Hospitals & 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
  • Need for two-hour lactation education for staff following Baby-Friendly designation
  • 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.
  • Includes resources for evaluation of HUG Your Baby in your hospital. 
  • Provides two-hour lactation digital course approved for CERPS (uploaded to your hospital system)
  • Is likely to increase HCAHPS scores and reimbursement to your hospital.

Components of HUG Your Baby for your Hospital:


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

Training for STAFF

  • Birth, Breastfeeding and Beyond, two-hour online course (can be uploaded to your hospital system) includes information to…
    • help parents read baby’s body language in order to prevent and solve problems around baby’s crying, sleeping, and eating
    • help parents appreciate baby’s capabilities
    • help parents understand how baby’s normal development impacts the breastfeeding experience from birth to one year
    • 2 CERPS or 2 Contact Hours credit
    • Click HERE for outline of Birth, Breastfeeding and Beyond online course
  • Innovative Strategies, Tools and Techniques to Help Parents Understand and Care for their Newborn, one-day workshop includes…
    • review of key elements of online course
    • presentation of three dynamic HUG strategies to boost parent confidence, facilitate attachment, and enhance provider-parent communication
    • discussion of case studies
    • “live” encounter with family to demonstrate HUG techniques 
    • 7 hours CERPS or Contact Hours
  • Certified HUG Teacher (CHT) training for nursing, lactation and childbirth education leadership
    • Prerequisites: completion of a one-day live workshop or three online courses
    • CHT course reviews key HUG concepts and resources; document impact of HUG teaching with 4 parents (or 3 parents and one class); and submit short written reflection on HUG Your Baby training
    • Participants receive HUG teaching materials (handouts, video, PowerPoint)
    • 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
      • holding a position whose responsibilities include providing continuing education and staff support
      • completion of CHT training, plus…
      • completion of two-day training with a HUG Trainer
    • HHTs receive 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 
    • Helps parents prevent and solve problems around infant crying, eating, sleeping and attachment
    • Family-friendly language
    • Click HERE to see preview
  • Preparing for Home handout helps parents reflect on information presented in HUG parent video. Nurses can then personalize 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-Newsletter 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 view “The One-Month-Old” E-Newsletter


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 to plan a program that meets YOUR hospital’s specific needs. Discounted fees are available to facilities who will collect and publish research on HUG Your Baby in their facility.

Published Research Using HUG Your Baby:

  • 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]
  • East Asian professors of nursing concluded that a HUG Your Baby intervention group (100+ participants) showed decreased postpartum depression, less anxiety about infant crying, and lower risk for child abuse.[6]
  • Award-winning study confirmed that adding HUG Your Baby materials to a childbirth education class increased new mothers’ breastfeeding intention and self-efficacy compared to a control group.[7]

Other Research Supporting Value of Parenting and Lactation Interventions

  • 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.[8]
  • 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.[9]
  • Effective breastfeeding interventions are associated with increased breastfeeding rates.[10]
  • Teaching about newborn behavior and helping parents see the capabilities of their infant increases mother-child interaction, parent confidence, and involvement of fathers.[11]
  • Video is an effective, efficient way to convey both patient education and continuing professional education content.[12]
  • Greater patient satisfaction is tied to a hospital’s reimbursement and contributes to future use of that hospital’s services.[13]
  • Today’s parents are overwhelmed with information but desire reliable healthcare education after discharge that addresses issues of parent health and adjustment.[14]

HUG Your Baby Reviews and Textbook Inclusions

  • HUG Your Baby enhances understanding of infant cues to extend breastfeeding: Successful statewide training of WIC staff, targeted to help mothers avoid over-reacting to normal developmental events, described and discussed as centerfold of statewide organization’s annual report.[15]
  • HUG Your Baby included in breakout box in best-selling maternal/child textbook: The authors summarize and cite Jan Tedder’s work in Chapter 23 (“Nursing Care of the Newborn and Family”) under the heading, “Helping Parents Recognize, Interpret, and Respond to Newborn Behaviors.”[16]
  • HUG Starter Kit for Professionals: The reviewer recommends the HUG Your Baby parent video, Roadmap handout, and music video lullabies for “Everyone working with pregnant and postpartum families,” concluding that “Overall the HUG Your Baby is well rounded, supportive of breastfeeding, and promotes parent-baby attachment.”[17]
  • International Lactation Consultant Association (ILCA) positively reviews HUG Video: “HUG Your Baby touches on an often-overlooked aspect of breastfeeding: a mother tuning into the specific needs and preferences of her unique baby. This concept may change the way you approach breastfeeding.”[18]

[1] Kadivar, 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.

[2] Hunter, 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.

[3] Alden, 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.

[4] Tedder, 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.

[5] Tedder, J. & Quintana, E. (2018). Online education for WIC professionals: Teaching child development to extend breastfeeding duration. Clinical Lactation 9(3), 108-118.

[6] Lead author: Yoko Shimpuku, Kyoto University School of Nursing. Research completed; write-up, English translation, and peer review in progress (2019).

[7] Molly Rippe, BSN, UNC-Chapel Hill. Research completed, written article in progress (2019).

[8] Brown, A. & Arnott, B. (2014). Breastfeeding Duration and Early Parenting Behaviour: The Importance of an Infant-Led, Responsive Style. PLoS One 9(2), e83893.

[9] Li, 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.

[10] Patnode, 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.

[11] Nugent, 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.

[12] Koch, L. F. (2014). The nursing educator’s role in e-learning: A literature review. Nurse Education Today 34, 1382–1387.

[13] Wagner, D. & Washington, C. (2015). Patient education with postpartum teaching methods. Journal of Perinatal Education 25(2), 129–136.

[14] Henshaw, 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.

[15] New Mexico Department of Health, New Mexico WIC, 2018 Annual Report, 6-7.

[16] Perry, S., Lowdermilk, D., et al (2018). Maternal Child Nursing Care. Sixth Edition. St. Louis, MO: Elsevier, 593.

[17] Reviewed by Karen Meade, BS, MA, RN, IBCLC, RLC, LCCE, CPST (2019). Clinical Lactation 10(2): 88-89.

[18] ILCA, 2014.

© HUG Your Baby 2019