INSIGHT also improved infants’ dietary patterns and feeding practices. Previous reports from INSIGHT have shown that responsive parenting group infants had reduced rapid weight gain during infancy and a lower body mass index at age 1 and 3 years compared with controls. INSIGHT is based on a responsive parenting framework and emphasized behaviors to encourage responsive feeding, such as using alternatives to food to soothe as a first response to infant distress.
#SHUSH PAT METHOD NEWBORN WEEK SUCCESS TRIAL#
The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized, clinical trial designed to prevent rapid infant weight gain and overweight during early childhood. Using EMA to measure food to soothe in settings where infants eat, sleep, and cry has advantages such as minimizing recall bias, maximizing ecological validity, and capturing dynamic behaviors as they unfold. Ecological momentary assessment (EMA) involves repeated sampling of behaviors in real time, in natural environments, and can characterize patterns of behavior change across time and specific context. sleep deprivation) that could exacerbate recall bias and contribute to greater inaccuracy. Further, new parents face unique challenges (e.g. Recall bias is one limitation of self-report measures that can compromise the accuracy of these data.
The measurement of food to soothe has typically relied on retrospective reports of maternal use of food to soothe in different general contexts. Responding to non-hunger related fussiness by using these strategies, rather than food to soothe, may calm infants while preventing unnecessary feedings in the absence of hunger and thus overfeeding. When infants are fussy, but not showing signs of hunger, responsive parenting includes the use of alternative soothing strategies such as rocking, swaddling, and white noise, instead of feeding. This includes feeding when infants are showing signs of hunger and stopping feeding when infants are showing signs of fullness. Responsive feeding includes prompt, contingent, and developmentally appropriate responses to infant cues of hunger and fullness. In contrast, parental use of responsive feeding supports the development of infant appetite regulation. energy dense snack foods, less fruits and vegetable intake), and eating in the absence of hunger during later childhood .
Using food to soothe has been associated with negative health outcomes such as rapid weight gain and greater weight status during infancy, as well as increased emotional eating, less healthy dietary patterns (e.g. Infants who are perceived as more fussy or negative may be exposed to greater use of food to soothe.
The use of “food to soothe” to regulate emotions or calm includes feeding in response to infant distress or fussiness that is unrelated to hunger. This fussiness may be perceived as a cue that infants are hungry however, infants cry for many reasons other than hunger (e.g. During the first 3 months after birth, crying is an infant’s primary form of communication, reaching maximum intensity around age 8 weeks. If your interventions do not work or the baby displays persistent sleep problems, speak to a pediatrician.During infancy, parental feeding practices shape infant eating behaviors by determining what, when, how, and how much infants are fed. You may also check if the baby’s room is comfortable and whether you are maintaining a consistent bedtime routine to prevent confusion for the baby. For instance, check if the baby is well or if they are experiencing a life event, such as a growth spurt. Therefore, you may check for other potential interferences. Most babies usually respond to consistent sleep strategies such as the pick up, put down method well since the method involves receiving assurances from parents without the need for crying alone. Parenting and childcare strategies can play a crucial role in ensuring that the baby is comfortable and well-rested. If the method does not seem to work, give a break and try a few days to weeks later. What If The Pick Up, Put Down Method Does Not Work? Maintain consistency with the method since it helps babies learn better.However, do not pick up the baby frequently or hold them for too long just because you are now closer to the baby throughout the night.
Follow the same steps except that you do not have to leave the room. Room-share with your baby if you are a single parent or the baby refuses to be soothed by anyone else but you.
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