Nuova Insegnante Certifcata Hug Inwards Italia (Genoa)

TERESA-LIN SIMONAZZI DE LORENZO, Midwife, Genoa, Italy.

Il programma HUG mi ha permesso di arricchire il mio bagaglio culturale e professionale con grande entusiasmo! In qualità di Ostetrica entro a far parte delle famiglie inward un percorso che parte dalla gravidanza e arriva fino a qualche mese dopo il parto e mi rendo conto di quanto sia utile prima di tutto imparare a utilizzare un linguaggio e un comportamento “sensibili” per aiutare la madre e il padre a comprendere il loro bambino;per sostenere al meglio i genitori nel processo di empowerment. Quello che mi è stato utile, infatti, è stato avere a disposizione nuovi strumenti. Le coppie che seguo spesso chiedono un supporto pratico ma anche emotivo, un aiuto concreto nella quotidianità pigeon il linguaggio del bambino appare quasi un mistero e cercano risposte chiare; ovviamente poi sono stimolati a trovare da sé le risposte e la fiducia inward loro stessi e nel proprio figlio. Con un linguaggio semplice e ricco di informazioni, hug permette a tutti una comprensione ed è uno strumento facilitante nel processo di conoscenza tra madre-padre-bambino. Questo è l'aspetto che più mi ha colpito: la soddisfazione della madre e lo stupore nel vedere ciò di cui il suo piccolo e lei stessa sono capaci di fare e di come upwards riescano a comunicare inward modo amorevole, armonioso e non stressante. Ho già messo inward atto le strategie hug sia durante gli incontri di gruppo sia durante le visite a domicilio, come upwards parte integrante del mio lavoro e del linguaggio che utilizzo per relazionarmi con le persone alle quali offro il mio sostegno. Una mamma afferma mentre gioca con la sua bambina facendole osservare un oggetto: “Guarda l'ostetrica cosa ci fa scoprire! E' bellissimo vedere ciò che sei già capace di fare!”

New Certified Hug Instructor Shares Her Hug Reflections

Tamar Dodenhoff, who serves families inward Calgary, Alberta Canada portion her journeying through the HUG Your Baby Certification process.  

The Strategies in addition to content are rattling informative, good thought out, in addition to extremely helpful when facing the challenges of agreement newborns in addition to older babies amongst their parents. The simplicity of the content gives clarity to the evolution in addition to behavioural issues of the baby, in addition to why they comport the agency they create during the unlike months of their lives. For myself, later on learning close the Zones, the SOS, in addition to eating in addition to slumber patterns, it became then clear to me that babies select a linguistic communication that needs to locomote deciphered, in addition to specially past times the people who dear them the most...the parents. Being able to fill upwards the gap betwixt babe in addition to bring upwards has been rewarding. Through the observing, listening, conversing, broadcasting in addition to commenting, these tools select proven beneficial inward bringing parents to a improve awareness of their baby's evolution in addition to behaviour. Parents grow in addition to larn close newborns in addition to their changes, they themselves outset to alter in addition to accommodate to their baby's ways, in addition to they outset to interact in addition to bring out their babe inward novel ways. And this happens because someone comes along side them in addition to creates an informative back upwards tool. ..The Hug.

A mutual circumstance I came across during a take in amongst a bring upwards - the tangling thought of expectations. Expecting the babe to locomote alone, slumber a for sure total of hours, feed inside a given total of time, in addition to locomote happy when seat down. The occupation hither was the Internet. It was the feel that her babe needed to “perform” but similar the other Internet babies she had read about. It became clear to me, later on observing the mother/baby human relationship for a expert hour, that the expectations hindered the tending giving. The expectations added an extra stress. It was crucial that Mom had to relax. Mom had to persuasion her babe equally her unique child. Mom had to hear close the abilities in addition to corking interactions she could select amongst her personal child, in addition to to bring out the many self calming behaviours her babe was exhibiting. At iii months onetime her babe was underweight in addition to needed to locomote woken upwards at dark to feed. It wasn't fourth dimension to slumber through the dark yet. The hunger for stimulation of all kinds was evident. Baby wanted to expression in addition to hear something inward her Ready state: the calming vocalization of woman bring upwards or father, prevarication past times the window in addition to expression outside, head to a familiar vocal or music track, or focus on the displace of a mobile. Most importantly mom had to realize that her babe could acquire to slumber later on a feeding in addition to “Play.” Swaddling in addition to swaying her to slumber seemed to locomote a corking comfort for her equally the begetter took accuse of this placidity time. Mom grasped at all these novel observations in addition to said she was refreshed in addition to encouraged to tending for her kid inward novel ways. And it wasn't close comparison i babe to another, but rather looking at that i babe in addition to reading its needs, in addition to learning close what worked for her inward that unique family.

As I said to that mom in addition to other moms, “It's all close bonding” - non spoiling. It's all close agreement the trivial private you've been given. The Hug creates a similar a shot forwards approach to assist parents bond amongst their child. In the relationships I come upwards across,while integrating the Hug, it is vital for me to exit something good, practical, in addition to encouraging behind me: unproblematic in addition to understandable for the parents.

An Evidence-Based Strategy For Pedagogy Professionals Inwards A Community Setting How To Assistance Parents Empathise The Linguistic Communication Of Their Newborn

HUG Your Baby: An Evidence-Based Strategy

for Teaching Professionals inwards a Community Setting How to Help Parents Understand the Language of their Newborn (2013)

By Gale Touger, BSN, FNP, IBCLC too Maryam Mozafarinia, MSN, BSN

The role of this study was to produce upwards one's heed if HUG Your Baby’s one-day community-wide preparation increases the cognition too confidence of professionals providing outpatient, community-based attention to parents nigh a newborn’s eating, crying, sleeping too parent-child interaction.   

Introduction

Gale Touger teaching inwards Dominican Republic

Traditionally, nurture teaching came primarily inwards the cast of information passed from ane generation to another. However, today’s novel parents facial expression upwards challenges inwards information delivery. Such challenges include: living apart from extended family; parents working full-time; difficulty attention prenatal educational classes; too curt infirmary stays.

Early teaching matters. Neurons to Neighborhoods: The Science of Early Childhood Development describes the get down twelvemonth of life every bit a menstruum of neural plasticity too rapid adjustment to stimuli that allow the infant’s encephalon to develop to its maximum potential or not, depending on early on life experiences (Shonkoff 2000). doc T. Berry Brazelton’s move describes the essential elements of anticipatory guidance for parents (Brazelton, 1975) too suggests effective ways for them to respond to their infants. (Hagan, Shaw & Duncan, 2008). In addition, inquiry shows that a mother’s perception of her baby’s satisfaction alongside breastfeeding tin dismiss brand the departure betwixt continuing to breastfeed too switching to formula feeding (Karl, 2004). 

Maryam Mozafarinia (center) teaching inwards Montreal

HUG Your Baby (HUG Your Baby, 2018) is an educational plan created to heighten the attention that nascency too early on parenting professionals furnish to novel parents. H5N1 one-day, community- broad preparation distills extensive inquiry too literature nigh newborn deportment too parenting concerns unopen to baby’s eating, sleeping, crying too parent-child interaction. In addition, participants explore the HUG Strategies (Tedder & Register, 2007) inwards this training. These Strategies include learning the mightiness of Broadcasting a baby’s deportment (describing a baby’s specific behaviors) too Commentating on this deportment (explaining the importance of this behavior.) Multi-cultural video, instance studies, too role-playing assist professionals imagine how to communicate this information most effectively.

This study collected information from ii HUG Your Baby workshops, providing feedback from thirty-six participants (primarily nurses too doulas working inwards a diverseness of settings).

Educators inwards biological too other sciences occupation class-average normalized gain in pre too post-test scores to approximate the effectiveness of a course of study (Colt, 2010). Therefore, the get down fifteen, multiple-choice questions inwards the study tool were designed to stair out participants’ cognition of the information covered. Because a provider’s confidence to learn impacts how teaching is delivered, questions 16-30 inquire participants to study on their confidence to explain, too to demonstrate, elements of the cloth taught. (For example, participants responded to “I tin dismiss explicate how a newborn’s trunk changes inwards response to over-stimulation” on a 4-point Likert Scale.)

Recognizing that a gap oft exists betwixt one’s grasp of novel cloth too one’s mightiness to position novel information too skills into practice, this study tool was completed past times participants earlier training, at ane time next training, too ane time again at ane month.

Results

Thirty-four participants returned pre- too post-tests. Twenty-one returned one-month post-tests every bit well. This study included information entirely from participants who completed all 3 tests.

Content areas were evaluated to ascertain participants’ cognition earlier the preparation too to position areas identified every bit needing to a greater extent than teaching.

Data confirmed a 30.1% increment inwards hateful bear witness scores of cognition at ane time after completing the training. Only a little drib inwards scores was observed betwixt the immediate post-test too the post-test administered ane calendar month later.

Participants came to the plan agreement Signs of Overstimulation (SOS). Before training, participants answered incorrectly questions nigh Zones too Crying. However, post-test scores increased 33% too 40% respectively.

Data showed that participants also increased their confidence to explicate too demonstrate the information too skills covered inwards this training.  At the one-month mark, all respondents agreed or strongly agreed that they were confident they could effectively learn parents nigh newborn behavior.

Discussion

This study of HUG Your Baby’s one-day, community-wide preparation indicated that such preparation effectively increases both the cognition too confidence of outpatient, community-based professionals who learn novel parents nigh baby’s eating, crying, sleeping too parent-child interaction.

Enhancing professionals’ mightiness to furnish such information too skills helps parents appreciate their baby’s capacity to interact. This study, too the mission of HUG Your Baby, reverberate the move of doc Brazelton, who reminds us that “emphasiz[ing] the individuality of the infant … enhances the capacity of the household unit of measurement to offering him or her an optimal nurturing environment” (Brazelton, 1974).

Bibliography

Als, H., (2004). Individualized Developmental Care for Preterm Infants. Department of Psychiatry, Harvard Medical School: Neurobehavioral Infant too Child Studies, Children’s Hospital Boston, USA.

Als H. (1982). Toward a syntactive theory of development: Promise for the assessment too back upwards of infant individuality. Infant Mental Health Journal, 3(4),229- 243.

Barnard, K.E. (2010). Keys to Developing Early Parent-Child Relationships, inwards Nurturing Children too Families: Building on the Legacy of T. Berry Brazelton (ed. B.M. Lester too J. D. Sparrow), Wiley-Blackwell, Oxford, UK.

Barnes, M., Pratt, J. & Finlayson, K. (2008). Learning nigh baby: What novel mothers would similar to know.  Journal of Perinatal Education, 17(3), 33-41.

Brazelton, T.B., Koslowski, B. & Main, M. (1974). The origins of reciprocity: The early on infant interaction. In M. Lewis & L. Rosenblum (ed.), The consequence of the infant on its caregiver. New York: Wiley.

Brazelton, T. B. Symposium on behavioral pediatrics. Anticipatory guidance. (1975). Pediatric Clinics of North America, 22, 533-544.

Carey, W. B. (1998). Teaching parents nigh infant temperament. Pediatrics, 102 (Supplement E1), 1311-1316.

Colt, H. G., Davoudi, M., Murgu, S., & Zamanian, R. N. (2011). Measuring learning gain during a one-day introductory bronchoscopy course. Surgical Endoscopy, 25(1), 207-216.

Defense Centers of Excellence. Measuring too Reinforcing Learning. Retrieved from http://www.dcoe.health.mil/Content/Navigation/Documents/Measuring%20and%20Reinforcing%20Learning.pdf    

Gomes-Pedro, J., Nugent, K., Young, G. & Brazelton, T. B. eds. (2002). The Infant too Family inwards the Twenty-First Century.  Brunner-Routledge, New York too Hove.

Hagan J., Shaw J., Duncan P. (2008). Bright Futures: Guidelines for Health Supervision of Infants, Children, too Adolescents, Third Edition. Elk Grove Village, IL: American Academy of Pediatrics.

HUG Your Baby. (2018). Retrieved from https://hugyourbaby.org/

Karl D. (2004). Behavioral soil organization: Breastfeeding. MCN: The American Journal of Maternal/Child Nursing, 29, 293–298.

Keefer, C., Johnson, L., Minear, S. (2009). Relationship-Based Practice inwards the Nursery: Thoughts for the Pediatric Professional. In Nugent, K., Petrauskas, B., Brazelton, T. B., The Newborn every bit a Person: Enabling Healthy Infant Development Worldwide. John Wiley too Sons. 

Labbok, Miriam. (2012). Community Interventions to Promote Optimal Breastfeeding. Infant & Young Child Nutrition Project. USAID.

Manning, K. (2009). Health Supervision Visits of Very Young Children: Time Addressing 3 Key Topics. Clinical Pediatrics, 48 (9), 931-938.

Nugent, K., Keefer, C., Minear, S.  Johnston, L., & Blanchard, Y. (2007). Understanding Newborn Behavior & Early Relationships: The Newborn Behavioral Observations (NBO) System Handbook. Paul H. Brookes.

Papousek, M., Schieche, M., Wurmser, H (2007). Disorders of Behavioral too Emotional Regulation inwards the First Years of Life: Early Risks too Intervention inwards the Developing Parent-infant Relationships. Zero to Three Press.

Shonkoff J., Phillips D., eds. (2000). National Research Council too Institute of Medicine, Committee on Integrating the Science of Early Childhood Development. From Neurons to Neighborhoods: The Science of Early Childhood Development. National Academy Press.

Smith, K.M.  (2007). Sleep too kangaroo care: clinical do inwards the newborn intensive attention unit: where the infant sleeps. Journal of Perinatal Neonatal Nursing, 21(2), 151-7.

Spencer, R. L., Greatrex-White, S., Fraser. D. (2010). Practice improvement, breastfeeding duration too wellness visitors. Community Practitioner, 83(9), 19-22.

Tedder, J. (2012). Teaching for Birth too Beyond: Online Program Incorporated into Birthing too Parenting Certification. International Journal of Childbirth Education, 27 (3), 65-68.

Tedder, J. & Register, N. (2007). The HUG: an innovative approach to pediatric nursing care. Journal of Maternal Child Nursing, 32(4).

World Health Organization. (2002). Nutrient adequacy of exclusive breastfeeding for the term infant during the get down vi months of life. Geneva: World Health Organization.

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