rates.8
    • Teaching about newborn behavior and helping parents see the capabilities of their infant increases mother-child interaction, parent confidence, and involvement of fathers.9
    • Video is an effective, efficient way to convey both patient education and continuing professional education content.10
    • Greater patient satisfaction is tied to a hospital’s reimbursement and contributes to future use of that hospital’s services.11
    • Today’s parents are overwhelmed with information but desire reliable healthcare education after discharge that addresses issues of parent health and adjustment.12

Fees

Click Fee Schedule for a general description of fees. However, because organizations vary in their financial resources, their educational goals, and the number of patients served, contact Jan Tedder at jan@hugyourbaby.org to plan a program to meet YOUR hospital’s specific needs. Discount fees are available to facilities who will collect and publish research on HUG Your Baby in their facility.

Bibliography

1Kadivar, M., Mozafarinia, M. (2013). Supporting fathers in a NICU: Effects of the HUG Your Baby program on father’s understanding of preterm infant behavior. Journal of Perinatal Education 22(2): 113-119.
2Hunter, L., Blake, S., Simmons, C. & Derouin, A. (2018). Implementing a parent education program in the Special Care Nursery. Journal of Pediatric Health Care XX, 1-7.
3Alden, K. (2018). A Web-based Module to Enhance BSN Students’ Knowledge and Confidence in Teaching Parents about Newborn Behavior. Journal of Perinatal Education 27(2), 104-114.
4Tedder, J. (2012). Teaching for Birth and Beyond: Online program incorporated into a birthing and parenting certification. International Journal of Childbirth Education 27(3): 65-68.
5Tedder, J. & Quintana, E. (2018). Online education for WIC professionals: Teaching child development to extend breastfeeding duration. Clinical Lactation 9(3), 108-118.
6Brown, A. & Arnott, B. (2014). Breastfeeding Duration and Early Parenting Behaviour: The Importance of an Infant-Led, Responsive Style. PLoS One 9(2),e83893.
7Li, R., Fein, S., Chen, J., Grummer-Strawn, L. (2008). Why mothers stop breastfeeding: Mothers’ self-reported reasons for stopping during the first year. Pediatrics 122:S69-76.]
8Patnode, C., Henninger, M., Senger, C., Perdue, L. & Whitlock, E. (2016). Interventions to support breastfeeding: Updated evidence report and systematic review for the US Preventive Services Task Force. Journal of American Medical Association 316(16):1694-1705.
9Nugent, K., Keefer, C., Minear, S., Johnson, L. (2007). Understanding newborn behavior and early relationships: The Newborn Behavioral Observation System Handbook. Baltimore: Paul H Brookes Pub Co.
10Koch, L. F. (2014). The nursing educator’s role in e-learning: A literature review. Nurse Education Today 34(2014), 1382–1387.
11Wagner, D. & Washington,C. (2015). Patient education with postpartum teaching methods. Journal of Perinatal Education 25(2), 129–136.
12Henshaw, E., Cooper, M., Jaramillo, M., Lamp, J., Jones, A. & Wood, T. (2018). “Trying to figure out if you’re doing things right, and where to get the info”: Parents recall information and support needed during the first 6 weeks postpartum. Maternal Child Health Journal 22(11), 1668-1775.

© HUG Your Baby 2019