Expert Advice from Bonitas Medical Fund
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

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. 

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.

Advice from the experts
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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.

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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

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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

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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

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

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. 

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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.

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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.’

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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

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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

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.

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.

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

Bonitas – innovation, life stages and quality care

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!

Parenting Hub

Mental Health Awareness for Kids: Spotting signs and offering support

As parents and caregivers, recognising the signs of mental health struggles in children is crucial to providing the right support. Mental health awareness is not only about understanding common conditions like anxiety or depression but also knowing how to approach, communicate with, and support a child who might be experiencing emotional difficulties. Here’s how to spot the signs and offer the help kids need to thrive emotionally and mentally. Recognising Mental Health Struggles in Kids Children, especially young ones, may not have the words to describe how they’re feeling. As such, recognising the signs of mental health issues can be tricky. But with awareness and attentiveness, parents can often notice early warning signs. Here are a few behaviours to watch for: 1. Changes in Mood or Behaviour Children are known for their mood swings, but when these shifts become more persistent, it may signal a deeper issue. Kids dealing with depression or anxiety may become withdrawn, irritable, or display unusual mood swings. They might seem sad, angry, or excessively worried about things that don’t seem to bother others their age. 2. Difficulty with School or Social Interactions If your child is struggling to perform in school or having trouble interacting with peers, it could be a sign of underlying anxiety or depression. A once-social child may begin withdrawing from friends or exhibiting signs of low self-esteem, while academic performance may decline due to a lack of focus or overwhelming emotions. 3. Physical Complaints Physical symptoms like stomachaches, headaches, or frequent complaints of being tired can sometimes be linked to mental health struggles. Children with anxiety or depression may report these symptoms without any underlying medical cause. If medical tests don’t reveal a physical problem, it’s essential to consider emotional and mental factors. 4. Changes in Sleep and Appetite Like adults, kids can experience disruptions in their sleep patterns when struggling emotionally. They might have trouble falling asleep, wake up frequently, or sleep excessively. Similarly, changes in appetite—eating too little or overeating—can also be signs of emotional distress. 5. Engaging in Risky or Harmful Behaviour Sometimes children may act out in dangerous ways, including self-harm, substance use, or acting aggressively toward others. These behaviours are serious red flags that may indicate the child is struggling with mental health issues and needs immediate professional support. Offering Support and Helping Your Child Cope Once parents identify potential mental health concerns, the next step is offering support. Here are some ways to help your child: 1. Create a Safe and Open Environment The foundation for supporting your child’s mental health is an environment of trust and openness. Let your child know it’s okay to feel upset or confused and that you’re there to listen without judgment. Encouraging them to express their feelings in a safe space can be incredibly healing. 2. Encourage Healthy Coping Strategies Help your child develop coping skills, such as journaling, exercising, or practicing mindfulness. Teaching your child healthy outlets for stress, like deep breathing exercises, can help them manage emotions constructively. 3. Seek Professional Help When Necessary If your child’s symptoms persist or worsen, it’s essential to seek professional help. A paediatrician, therapist, or counsellor can work with your child to develop effective coping mechanisms. Cognitive-behavioural therapy (CBT) has been shown to be effective in helping kids manage anxiety and depression (American Psychological Association). Medication may also be appropriate in some cases, especially if mental health struggles are severe. 4. Maintain a Routine Children thrive on routine and structure. Establishing a daily routine that includes time for schoolwork, play, meals, and sleep can provide a sense of stability. Predictable schedules can help reduce anxiety and promote a sense of safety. 5. Promote Physical Activity and Healthy Lifestyle Choices Physical activity has a positive impact on mental health. Encourage your child to engage in sports, dance, or even simple outdoor play. Healthy eating and sufficient sleep are also crucial components of mental well-being. 6. Educate Yourself and Your Child As a parent, it’s important to educate yourself about mental health. Understanding what your child is going through can help you provide better support. Teaching your child about mental health, coping mechanisms, and resilience empowers them to take charge of their emotional well-being. Why Mental Health Awareness is Important for Kids Raising awareness of mental health is crucial for children’s development, as it helps reduce stigma and encourages early intervention. According to the National Institute of Mental Health, half of all mental health disorders begin by age 14, making it vital to identify and address these issues early. When kids feel understood and supported, they are more likely to develop resilience and healthier coping mechanisms, setting the foundation for a lifetime of emotional well-being. Conclusion Mental health is just as important as physical health, and being aware of the signs and symptoms of emotional distress in children can make a world of difference. Through open communication, support, and professional guidance when necessary, parents can play a vital role in nurturing their children’s mental health. By prioritising mental wellness and offering the right tools for coping, families can foster resilience, strengthen their bond, and help children grow into emotionally healthy individuals. Sources:

Parenting Hub

Family Fitness Ideas: Activities to stay active together

In today’s busy world, staying active as a family can be a challenge, but it’s one that comes with numerous benefits. Not only does regular physical activity improve overall health, but it also strengthens family bonds, boosts mood, and sets a positive example for children. Whether you have toddlers or teens, finding fun and accessible ways to stay fit together is key to long-term health and happiness. Here are some family fitness ideas that everyone will enjoy! 1. Outdoor Adventure Walks and Hikes Hiking is a fantastic way to combine fitness with exploration. Whether you’re walking through a local park, hiking up a trail, or exploring a nature reserve, these outings provide opportunities for exercise, fresh air, and family bonding. Kids often love the excitement of discovering new places, and parents benefit from both the physical activity and the chance to unplug from the usual distractions of daily life. To make it more engaging, turn it into a scavenger hunt or challenge the kids to spot different types of plants and animals. 2. Bike Rides Cycling is a great low-impact cardio exercise for families. It’s suitable for a wide range of ages and fitness levels, and it can be done anywhere—from neighbourhood streets to bike paths in nature reserves. A family bike ride is not only good exercise, but it’s also a fun way to explore new areas and enjoy some quality time together. Ensure everyone has the appropriate gear (helmets and comfortable clothing), and if needed, make sure there are breaks for younger children to rest or for a snack. 3. Dancing at Home Dancing is an excellent workout that can be done at home with no equipment necessary. Put on your favourite playlist, learn a dance routine together, or just freestyle and let the kids take the lead. Whether it’s a structured dance workout like Zumba or simply dancing to fun music in the living room, it’s a way to stay active and have fun together. You can also make it a weekly family tradition, and the best part? Everyone can join in, from toddlers to grandparents. 4. Family Yoga or Stretching Sessions Yoga is a great way for families to connect and stay active while improving flexibility and reducing stress. Many yoga poses can be adapted for children, making it easy to introduce them to the practice in a fun way. You can find family yoga classes online or simply follow along with a video at home. It’s a calming activity that improves strength and balance while also providing an opportunity for mindfulness and relaxation. It’s an excellent way to wind down after a busy day and incorporate some family bonding time. 5. Sports and Active Games Engage in sports that are both fun and beneficial for fitness. Whether it’s soccer, basketball, or something as simple as catch or badminton, team sports help children and adults alike develop coordination, agility, and teamwork skills. If you don’t have access to a court or field, you can still create mini-games in the backyard. Even playing active games like tag or a scavenger hunt in your yard can get everyone moving. 6. Family Fitness Challenges Set up fitness challenges that everyone can participate in, no matter their age or ability. Try a “family Olympics” in your backyard with different stations for push-ups, jumping jacks, races, or obstacle courses. Alternatively, challenge each other to weekly fitness goals (like steps taken or minutes of activity) and offer small rewards for meeting milestones. This keeps everyone motivated and engaged while making fitness a fun competition. Plus, tracking progress is a great way to build a sense of accomplishment for everyone. 7. Swimming If you have access to a pool, swimming is one of the best full-body exercises. It’s low-impact, making it great for all ages and fitness levels, while also offering a fun way for kids to play. Whether you’re swimming laps, playing pool volleyball, or simply splashing around, swimming can provide hours of family fitness fun. It also allows for plenty of opportunities for rest in between, ensuring that everyone enjoys the activity without overexertion. 8. Family Workouts Together Sometimes, it’s nice to follow a structured workout plan that the whole family can enjoy together. Look for family-friendly workout programs, such as fitness apps or YouTube channels, that offer exercises like bodyweight squats, push-ups, lunges, and stretches that can be done in the comfort of your home. Many of these workouts can be tailored to fit all ages and fitness levels. Turn it into a fun family tradition by doing the workout after dinner or on weekends. 9. Interactive Fitness Games Use technology to your advantage! Interactive fitness games like those found on gaming consoles (such as Nintendo’s Ring Fit Adventure or Just Dance) combine movement with entertainment. These games can get the whole family moving, whether they’re dancing, boxing, or completing fun exercise challenges. It’s a modern way to make fitness engaging for kids, especially those who enjoy gaming. 10. Volunteer Together Getting involved in community service can also be an excellent way for families to stay active while giving back. Participate in charity walks, community clean-ups, or volunteering at local events. These activities not only promote fitness through walking and light physical tasks but also teach children the importance of helping others and being part of the community. Why Family Fitness Matters Staying active as a family offers more than just physical benefits—it strengthens emotional and social connections. Exercise has been shown to improve mood, reduce stress, and increase energy levels. When families are active together, they create positive memories and habits that last a lifetime. Additionally, kids who see their parents modelling healthy behaviours are more likely to develop those habits themselves. Sources:

Parenting Hub

Benefits of Outdoor Learning: Nature’s role in child development

In recent years, there has been a growing focus on the importance of outdoor learning and its positive effects on child development. As technology continues to dominate daily life, the value of nature-based education becomes increasingly evident. Outdoor learning provides children with unique opportunities to develop essential physical, cognitive, and social skills, all while fostering a deep connection with the natural world. Here’s a closer look at the benefits of outdoor learning for children. 1. Physical Health and Well-Being Spending time outdoors is closely linked to improved physical health. Research from the American Academy of Paediatrics highlights that outdoor activities promote cardiovascular health, boost the immune system, and help combat childhood obesity. Nature-based learning environments encourage children to engage in active play, from climbing trees to running around, which improves motor skills, builds strength, and enhances coordination. Additionally, outdoor exposure to sunlight increases Vitamin D levels, which are essential for bone health and immune function. 2. Enhanced Cognitive Development Outdoor learning environments have been shown to improve cognitive function and academic performance. According to studies published by The American Journal of Public Health, children who spend more time outdoors tend to score higher in reading, mathematics, and science. Nature-based experiences engage multiple senses and stimulate curiosity, leading to a deeper understanding of the world around them. Outdoor learning often involves hands-on activities, such as planting a garden or studying ecosystems, which promote problem-solving, critical thinking, and creative exploration. 3. Emotional and Mental Health Benefits The natural environment has a calming effect on children, helping to reduce stress and anxiety. Research from The University of Essex shows that outdoor activities, especially in green spaces, help lower cortisol levels and promote positive emotions. Being surrounded by nature helps children develop resilience and improves their ability to cope with challenges. Outdoor learning also fosters a sense of well-being by providing children with a break from the structured, sometimes overwhelming, classroom environment. Nature offers a sense of freedom, allowing children to explore at their own pace and engage with the world without the pressures of schedules or expectations. 4. Social Skills and Teamwork Outdoor learning environments often encourage collaboration and teamwork. Whether they are working together to build a shelter, navigate a scavenger hunt, or care for a community garden, children learn to communicate, negotiate, and support one another. According to The National Association for the Education of Young Children (NAEYC), outdoor learning helps children develop stronger social skills and enhances their ability to interact positively with others. They also learn how to resolve conflicts independently, which strengthens their emotional intelligence and interpersonal relationships. 5. Fostering a Connection with Nature One of the most significant benefits of outdoor learning is the development of a lifelong connection to the environment. According to The Children & Nature Network, children who regularly engage in outdoor activities are more likely to care about environmental conservation and sustainability. Nature-based education fosters an appreciation for wildlife, ecosystems, and the planet’s natural resources. As children experience the beauty and complexity of nature, they become more attuned to environmental issues and are motivated to protect the world around them. 6. Improved Focus and Attention Nature has been shown to improve focus and attention in children, especially those with ADHD. A study conducted by The University of Illinois found that children who engage in outdoor activities in green spaces have better attention spans and can concentrate more effectively. Nature’s calming effect and the lack of distractions found in traditional classroom settings allow children to focus better, leading to improved behaviour and academic performance. 7. Encouraging Creativity and Imagination Outdoor settings provide endless opportunities for imaginative play. Nature’s open spaces allow children to use their creativity to invent games, tell stories, or explore new ideas. The Center for Universal Education highlights that outdoor learning nurtures curiosity and imagination, as children are encouraged to explore their surroundings without the limitations of indoor spaces. From pretending to be explorers in the jungle to imagining themselves as animals in the wild, outdoor environments allow children to engage in self-directed, imaginative play that fosters cognitive flexibility and creativity. 8. Promotes a Growth Mindset Nature-based learning often involves trial and error, where children are encouraged to take risks and learn from their mistakes. This process fosters a growth mindset, where children understand that effort and persistence lead to improvement. Whether it’s learning how to balance on a log or navigating a challenging obstacle course, children learn the value of perseverance and developing resilience in the face of challenges. The American Psychological Association notes that these experiences contribute to emotional development and help build confidence in a child’s abilities. Conclusion The benefits of outdoor learning are extensive, offering children the opportunity to develop essential life skills while fostering a deeper connection to nature. From improving physical health to enhancing cognitive abilities, social skills, and emotional well-being, outdoor learning offers a holistic approach to child development. As educators and parents, encouraging children to spend more time outdoors is one of the most effective ways to nurture their growth and set them on a path to lifelong success. Sources:

Parenting Hub

Sleep Routines That Work: Helping kids (and parents) get better rest

Getting enough quality sleep is essential for both kids and parents, yet it can sometimes feel like an elusive goal, especially with busy schedules and endless distractions. Establishing a consistent sleep routine can make a significant difference in ensuring everyone in the household gets the rest they need. Here’s a look at sleep routines that work for children and adults, along with tips to promote better sleep hygiene and healthier habits. 1. Establish a Consistent Bedtime For both children and adults, consistency is key when it comes to sleep. Setting a regular bedtime helps the body’s internal clock regulate itself, making it easier to fall asleep and wake up at the same time each day. A study published in Sleep Health found that consistent sleep patterns improve sleep quality and overall health. For children, this means choosing an appropriate bedtime and sticking to it as much as possible, even on weekends. Research from The American Academy of Paediatrics emphasises that children thrive when they have a consistent sleep schedule, which can help with emotional regulation, cognitive function, and overall well-being. 2. Create a Relaxing Bedtime Routine A calm and consistent pre-bedtime routine can signal to the body that it’s time to wind down. For kids, this might include activities like reading a bedtime story, taking a warm bath, or listening to soft music. Studies have shown that calming routines can help children transition from the excitement of the day to a state of readiness for sleep. Adults can also benefit from a relaxing wind-down period before bed. Avoiding stimulating activities such as work, screen time, or vigorous exercise before bed can help signal the brain that it’s time to rest. Try activities like reading, meditation, or taking a warm bath to prepare your body for sleep. 3. Limit Screen Time Before Bed In today’s digital age, screens are an unavoidable part of daily life, but they can also interfere with sleep. Research from the National Sleep Foundation shows that the blue light emitted by screens suppresses the production of melatonin, the hormone responsible for regulating sleep. This can make it harder for both children and adults to fall asleep. For children, it’s a good idea to limit screen time at least an hour before bed. This includes not only phones and tablets but also televisions and computers. For adults, consider switching off screens at least 30 minutes to an hour before bedtime to improve your ability to fall asleep more easily. 4. Create a Sleep-Inducing Environment The sleep environment plays a crucial role in the quality of sleep. A cool, quiet, and dark room can help promote better rest. The National Sleep Foundation recommends a room temperature of around 18-22°C (64-72°F) for optimal sleep. For kids, a nightlight or calming music can be useful for easing any fears they might have about the dark. For adults, consider using blackout curtains to block out light or a white noise machine to drown out any disruptive sounds. 5. Encourage Physical Activity During the Day Engaging in physical activity during the day can help both children and adults sleep better at night. According to a study in The Journal of Sleep Research, regular exercise during the day leads to improved sleep quality. However, it’s important to avoid vigorous exercise right before bed, as it can have the opposite effect, making it harder to fall asleep. For kids, encourage outdoor play or activities such as biking, running, or swimming to expend energy during the day. For parents, find time for physical activity, even if it’s just a short walk after dinner or a few stretches before bed. 6. Monitor Caffeine and Sugar Intake Caffeine and sugar can interfere with sleep, especially if consumed late in the day. Caffeine is a stimulant that can stay in the system for several hours, making it difficult to fall asleep. Likewise, sugar can cause energy spikes and crashes that disrupt the body’s natural sleep rhythm. Children should have limited access to caffeine, and it’s best to avoid sugary snacks or drinks before bedtime. Similarly, adults should be mindful of caffeine intake in the afternoon and evening, opting for decaffeinated drinks or herbal teas that promote relaxation. 7. Address Nighttime Anxiety Nighttime fears and anxieties are common in children and can interfere with their ability to fall asleep. According to the American Academy of Sleep Medicine, children with anxiety or night terrors may benefit from a comforting bedtime routine and reassurance from parents. Creating a sense of security before bed, such as using a favourite stuffed animal or a “comfort object,” can help. For adults, practicing mindfulness techniques such as deep breathing or journaling before bed can help reduce stress and prevent racing thoughts that can interfere with sleep. 8. Be Patient and Flexible Sleep issues can arise for various reasons, and it’s important for parents to be patient as they establish a sleep routine for their children. Some children may need more time to adjust to a new schedule or bedtime routine, so flexibility is key. Similarly, parents should be patient with themselves. It may take some time to find a sleep routine that works for the entire family. Conclusion A well-established sleep routine can benefit both kids and parents, helping them to fall asleep more easily, sleep more soundly, and wake up feeling more rested. By creating a consistent bedtime schedule, establishing relaxing routines, limiting screen time, and addressing environmental factors, families can improve their sleep quality and, in turn, their overall well-being. Remember, consistency is key, and with time and patience, everyone in the family can enjoy the benefits of a good night’s sleep. Sources:

Freebees PR

The critical role your gut plays in determining overall health and wellbeing

Registered nutritionist, Judith Johnson talks about the fundamental importance of gut health for general wellbeing and the critical role fibre plays in healthy gut function. Did you know that Hippocrates proclaimed, “All disease begins in the gut,” nearly 2500 years ago? He wasn’t wrong! Your gut health is more important than we ever believed. It’s not just about processing and eliminating food. Your gut’s well-being directly impacts how nutrients are absorbed and which toxins, allergens, and pathogens are repelled. In other words, your gut’s health determines your overall health! (Ref 1,5,2)  Gut health is essential in the prevention of almost every functional bowel disorder, and begins with the amount and type of fibre you eat. Some fibres are either digestible and water soluble, while others are indigestible and must ferment in the gut (colon) producing a by-product known as short chain fatty acids. These create the environment for good microbial diversity and a healthy gut ecosystem. It is important to include all types of fibres, including vegetables, fruit, seeds, nuts, grains and herbs. (Ref 4) Your gut is your barometer to your health. Bowels need to eliminate 1-3 x day, resembling  soft serve ice cream consistency. This usually requires around 35g fibre daily ,eaten with enough fluid to allow the fibre to swell and break down. This can be achieved with 9 serves of fruit and vegetables per day. (ref 6) The importance of fibre for healthy gut function: Microbial diversity and your immune system The more fibre you eat, the better your microbial diversity. This leads to a better immune response, lowered inflammation and the ability to repel pathogens. (Ref 1, 2) Fibre also provides pre- and pro-biotics, which are especially helpful after antibiotic treatment to rebuild a healthy gut balance. (Ref 4) It is through microbial diversity that we get improved absorption of nutrients and better breakdown (digestion) of food particles. Reduction of inflammation  Inflammation can lead to disturbances in gut health: from IBD (irritable bowel disease)  to malabsorption, reflux, GERD (gastro-oesophageal reflux disease), diverticular disease, haemorrhoids or loose bowels. The right type of fibre in the diet can help in the prevention of all these issues, through its role in lowering inflammatory signals. Fibre also prevents constipation by acting as a natural laxative, naturally softening the stool. (Ref 5) Gradually increasing fibre to 35g per day as well as ensuring adequate water intake will provide a better microbial balance and reduce inflammatory triggers. Blood glucose control Fibre added to a meal will also lower the glycaemic response. We suggest eating your salads and vegetables first or adding extra fibres to the beginning of all meals. This includes vegetable and fruit fibres as well as guar gums/psyllium fibres and seed fibres. (Ref 7) Cardiovascular disease (Cholesterol levels) A good microbiome is essential in the prevention of conditions such as cardiovascular disease, as it has been shown to lower inflammation signals (Ref 9) Fibre acts as a natural cholesterol binder – helping the body rid itself of excess cholesterol. Fibre intake (Psyllium) has been shown to reduce non-HDL cholesterol and apolipoprotein B (apoB). (Ref 8,9) Toxin clearing The colon plays a critical role in our daily elimination of everything our bodies don’t need. The bowels need to empty every day (1-3 times). This process is referred to as Phase 3 detoxing. The fibre we eat helps bind to toxins such as heavy metals and chemicals, which can otherwise be reabsorbed if the colon is sluggish. Skin health such as eczema, psoriasis and acne is also improved when fibre intake is enough to create a good microbiome, as our skin is another way the body rids itself of waste and toxins. Mental health More and more research is focussing on the gut microbiome and its role in mental health. The possibility of conditions such as attention-deficit hyperactivity disorder, autism spectrum disorder, bipolar disorder, major depressive disorder and schizophrenia being linked to gut health is increasingly being studied. The mechanisms of action are not well understood but microbial diversity is known to improve neurotransmitter production. (Ref 2, 10) . Fibre is therefore known for helping create better moods and where the saying “ a happy gut means a happy brain “ comes from.  Healthy Weight  There are so many reasons why eating plenty of fibre helps with weight control: it helps with satiety: eating your vegetables or fruit first helps feel full quickly and for longer and thus prevents over-eating. Fibre also lowers glucose spikes after a meal and can obviously help with calorie control if lower-calorie fibre foods are chosen (non-starchy salads and vegetables) (Ref 3, 7) Our modern world and current lifestyles are increasingly focussing on processed foods, added sugars, refined flours and flavourings. Our Western diet is tending towards more ‘artificial’ foods, progressively excluding sufficient plants fibres to keep us healthy.   An easy way to help reach a better fibre intake if you are not adequately and actively eating optimally for gut health is through Cool Stool™. Cool Stool™ is currently available on www.coolstool.co.za, Faithful To Nature, Takealot, selected Wellness Warehouse stores, and selected 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 Article References Ref 1:Gut microbiota, metabolites and host immunityhttps://pubmed.ncbi.nlm.nih.gov/27231050/  Ref 2:Role of intestinal microbiota and metabolites on gut homeostasis and human diseaseshttps://pubmed.ncbi.nlm.nih.gov/28061847/  Ref 3:Dietary Modulation of Gut Microbiota Contributes to Alleviation of Both Genetic and Simple Obesity in Childrenhttps://pubmed.ncbi.nlm.nih.gov/26425705/  Ref 4:Why prebiotics are as important as probioticshttps://experiencelife.lifetime.life/article/why-prebiotics-are-as-important-as-probiotics/ Ref 5:Diet and microbiota linked in health and diseasehttps://pubs.rsc.org/en/content/articlelanding/2018/fo/c7fo01820g Diet and microbiota linked in health and disease Ref 6:Health benefits of fruits and vegetableshttps://pubmed.ncbi.nlm.nih.gov/22797986/  Ref 7:Dietary fibre: influence on body weight, glycaemic control and plasma cholesterol profilehttps://pubmed.ncbi.nlm.nih.gov/20593113/  Ref 8:Effect of psyllium (Plantago ovata) fiber on LDL cholesterol and alternative lipid targets, non-HDL cholesterol and apolipoprotein B: a systematic review and meta-analysis of randomized controlled trialshttps://pubmed.ncbi.nlm.nih.gov/30239559/ Ref 9:Dietary fibre in hypertension and cardiovascular disease management: systematic review and meta-analyseshttps://pubmed.ncbi.nlm.nih.gov/35449060/  Ref 10:The Microbiota-Gut-Brain Axis in Psychiatric Disordershttps://pubmed.ncbi.nlm.nih.gov/36232548/  Judith Johnson is a private practicing registered consulting dietician with 25 years of experience in personalized integrated

Bonitas – innovation, life stages and quality care

Preparing your home for your baby

Waiting for you baby to arrive is both exciting and nerve wrecking. In order to mentally prepare yourself and your family, you can start getting  your home ready for the newest addition of your household. The urge to get your home ready for your baby is also known as nesting, and it’ll normally happen near the end of your third trimester. If you are ready to start spring cleaning, here are some tips on how best to organise your home for little one. Have everything ready for your return from the hospital When you and your baby return from hospital you’ll probably be feeling tired and sore, so making sure your home is ready before you go into labour is a good idea. Food prep, cleaning and buying home supplies are all things that’ll become more difficult with a newborn. Meal prepping, having a stocked baby changing table and home essentials stock piled will all be things you’ll be glad to have done beforehand. Baby proofing your home Baby proofing your home can ideally start up to 3 months before your due date, as this will give you time for any projects that may take slightly longer. Cover all electrical sockets, get safety latches for cabinets and get rid of any loose or dangling cords. Not only can you take your time prepping your home, but you can also make sure that you are ready with baby essentials, such as a changing table, a baby monitor and newborn baby clothes. All things you don’t want to be looking for postpartum with a baby to look after. Don’t over do it Although it can be tempting to go full throttle with home adjustments there are certain things you should avoid to prevent injuring yourself. Don’t move large furniture, as your ligaments and tendons are softened by pregnancy hormones, making a strain or injury more likely. Avoid reaching too high, as this can put strain on your lower back (which may already be achy). Delegating to your family and friends eager to help will give you the opportunity to rest while making sure that your home is perfect for your newest addition.

NB Hearing & Balance

Are You Caring for Aging Parents and Children?

If so, you’re part of the remarkable sandwich generation—individuals balancing the unique responsibilities of raising or supporting their children while also caring for aging parents. This dual role, while deeply rewarding, comes with its share of challenges, especially when maintaining quality communication within the family. One critical yet often overlooked aspect of this dynamic is hearing health, and our NB Hearing and Balance team is here to support you throughout this journey as the family caregiver. We understand that good hearing is essential for fostering strong relationships and creating a safe, connected home environment. By addressing the hearing needs of both children and aging parents, the sandwich generation can create a more enriching and meaningful family dynamic. The Quality of Hearing in Relationships Hearing is fundamental to communication, and communication is the bedrock of relationships. For children, clear communication fosters learning, emotional development, and connection. For aging parents, maintaining the ability to hear is crucial for safety and sustaining meaningful interactions with their family, including their grandchildren. However, hearing loss is often gradual and can go unnoticed until its effects become significant. For your aging parents, untreated hearing loss can lead to frustration, isolation, and strained relationships – and obstruct their ability to build meaningful connection to their own grandchildren! Children who have trouble communicating with their grandparents, stop talking to them and lose out on building those cherished bonds. Why is loss of quality communication between grandparents and grandchildren such a common problem?  On the Side of Grandparents: Hearing loss that is driven by the natural ageing process involves a slow loss of access to higher frequency sounds. Loss of the ‘pieces’ of speech in the higher frequencies (for example, in English – the consonants s, t, p, k, th, f, sh, ch) creates gaps in the units the brain receives, resulting in a greater need to wait for a larger phrase (multiple words), or use the context of the conversation, to somewhat retrospectively ‘fill in the missing pieces’.  It is like playing hangman with sound – needing many more ‘clues’ in the communication to fill in those missing links, and it slows down our processing speed.     In addition, as we naturally age, our processing slows down a little anyway! So, the extra time required to fill in missing pieces, can result in a grandparent lagging behind the pace of the conversation, gaining understanding milliseconds later than a younger, normal-hearing listener, and preventing them from fully participating. The neurological reorganisation (called ‘cross-cortical reorganisation’) that occurs in the presence of hearing loss can also increase sound sensitivity to louder sounds or prevent us from coping in noise, leading to avoidance of groups and social contact. Now, we have fewer opportunities to practice sound pattern recognition, which ALSO slows down processing skills!   On the Side of the Grandchildren:  Younger children, with their rapid processing speeds (think cartoons!) speak very quickly and often have high-pitched voices. They can also have developing speech patterns that are not yet mature and be pretty noisy! The quality and speed of their communication is in direct contradiction of what Grandma and Grandpa need.  Older children may be using their vernacular – unfamiliar words that have limited or different meanings to those same words used a generation or two ago, which confounds both parents and grandparents, and makes the communication dependent on focussed listening for adequate understanding. How exhausting!   Families Thrive when Hearing Health is Prioritised Early intervention for hearing problems will allow grandparents to buttress their communication skills and sound pattern recognition; avoid some of the neurological changes that occur during longer-term, untreated hearing loss, and ensure that they can actively participate in their grandchildren’s lives. Reading bedtime stories, sharing family traditions, or engaging in heartfelt conversations link your parents to your children, and you can benefit from the joy and support that comes from flourishing intergenerational connection. The Sandwich Generation’s Unique Role If you’re a parent in the sandwich generation, addressing the hearing needs of your children and your aging parents may feel like just another item on an already overwhelming to-do list. Yet, this responsibility is an opportunity to significantly contribute to your family’s holistic well-being and reduce communicative stress in the long term. 1. Healthy Hearing Creates a Safe Environment For aging parents, treated hearing loss mitigates safety concerns, such as any difficulty hearing alarms, phone calls, the direction of oncoming traffic – or even the call of a grandchild on a playground. Ensuring their hearing is optimised creates a safer home environment for all. Young children also benefit when their home is filled with attentive and communicative adults, creating a nurturing and secure atmosphere. 2. Strengthening Bonds Hearing aids and assistive devices can empower grandparents to actively participate in family life. Improved hearing enables enjoyment of the simple yet profound joys of grandparenthood—listening to a grandchild’s laughter, cheering them on at their chosen sports, or offering advice during heart-to-heart conversations. As a sandwich-generation parent, you can feel reassured knowing that these relationships are thriving. 3. Setting an Example By prioritising hearing health, you demonstrate the importance of proactive care to your children and your aging parents. This forward-thinking approach fosters a family culture of valuing your parents’ involvement in your life. You help them to reduce feelings of isolation and inadequacy, nurture their confidence, well-being, and sense of belonging. Technology as a Bridge Between Generations You should know that modern hearing solutions are more advanced and discreet than ever. Devices today can be customised to individual needs and connected to smartphones and other tech, offering seamless integration into daily life. For example: These advancements can help your parents embrace technology that enriches relationships and improves the quality of life for all. Compassion and Care: A Family-Centred Approach The journey of navigating family life as part of the sandwich generation requires empathy, patience, and thoughtful planning. Encouraging aging parents to address their hearing loss may not always be easy—it is a sensitive subject for many. However, approaching the

nurtureOne

What is Plagiocephaly?

Deformational, or positional, plagiocephaly is commonly known as flat head syndrome. It is a condition where a baby’s head has a flat spot or appears asymmetrical. It can be quite upsetting   as parent; however, it is important to remember that it is not a serious health issue.  Positional Plagiocephaly is not responsible for abnormal brain development or the onset of neurological problems.  It is critical, though, to prevent skull deformity to avoid aesthetic and functional consequences.  There are very effective methods of treatment available, of which you can introduce immediately, either to rectify your baby shape of his or her head or to prevent this from happening. When your baby is born, their skull is made up of soft bony plates that can compress and overlap to fit through the narrow birth canal. This process is called moulding, and it can cause the baby’s head to have a slightly abnormal shape at first. However, within 24 to 36 hours after birth, the head usually becomes more symmetrical and egg-shaped. It’s important to know that this is normal and not a condition called plagiocephaly. During the first year, your baby’s skull remains soft because their brain grows quickly, reaching about 85% of its adult size in that time. This softness makes your baby’s head flexible, especially in the first few months. If your baby spends a lot of time lying on their back in the same position, it can lead to flattening on one part of the skull. Types of Flat Head Syndrome (according to the National Health Service of England)  Plagiocephaly can take two main forms: Signs and Symptoms Common signs of plagiocephaly include: According to research done by the Cleaveland clinic, over  50% of babies may experience some degree of plagiocephaly in their first months. Many parents notice changes around six weeks of age. Flat head syndrome often develops from prolonged pressure on one area of the head, so it’s essential to keep an eye on your baby’s head shape and seek advice if you have concerns. Reasons why this may happen include: Occasionally, a flattened head can be caused by the plates of the skull joining together too early. This is known as craniosynostosis. For most infants, plagiocephaly isn’t a serious health issue and usually resolves on its own with simple interventions. However, severe cases can lead to lasting changes, making early identification and intervention important. Treatment Options If you notice signs of plagiocephaly, here are several effective strategies to consider: Preventive Measures: To reduce the risk of plagiocephaly, here are some simple and effective steps you can take at home. These tips involve being mindful of your baby’s position, movement, and how you engage with them in your daily routine. When to Seek Help If you notice any of the following, consider consulting a healthcare professional: Preventative methods for plagiocephaly are easy to use and highly recommended. If your baby has a flat or uneven head shape, starting early can lead to better and faster results because your baby is growing quickly. It’s best to begin treatment between 4 to 7 months, but you can continue effective intervention until your baby is 14 months old. It’s important to change your baby’s position each time you put them down to sleep. The nurtureOne nest can help with this, as babies often settle into the same comfortable position. This cushion is designed with your baby’s safety in mind. Make sure to alternate the direction your baby’s head is lying each time you use it—first on their back, then to the right (half back, half side), and then to the left (half back, half side). You can adjust the cushion to support these positions. For more information, visit www.nurtureOne.co.za. By following these steps you can avoid positional plagiocephaly. You have the power to help your baby thrive. By staying informed and proactive, you can make a positive impact on their health and well-being. Trust yourself and your instincts as a parent—your involvement is key to ensuring your baby’s healthy development.  

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