Ferragame and her husband began working on basic signs with their older son, Theo, when he was 5 months old.
"I saw a response immediately," she said. "I was inspired by the fact that I could acknowledge him."
Theo, now 3 years old, verbalizes well. The other day, however, he touched his chin with his fingertips and extended the hand out and down, palm up - thank you.
"It's nice, as a mom, to hear - or see, really - please and thank you through the day," said Ferragame, 35.
Using signs both before and after the boys started to talk resulted in fewer tears and tantrums in their Mount Airy home, she said.
Children often can communicate faster with gestures or sign language than with speech, reducing their frustration at not getting what they want. And experts say that signing early can help with language development of all kinds later.
There is no consensus that early signing can bring improvement in IQ scores, as some advocates suggest. But almost everyone says that the positive parent-child interaction involved in teaching and using sign language is beneficial.
"What you are really doing is interacting with your child," said Kathy Hirsh-Pasek, a professor of psychology at Temple University who specializes in language development. "The more you interact with your children, the better their language skills are going to be, so whatever gets parents to do that, it is a positive thing."
The process is straightforward and time-consuming - lots of repetition of both words and signs like milk and eat and more when your child is thirsty, hungry, or wants more of anything. Often it takes months of consistent effort before the child begins to sign.