Expert Advice from Bonitas Medical Fund
Bonitas – innovation, life stages and quality care

Premature birth – what to expect

Expecting a baby is an exciting time of your life, and you want to make sure that you do as much as you can to make sure your new child is as healthy as possible. Premature birth is something you want to try to avoid or manage as carefully as possible. In many cases the cause is unknown, and according to The World Health Organisation, one in ten babies are born preterm. A birth is considered premature when a baby is born before the 37th week of pregnancy. The final few weeks in the womb are important to your baby’s full development, so being born prematurely can lead to longer hospital stays, short term, and long term complications. Why does it happen? Some of the more common risk factors which contribute to preterm births are having had a premature birth before, you’re pregnant with twins/multiples or you have issues with your uterus or cervix. However, often the cause of preterm birth often can’t be identified. Your health is also a factor that impacts on your likelihood to have your baby prematurely. Smoking during your pregnancy (which is not recommended), diabetes, high blood pressure (which can develop into preeclampsia) and being over or under weight are all potential premature birth causes. To try and avoid preterm birth you can talk to your doctor about any existing health issues, such as depression, diabetes or high blood pressure) before getting pregnant – this way you can manage any problems with a treatment plan. Waiting 12 months between pregnancies and eating healthy (making sure that you get the correct prenatal vitamins needed) can also help prevent premature birth. What if my baby is born preterm? If your baby is born prematurely they are at risk for long and short term complications. Many preterm babies lead completely healthy lives, however, the more premature and underdeveloped your baby is when they are born, the more likely they are to have issues. If your baby is born prematurely they may be put into a neonatal intensive care unit into an incubator. Some babies will spend longer in the unit than others, this all depends on when they are able to live without medical support.

Bonitas – innovation, life stages and quality care

Smoking and pregnancy – should I quit

If you’re an avid smoker you’re probably wondering if being pregnant means you should wave your smoking habits goodbye. Unfortunately, even if your health isn’t enough for you to stop, your baby’s health should be. What can happen to my baby if I keep smoking? Smoking during your pregnancy is harmful to your unborn baby. The chemicals in cigarettes are both damaging to you and your baby; nicotine and other harmful poisons increase the risk of health problems for unborn babies. Second hand smoke, vaping and e-cigarettes are all still damaging to your baby’s health and should also be avoided (or quitted). You may need to designate your house a non-smoking area, and ask any friends and colleges not to smoke around you. So what exactly does smoking do to your unborn baby? Smoking lowers the amount of oxygen available to your growing baby and nicotine damages the baby’s brain and lungs. Smoking can make it harder to conceive, and if you do fall pregnant, can lead to miscarriages or stillbirth. Babies can be born premature, have a low birth weight, or be born with birth defects.  Smoking during pregnancy can also affect your baby’s health after they are born, leading to cases of Sudden Infant Death Syndrome, asthma and other respiratory problems and infections. Help – I am really struggling to quit! Even if you have decided that quitting is in both of your best interests, this may be easier said than done. If you are pregnant already it is best to quit without using any medication, as this is healthier for you and your baby. You also won’t be able to transition to vaping or e-cigarettes, as these too, are harmful and usually contain nicotine, which is damaging to health. In order to quit for good, try avoid the triggers that make you want to smoke, and try find something else that you can do when the craving kicks in. Get the support of your family and friends, or join a stop-smoking group or self help plan. Whatever your plan is to stop, you can be sure that both you and your child’s health will benefit from it.

Bonitas – innovation, life stages and quality care

Neonatal jaundice, what is it and what happens if my baby is born with it?

Jaundice is a yellow discolouration of a baby’s eyes and skin and is fairly common in newborn babies. Although it may be alarming to you to see your newborn baby with a slightly yellowish tint, thankfully, most cases of jaundice are considered normal and will go away on their own. You may be wondering why your baby may be born with this condition, or what treatments are available if your little-one has jaundice – read on, we outline the causes and common treatments thereof.  Why would my baby have neonatal jaundice?  Babies are born with neonatal jaundice when they have excess levels of unconjugated bilirubin in their blood. Bilirubin is a yellowy substance which comes from the breakdown of red blood cells, however, baby’s livers sometimes can’t break this substance down fast enough, giving their eyes and skin a yellow tint.  When your baby is born they will be checked for jaundice, as high levels of bilirubin can lead to more serious problems. A baby is more likely to get neonatal jaundice if they are born premature, have a different blood type to their mother or are being breastfed. Babies who are breastfed can develop jaundice if they don’t get enough breastmilk, due to trouble feeding.  What happens if my baby has neonatal jaundice? If your baby has jaundice, this will typically be seen in the second or third day of being born.  Sometimes jaundice will go away on its own and other times it will need to be treated. If your baby is struggling to breastfeed it’s important that he be breastfed more often, or even receive formula as a supplement during this time.  Phototherapy (light therapy)  can also be used to help your baby. Light can turn the bilirubin into a form that can easily pass out the body. If the jaundice is very bad, your baby may receive a blood transfusion which will quickly lower bilirubin levels. 

Bonitas – innovation, life stages and quality care

Breastfeeding tips

Symptoms you may experience when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Care for your breasts when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Try ice packs on your breast for 15-20 minutes at a time. If ice doesn’t help, try using a warm washcloth on your breasts. Wear a well-fitting bra that is not too tight. Let your baby nurse at your breasts for a few minutes at a time. Ask your doctor about methods to help release a small amount of milk from your breasts, which may relieve some of the discomfort. Contact your doctor if you have any questions or concerns or you develop chills, or a fever and your breasts are still uncomfortable and swollen after 1-2 days. Benefits of breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Breastfeeding is a skill and can take time to learn; don’t get discouraged if it’s not easy for you at first.  Breastfeeding educators are available and can be helpful in overcoming some of the hurdles. Choosing to breastfeed your child provides many benefits for both you and your baby. Some of these include: How to breastfeed The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Some simple tips on how to breastfeed: Keeping your breasts healthy The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Keeping your breasts healthy during breastfeeding is important.  Here are some things to watch for:

Bonitas – innovation, life stages and quality care

All about epilepsy

It’s not surprising that Lavender is recognised as the international flower of epilepsy. Said to symbolise isolation and loneliness, often associated with epilepsy. National Epilepsy Week is celebrated from 10-16 February this year, its purpose: To create awareness about epilepsy and support the rights and well-being of individuals with epilepsy.  Dr Themba Hadebe, Clinical Managed Care Executive with Bonitas Medical Aid, discusses the causes, types, treatment and misdirected social stigma around epilepsy.  ‘Epilepsy is the most common chronic brain disease,’ says Dr Hadebe, ‘it affects an estimated 50 million people worldwide – across all ages, cultures and backgrounds.  In South Africa, 1 in every 100 people have epilepsy. As we mark the significance of epilepsy globally, it is vital to explore this brain condition, including addressing the social challenges and stigma around the disease.’  He says, ‘despite its prevalence, many people suffering from epilepsy – especially in low and middle-income countries do not receive the treatment or understanding they need.’ What is epilepsy? It’s characterised by recurring seizures, which occur when there is excessive electrical discharge in a group of brain cells. Dr Hadebe says, ‘While seizures can range from mild lapses in awareness to severe convulsions with loss of consciousness, the frequency and severity of episodes can vary widely. Although one seizure does not constitute epilepsy, people who experience two or more unprovoked seizures are diagnosed with the condition.’ In high-income countries, treatment access is more readily available but the disease remains a challenge, due to misdiagnosis and the persistence of stigma, making life difficult for those affected. It is also worth noting that up to 70% of people living with epilepsy could become seizure-free with proper diagnosis and treatment. Yet, an estimated 90% of people in some low-income countries remain untreated. This gap in access is worsened by a lack of trained healthcare providers in these areas. Causes of epilepsy There are a number of causes, including: Types of seizures There are focal seizures, which start in one part of the brain and generalised seizures, which affect both sides of the brain. Focal seizures Simple focal seizures: The person remains conscious and may experience unusual sensations, such as strange tastes or visual disturbances. Complex focal seizures: These may impair consciousness or awareness and may involve repetitive movements such as hand-wringing or lip-smacking. Generalised seizures Tonic-clonic seizures: Involve stiffening of the muscles followed by rhythmic jerking movements, often accompanied by loss of consciousness. Absence seizures: Brief lapses in awareness, often misinterpreted as daydreaming. Myoclonic seizures: Sudden, jerky movements that can affect the limbs or entire body. Atonic seizures: Sudden loss of muscle tone, which may cause falls or head drops. The impact of seizures The impact on an individual’s life can extend beyond the physical symptoms. People living with epilepsy often experience higher rates of mental health disorders, particularly anxiety and depression. In fact, the risk of premature death for people with epilepsy is up to three times higher than the general population, with the greatest risks found in low-income countries. Treatment and care Although epilepsy is a lifelong condition, seizures can often be controlled with medication. ‘The primary treatment for epilepsy is the use of antiseizure drugs and, for up to 70% of individuals, these drugs can lead to seizure-free living’ says Dr Hadebe. ‘In some cases, when medication fails, additional options like surgery, vagus nerve stimulation, or responsive neurostimulation can help manage seizures.’ Many countries lack affordable antiseizure medications and healthcare workers may not have the training necessary to accurately diagnose and treat epilepsy. The World Health Organization’s (WHO) efforts to bridge this gap include training primary healthcare providers in diagnosing and treating epilepsy, which has already proven effective in pilot projects in countries like Ghana and Myanmar. Prevention An estimated 25% of epilepsy cases are preventable. Preventing traumatic brain injuries, improving perinatal care, reducing the incidence of stroke and infections and addressing health conditions like hypertension and diabetes, can help lower the incidence of epilepsy. In tropical regions, eliminating parasitic infections like neurocysticercosis is also critical for reducing the burden of epilepsy. The impact of diet on epilepsy management Diet can play a supportive role in managing epilepsy. The ketogenic diet, a high-fat, low-carbohydrate eating plan, has been shown to significantly reduce seizure frequency in both children and adults. It works by promoting a metabolic state called ketosis, where the body burns fat for energy instead of carbohydrates, which can help stabilise brain activity.  For individuals who do not respond well to the ketogenic diet, alternatives like the Modified Atkins Diet or the Low Glycaemic Index Treatment (LGIT) can also be effective. In addition, ensuring adequate intake of omega-3 fatty acids, vitamin D and magnesium may help support brain function and reduce the risk of seizures. More research is needed to understand the impact of diet on epilepsy, but these dietary strategies offer an important complementary approach to medical treatment. Social stigma and Human Rights Dr Hadebe says, the stigma surrounding epilepsy is a significant barrier to care. ‘Many people with epilepsy suffer discrimination, whether in the form of myths about epileptics, workplace bias or limitations on their legal rights. The problem is so pronounced that Epilepsy South Africa’s hashtag is  #StampOutStigma. In some countries, people with epilepsy face challenges in obtaining marriage licenses, employment or even the ability to drive. ‘Addressing these issues requires improved public education, along with legislation that protects the rights of people with epilepsy and ensures they receive equal treatment in all aspects of life.’ Epilepsy remains a global health issue that impacts millions of lives, particularly in low- and middle-income countries. The international community, with organisations like WHO leading the charge, continue to work towards reducing the global burden of epilepsy. By recognising the causes, types and treatment options available and addressing the social stigma, we can create a more inclusive world for people living with epilepsy.  It is time to bring epilepsy out of the shadows and into the light of understanding, compassion and care.

Bonitas – innovation, life stages and quality care

Talking about HPV, cervical and the HPV vaccine

As the Department of Health gears up for the first round of Human Papilloma Virus (HPV) vaccinations for girls between 9 and 14 from February 3 to March 28, we put the spotlight on HPV and cervical cancer. The focus is on: Empowering, Preventing and Early Detection of cervical cancer. It’s important because cervical cancer kills more South African adolescents and women aged 15 to 44 than any other cancer.  It can be successfully treated, if caught early enough but it’s far better to prevent it in the first place.  Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas, provides some insights and important information about cervical cancer – caused by persistent infection with HPV – whyit is essential to screen for the virus and the vaccination that can help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘To help prevent cervical cancer, we have expanded our preventative care benefits to include the HPV vaccine across all plans,’ says Dr Hadebe.  ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years, per lifetime’. Screening for HPV and cervical cancer: Screening is essential to mitigate the risk of developing cervical cancer and aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test should be done every 5 years. Signs and symptoms: The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. The power of prevention: ‘Talk to your daughter about important lifestyle choices she must make’, says Dr Hadebe. ‘These may be uncomfortable conversations to have but they’re vitally important to protect her from HPV and subsequent diseases.’ Discussion points include the fact that the HPV vaccination is her best opportunity for protection from the virus.  In addition, she needs to consider the following: If you develop cervical cancer: Just like other cancers, cervical cancer is graded according to severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one (it’s still in the original organ and small). If it progresses, it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasised to surrounding tissues and other lymph nodes.  As cervical cancer develops, the following may occur: ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’  Additional information on cervical cancer and HPV can be found on the Bonitas website: www.bonitas.co.za or the Department of Health https://www.health.gov.za

Advice from the experts
Parenting Hub

Pregnancy Nutrition Myths: What’s Fact and What’s Fiction?

Pregnancy is an exciting yet overwhelming time, filled with advice from well-meaning family, friends, and social media. While proper nutrition is essential for both mother and baby, there are many myths surrounding what pregnant women should or shouldn’t eat. Let’s separate fact from fiction and ensure expecting moms make informed choices. Myth #1: You Need to Eat for Two Fiction: Many believe pregnancy requires double the food intake.Fact: While you need extra nutrients, excessive calorie intake can lead to unhealthy weight gain. The NHS recommends only about 300 extra calories per day in the second and third trimesters. Focus on nutrient-dense foods rather than increasing portion sizes unnecessarily. Myth #2: Avoid All Seafood Fiction: Many assume that all seafood is harmful during pregnancy.Fact: Certain fish like salmon, sardines, and trout are excellent sources of omega-3 fatty acids, crucial for the baby’s brain development. However, pregnant women should avoid high-mercury fish like shark, swordfish, and king mackerel. The FDA suggests eating 2-3 servings of low-mercury fish per week. Myth #3: No Caffeine Allowed Fiction: Some believe caffeine should be completely eliminated.Fact: While excessive caffeine can increase the risk of complications, moderate intake (200 mg per day, roughly one cup of coffee) is generally considered safe, according to the American College of Obstetricians and Gynaecologists (ACOG). Myth #4: Cravings Indicate Nutrient Deficiencies Fiction: Many think pregnancy cravings signal what your body needs.Fact: While some cravings may reflect minor deficiencies, they are more likely linked to hormonal changes. Instead of giving in to unhealthy cravings, try to opt for nutritious alternatives. Myth #5: Dairy Should Be Avoided Fiction: Some claim dairy causes excessive weight gain or allergies in the baby.Fact: Dairy is an excellent source of calcium and protein, essential for the baby’s bone development. Unless you have lactose intolerance or allergies, consuming dairy products like milk, cheese, and yogurt is beneficial. Myth #6: Spicy Food Can Induce Labor Fiction: Eating spicy food will trigger labor.Fact: No scientific evidence supports this claim. While spicy foods may cause heartburn or indigestion, they do not induce labor. Labor is triggered by hormonal and physiological changes rather than diet. Myth #7: Herbal Teas Are Always Safe Fiction: Many assume that all herbal teas are natural and safe.Fact: Some herbs can cause contractions or affect pregnancy. The American Pregnancy Association advises avoiding certain teas like chamomile, liquorice root, and raspberry leaf without consulting a healthcare provider. Stick to pregnancy-safe options like ginger or peppermint tea. Final Thoughts Proper nutrition is vital for a healthy pregnancy, but misinformation can lead to unnecessary restrictions or risky choices. Always consult with a healthcare provider or registered dietitian before making dietary changes. Sources:

Bonitas – innovation, life stages and quality care

Premature birth – what to expect

Expecting a baby is an exciting time of your life, and you want to make sure that you do as much as you can to make sure your new child is as healthy as possible. Premature birth is something you want to try to avoid or manage as carefully as possible. In many cases the cause is unknown, and according to The World Health Organisation, one in ten babies are born preterm. A birth is considered premature when a baby is born before the 37th week of pregnancy. The final few weeks in the womb are important to your baby’s full development, so being born prematurely can lead to longer hospital stays, short term, and long term complications. Why does it happen? Some of the more common risk factors which contribute to preterm births are having had a premature birth before, you’re pregnant with twins/multiples or you have issues with your uterus or cervix. However, often the cause of preterm birth often can’t be identified. Your health is also a factor that impacts on your likelihood to have your baby prematurely. Smoking during your pregnancy (which is not recommended), diabetes, high blood pressure (which can develop into preeclampsia) and being over or under weight are all potential premature birth causes. To try and avoid preterm birth you can talk to your doctor about any existing health issues, such as depression, diabetes or high blood pressure) before getting pregnant – this way you can manage any problems with a treatment plan. Waiting 12 months between pregnancies and eating healthy (making sure that you get the correct prenatal vitamins needed) can also help prevent premature birth. What if my baby is born preterm? If your baby is born prematurely they are at risk for long and short term complications. Many preterm babies lead completely healthy lives, however, the more premature and underdeveloped your baby is when they are born, the more likely they are to have issues. If your baby is born prematurely they may be put into a neonatal intensive care unit into an incubator. Some babies will spend longer in the unit than others, this all depends on when they are able to live without medical support.

Bonitas – innovation, life stages and quality care

Smoking and pregnancy – should I quit

If you’re an avid smoker you’re probably wondering if being pregnant means you should wave your smoking habits goodbye. Unfortunately, even if your health isn’t enough for you to stop, your baby’s health should be. What can happen to my baby if I keep smoking? Smoking during your pregnancy is harmful to your unborn baby. The chemicals in cigarettes are both damaging to you and your baby; nicotine and other harmful poisons increase the risk of health problems for unborn babies. Second hand smoke, vaping and e-cigarettes are all still damaging to your baby’s health and should also be avoided (or quitted). You may need to designate your house a non-smoking area, and ask any friends and colleges not to smoke around you. So what exactly does smoking do to your unborn baby? Smoking lowers the amount of oxygen available to your growing baby and nicotine damages the baby’s brain and lungs. Smoking can make it harder to conceive, and if you do fall pregnant, can lead to miscarriages or stillbirth. Babies can be born premature, have a low birth weight, or be born with birth defects.  Smoking during pregnancy can also affect your baby’s health after they are born, leading to cases of Sudden Infant Death Syndrome, asthma and other respiratory problems and infections. Help – I am really struggling to quit! Even if you have decided that quitting is in both of your best interests, this may be easier said than done. If you are pregnant already it is best to quit without using any medication, as this is healthier for you and your baby. You also won’t be able to transition to vaping or e-cigarettes, as these too, are harmful and usually contain nicotine, which is damaging to health. In order to quit for good, try avoid the triggers that make you want to smoke, and try find something else that you can do when the craving kicks in. Get the support of your family and friends, or join a stop-smoking group or self help plan. Whatever your plan is to stop, you can be sure that both you and your child’s health will benefit from it.

Parenting Hub

Building Your Newborn’s First Aid Kit with Love

When you become a parent, you quickly realise that preparation is key – whether it’s scheduling life around nap times, keeping nappies and wet wipes fully stocked, or having the right supplies ready to care for your little one when pain and fever strikes. Adding Panado® to your baby’s first aid kit gives you peace of mind, knowing gentle relief is on hand when it’s needed most. Baby First Aid Kit Essentials A Digital Thermometer Every first aid kit needs a digital thermometer. Most babies have a normal body temperature ranging from 36.5 °C to 38 °C.1a A fever occurs when their temperature goes above 38 °C.1b Fever in babies can be scary, so having a reliable way to check your tiny tot’s temperature is absolutely essential. A Nasal Aspirator  Since babies under six months old rely almost entirely on their noses to breathe, even a little congestion can make feeding and sleeping a challenge. While colds and infections can worsen congestion, your baby might have a stuffy nose even when they aren’t sick.2a Paired with saline nasal drops, a nasal aspirator gently clears stuffy noses, so your baby can breathe easy.2b  Nail Clippers  For everyday hygiene, include baby-safe nail clippers. Tiny nails grow faster than you’d think (at about 0.1 mm per day)3 and can be surprisingly sharp! Regular trimming helps prevent accidental scratches. Gauze, Bandages, And Antiseptic Cream  As your baby grows and begins exploring the world (and bumping into it), minor cuts and scrapes are bound to happen. Stock your kit with sterile gauze, hypoallergenic adhesive bandages, and mild antiseptic cream to clean and protect small wounds. Teething Gels and Powders  Teething typically starts around six months old4a, and can cause swollen gums, excessive drooling, a mild fever, irritability, crying, and disrupted sleep4b. Some teething gels can help numb sore gums4c. Panado®: Power To Fight Their Pain Colic is most common during the first six weeks of life and affects up to one in four newborns5a. The good news is it typically resolves on its own by the time a baby is three to four months old5b.  A baby’s immune system is still developing, which means they’re more likely to pick up infections6.  An essential item for your first aid kit would be paracetamol. Panado® soothes pain and fever and is fast-acting7, helping your baby bounce back to their happy, bubbly selves.  Panado® peppermint flavoured syrup8 – because it’s “mint to be” – is suitable from birth and is tartrazine, alcohol and sugar free.  Panado®’s paracetamol-based infant drops9 are suitable for babies from the age of 3 months. The calibrated dropper ensures that parents provide the correct amount of medication, based on the weight and age of their child. Panado®’s paediatric range also includes strawberry flavoured syrup10 which is as “berry nice” as it sounds.  Always administer using a medicine measure or a syringe. Do not exceed the recommended dose.  Dosage details can be found at https://panado.co.za/dosage-calculator/ and are calculated according to your child’s age and weight.   From those early days of snuggles and butterfly kisses, to your baby’s first tooth and wobbly steps, parents trust11 Panado® for fast7 pain relief when needed most.  After all, when your little one feels better, the whole world feels brighter.  Panado® products are available at Baby City, Pick n Pay, Checkers, including Hypers, Shoprite, Clicks, Dis-Chem, and Independent Pharmacies. For more information, visit https://panado.co.za/and join the conversations onFacebook. References are available from: https://panado.co.za/references/. For full prescribing information refer to the Professional Information approved by SAHPRA.  Adcock Ingram Limited. Co. Reg. No. 1949/034385/06. Private Bag X69, Bryanston, 2021, South Africa. Customer Care: 0860 ADCOCK / 232625. www.adcock.com. 14.01.20251000000898. January 2025.

Parenting Hub

Why You Need a Baby-Specific First Aid Kit

Babies have unique medical and safety needs compared to older children or adults. Their delicate skin, smaller bodies, and limited ability to communicate require specific items that are safe and appropriate for their age. Having a baby-specific first aid kit means you’re always prepared for common health concerns like fevers, teething discomfort, or minor injuries—and ready to act quickly in case of an emergency. Essential Items for Your Baby First Aid Kit 1. Thermometer 2. Infant Fever and Pain Reliever 3. Saline Nasal Spray and Bulb Syringe/Nasal Aspirator 4. Baby-Safe Antiseptic Cream or Ointment 5. Adhesive Bandages 6. Sterile Gauze Pads and Medical Tape 7. Tweezers 8. Baby Nail Clippers or Scissors 9. Digital Baby Scales (Optional) For Common Ailments 10. Teething Gel or Teething Rings 11. Diaper Rash Cream 12. Gas Relief Drops or Gripe Water 13. Oral Rehydration Solution (ORS) 14. Cool Gel Packs First Aid Tools 15. Baby-Safe Scissors 16. Instant Cold Pack 17. Small Flashlight 18. Medicine Syringe or Dropper Hygiene and Safety Supplies 19. Alcohol-Free Antiseptic Wipes 20. Hand Sanitiser 21. Cotton Balls or Swabs 22. Disposable Gloves Emergency Information Keep a small notebook or card in your kit with: Storing Your Baby First Aid Kit When to Restock or Update When to Call the Doctor Your first aid kit is for minor injuries and illnesses, but certain situations require professional care: Always trust your instincts and seek medical help if you’re unsure about your baby’s condition. Building a baby first aid kit ensures you’re always prepared for the unexpected. By assembling the right supplies and staying informed about your baby’s needs, you can handle minor emergencies with confidence and keep your little one safe and sound.

Parenting Hub

When Should You Introduce Solid Foods to Your Baby?

Introducing your baby to solid foods is an exciting milestone! It marks the beginning of a new chapter in your baby’s development and exploration of the world of flavours and textures. However, knowing when and how to start can feel overwhelming for many parents. Here’s a comprehensive guide to help you navigate this important stage confidently. When Is the Right Time to Introduce Solids? Most health experts, including the World Health Organisation (WHO) and the American Academy of Paediatrics (AAP), recommend starting solid foods around 6 months of age. However, every baby is different, and the readiness for solids can vary. Signs Your Baby Is Ready for Solids: Important: Always consult your paediatrician before starting solids, especially if your baby was born prematurely or has any medical concerns. The Role of Breast Milk or Formula Breast milk or formula remains your baby’s primary source of nutrition until their first birthday. Introducing solids at 6 months is meant to complement milk feeds, not replace them. Begin with small amounts of food, gradually increasing as your baby gets accustomed to eating. How to Introduce Solid Foods 1. Start with Single-Ingredient Foods 2. Experiment with Textures 3. Watch for Allergens Common allergens include eggs, peanuts, dairy, wheat, soy, fish, and shellfish. Introducing these early (around 6 months) in small, controlled amounts may reduce the risk of allergies. Always consult your paediatrician if your baby is at high risk for allergies. 4. Focus on VarietyExpose your baby to a wide range of fruits, vegetables, proteins, and grains to help them develop a diverse palate. Foods to Avoid at First While many foods are safe for babies, there are some you should avoid: Tips for a Smooth Transition to Solids Frequently Asked Questions 1. What if my baby doesn’t like a certain food?It’s common for babies to reject new foods initially. Offer the same food multiple times over a few days or weeks. It can take 10-15 tries before a baby accepts a new flavour! 2. How much food should I offer?Start with 1-2 teaspoons of food once a day and gradually increase the portion as your baby becomes more interested in eating. 3. Can I use store-bought baby food?Yes! Choose options with no added salt, sugar, or preservatives. Alternatively, you can make simple purees at home. 4. Should I offer water?Around 6 months, you can offer small amounts of water in a sippy cup during meals to help your baby learn to drink. A Journey of Discovery Introducing solid foods is an exciting and messy adventure! It’s a time for your baby to explore new tastes and textures while continuing to rely on milk for most of their nutrition. Be patient, go at your baby’s pace, and enjoy this milestone together. Remember, every baby develops differently. Trust your instincts and consult your paediatrician with any questions or concerns. The goal is to create a positive and stress-free experience for both you and your little one as you embark on this journey!

Parenting Hub

Pregnancy Superfoods: What to Eat for Baby’s Development

When you’re expecting, your baby’s growth and development depend on the nutrients you consume. A balanced diet during pregnancy doesn’t just keep you healthy—it helps build your baby’s brain, bones, organs, and more. By incorporating nutrient-dense “superfoods” into your meals, you can give your little one the best start in life. It’s important to remember that every pregnancy is unique. Always consult your doctor or a registered dietitian before making major changes to your diet, especially if you have food allergies, medical conditions, or dietary restrictions. Here’s a guide to the top pregnancy superfoods and how they support your baby’s development. 1. Leafy Greens: The Powerhouses of Nutrients Leafy greens like spinach, kale, and Swiss chard are loaded with essential vitamins and minerals. How to enjoy them: Add leafy greens to smoothies, soups, or salads. 2. Eggs: Nature’s Multivitamin Eggs are a versatile and affordable source of nutrition. How to enjoy them: Scramble them for breakfast, or add boiled eggs to salads and sandwiches. 3. Fatty Fish: The Brain-Boosting Food Fatty fish like salmon, sardines, and mackerel are packed with omega-3 fatty acids. Consult your doctor: Because of concerns about mercury in fish, always check with your doctor about safe consumption amounts. How to enjoy them: Bake or grill salmon for a healthy dinner. 4. Berries: Antioxidant-Rich Snacks Strawberries, blueberries, raspberries, and blackberries are not only delicious but also incredibly nutritious. How to enjoy them: Add berries to yogurt, oatmeal, or smoothies for a tasty treat. 5. Greek Yogurt: A Calcium Boost Greek yogurt is a creamy, protein-packed snack that’s perfect for pregnancy. How to enjoy it: Top Greek yogurt with fresh fruit, nuts, or a drizzle of honey. 6. Nuts and Seeds: Nutrient-Dense Snacks Almonds, walnuts, chia seeds, and flaxseeds are excellent sources of healthy fats and nutrients. How to enjoy them: Sprinkle seeds on salads or oatmeal, and snack on a handful of nuts. 7. Whole Grains: Sustained Energy Quinoa, brown rice, oats, and whole-grain bread provide lasting energy and important nutrients. How to enjoy them: Swap white rice for quinoa or enjoy oatmeal for breakfast. 8. Avocados: Healthy Fats for Growth Avocados are a creamy, versatile superfood loaded with nutrients. How to enjoy them: Spread avocado on toast, or add it to salads and smoothies. 9. Sweet Potatoes: A Beta-Carotene Boost Sweet potatoes are a delicious source of beta-carotene, a plant-based vitamin A. Consult your doctor: Excessive vitamin A can be harmful during pregnancy, so talk to your doctor about safe amounts. How to enjoy them: Bake sweet potato wedges or mash them as a side dish. 10. Beans and Lentils: Protein and Iron Powerhouses Chickpeas, black beans, lentils, and kidney beans are affordable and nutritious. How to enjoy them: Add beans to soups, stews, or salads, and try lentil-based curries or burgers. 11. Oranges and Citrus Fruits: Hydration and Vitamin C Oranges, lemons, and grapefruits are refreshing and nutrient-packed. How to enjoy them: Snack on fresh oranges or add lemon slices to water for a refreshing drink. 12. Water: The Unsung Hero While not technically a food, staying hydrated is just as important as eating well. How to enjoy it: Aim for 8-10 glasses a day, and flavour it with fruit or herbs if plain water feels boring. Tips for a Balanced Pregnancy Diet Final Thoughts A nutrient-rich diet during pregnancy isn’t just about physical health—it’s a way to nurture your baby’s development and set the stage for a healthy future. By focusing on these superfoods and consulting your doctor regularly, you can feel confident that you’re giving your little one everything they need to grow strong and healthy. Remember, balance and moderation are key. A mindful approach to nutrition—combined with your doctor’s guidance—will help make your pregnancy journey as smooth as possible.

Bonitas – innovation, life stages and quality care

Neonatal jaundice, what is it and what happens if my baby is born with it?

Jaundice is a yellow discolouration of a baby’s eyes and skin and is fairly common in newborn babies. Although it may be alarming to you to see your newborn baby with a slightly yellowish tint, thankfully, most cases of jaundice are considered normal and will go away on their own. You may be wondering why your baby may be born with this condition, or what treatments are available if your little-one has jaundice – read on, we outline the causes and common treatments thereof.  Why would my baby have neonatal jaundice?  Babies are born with neonatal jaundice when they have excess levels of unconjugated bilirubin in their blood. Bilirubin is a yellowy substance which comes from the breakdown of red blood cells, however, baby’s livers sometimes can’t break this substance down fast enough, giving their eyes and skin a yellow tint.  When your baby is born they will be checked for jaundice, as high levels of bilirubin can lead to more serious problems. A baby is more likely to get neonatal jaundice if they are born premature, have a different blood type to their mother or are being breastfed. Babies who are breastfed can develop jaundice if they don’t get enough breastmilk, due to trouble feeding.  What happens if my baby has neonatal jaundice? If your baby has jaundice, this will typically be seen in the second or third day of being born.  Sometimes jaundice will go away on its own and other times it will need to be treated. If your baby is struggling to breastfeed it’s important that he be breastfed more often, or even receive formula as a supplement during this time.  Phototherapy (light therapy)  can also be used to help your baby. Light can turn the bilirubin into a form that can easily pass out the body. If the jaundice is very bad, your baby may receive a blood transfusion which will quickly lower bilirubin levels. 

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Why Can’t I Go? Constipation: What Causes It and How to Fix It

Constipation is a common digestive issue that affects people of all ages. It can be frustrating and uncomfortable, often leading to bloating, pain, and a general feeling of unease. Understanding what causes constipation and how to address it is crucial for maintaining overall health and well-being. Constipation occurs when bowel movements become infrequent or difficult to pass, often leading to discomfort and bloating. It can be caused by a variety of factors, including a diet low in fibre, inadequate water intake, lack of physical activity, and certain medications. Other causes include changes in routine, such as travel, stress, and ignoring the urge to have a bowel movement. In some cases, underlying medical conditions like irritable bowel syndrome (IBS), hypothyroidism, or neurological disorders can also contribute to constipation.  What Causes Constipation? Several factors can contribute to constipation, including: Am I constipated? Refer to the chat below: To alleviate constipation, increasing dietary fibre through fruits, vegetables, and whole grains, drinking plenty of water, and regular exercise are effective strategies.  According to the National Library of medicine, (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535527)’ psyllium is the best fibre for relieving constipation, improving how often people have bowel movements and reducing the difficulty of straining. This suggests psyllium could be a good first choice for treating constipation.  However, many people find plain psyllium to be rather unpalatable. This is why Cool Stool™ developed their tasty fibre seed mix that is easy to include in your daily routine. Packed with chia seeds, linseeds, psyllium husk, buckwheat and digestive bran, Cool Stool™ is bursting with fibre, healthy fats, and a wide range of essential nutrients suitable for the whole family. These ingredients also deliver powerful antioxidant and anti-inflammatory benefits, while acacia gum – a natural prebiotic – promotes and enhances healthy symbiosis in the gut.  Also available in a gluten-free version, Cool Stool helps with natural bowel movements, and also improves gut health. You can either soak it for relief from constipation – and add to smoothies; oats; yoghurt; scrambled eggs etc – or enjoy raw for general gut health as it’s so tasty sprinkled on yoghurt or fruit, and over salads and meals.  How to Fix Constipation Addressing constipation involves making several lifestyle and dietary changes: Conclusion Constipation is a common but manageable issue. By making simple lifestyle and dietary changes, you can promote regular bowel movements and maintain a healthy digestive system. If constipation persists despite these measures, it’s important to consult with a healthcare provider to rule out any underlying medical conditions. For more information on managing constipation, visit reputable sources like the Mayo Clinic and WebMD. By understanding and addressing the causes of constipation, you can take proactive steps to improve your digestive health and overall well-being. We also encourage you to download Cool Stool’s FREE Gut Guide on their website to help you get started on your journey to improved gut health, with tips, recipes, shopping lists and eating plans.  https://www.coolstool.co.za/gut-health-guide Cool Stool™ is a fresh and much needed addition to health and wellness aisles, bridging the gap between harsh laxatives and soluble and other (often unpalatable) fibre supplements. This delicious, 100% raw, high-fibre, and super seed mix is a nutritionally diverse daily supplement that enhances natural bowel movements and improves gut health. It is scientifically formulated and tested, perfect for those dealing with digestive challenges as well as those wanting to optimise their general wellbeing. Cool Stool™ begins improving digestive health within days while adding a delicious nutty crunch to your yogurt, oats, smoothies and salads. Cool Stool™ is also available in 3 flavours as well as a gluten free version, and is great for the whole family from 2years old, and including pregnant women.  Cool Stool™ is currently available on www.coolstool.co.za, Faithful To Nature, Takealot, and at selected Wellness Warehouse, Dis-Chem, pharmacies and health stores nationwide. View the expanding and updated stockists list on https://www.coolstool.co.za/stockists Instagram: https://www.instagram.com/keepitmovingwithcoolstool/ Facebook: https://www.facebook.com/keepitmovingwithcoolstool  

Bonitas – innovation, life stages and quality care

Breastfeeding tips

Symptoms you may experience when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Care for your breasts when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Try ice packs on your breast for 15-20 minutes at a time. If ice doesn’t help, try using a warm washcloth on your breasts. Wear a well-fitting bra that is not too tight. Let your baby nurse at your breasts for a few minutes at a time. Ask your doctor about methods to help release a small amount of milk from your breasts, which may relieve some of the discomfort. Contact your doctor if you have any questions or concerns or you develop chills, or a fever and your breasts are still uncomfortable and swollen after 1-2 days. Benefits of breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Breastfeeding is a skill and can take time to learn; don’t get discouraged if it’s not easy for you at first.  Breastfeeding educators are available and can be helpful in overcoming some of the hurdles. Choosing to breastfeed your child provides many benefits for both you and your baby. Some of these include: How to breastfeed The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Some simple tips on how to breastfeed: Keeping your breasts healthy The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Keeping your breasts healthy during breastfeeding is important.  Here are some things to watch for:

Parenting Hub

Building a Healthy Snack Routine for Your Toddler

As parents, we all want to ensure that our toddlers grow up healthy and strong. One of the simplest yet most impactful ways to support their growth is by establishing a healthy snack routine. Snacks are not just fillers between meals; they’re an essential part of your child’s diet, providing nutrients that fuel their energy and development. Here’s how to create a balanced and fun snack routine for your little one. 1. Stick to a Schedule Toddlers thrive on routine, and having designated snack times helps them know what to expect. Ideally, offer snacks midway between meals, such as mid-morning and mid-afternoon. This prevents grazing throughout the day and ensures your toddler is hungry enough to eat at mealtimes. Consistency is key to promoting healthy eating habits. 2. Choose Nutrient-Dense Snacks Select snacks that are rich in vitamins, minerals, and other essential nutrients. Here are some healthy options to include: 3. Get Creative with Presentation Toddlers eat with their eyes first! Make snacks visually appealing to encourage them to try new foods. Use cookie cutters to shape fruits and vegetables into fun designs, or arrange snacks into a smiley face on their plate. Bright, colourful foods naturally draw their attention and curiosity. 4. Keep Portions Toddler-Sized Toddlers have small stomachs, so portion sizes should be appropriate for their age. Offering too much at once can be overwhelming. Start with a few small pieces and offer more if they’re still hungry. Remember, snacks are meant to complement meals, not replace them. 5. Involve Your Toddler Involving your toddler in snack preparation not only makes it fun but also encourages them to try what they’ve helped create. Simple tasks like washing fruits, spreading nut butter, or arranging snacks on a plate can give them a sense of independence and pride. 6. Limit Sugary and Processed Foods While it’s tempting to reach for convenient options, many store-bought snacks are loaded with sugar, salt, and unhealthy fats. Save treats like cookies or chips for occasional indulgences and focus on whole, natural foods for everyday snacks. 7. Stay Hydrated Offer water with snacks to keep your toddler hydrated. Avoid sugary drinks, and if you’re serving milk, ensure it’s within recommended daily amounts to avoid filling them up too much before meals. 8. Be Patient with Picky Eaters If your toddler refuses certain snacks, don’t give up! Keep offering a variety of healthy foods without pressure. It can take multiple exposures before they accept new tastes and textures. Stay calm and consistent, and celebrate small victories when they try something new. 9. Prep Ahead for Convenience Busy days can make it challenging to prepare snacks from scratch. Take some time to prep ahead by cutting up fruits and veggies, boiling a batch of eggs, or baking healthy muffins. Store them in toddler-friendly portions for easy grab-and-go options. 10. Lead by Example Your toddler learns by watching you. If they see you enjoying healthy snacks, they’re more likely to follow suit. Share snack time together whenever possible to create a positive and supportive eating environment. Final Thoughts Building a healthy snack routine for your toddler doesn’t have to be complicated. By prioritising nutritious options, maintaining consistency, and making it enjoyable, you’re setting the stage for lifelong healthy eating habits. Remember, it’s not just about feeding their bodies – it’s about nurturing a happy and adventurous relationship with food. Happy snacking!

Parenting Hub

Spotlight on maternal anaemia – two out of three expectant SA mothers at risk

World Anaemia Day (February 13) and South Africa’s Pregnancy Awareness Week (February 10-16) both shine the light on anaemia, a global health challenge impacting many pregnant women and their newborns. According to the World Health Organisation (WHO), anaemia affects around 40% of pregnant women globally, with even higher rates in developing regions such as South Africa, where two out of three expectant mothers have low iron levels and one in three is anaemic. This entirely preventable condition continues to be one of the most significant contributors to maternal mortality and adverse pregnancy outcomes worldwide. Maternal anaemia is not just a pregnancy concern, it is a generational health crisis that can impact children’s development for years. However, with proper screening and treatment, adverse outcomes can be successfully prevented, explains Sister Karin Davidson of the Cape Town Infusion Centre, a facility that specialises in medical-grade iron infusions. “Anaemia affects the entire population due to factors like poor iron absorption, poor nutrition, blood loss through menstruation and physical challenges such as illness, pregnancy, rapid growth or sport. Research shows that up to 40% of women enter pregnancy without enough iron – and it’s an entirely preventable and treatable condition,” says Sr Davidson. Long-term impact on children Research has shown that children born to iron deficient or anaemic mothers often face numerous health challenges that can persist through early childhood into adulthood. “Babies store the iron they need for the first six months of their life in-utero and children born with low iron stores can take up to seven years to catch up,” says Sr Davidson.  Issues related to infants born to iron deficient or anaemic mothers include: Anaemia and pregnancy – the risks During pregnancy, blood volume increases by approximately 50%, requiring significantly more iron to produce additional red blood cells. Without adequate iron levels, both mother and baby face serious health risks, including: Detection and prevention Early detection of iron deficiency is crucial. Pregnant women should be aware of common symptoms, including: Regular blood tests during antenatal check-ups are essential for monitoring iron levels and Sr Davidson encourages pregnant patients to advocate for themselves by insisting on iron level screenings during their first pre-natal visit and again in each trimester of pregnancy. Treatment options A multi-faceted approach to treating maternal low iron and anaemia includes: 1.     Dietary modifications “It’s important to note that while nutritional intervention cannot raise low iron levels in an anaemic patient, consistent focus on iron-rich foods, especially in pregnancy can certainly play a part in preventing low iron levels developing in a pregnant patient,” says Sr Davidson. Increasing intake of iron-rich foods such as lean red meat, chicken and fish, dark leafy greens, legumes and iron-fortified cereal is recommended. 2.     Supplementation and medical-grade iron infusions Oral iron supplements are typically a first-line treatment, with healthcare providers prescribing appropriate dosages based on individual needs and iron store levels. For moderate to severe cases, or when oral supplements prove insufficient and when blood tests have shown low or insufficient iron stores, medical-grade iron infusions administered at a registered healthcare facility offer a highly effective solution. These infusions can rapidly restore iron levels, typically requiring only 1-2 treatments to achieve optimal results. “Early intervention and understanding that if you are hoping to conceive then healthy iron stores are essential for both mother and child, along with awareness of concerning symptoms that are sometimes considered normal pregnancy symptoms, are key to getting appropriate support and treatment. If you’re pregnant, insist your doctor checks your levels,” says Sr Davidson. Essential checklist for pregnant women As South Africa observes Pregnancy Awareness Week alongside World Anaemia Day, expectant mothers are urged to: The Cape Town Infusion Centre is committed to managing iron deficiency and anaemia, to empowering patients, and to improving lives. Please contact them if you would like any further information: www.capeinfusions.co.za

Parenting Hub

Introducing Solid Foods: What to Know for Your Baby’s First Bites

Introducing solid foods to your baby is a significant milestone, filled with excitement and a touch of uncertainty. Navigating this new phase requires a balance of patience, preparation, and understanding of your baby’s readiness. Here’s what you need to know to embark on this culinary adventure confidently. Recognising the Right Time Most paediatricians recommend introducing solid foods when your baby is around 6 months old. At this age, babies typically show signs of readiness, such as increased head control, interest in watching others eat, and a diminished tongue-thrust reflex that allows them to swallow food more easily. Every baby is different, so it’s crucial to observe your child’s cues rather than strictly adhering to a timeline. Choosing the First Foods The first foods you introduce should be rich in nutrients and gentle on your baby’s digestive system. Iron-fortified single-grain cereals, such as rice or oatmeal, are often the go-to first choice. Pureed vegetables like sweet potatoes and squash, as well as pureed fruits such as apples and pears, are also excellent choices. It’s essential to introduce one food at a time, waiting three to five days before trying a new one, to monitor any potential allergic reactions. Creating a Safe Eating Environment Safety is paramount when introducing solids. Ensure your baby is seated upright in a high chair to reduce the risk of choking. Use soft spoons and shallow bowls to help them learn to eat comfortably. Always supervise meals and avoid foods that can pose a choking hazard, such as whole grapes, nuts, and chunks of hard food. Encouraging Healthy Eating Habits Introducing solids is not just about nutrition; it’s also about establishing healthy eating habits. Offer a variety of foods to expose your baby to different tastes and textures. Avoid adding salt, sugar, or honey to your baby’s food, as their bodies are not ready for these additives. Allow them to explore self-feeding once they are comfortable with purees, which can foster independence and fine motor skills. Handling Common Concerns Parents may worry about food allergies or intolerances. Symptoms can include rashes, vomiting, or diarrhoea. If you suspect an allergic reaction, consult a paediatrician immediately. Introducing common allergens like peanuts, eggs, and dairy should be done carefully and under medical guidance if there is a family history of allergies. Embracing the Mess Expect messiness and enjoy the experience. Babies learn through touch and play, and mealtimes are no exception. Use bibs, wipeable mats, and patience to manage the inevitable spills and smears. Introducing solid foods is a journey of discovery for both you and your baby. By paying attention to readiness cues, choosing nutritious first foods, and maintaining a safe and supportive environment, you can make this transition enjoyable and beneficial for your little one’s growth and development.

Bonitas – innovation, life stages and quality care

All about epilepsy

It’s not surprising that Lavender is recognised as the international flower of epilepsy. Said to symbolise isolation and loneliness, often associated with epilepsy. National Epilepsy Week is celebrated from 10-16 February this year, its purpose: To create awareness about epilepsy and support the rights and well-being of individuals with epilepsy.  Dr Themba Hadebe, Clinical Managed Care Executive with Bonitas Medical Aid, discusses the causes, types, treatment and misdirected social stigma around epilepsy.  ‘Epilepsy is the most common chronic brain disease,’ says Dr Hadebe, ‘it affects an estimated 50 million people worldwide – across all ages, cultures and backgrounds.  In South Africa, 1 in every 100 people have epilepsy. As we mark the significance of epilepsy globally, it is vital to explore this brain condition, including addressing the social challenges and stigma around the disease.’  He says, ‘despite its prevalence, many people suffering from epilepsy – especially in low and middle-income countries do not receive the treatment or understanding they need.’ What is epilepsy? It’s characterised by recurring seizures, which occur when there is excessive electrical discharge in a group of brain cells. Dr Hadebe says, ‘While seizures can range from mild lapses in awareness to severe convulsions with loss of consciousness, the frequency and severity of episodes can vary widely. Although one seizure does not constitute epilepsy, people who experience two or more unprovoked seizures are diagnosed with the condition.’ In high-income countries, treatment access is more readily available but the disease remains a challenge, due to misdiagnosis and the persistence of stigma, making life difficult for those affected. It is also worth noting that up to 70% of people living with epilepsy could become seizure-free with proper diagnosis and treatment. Yet, an estimated 90% of people in some low-income countries remain untreated. This gap in access is worsened by a lack of trained healthcare providers in these areas. Causes of epilepsy There are a number of causes, including: Types of seizures There are focal seizures, which start in one part of the brain and generalised seizures, which affect both sides of the brain. Focal seizures Simple focal seizures: The person remains conscious and may experience unusual sensations, such as strange tastes or visual disturbances. Complex focal seizures: These may impair consciousness or awareness and may involve repetitive movements such as hand-wringing or lip-smacking. Generalised seizures Tonic-clonic seizures: Involve stiffening of the muscles followed by rhythmic jerking movements, often accompanied by loss of consciousness. Absence seizures: Brief lapses in awareness, often misinterpreted as daydreaming. Myoclonic seizures: Sudden, jerky movements that can affect the limbs or entire body. Atonic seizures: Sudden loss of muscle tone, which may cause falls or head drops. The impact of seizures The impact on an individual’s life can extend beyond the physical symptoms. People living with epilepsy often experience higher rates of mental health disorders, particularly anxiety and depression. In fact, the risk of premature death for people with epilepsy is up to three times higher than the general population, with the greatest risks found in low-income countries. Treatment and care Although epilepsy is a lifelong condition, seizures can often be controlled with medication. ‘The primary treatment for epilepsy is the use of antiseizure drugs and, for up to 70% of individuals, these drugs can lead to seizure-free living’ says Dr Hadebe. ‘In some cases, when medication fails, additional options like surgery, vagus nerve stimulation, or responsive neurostimulation can help manage seizures.’ Many countries lack affordable antiseizure medications and healthcare workers may not have the training necessary to accurately diagnose and treat epilepsy. The World Health Organization’s (WHO) efforts to bridge this gap include training primary healthcare providers in diagnosing and treating epilepsy, which has already proven effective in pilot projects in countries like Ghana and Myanmar. Prevention An estimated 25% of epilepsy cases are preventable. Preventing traumatic brain injuries, improving perinatal care, reducing the incidence of stroke and infections and addressing health conditions like hypertension and diabetes, can help lower the incidence of epilepsy. In tropical regions, eliminating parasitic infections like neurocysticercosis is also critical for reducing the burden of epilepsy. The impact of diet on epilepsy management Diet can play a supportive role in managing epilepsy. The ketogenic diet, a high-fat, low-carbohydrate eating plan, has been shown to significantly reduce seizure frequency in both children and adults. It works by promoting a metabolic state called ketosis, where the body burns fat for energy instead of carbohydrates, which can help stabilise brain activity.  For individuals who do not respond well to the ketogenic diet, alternatives like the Modified Atkins Diet or the Low Glycaemic Index Treatment (LGIT) can also be effective. In addition, ensuring adequate intake of omega-3 fatty acids, vitamin D and magnesium may help support brain function and reduce the risk of seizures. More research is needed to understand the impact of diet on epilepsy, but these dietary strategies offer an important complementary approach to medical treatment. Social stigma and Human Rights Dr Hadebe says, the stigma surrounding epilepsy is a significant barrier to care. ‘Many people with epilepsy suffer discrimination, whether in the form of myths about epileptics, workplace bias or limitations on their legal rights. The problem is so pronounced that Epilepsy South Africa’s hashtag is  #StampOutStigma. In some countries, people with epilepsy face challenges in obtaining marriage licenses, employment or even the ability to drive. ‘Addressing these issues requires improved public education, along with legislation that protects the rights of people with epilepsy and ensures they receive equal treatment in all aspects of life.’ Epilepsy remains a global health issue that impacts millions of lives, particularly in low- and middle-income countries. The international community, with organisations like WHO leading the charge, continue to work towards reducing the global burden of epilepsy. By recognising the causes, types and treatment options available and addressing the social stigma, we can create a more inclusive world for people living with epilepsy.  It is time to bring epilepsy out of the shadows and into the light of understanding, compassion and care.

Parenting Hub

Seasonal suggestions to lift your lunchbox game

Many of us have kicked off 2025 looking for ways to embrace a healthier lifestyle. The trick, though, is to make changes that are sustainable. As we get busy with work and school, it’s all too easy for good intentions to fall by the wayside. One of the most meaningful changes you can make when it comes to healthier eating is to master weekday lunchboxes for both school and work. Packing your own lunchbox can ensure a balanced lunch, while controlling portion sizes and sticking to your monthly budget.  The daily task of assembling healthy lunchboxes for the whole family may seem daunting, but there are a few strategies which can make the whole process easier. Jade Seeliger, a registered dietitian, emphasises the importance of using healthy ingredients such as dairy, vegetables and fruit, and keeping a focus on creating a balanced lunchbox that includes the major food groups. She says, “Including dairy such as yoghurt, maas or cheese provides quality protein as well as a spectrum of micro-nutrients that promote balanced eating. Buying in-season fruit and vegetables, such as the variety of stone fruit now available in-store, helps everyone get their recommended five to eight servings of vegetables and fruit each day. It’s also more affordable to buy in-season.” Included in her tips for easy, healthy lunchbox prep, Seeliger recommends bulk prepping; buying all the necessary items in bulk and preparing as much as possible ahead of time. Whilst this may seem like a time-consuming, tall task, it certainly saves time during the week when you’re on the go. “Prep and store easy-to-freeze foods like homemade muffins, cooked meatballs, date balls, or sliced cooked chicken breasts. These can be pre-portioned and frozen for quick lunchbox packing throughout the week,” she says.  Working on the menu as a family is another strategy that Seeliger encourages. “When everyone has input, there’s more buy-in, which helps avoid the dreaded full lunchbox returning back home,” she says. “Identify a few favourite healthy lunchbox options that can be rotated through the week to keep things fresh and exciting.” This rotation also ensures consistency, and variety will keep things from getting boring. Cooking extra at evening meals so that you have leftovers that can be used for lunchboxes the next morning, is an easy way to promote variety. According to The Food-Based Dietary Guidelines for South Africa (FBDG), vegetables and fruit should be eaten daily as they are packed with fibre, vitamins and minerals that are associated with a reduced risk of many nutrition-related diseases. When it comes to fruit, there is a lot of choice, but it is often best for both you and your pocket to eat what is locally in season. Until the end of March, stone fruit is in season and provides a variety of abundance, including firm and juicy peaches, succulent plums and deliciously sweet nectarines. “Stone fruit is very easy to incorporate into your diet because it’s so versatile. Peaches, nectarines and plums travel well and are a delicious way of making sure everyone gets one or two servings of fruit during weekday lunches,” says Wilechia van der Westhuizen of Juicy Delicious. “Peaches, plums and nectarines are refreshing on a hot day, easily available and packed with dietary fibre and immune-boosting vitamins A and C.” South African grown stone fruit also blends perfectly with dairy.  A fresh peach milkshake or nectarine yoghurt smoothie makes for an ideal, nutrient-dense drink on-the-go. Dairy products that can be easily added to lunchboxes include yoghurt, milk, maas and cheese. Maretha Vermaak, the registered dietitian at Rediscover Dairy, explains how dairy products like milk and yoghurt contribute to a healthy diet. “Milk is nutrient-rich and contains a unique mix of high quality, slow and fast digesting proteins, minerals and vitamins,” she says. “The essential nutrients in milk are beneficial for people of all ages, children and adults alike. There are multiple options to choose from, ranging from full-cream milk to fat-free and lactose-free milk, catering for diverse dietary preferences and needs so that everyone can be accommodated.” Vermaak points out that single servings of yoghurt are simple and convenient to include in lunchboxes.  Dedicating a time and place for packing lunchboxes is essential, says Seeliger, emphasising how this builds consistency and becomes part of a routine. This does not have to be a dull, monotonous process either. “Make it an enjoyable activity—whether that means packing them together as a family, listening to music, or tuning into a favourite podcast. When it feels like a fun part of the routine, you’re more likely to stick to it,” says Seeliger. A healthy lifestyle is not about strict perfection all the time, but rather about balance. According to Seeliger, “A small treat now and then is perfectly fine as part of a well-rounded lunch!” Elevate the daily lunchbox by using a compartmentalised one, such as the ADDIS Munch On The Go Bento Box which is proudly manufactured in South Africa.   Here are two recipes, created by Jade Seeliger for Juicy Delicious, to inspire your lunchbox prep: Asian-Inspired Nectarine & Feta Salad Jar This fresh salad combines the sweetness of nectarines with the tangy creaminess of feta, topped with a delicious Asian-style dressing. A perfect summer salad!  If you are taking your salad on the run, remember to place the dressing at the bottom of the jar or container so that it doesn’t make your salad ingredients soggy. Peach & Yoghurt Parfait A fun layered snack that combines the sweetness of peaches with creamy yoghurt for a delicious and satisfying treat perfect for a snack or as a lunchbox filler. And another two recipes that you can add to the weekly lunchbox plan: Chicken and Peach Meatballs Sandwich Sushi Rolls

Parenting Hub

Here’s how to whip up a no-regrets Valentine’s Day meal… filling and delicious too!

Catering for a health conscious audience? Then you can confidently whip up this romantic meal for two with our healthy Valentine’s Day dinner recipe. Super quick to pull together and pure eye-candy!  Recipe below….. Mushroom Harvest Bowl Serves 2 Ingredients: Pickled cauliflower: Avocado dressing: Harvest bowl ingredients: Method: For the pickled cauliflower: For the avocado dressing: To assemble the bowls: Sprinkle everything with the toasted seeds. Serve with a wedge of blood orange and the avocado dressing on the side.  Image and Recipe Credit: The South African Mushroom Farmers’ Association

Bonitas – innovation, life stages and quality care

Talking about HPV, cervical and the HPV vaccine

As the Department of Health gears up for the first round of Human Papilloma Virus (HPV) vaccinations for girls between 9 and 14 from February 3 to March 28, we put the spotlight on HPV and cervical cancer. The focus is on: Empowering, Preventing and Early Detection of cervical cancer. It’s important because cervical cancer kills more South African adolescents and women aged 15 to 44 than any other cancer.  It can be successfully treated, if caught early enough but it’s far better to prevent it in the first place.  Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas, provides some insights and important information about cervical cancer – caused by persistent infection with HPV – whyit is essential to screen for the virus and the vaccination that can help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘To help prevent cervical cancer, we have expanded our preventative care benefits to include the HPV vaccine across all plans,’ says Dr Hadebe.  ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years, per lifetime’. Screening for HPV and cervical cancer: Screening is essential to mitigate the risk of developing cervical cancer and aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test should be done every 5 years. Signs and symptoms: The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. The power of prevention: ‘Talk to your daughter about important lifestyle choices she must make’, says Dr Hadebe. ‘These may be uncomfortable conversations to have but they’re vitally important to protect her from HPV and subsequent diseases.’ Discussion points include the fact that the HPV vaccination is her best opportunity for protection from the virus.  In addition, she needs to consider the following: If you develop cervical cancer: Just like other cancers, cervical cancer is graded according to severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one (it’s still in the original organ and small). If it progresses, it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasised to surrounding tissues and other lymph nodes.  As cervical cancer develops, the following may occur: ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’  Additional information on cervical cancer and HPV can be found on the Bonitas website: www.bonitas.co.za or the Department of Health https://www.health.gov.za

Parenting Hub

2025 Food trends: Mushrooms tick the box again!

Each November, The Innova Top 10 Trends for the coming year are published based on extensive research into global food and beverage markets. Those for 2025 take clear note of climate concerns, sustainability issues, food safety and personal wellness, boxes all ticked by the production methods used to grow fresh mushrooms and by the highly nutritious composition of fresh fungi themselves.  One recent consumer trends survey by the Innova Market Insights group shows that consumers rank quality ingredients as hugely important. “Consumers are seeking ingredients with elevated features such as health benefits, nutrition, freshness and shelf life, and naturalness,” notes Food Stuff South Africa in its report on the trends list. That’s another tick for mushrooms, which are hugely nutritious, boasting robust amounts of antioxidants, selenium, riboflavin and vitamin D; with fresh mushrooms being the only significant source of plant-based vitamin-D! Fungi are also low in sodium and contain both fibre and plant-protein.  Another big check-mark for mushrooms is that while people love eating plant-based meals, Innova notes that consumers are no longer in love with processed versions and faux-meat. “[Consumers] want choices that are less processed, more natural, have better taste and texture, offer health benefits, and support the environment. Consumer sentiments along with concern about health risks from eating ultra-processed foods are forcing companies to reimagine their development of plant-based products,” reports Food Stuff South Africa.  Fresh mushroom varieties like big browns, which are readily available in every supermarket, are perfect meat substitutes – without having to really change your favourite recipes as the meaty texture and rich flavour of mushrooms make the swap seamless.  Food guru Martha Stewart’s website says that “trends tend to build on each other, and likely a lot of the popular phenomenon we’ve been seeing in 2024 will continue to proliferate through the next 365 days. That is, “swicy” is likely here to stay for a while, mushrooms will be everywhere, [and] ‘girl dinner’ will celebrate its second birthday  “Swicy” is sweet-heat, and your basic mushroom carries the combination extremely well. However supermarket fungi are really finding their whoa-Nelly moment in girl dinners – the TikTok trend that explores the more snacky, less formal eating experience that women tend to favour when eating alone and on days they don’t feel the need to produce a full meal for the family. Search ‘girl dinner’ online and a million easy options will stack your screen, from quick mushroom pastas to mushrooms on toast and easy egg dishes, like Double Mushroom Omelette https://rebrand.ly/rxz26qc.  Another trend we’re excited to have mushrooms lean into in the coming year is “crunch”, which the highly influential Whole Foods Market’s Trends Council has listed as the “texture of the moment” for 2025, saying “from crispy grains and granola to sprouted and fermented nuts to roasted chickpeas and mushroom chips – consumers are increasingly reaching for these items to enhance meals and add texture to breakfast, lunch and dinner.”  So dehydrators plugged in, or ovens set to low, mushrooms are moving into crispy, crunchy territory, and we’re onboard for the experience!  Alternatively, you can explore crunch in other, less time-consuming ways, like rustling up a batch of Mushroom Popcorn https://rebrand.ly/vodfo49, for the purposes of both snacking and sprinkling over other foods to get that crisp finishing texture.  Whichever trends you embrace for 2025, you’ll find mushroom recipes at   https://bit.ly/31Tza3V that will make your meals more interesting, delicious and healthy. Enjoy the journey! Mushroom Popcorn Recipe and Image Credit : The South African Mushroom Farmers’ AssociationIngredients:  300g baby button mushrooms½ cup Panko breadcrumbs½ cup biltong dust1 cup plain popcorn 1 tsp chilli flakes½ lemon, zested1 tbsp sesame seeds2 tbsp hoisin sauce2 tbsp soy sauceOlive oil for frying Method: Blitz the popcorn in a food processor until you’ve made chunky crumbs.  Mix the panko, popcorn crumbs, biltong dust, chilli flakes, sesame seeds and lemon zest in a large mixing bowl and set aside. In a non-stick frying pan add a drizzle of olive oil and sauté the mushrooms until they release their water and begin to brown. Add the soy sauce and hoisin and roll them around to glaze each one. Allow the sauce to reduce and become sticky.  Toss the glazed mushrooms in the popcorn mix making sure each one is well coated.  Serve as a snack in jars or cones at a party or while watching your favourite tv show. 

Bonitas – innovation, life stages and quality care

Symphysis pubis dysfunction (SPD) and to deal with it

Symphysis pubis dysfunction or SPD is pain in your pelvis, which is caused by the relaxing of ligaments in the pelvic bones too early before birth. Many aspects of pregnancy can cause discomfort, and SPD is one of them. Here are the signs of SPD and what you can do if you think you to alleviate your discomfort if you are suffering from it.  What is SPD and what causes it? Not all moms-to-be will experience SPD but it is thought to be fairly common in pregnancy. SPD is a pain in the symphysis pubis (which can range from moderate to serve) caused by the relaxing and stretching of the ligaments around the pelvic bone. Pain can be brought on by opening your legs, walking up stairs or even turning over in bed, and this may be accompanied by a clicking/grinding sensation in the pubic area.  The cause of SPD in pregnancy is the hormone relaxin, aptly named as it relaxes your joints and ligaments to make it easier for your baby to come out at birth. SPD happens when these hormones come into play too early. Not only that but you’re shifting centre of as your baby grows, which can cause main in your lower back and pelvis as your body shifts to accommodate your little one.  What can I do to relieve SPD  Living with SPD can be uncomfortable at best, so you may be wondering what you can do to help alleviate some pain. Being fit before pregnancy can help, as stronger glute and abdominal muscles can help support your pelvis. Physiotherapy can help manage SPD pain, as a physio will be able to work with you as your pregnancy and pain levels change. Speak to your doctor first, as they may have recommendations for you. Your pelvis should return to normal between 4 and 12 weeks after birth. 

Parenting Hub

Pregnancy Nutrition: Foods to Boost Energy and Wellness

Pregnancy is a beautiful journey filled with anticipation and excitement, but it can also be physically demanding, leaving many expectant mothers feeling tired and drained. Proper nutrition plays a crucial role in boosting energy and promoting wellness during this time. Ensuring that both mother and baby are well-nourished can make a remarkable difference in the pregnancy experience. Here’s a guide to some essential foods that can help boost energy and wellness during pregnancy. 1.Whole Grains Whole grains like oats, quinoa, and brown rice are excellent sources of carbohydrates, the primary energy source for the body. Unlike refined grains, whole grains are rich in fibre, which aids digestion and helps maintain steady blood sugar levels, preventing the energy crashes that can lead to fatigue. 2. Lean Proteins Incorporating lean proteins such as chicken, turkey, beans, and lentils into your diet is crucial for maintaining energy levels. Proteins not only support the growing baby’s development but also help in repairing and building tissues, which is vital as the body undergoes numerous changes during pregnancy. 3. Fruits and Vegetables A colourful array of fruits and vegetables provides essential vitamins and minerals necessary for maintaining energy and boosting immunity. Options like spinach, bananas, and oranges are packed with nutrients like vitamin C, potassium, and folate, which are vital for the health of both mother and baby. 4. Nuts and Seeds Almonds, walnuts, chia seeds, and flaxseeds are powerhouse foods rich in omega-3 fatty acids, protein, and fibre. These nutrients are essential for brain development and can also help in increasing energy levels. Eating a handful of nuts or adding seeds to your meals can be a quick and easy way to boost your nutrient intake. 5. Dairy Products Calcium is crucial during pregnancy for the development of the baby’s bones and teeth. Dairy products like milk, yoghurt, and cheese are rich in calcium, vitamin D, and protein, which can help keep the expectant mother’s bones healthy and prevent osteoporosis. 6. Hydration Staying hydrated is often overlooked but is a vital aspect of maintaining energy levels. Dehydration can lead to fatigue and other complications. Drinking plenty of water, herbal teas, and natural juices can ensure adequate fluid intake. 7. Iron-rich Foods Iron is essential for producing haemoglobin, which carries oxygen in the blood. During pregnancy, the need for iron increases to support the growing baby and placenta. Foods such as red meat, spinach, and lentils can help prevent iron-deficiency anaemia, which is a common cause of fatigue. Conclusion Maintaining energy and wellness during pregnancy is essential for the health of both mother and baby. Incorporating these nutrient-rich foods into your daily diet can make a significant difference in how you feel. Always consult with your healthcare provider to tailor a nutrition plan suited to your specific needs. Remember, a well-nourished pregnancy can lead to a healthier and happier journey for both you and your little one.

Parenting Hub

Dealing with Back-to-School Germs: Health Tips for Families

As the new school year kicks off, families often face the inevitable wave of back-to-school germs. With classrooms bustling with activity, it’s no surprise that these environments can become breeding grounds for germs. The good news is that families can take proactive steps to safeguard their health and ensure a smooth transition into the academic year. Understanding the Germ Challenge Schools are social hubs where children and teachers interact closely, sharing everything from crayons to snacks. This closeness means germs spread easily, particularly as children return from summer breaks and mix with large groups. Common ailments during this period include colds, flu, and stomach bugs, which can quickly circulate among students and staff. Health Tips for Families Promote Good Hygiene: Encourage regular handwashing with soap and water, especially before meals and after using the toilet. Hand sanitiser can be a good alternative when soap and water aren’t available. Teach Proper Cough and Sneeze Etiquette: Show children how to cover their mouths and noses with a tissue or their elbow when they cough or sneeze. This simple habit can prevent the spread of airborne germs. Boost Immunity with Nutrition: Support your child’s immune system by ensuring they have a balanced diet rich in fruits, vegetables, and lean proteins. Consider consulting with a healthcare provider about appropriate vitamins or supplements. Ensure Adequate Sleep: Children need plenty of rest to maintain a strong immune system. Establish a consistent bedtime routine to ensure they get the recommended amount of sleep for their age group. Stay Active: Regular physical activity can help boost the immune system. Encourage your child to engage in physical activities they enjoy, whether it’s a sport, cycling, or dancing. Keep Vaccinations Up to Date: Ensure your child’s vaccinations are current, including the flu shot. This is one of the most effective ways to protect against influenza and other preventable diseases. Monitor and Manage Stress: Returning to school can be stressful for children. Teach them relaxation techniques and provide emotional support to reduce stress, which can weaken the immune system. Communicate with School Staff: Stay informed about your child’s school’s health policies and procedures. This includes understanding their approach to handling sick students and any required medical forms. Conclusion While it’s impossible to avoid germs entirely, taking these proactive measures can significantly reduce the risk of illness for your family during the school year. By promoting good hygiene, a healthy lifestyle, and staying informed, parents can help their children thrive both academically and health-wise. Embrace these practices to keep those back-to-school germs at bay and support a healthy, happy school year for everyone.

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Radiology’s role in managing pain in cancer patients

World Cancer Day, observed every 4 February, aims to raise awareness about cancer, encourage prevention and look at ways of improving a cancer patient’s quality of life. Interventional radiology plays a significant role in pain management for cancer patients. Traditionally, radiology was used for diagnosing the cause of the pain but interventional radiology has changed this paradigm. Since American radiologist Charles Dotter, first used a guidewire and catheter to perform an interventional procedure in 1964, radiologists have become actively involved in intervention, including interventions for pain management. Today, many minimally invasive procedures are routinely performed in busy radiology departments. Dr Arthur Winter, a radiologist at SCP Radiology says, ‘Interventional radiology has developed rapidly. Pain management procedures are becoming a daily part of busy radiology departments and play a crucial role in managing pain for cancer patients.  ‘Cancer-related pain can be a significant burden, affecting patients’ quality of life and hindering their ability to carry out daily activities,’ says Dr Winter. ‘Radiology offers various techniques and treatments that help alleviate this pain effectively. These therapeutic interventions in pain management include image-guided interventional radiology procedures and radiation therapy.’ Understanding pain Pain is a signal from the nervous system to let you know that something is wrong in your body. It is transmitted in a complex interaction between specialised nerves, the spinal cord and the brain. It can take many forms, be localised to one part of the body or appear to be widespread.  The nature of cancer pain Cancer pain can arise from multiple sources, including the tumour itself, which may invade or compress surrounding tissues, organs or nerves. Metastases, the spread of cancer to other parts of the body, can also cause significant pain. Additionally, pain can result from the treatment of cancer, such as chemotherapy and radiation therapy. Multidisciplinary approach to pain management Effective pain management for cancer patients requires a comprehensive, multidisciplinary approach. Oncologists, radiologists, pain specialists and other healthcare providers collaborate to develop individualised care plans. Radiology is essential in both the diagnostic and therapeutic phases of this process, providing crucial insights and treatment options. These personalised care plans, tailored to each patient’s needs, ensure: Imaging techniques Diagnostic radiology initially uses various imaging techniques to identify the source and extent of pain in cancer patients. These techniques include: X-rays, CT scans, MRI, PET scans and ultrasound. By identifying the precise location and cause of pain, radiology can help: Interventional radiology Interventional radiology uses minimally invasive techniques to diagnose and treat various conditions and, for cancer patients experiencing pain, it offers several effective treatments: Palliative radiation therapy In this instance, radiologists are involved with planning imaging only. The actual radiotherapy is performed by the radiation therapist, who works under the supervision of a radiation oncologist. Palliative radiation therapy is specifically designed to relieve symptoms and improve the quality of life for cancer patients. It focuses on pain control and symptom management rather than curing the disease.  Radiation oncologists deliver targeted doses of radiation to cancerous tissues, this palliative radiation therapy can help: Improving quality of life Dr Winter highlights that chronic pain can significantly diminish quality of life and contribute to depression, particularly in patients with underlying cancer. ‘These patients, in particular, should be considered for interventional procedures. For instance, there are highly effective treatments available to manage pain associated with pancreatic and pelvic cancers’. ‘Specialists, such as oncologists and neurologists, acknowledge the significant role of interventional radiology in pain management and collaborate closely with us to support their patients. As a rapidly advancing branch of radiology, it provides minimally invasive solutions and it is incredibly rewarding to witness patients regain their quality of life through effective symptom relief.’

Parenting Hub

Fun lunch box ideas for fussy kids

The team at Krazy Kiwi Kookbox have put together some fun ideas to keep your kids’ lunchboxes exciting and interesting, especially for those slightly more fussy children.  Main Items Snacks Treats Tips for Picky Eaters For any assistance with meals visit www.kookbox.co.za

Freebees PR

Introducing Happa Foods

Just launched in South Africa, organic Happa Foods brings you a range of healthy and delicious baby foods that are super convenient for busy parents. Happa is dedicated towards making food that’s healthy, tasty, fulfilling and organic for your baby’s development. They are organic, free from unnecessary additives, and packed with pure fruits and veggies. Happa is a brand that’s not only about nutrition, but also about simplifying life for busy, health-conscious parents. The range consists of ready-made cereals, puree pouches, puffs and yogo melts.  What makes Happa special is that it’s made by parents, for parents. As a father himself, Happa founder Pankaj knows how important it is to give children the very best when it comes to nutrition. Happa is created to be an option that parents can truly trust—organic, free from unnecessary sugars and additives, and made with high-quality fruits and vegetables. Each product is crafted to be as close to natural as possible, so parents don’t have to compromise on quality or convenience. Happa isn’t just baby food; it’s a way to support our children’s health and growth with real, clean ingredients Happa Foods is available from Makro Online, selected Clicks Stores, Takealot.com and medhealthsup.com Happa Founder’s Story: Happa was born in 2018, out of real-life struggles that our founder, Pankaj along with his wife Pali, faced as parents. While traveling with their young daughter, they quickly discovered how hard it was to find healthy, convenient food options for kids. Every meal option seemed packed with sugar, artificial ingredients, or preservatives. Frustrated by the lack of genuinely healthy choices, Pankaj decided to take matters into his own hands. He envisioned a line of baby foods that parents could trust: organic, free from unnecessary additives, and packed with pure fruits and veggies. And so, Happa was born—a brand that’s not only about nutrition but also about simplifying life for busy, health-conscious parents. Today, Happa offers a range of organic baby foods that are as close to nature as possible, tailored for little ones but loved by parents too. We’re proud to provide new-age families with a better choice, one that’s inspired by a parent’s love and commitment to giving their kids the best start in life. Happa Founder’s Word: How did you come up with the idea for this product? The idea for Happa came from a personal need. My wife, Pali, and I struggled to find healthy, on-the-go options for our daughter while traveling; everything seemed packed with sugar, preservatives, or artificial ingredients. We wanted something natural and nutritious, but it was nearly impossible to find. We realised that other parents were likely facing the same challenge. So, we created Happa—a line of pure, organic baby food made from fruits and vegetables, free from additives. Our goal was to give new-age parents a truly healthy, convenient option for their little ones, and it’s incredibly fulfilling to see so many families benefit from it. What makes your product special? What makes Happa special is that it’s made by parents, for parents. As a father myself, I know how important it is to give my daughter the very best when it comes to nutrition. We created Happa to be an option that parents can truly trust—organic, free from unnecessary sugars and additives, and made with high-quality fruits and vegetables. Each product is crafted to be as close to natural as possible, so parents don’t have to compromise on quality or convenience. Happa isn’t just baby food; it’s a way to support our children’s health and growth with real, clean ingredients What has been the best part of your experience? The best part of my experience has been hearing from parents who feel relieved knowing they can trust what they’re feeding their little ones. As a parent myself, I understand the peace of mind that comes with providing the best nutrition. Every story of how Happa has made a positive difference for a family reminds me why we started this journey, and it’s incredibly fulfilling. Happa Range: Cereal: Puree: Puffs: Melts: Happa Cereal: Happa Brown Rice Cereal 200g – R94.69 Happa Brown Rice Cereal is a nutritious and versatile meal option, ideal for babies transitioning to solid foods. Made from 100% natural brown rice, it is rich in fibre, vitamins, and minerals, promoting healthy digestion and growth. The product is free from preservatives, artificial flavours, and added sugars, ensuring a wholesome and safe choice for young children. It’s easy-to-cook formula makes it convenient for busy parents to prepare quick, nutritious meals. Packaged in a 200g airtight pouch, it retains freshness and quality. Happa Brown Rice Cereal is a trusted choice for health-conscious families seeking a balanced and tasty meal option for their little ones. Happa Brown Rice Cereal is a perfect first food for your little one. Happa cereals are made with traditional recipes passed down through generations, ensuring the best taste and quality for your baby. Happa Brown Rice Cereal is made with wholesome ingredients, providing essential nutrients for your baby’s growth and development. With a variety of options including brown rice and oats, these cereals are also free from artificial preservatives, colours and sweeteners making them a healthy choice for your little one. Happa cereals are easy to digest and suitable for tiny tummies. Happa Oatmeal Cereal 200g – R94.69 Happa Cereal Oatmeal 200g is a nutritious and versatile meal option, ideal for babies transitioning to solid foods. Made from 100% natural oats, it is rich in fibre, vitamins, and minerals, promoting healthy digestion and growth. The product is free from preservatives, artificial flavours, and added sugars, ensuring a wholesome and safe choice for young children. It’s easy-to-cook formula makes it convenient for busy parents to prepare quick, nutritious meals. Packaged in a 200g airtight pouch, it retains freshness and quality. Happa Cereal Oatmeal is a trusted choice for health-conscious families seeking a balanced and tasty meal option for their little ones. Happa Oatmeal Cereal is a perfect first food for your little one. Happa cereals are made with traditional recipes

Austell Pharmaceuticals

Pregnancy and the yeast infection: Causes, Signs, and Treatment Options

Three quarters of women will experience a yeast infection during their lifetime, even if they never fall pregnant. Yeast infections, also called vaginal thrush, affects women and girls of all ages, and for more than 50% of the female population, this won’t be a once off experience.  As a result, yeast infections are considered one of the infections most commonly experienced by women. Unfortunately, pregnancy makes the risk of contracting a yeast infection even higher. Although there is no evidence to suggest this uncomfortable condition will harm your baby, itching and burning that come with a yeast infection can still cause significant distress. To help you avoid and manage bouts of vaginal thrush during your pregnancy, we have put together a guide to answer your most pressing questions:    What causes a yeast infection during pregnancy?  Yeast infections are caused by an overgrowth of a fungus called candida. This fungus or yeast occurs naturally in the vagina and on the skin. When in balance with other bacteria and fungi, candida does not cause any problems. However, when the vagina’s delicate balance of fungus and bacteria is disrupted, this yeast is left to grow rapidly, causing a yeast infection. This is usually due to the population of bacteria responsible for keeping its growth in check being reduced. There are several reasons why an imbalance can occur including antibiotic use.  When you are pregnant, however, the increased risk of contracting vaginal thrush is generally down to bodily and hormonal changes, particularly the increase in oestrogen in your body. Another factor is that when you are pregnant, pH in your vagina changes to become more alkaline and less acidic. This essentially makes the vaginal cells more sugary, turning them into food for the yeast and promoting its growth. Women also experience increased amounts of discharge during pregnancy, creating a permanently moist environment perfect for yeast growth. These conditions can cause the dormant yeast cells to multiply and cause infection. If you are struggling with a yeast infection, ask your doctor of pharmacist about Canex V for the relief of uncomfortable symptoms. Symptoms of a yeast infection The signs of a yeast infection during pregnancy are similar to those when not pregnant. They include:  How do you treat a yeast infection during pregnancy? If you are pregnant, it is important that you always seek medical advice before taking any medication.  Usually, your doctor will prescribe some kind of antifungal in the form of either a cream, like Canex V, or tablet, both of which are inserted vaginally. Canex V is available over the counter at most leading pharmacies country wide and contains the antifungal ingredient, clotrimazole, which works by stopping the growth of the fungi causing the infection. Antifungal creams can be applied both internally and to the skin around the outside of the vagina to provide relief to the whole area.  Can you avoid vaginal thrush when pregnant?  Although vaginal thrush during pregnancy is very common, there are some simple steps you can take to try and avoid developing an infection in the first place. These steps may not stop an infection every time, but they will help lower the risk.  1. Wear cotton underwear Yeast thrives in moist, warm areas. Wearing breathable underwear that isn’t too tight can help balance the moisture created by increased discharge. The same idea can be applied to the pants you wear. Try opting for loose cotton pants over tight jeans or active wear. 2. Keep proper hygiene and avoid irritants Scented soaps and bubble baths may make you feel better, but the chemicals used to create them can be harsh and cause irritation in your vagina, upsetting the balance of bacteria.  3. Check your diet Processed foods, sugary foods, and bread can all contribute to vaginal thrush infections. Try avoiding or only eating moderate amounts of these foods. On the other side of the coin, probiotic-rich foods like natural yogurt can help add beneficial bacteria back into your system. Vaginal thrush is a common and uncomfortable infection, especially for women who are pregnant. Changes to your hormones, body, and routine may all contribute to increasing your risk of infection. Thankfully, although uncomfortable, yeast infections pose very little serious health risk to you or your baby if treated correctly under the guidance of a doctor and can be avoided with a few simple lifestyle changes.  CTA: Don’t let a yeast infection ruin your pregnancy journey. Ask your doctor or pharmacist about Canex V today. 

Bonitas – innovation, life stages and quality care

Staying healthy during your pregnancy

Welcoming a new addition to the family is exciting but also a little daunting. Parents are anxious to make sure everything is done correctly to ensure the best start for their little one. Part of this preparation is also maintaining a healthy lifestyle and diet, during the pregnancy, crucial for both the mother and developing baby. Dr Themba Hadebe of Bonitas Medical Fund says that what you eat during your pregnancy, directly affects foetal development. ‘A diet rich in vitamins, minerals and other key nutrients can help ensure a healthy pregnancy outcome. Proper nutrition supports the development of your baby’s brain, bones and organs. It also aids in building the placenta, which supplies the baby with oxygen and nutrients.’ He advises eating a balance diet that includes a variety of food groups, such as fruits, vegetables, lean proteins, whole grains and healthy fats. Each offers unique benefits that support both maternal health and foetal growth. What foods should I be eating?  Bearing in mind that you may feel nauseous in the beginning and not be able to eat certain foods and may have cravings for others, as far as possible try to follow a balanced diet, rich in nutrients. Foods you should include in your diet are dairy products, such as milk and yoghurt, as they provide extra protein, calcium and probiotics. Legumes, such as lentils and soybeans, are other good foods to include as they contain protein, fibre and folate, which is particularly important during pregnancy.  Sweet potatoes, which are high in vitamin A and fibre, are also a good addition to your shopping list. Other wholesome foods include eggs, broccoli, lean meat and berries.  ‘During pregnancy your vitamin and mineral needs will change,’ say Dr Hadebe. ‘And although a heathy diet should supply most of the vitamins and minerals needed, often healthcare professionals suggest prenatal vitamins as a good way to supplement and cover nutritional gaps, even though they don’t replace a healthy lifestyle and diet.’ What vitamins and minerals are essential and why?  Folic Acid: Or folate helps prevent neural tube defects, such as spina bifida and supports the development of the baby’s brain and spine. Iron: Supports healthy growth and helps prevent anaemia by ensuring that blood (in both mom and baby) carries oxygen effectively. Iron-rich foods like lean meats, beans and spinach can help but most pregnant women need an iron supplement to meet the increased demands.  Calcium: Calcium supports the development of the baby’s bones and teeth. If the mother’s calcium intake is inadequate, the baby will draw from the mother’s stores, potentially weakening her bones. Dairy products and leafy greens are great sources of calcium. Vitamin D: Aids in calcium absorption and supports the baby’s bone health. Exposure to sunlight and foods like fortified dairy and fatty fish (salmon, mackerel) can help ensure adequate vitamin D levels.  Omega-3 Fatty Acids: These essential fats, found in fatty fish, like salmon and also flaxseeds, support the baby’s brain and eye development. Omega-3s can also help reduce the risk of preterm birth. Vitamin C: Helps with iron absorption and boosts the immune system. It can be found in citrus fruits, strawberries, bell peppers and broccoli. Iodine:  Essential for the production of thyroid hormones that regulate the development of the foetal brain and nervous system. You will need more iodine than usual when you’re pregnant or breastfeeding.  Iodine can be found in dairy products, eggs and seafood. ‘Getting the correct micronutrients is essential for a healthy pregnancy and best possible development of your baby,’ says Dr Hadebe. ‘Deficiencies can lead to complications such as hypertension and low birth weight which is why prenatal supplements are often prescribed.  However, it is important not to exceed the recommended dosages.  Consult your doctor or gynae before starting any supplements, they will help determine the appropriate dose for your individual needs.’ In additional to a balanced diet, Dr Hadebe also recommends you exercise regularly – it’s a great way to stay in shape, boost your mental health and releases ‘feel good’ endorphins. In addition to maintain a healthy lifestyle, cut out alcohol and nicotine, cut down on caffeine and find way to manage your stress levels.   As part of the Bonitas Maternity Programme the scheme allows its members R195* per month for antenatal vitamins during pregnancy. *Plan dependant.

Bonitas – innovation, life stages and quality care

Working and Pregnancy – When to Stop and How Much Is Enough

As an expecting mom with a career you may be wondering when the best time would be to stop working and how you can stay comfy and productive when you are still in the workplace. Morning sickness, back pain, frequent bathroom breaks and other pregnancy related symptoms can make working as you used to a more challenging task for you. It’s important that you calculate the risks that your job could possibly have to you and your baby. For instance if you are working with chemicals, heavy metals or radiation you’ll need to either stop working or take extra precautions. Heavy lifting or labour intensive jobs and lots of travel for work are also jobs that’ll become more difficult as your pregnancy progresses. Desk work and computer work are generally regarded as safe, whereas jobs that require lots of standing will become more difficult in later pregnancy. Dealing with work and pregnancy Working can be stressful without having a growing baby in your belly. The physical and emotional changes that you experience can make meeting your body’s and workplaces’s demands a challenging task. However, some moms with healthy pregnancies are able to work almost until they go into labour, how much you can do will depend on your pregnancy. Morning sickness is something many moms have to deal with. There are ways you can help manage nausea at work. Avoiding dining areas, packing mouthwash and a toothbrush and packing in soothing lemon and ginger are all things you can do to make yourself more comfortable. Eating and drinking little and often can also help keep the nausea at bay. Be sure to dress comfortably, and try to take frequent breaks and walks, as this’ll also help you stay more comfortable. What rights am I entitled to as an expecting mom in South Africa? As a pregnant employee, you are probably wondering what rights you’re entitled to. It is a good idea to inform your employee as soon as you can, so that your employer can manage the situation as best as they can (for both of you) – they are required by law to maintain a work environment that is safe for their employees. As an expecting mom, you will be glad to hear that you’re well protected  under South African law – you may not be discriminated against or dismissed due to your pregnancy. You also have the right to four consecutive months unpaid maternity leave, anytime from four weeks before your expected birth date. Unfortunately employees are not obligated to pay you during this period, however, your job will be kept open for you until your return to work after maternity leave.

Parenting Hub

Helping Kids Cope with Stress: Tools for managing anxiety and building resilience

In today’s fast-paced world, children face a variety of stressors, from school pressures to social dynamics and the challenges of adapting to a constantly changing environment. While some level of stress is natural, helping kids manage anxiety and build resilience is crucial to their mental and emotional well-being. As parents and caregivers, there are several strategies we can use to support our children in coping with stress and developing the tools they need to face challenges confidently. Here’s how you can help your child build resilience and manage stress in a healthy way. 1. Encourage Open Communication One of the most important steps in helping kids manage stress is ensuring they feel heard and understood. Often, children experience anxiety but don’t know how to express what they’re feeling. Encourage open conversations about their day-to-day experiences and emotions. Acknowledge their feelings without dismissing them. Let your child know that it’s okay to feel stressed or anxious, and validate their emotions by saying things like, “I can see you’re feeling overwhelmed, and that’s okay. Let’s talk about what’s going on.” When children feel they can express themselves freely, it helps reduce the burden of stress and anxiety. Active listening and reassuring them that their feelings are normal can make a big difference in how they handle their emotions. 2. Teach Mindfulness and Relaxation Techniques Mindfulness practices are great tools for kids to cope with stress. These exercises help children focus on the present moment and build a sense of calm. Simple mindfulness techniques such as deep breathing exercises, guided imagery, or body scans can help kids manage anxiety when they feel overwhelmed. For example, teaching children to take deep, slow breaths (in through the nose, out through the mouth) can help activate their body’s relaxation response. You can practice these exercises together as a family or encourage your child to use these techniques when they’re feeling anxious, whether before a test or during a stressful social situation. Mindfulness apps designed for kids, such as Calm Kids or Headspace for Kids, are also great resources to guide your child through these exercises. 3. Establish Healthy Routines Stress often arises from unpredictability. When children are unsure of what to expect, it can heighten their anxiety. Establishing consistent routines at home, including set times for meals, homework, relaxation, and bedtime, can help children feel more secure. A predictable routine provides a sense of structure and control, helping kids know what to expect and reducing stress levels. For example, create a family calendar where kids can track upcoming activities, school events, or family outings. This can make transitions smoother and reduce any anxiety related to the unknown. 4. Model Healthy Coping Mechanisms Children learn by watching their parents. By modelling healthy coping strategies, you teach your child how to handle stress effectively. Show your child that it’s okay to take breaks when things feel overwhelming. Whether it’s taking a walk, doing a hobby you enjoy, or practicing relaxation techniques, children are more likely to adopt these strategies when they see them in action. Be mindful of how you react to stress in front of your children. If you remain calm and composed in stressful situations, it provides a valuable example for them to follow. 5. Focus on Problem-Solving Skills Teaching children to approach problems with a solution-focused mindset helps them feel empowered in stressful situations. Instead of letting anxiety take over, encourage your child to break down challenges into manageable steps. Help them develop problem-solving skills by asking questions like, “What can we do to make this situation better?” or “How can we handle this differently next time?” Building resilience means teaching children to view challenges as opportunities to learn and grow, rather than insurmountable obstacles. Celebrate small victories and progress along the way to reinforce their belief in their ability to cope with difficulties. 6. Encourage Physical Activity Physical activity is a powerful stress-reliever for both children and adults. Exercise helps release endorphins—natural chemicals in the brain that promote a sense of well-being. Encouraging your child to engage in physical activity not only improves their physical health but also supports emotional regulation and reduces anxiety. Consider activities like playing sports, swimming, dancing, or simply going for walks as family activities. By making exercise fun and social, children will be more likely to engage in it regularly, helping them manage stress effectively. 7. Promote Positive Self-Talk The way children talk to themselves plays a huge role in how they handle stress. Negative self-talk can exacerbate anxiety, while positive affirmations and self-compassion help reduce stress. Teach your child to recognise when they’re being overly critical of themselves and encourage them to replace negative thoughts with more supportive and realistic ones. For example, if your child is anxious about an upcoming event or test, help them reframe their thoughts. Instead of thinking, “I’m going to fail,” they can remind themselves, “I’ve prepared, and I can do my best.” You can also help them develop a list of positive affirmations that they can repeat to themselves when they’re feeling stressed. 8. Ensure Enough Rest Lack of sleep can exacerbate stress and anxiety. A well-rested child is better equipped to handle challenges and manage emotions effectively. Make sure your child has a consistent bedtime routine that allows them to wind down and get enough sleep. Younger children typically need 9–11 hours of sleep, while older children and teens require 8–10 hours. Avoiding screen time before bed and creating a calming environment (dim lights, soft music, or a favourite bedtime story) can help signal to the brain that it’s time to relax and prepare for sleep. 9. Foster Connections with Supportive Peers Having a strong support system is essential for emotional resilience. Encourage your child to form meaningful relationships with their peers and stay connected with friends who provide emotional support. Children who feel supported and understood by others are better able to manage stress and bounce back from difficult situations. Helping your child engage in social activities, whether through

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Should I be exercising while pregnant, and if so, how much?

For most exercise is a part of life, so it is natural to want to keep active for as long as possible while pregnant. You may wonder how much exercise you can keep doing as your baby develops, and what routine changes you’ll need to make as your baby grows bigger. If you have a complicated pregnancy or are dealing with a weak cervix, a low placenta or suffering from a heart condition, diabetes or asthma, it is best to consult with a doctor or health professional before putting together a pregnancy exercise plan. What are the benefits of exercise during pregnancy  Improving overall health and wellness, exercise is a vital part of keeping you feeling your best and can help with backache caused by pregnancy, as well as prepare you for labour and delivery. If you were active before your pregnancy, you should be able to keep training with modifications made to your program. Exercises that are low impact and carry small risk of injury are best and you should be able to remain active until birth. Exercising during pregnancy can help boost your mood and energy levels, improve muscle tone, strength and lessen back pain. Exercise can also help reduce fatigue and stress, as well as help improve your sleep, all of which helps make your pregnancy easier on your body and mind. Staying fit can also help shorten your post delivery recovery time, however, getting back into exercise postpartum can be difficult and you should avoid pushing yourself too hard in the beginning. Exercising during pregnancy isn’t only good for your overall wellness, but studies show that it can also improve your baby’s health. What type of exercise should I be doing?  During pregnancy it is important to keep tabs on how your body is feeling. If you have been exercising frequently pre-pregnancy it should be fine to continue to do so in moderation, however, if something feels strange or uncomfortable it is best to consult a health practitioner. Swimming, prenatal yoga and pilates, walking and water aerobics are all exercises that you can focus on during your pregnancy. Water activities are good as they give you buoyancy and put very little strain on your body, especially when you are close to giving birth. If you were an avid runner before, you should be able to continue into pregnancy with some alterations to your program.  Exercise to avoid High impact sports with a risk of falling should be avoided. These include horse riding, mountain biking, downhill skiing. Contact sports, such as rugby, kickboxing and soccer are also preferable to avoid as there is a risk of being hit. Scuba diving is a big no-no as the baby has no protection against decompression sickness.

Blushproof®

Signs That Your Child Is Nearing Her First Menstruation

When I was growing up, there was very little info about periods and even less about how to determine if yours was nearing. I was brought up by my dad, who, let’s face it, definitely wasn’t going to have the conversation with me in the 80s. In fact, when I was 17, he asked his girlfriend of the time to check with me if I had started menstruating – we were both mortified! Nowadays, dads are a lot more liberal and a lot more involved in their children’s’ lives.  So, for all those moms and dads out there, who really don’t know how to spot the signs, this is for you… It’s certainly an interesting time for children and parents alike but remember to support her in any way you can and to sometimes let the power struggles take a back seat.  At Blushproof®, we like to support your child through this phase with our First period kit. Most importantly, this includes a pair of period absorbing panties, a swim period bottom and a leakproof pouch for your child to keep in her school or sports bag so that she’s not caught off guard. We also include a lovely heat pack for tummy cramps and headaches that she can use with the essential oil roller. Lastly, there’s an amazing aromadough that she can play with when feeling stressed, depressed or angry. You can also choose to add a lovely book that discusses what to expect when growing up. You can check out our Tween and Teen Period Kit by clicking here. The more you talk about this with your daughter, the more chance there is that it won’t feel like such a scary experience but rather a right of passage into womanhood. Good luck for the journey – what an exciting time!

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