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

More than a debit order: Why your medical aid matters

Your medical aid has announced next year’s contribution, and your first question is probably: how much more will I pay? When budgets are stretched, it is understandable to question the expense. But before making any changes to your budget, consider what an unexpected illness, injury or ongoing condition could mean for your finances. Medical aid helps fund healthcare expenses that may be difficult to meet from your salary or savings alone. Its value extends beyond a hospital admission to the consultations, medication and ongoing care covered by your chosen option. The challenge is finding cover you can afford to maintain, while understanding the cover it provides and what you may still need to pay yourself. “Choosing medical aid should involve more than comparing monthly contributions. Consumers need to understand what their option covers, which benefits they can access and what costs they may still need to pay themselves. The aim is to find cover that meets your healthcare needs while remaining affordable over time,” says Lee Callakoppen, Principal Officer at Bonitas. Medical Aid Increase 2027: Five Questions Worth Asking To balance that protection with affordability, consider these five questions. 1. What care do you and your family need? Review your healthcare expenses over the past year, including consultations, medication and any costs you had to pay out of pocket because the medical aid option did not cover them. A family with young children and someone managing a chronic condition may need different benefits. It is recommended that one considers changes ahead, such as adding a dependant or an existing beneficiary needing planned treatment which could bring on added expenses. 2. What could you pay beyond the contribution? Co-payments may result for certain procedures, the use of non-network facilities, limited benefits, shortfalls between what providers charge and what your fund pays and items that are not generally covered by a medical fund. Ask what happens when your day-to-day benefits or medical savings run out. A lower contribution may help you maintain cover, provided you understand and can manage the additional costs. 3. Can you access the healthcare providers you need? Check whether your doctors, pharmacy and nearest hospital are included in the option’s networks. Find out what you could be paying for using providers outside the option’s network. Consider travel costs and convenience too: your cover needs to work for you wherever you live or work. 4. How will ongoing treatment be covered? For someone living with a chronic condition, access to regular care is an important part of medical aid’s value. Check how consultations, tests and medication will be funded, including registration requirements and pharmacy rules. Ask how Prescribed Minimum Benefits (PMBs) apply and whether care programmes are available to help you manage treatment. Consider whether the option your contribution pays for, covers the required formulary to manage your or your dependant’s chronic condition. 5. What support is available before you become ill? Screening benefits can help identify health risks that need further assessment. Bonitas’ screening data found that 73% of health risk assessments identified at least one elevated risk marker. Of the flagged assessments, 71% were among members under 50. This tells us that potential health risks are being identified among younger members too, highlighting the value of screening rather than waiting until you feel unwell. Check which screening tests your option covers, whether they use your day-to-day benefits and what follow-up support is available. As you review your cover for 2027, ask your scheme or a qualified healthcare advisor to explain any changes to contributions, healthcare benefits and networks. When every rand counts, medical aid is a significant commitment. Understanding what it provides helps you choose an option you can afford and make the most of your benefits when you or your family need healthcare.

Bonitas – innovation, life stages and quality care

Putting together your birth plan

As you enter your third trimester you’ll have probably done a fair bit of research on the birth process (if this is your first) and may have a good idea of what you want before, during and after delivery. There are many options and opinions, from whether or not you want pain medication to how many people you would like supporting you. However, trying to keep track of your choices during labour may be tricky, which is why you’d put together a birth plan. So what exactly is it and how do you put one together? Why should I put together a birth plan?  Your birth plan is your choices or preferences before, during and after labour and delivery. While things may not always go according to plan, having your preferences written down and communicated means you, your midwives and doctor have a more mutual understanding. However, if your pregnancy doesn’t go accordingly, you need to be prepared to make adjustments on the day. What should be in my birth plan? Your birth plan is how you’d like everything would go in the best-case scenario. Your birth plan will also have to take into consideration what is available at the hospital or place where you are giving birth. Some birth plans are very basic, just outlining a simple overview, whereas others may be far more detailed and in-depth. The choice is yours. Typically a birth plan will include before, during and after labour and birth preferences. Such as who you want to assist you during birth, whether or not you want any pain medication,  you birthing positions, and requests for newborn care, such as skin-to-skin time. How can I learn more about the birth process?  If you feel like you need to top up your birthing knowledge before putting together a plan they are a few ways you can go about this. Joining antenatal classes are a good way to learn more and to meet other women in your position. Chatting to friends or family who has been through the birthing process themselves is another good way to see what would work best for you. If you and your partner are having a baby together, keep them in the loop as well. Find out what they expect during labour and you can chat about what you want, and what role you see them playing in the process.

Bonitas – innovation, life stages and quality care

Breast cancer awareness: The medical aid questions worth asking now

A breast cancer diagnosis can change far more than a person’s health. Alongside treatment decisions and emotional challenges, many patients and their families are suddenly faced with questions about medical aid benefits, healthcare costs and financial planning. During Breast Cancer Awareness Month, understanding what your medical aid covers can be just as important as understanding the disease itself. Breast cancer remains the most common cancer affecting women in South Africa. According to CANSA, a woman’s lifetime risk of developing breast cancer is approximately one in 27. While Breast Cancer Awareness Month traditionally focuses on screening, early detection and treatment, it is also an opportunity to better understand your medical aid benefits and available support. Alongside the emotional and physical demands of treatment, many people find themselves having to make decisions about healthcare costs, time away from work, transport, caregiving responsibilities and household finances. “Every person’s experience with breast cancer is different, and no two treatment journeys look the same,” says Lee Callakoppen, Principal Officer at Bonitas Medical Aid. “What many people also don’t anticipate is the financial and administrative burden that can accompany a diagnosis, even when medical aid cover is already in place.” Understanding your cover Having medical aid can provide valuable support during a serious illness, but understanding exactly what your plan covers is equally important. “People often assume that every cost associated with a cancer diagnosis will automatically be covered. A serious illness can quickly highlight the difference between having cover and understanding how that cover works,” Callakoppen explains. Cancer-related treatment may involve specific funding arrangements, healthcare provider networks, treatment protocols and authorisation requirements that differ between plan options. While Prescribed Minimum Benefits (PMBs) provide important protection for eligible cancer treatment, members should understand how their plan applies this cover. Before treatment is ever needed, make sure you understand: Questions to ask now The best time to ask about cancer-related cover is before you need to access treatment. Knowing the answers in advance can reduce delays and make difficult decisions easier to navigate. Consider asking: The hidden costs of treatment A common misconception is that the financial impact of serious illness begins and ends with treatment. In reality, additional expenses can continue throughout diagnosis, treatment and recovery. Additional costs may include transport to specialist appointments, accommodation when treatment takes place away from home, nutritional support, caregiving assistance and specialised products such as mastectomy bras. Income may also be affected if patients need extended periods away from work. Family members or caregivers may likewise need to adjust their work commitments to provide supportive care. “Diagnostic procedures such as biopsies, PET scans and MRIs can also involve specific funding rules depending on a member’s option,” says Callakoppen. “Understanding these aspects of your cover can help reduce financial surprises and allow families to plan more confidently.” Support beyond treatment Following a diagnosis, engaging early with your medical scheme can help ensure treatment requirements and funding arrangements are clearly understood. Access to practical support can make a meaningful difference during treatment. For Bonitas members, this includes anOncology Management Programme that assists with oncology registration, treatment authorisation and benefit-related queries, as well as emotional support through qualified social workers. “Support during a cancer journey is about more than funding treatment,” says Callakoppen. “It is also about helping members understand the process, access available support and feel guided during a particularly difficult time.” Preparing for the unexpected Breast Cancer Awareness Month is an opportunity to think beyond screening and diagnosis and consider how preparation can help individuals and families navigate treatment and recovery. “Financial preparedness cannot prevent a diagnosis, but it can help reduce uncertainty during a difficult time. Understanding your medical aid benefits, knowing what questions to ask and planning ahead can help individuals and families navigate treatment with greater confidence and peace of mind,” concludes Callakoppen.

Bonitas – innovation, life stages and quality care

The First Signs of Labour

If you’re expecting your first baby you’ve probably read up a little (or a lot) on pregnancy and birth process. Labour is something you’ve probably wondered about and seeing as every pregnancy is different, many moms experience different labour signs. However, there are a few tell-tale signs to look out for that you are about to meet your new baby soon.  What to look (or feel) out for  You may be worried that you won’t distinguish normal late pregnancy signs from the fact that you’ve started labour. Luckily your due date should give you an indication of when you could expect your baby to arrive, but this won’t always be the case. Here are some indicators that your baby is on the way.  One of the more obvious signs of labour beginning is regular contractions. This will be different to the Braxton Hicks contractions you may have been experiencing leading up to this point. Labour contractions are longer, stronger and more frequent – when they come every 5 minutes you should call your doctor or midwife.  Another sign your baby is on her way is your cervix dilating or beginning to open. This can start happening in the days or weeks before you deliver. Your baby will also move down into your pelvis during this time – which is known as your baby dropping.  When your labour begins, the mucus plug which seals your cervix opening comes away. This jelly-like pink mucus is known as a show, and you may notice it when it passes out your vagina.  Lower back pain, diarrhoea and looser feeling joints are all other signs that your labour may be starting. Another sign is your water breaking, this can happen in a gush but a trickle is more likely, most moms-to-be go into labour within 24 hours of their water breaking.  Be sure to keep your birth partner in the loop about how you are feeling mentally and physically around the time of your birth. If you are at all worried about your baby or experience anything abnormal be sure to let your doctor know as soon as possible. 

Bonitas – innovation, life stages and quality care

Mental health vs mental illness: Why knowing the difference matters

An estimated one in three South Africans will experience a mental health condition during their lifetime, yet many people still struggle to distinguish between poor mental health and mental illness. While the terms are often used interchangeably, they are not the same thing. Everyone has mental health, just as everyone has physical health. Mental health refers to our emotional, psychological and social wellbeing and can fluctuate in response to stress, life events and everyday challenges. Mental illness, on the other hand, refers to diagnosable conditions such as depression, anxiety disorders, bipolar disorder and schizophrenia that can affect how a person thinks, feels and functions. According to Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, knowing the difference between a difficult period and a potential mental illness is an important first step towards getting help. “It’s normal to experience stress, sadness or worry from time to time. However, when these feelings persist, worsen or begin affecting daily functioning, they may indicate something more serious that requires attention and support,” he says. Recognising the signs early can make a significant difference. Here are five indicators that it may be time to seek professional support. Persistent feelings of sadness, anxiety or hopelessness Everyone experiences difficult emotions from time to time. However, if feelings of sadness, worry, fear or hopelessness continue for several weeks and begin interfering with your daily life, it could be a sign of an underlying mental health condition. Pay attention to emotional changes that don’t improve with rest, self-care or changes in circumstance. Changes in your sleep patterns Mental illness often affects sleeping habits. You may struggle to fall asleep, wake frequently during the night, experience restless sleep or find yourself sleeping significantly more than usual. Over time, disrupted sleep can affect concentration, energy levels, mood and overall wellbeing. Withdrawing from people and activities A common warning sign of mental illness is losing interest in activities that once brought enjoyment or distancing yourself from family, friends and colleagues. While it’s natural to need time alone occasionally, ongoing social withdrawal may indicate that something deeper is affecting your wellbeing. Difficulty coping with everyday responsibilities If routine tasks suddenly feel overwhelming, or you’re struggling to focus, make decisions, meet deadlines or manage responsibilities that once felt manageable, it may be a sign that your mental wellbeing requires attention. “One of the biggest misconceptions about mental illness is that seeking help is a sign of weakness,” says Dr Hadebe. “In reality, recognising when you need support and taking action is a sign of strength.” Relying on unhealthy coping mechanisms Turning to alcohol, overeating, substance use or other unhealthy habits to cope with emotional distress may provide temporary relief, but often masks underlying challenges. Recognising these behaviours early can help prevent them from developing into longer-term problems and can signal the need for professional support. Mental illness is not a personal failure, and effective treatment and support are available. The earlier a condition is identified and managed, the better the outcome is likely to be. “We need to normalise conversations about mental illness in the same way we normalise conversations about physical health,” says Dr Hadebe. “Awareness helps reduce stigma and encourages people to seek help before challenges become crises.” Understanding the difference between mental health and mental illness can help people recognise when they or a loved one may need support. If symptoms persist, worsen or begin affecting daily life, speaking to a healthcare professional is an important step towards recovery. Bonitas members also have access to a dedicated Mental Health Programme, which offers professional guidance, counselling support and resources to help them better understand and manage their condition. Looking after your mental health is important, but recognising the signs of mental illness and seeking help early can make a meaningful difference to your long-term health, wellbeing and quality of life.

Bonitas – innovation, life stages and quality care

Veganism and pregnancy

Veganism is becoming an increasingly popular lifestyle which abstains from the consumption and use of animal products, predominantly for health, and/or ethical reasons. If you’re vegan and are considering pregnancy, or are pregnant, you are probably wondering how to best provide nutrients for your growing baby, and if veganism is still the best option for both of you. Can I stay vegan while pregnant? Veganism is often criticised for its lack of certain vitamins and minerals that a typical ‘balanced’ diet contains. Luckily, it is still possible to stick to your vegan diet during pregnancy – you’ll just have to make sure that your growing baby receives the nutrients that she needs. While pregnant, it’s important to eat foods that contain folic acid (a B vitamin), calcium, vitamin D, iron and protein – you can get this from the food you eat as well as supplements. If you’re wondering where you can find these important nutrients in a plant-based diet, read on. Citrus fruits, dried beans and leafy green veggies are all foods that include folic acid. Typically dairy is a source of calcium, however, non dairy foods rich in calcium are broccoli and kale.  Vitamin D can be found in mushrooms and fortified products, such as rice milk and soy milk.  Although meat is often seen as a primary source of protein, beans, peas, nuts and seeds are all rich in protein. Potatoes and tofu are also good foods to eat when replacing meat protein, and iron can be found in spinach and beans. What nutrients are typically lacking in a vegan diet? As a vegan, there are certain nutrients that you can’t find in plants – during pregnancy it becomes even more important to supplement these. Vitamin B12 (which helps with proper brain development), vitamin D (which aids bone and teeth development), omega 3 fatty acids and iron (you’ll need about twice as much when pregnant) are vitamins and minerals you might need to supplement. Even if you’re not vegan, making sure your baby gets all the correct nutrients is important and may mean adjusting your diet. If you are planning on sticking to a strict diet plan it’s a good idea to consult with someone knowledgeable first.

Advice from the experts
Bonitas – innovation, life stages and quality care

More than a debit order: Why your medical aid matters

Your medical aid has announced next year’s contribution, and your first question is probably: how much more will I pay? When budgets are stretched, it is understandable to question the expense. But before making any changes to your budget, consider what an unexpected illness, injury or ongoing condition could mean for your finances. Medical aid helps fund healthcare expenses that may be difficult to meet from your salary or savings alone. Its value extends beyond a hospital admission to the consultations, medication and ongoing care covered by your chosen option. The challenge is finding cover you can afford to maintain, while understanding the cover it provides and what you may still need to pay yourself. “Choosing medical aid should involve more than comparing monthly contributions. Consumers need to understand what their option covers, which benefits they can access and what costs they may still need to pay themselves. The aim is to find cover that meets your healthcare needs while remaining affordable over time,” says Lee Callakoppen, Principal Officer at Bonitas. Medical Aid Increase 2027: Five Questions Worth Asking To balance that protection with affordability, consider these five questions. 1. What care do you and your family need? Review your healthcare expenses over the past year, including consultations, medication and any costs you had to pay out of pocket because the medical aid option did not cover them. A family with young children and someone managing a chronic condition may need different benefits. It is recommended that one considers changes ahead, such as adding a dependant or an existing beneficiary needing planned treatment which could bring on added expenses. 2. What could you pay beyond the contribution? Co-payments may result for certain procedures, the use of non-network facilities, limited benefits, shortfalls between what providers charge and what your fund pays and items that are not generally covered by a medical fund. Ask what happens when your day-to-day benefits or medical savings run out. A lower contribution may help you maintain cover, provided you understand and can manage the additional costs. 3. Can you access the healthcare providers you need? Check whether your doctors, pharmacy and nearest hospital are included in the option’s networks. Find out what you could be paying for using providers outside the option’s network. Consider travel costs and convenience too: your cover needs to work for you wherever you live or work. 4. How will ongoing treatment be covered? For someone living with a chronic condition, access to regular care is an important part of medical aid’s value. Check how consultations, tests and medication will be funded, including registration requirements and pharmacy rules. Ask how Prescribed Minimum Benefits (PMBs) apply and whether care programmes are available to help you manage treatment. Consider whether the option your contribution pays for, covers the required formulary to manage your or your dependant’s chronic condition. 5. What support is available before you become ill? Screening benefits can help identify health risks that need further assessment. Bonitas’ screening data found that 73% of health risk assessments identified at least one elevated risk marker. Of the flagged assessments, 71% were among members under 50. This tells us that potential health risks are being identified among younger members too, highlighting the value of screening rather than waiting until you feel unwell. Check which screening tests your option covers, whether they use your day-to-day benefits and what follow-up support is available. As you review your cover for 2027, ask your scheme or a qualified healthcare advisor to explain any changes to contributions, healthcare benefits and networks. When every rand counts, medical aid is a significant commitment. Understanding what it provides helps you choose an option you can afford and make the most of your benefits when you or your family need healthcare.

Bonitas – innovation, life stages and quality care

Putting together your birth plan

As you enter your third trimester you’ll have probably done a fair bit of research on the birth process (if this is your first) and may have a good idea of what you want before, during and after delivery. There are many options and opinions, from whether or not you want pain medication to how many people you would like supporting you. However, trying to keep track of your choices during labour may be tricky, which is why you’d put together a birth plan. So what exactly is it and how do you put one together? Why should I put together a birth plan?  Your birth plan is your choices or preferences before, during and after labour and delivery. While things may not always go according to plan, having your preferences written down and communicated means you, your midwives and doctor have a more mutual understanding. However, if your pregnancy doesn’t go accordingly, you need to be prepared to make adjustments on the day. What should be in my birth plan? Your birth plan is how you’d like everything would go in the best-case scenario. Your birth plan will also have to take into consideration what is available at the hospital or place where you are giving birth. Some birth plans are very basic, just outlining a simple overview, whereas others may be far more detailed and in-depth. The choice is yours. Typically a birth plan will include before, during and after labour and birth preferences. Such as who you want to assist you during birth, whether or not you want any pain medication,  you birthing positions, and requests for newborn care, such as skin-to-skin time. How can I learn more about the birth process?  If you feel like you need to top up your birthing knowledge before putting together a plan they are a few ways you can go about this. Joining antenatal classes are a good way to learn more and to meet other women in your position. Chatting to friends or family who has been through the birthing process themselves is another good way to see what would work best for you. If you and your partner are having a baby together, keep them in the loop as well. Find out what they expect during labour and you can chat about what you want, and what role you see them playing in the process.

Parenting Hub

Every Breast Cancer Story Is Unique

Ubuntu in a Mushroom Punnet During October’s Breast Cancer Awareness Month Breast cancer is not one story. Every diagnosis, treatment decision and path through recovery is deeply personal. And for many women, the need for practical support does not end when treatment does. “And because it is so personal,” says Stephanie van Deventer, national manager of breast cancer support organisation Reach for Recovery (RFR), “we believe every woman facing breast cancer should be treated with empathy and dignity — and have the same access to quality care, regardless of whether she can afford it.” Beyond Awareness: Practical Support After Mastectomy That belief lies at the heart of the annual Power of Pink campaign, through which the South African Mushroom Farmers’ Association (SAMFA) and Pick n Pay turn an everyday fresh-produce choice into practical support for breast cancer survivors. Throughout October, shoppers can support the campaign by buying fresh mushrooms in distinctive pink punnets from Pick n Pay stores nationwide. For every pink punnet sold, R1 is donated to Reach for Recovery’s Ditto Project. The Ditto Project provides high-quality external silicone breast prostheses to women who have undergone mastectomies and cannot afford reconstructive surgery or a prosthesis, either privately or through medical aid. “When shoppers choose a pink punnet at Pick n Pay, they take home a nutritious and delicious ingredient while also helping a woman at a profoundly personal time,” says Ross Richardson, SAMFA Chairperson and a passionate supporter of the campaign. “That is the real power of this long-standing partnership.” Restoring Comfort and Confidence A mastectomy can affect far more than a woman’s physical appearance. It may change how she sees her body and femininity, as well as her confidence and sense of belonging. A well-fitted prosthesis can help restore physical balance and comfort while supporting her confidence as she moves forward after surgery. The Ditto Project’s silicone prostheses are individually matched for size, shape, colour and texture. Each is fitted with care by members of Reach for Recovery’s peer-support team; trained volunteers who are themselves breast cancer survivors. Their understanding is lived, not theoretical. They visit patients in hospitals and clinics, share practical information and offer the reassurance of someone who has walked a similar road. More Than 10,900 Women Supported and R9.87 Million Raised Since the Ditto Project was launched through the Power of Pink campaign in 2011, more than 10,900 women have received free, fitted silicone breast prostheses, representing an investment of more than R9.87 million. Around 2,000 women have benefited during the past two years alone. A comparable prosthesis can cost as much as R8,000 in the private sector, placing it beyond the reach of many women. Reach for Recovery annually supports more than 5,000 breast cancer patients and fits over 800 silicone prostheses annually. Its work recognises different diagnoses, treatments, circumstances and definitions of recovery — because people-centred care begins with seeing the whole person, not only the disease. Mushrooms and the Breast Cancer Conversation Fresh mushrooms also have their own place in the breast cancer conversation. A 2021 systematic review and meta-analysis led by researchers at Penn State College of Medicine found that eating approximately 18 grams of mushrooms daily — about two medium-sized mushrooms — was associated with a 45% lower overall risk of cancer compared with eating no mushrooms. Among the cancers examined, the strongest association was observed for breast cancer. Ubuntu in Action For 15 years, SAMFA, Pick n Pay and Reach for Recovery have united growers, retailers, shoppers and volunteers through the Power of Pink campaign. It demonstrates Ubuntu in a simple, honest and practical way: a small everyday choice, multiplied across thousands of shopping baskets, helping women regain comfort, dignity and confidence after a mastectomy. “The beauty of Reach for Recovery is that there is no single ‘right’ way to experience breast cancer. Whatever a woman’s circumstances, and wherever she is on that journey, we are here with practical help, understanding and hope.”

Parenting Hub

A Letter to Women from a Radiologist

Dr Salomine Theron, Head of Mammography at SCP Radiology During Breast Cancer Awareness Month there is one message I want every woman to hear: Your breasts deserve your attention. As a radiologist with a special interest in breast imaging, I spend a lot of time looking at mammograms, breast ultrasound and breast MRI scans. I meet women proactive about their health, worried about a symptom, who have been called back for additional imaging and who have received lifechanging news. Early Detection Breast cancer remains one of the most common cancers worldwide. The good news is that when it’s detected early, treatment is often less invasive and outcomes are significantly better. Early detection can save your life. Symptoms The challenge is that breast cancer doesn’t always announce itself with a lump. Subtle changes in breast shape or size, skin dimpling, nipple changes, persistent pain, unusual discharge or an area that simply feels different needs to be checked by your doctor. That’s why I encourage you to know your own body, be familiar with what’s normal for you, so that you can be alert to any changes. The Importance of Screening Screening is equally vital. Mammograms can detect cancers long before they can be felt, sometimes years before symptoms appear – but they aren’t the only screening tool. Age, family history, genetics, breast density and personal risk all influence which imaging approach is best. For some women, ultrasound or breast MRI may provide crucial additional information. Early Detection Most importantly, don’t let fear keep you away. Knowledge is power. When breast cancer is detected early, treatment is often less invasive and outcomes are significantly better. Even if you are told you need a biopsy, it does not automatically mean it’s breast cancer – it may a benign lesion which needs to be tested for confirmation. Younger Women Get Breast Cancer And remember, breast cancer is not only a disease of older women. Younger women (and to a lesser degree, men) can be affected too, especially those with family history or genetic risk. Talk to your healthcare provider if you fall into these categories. Make Your Appointment Don’t postpone your health checks. Make your appointment for a screening mammogram if you are 40 years or older or if you have noticed changes in your breast NO matter what age you are. Ask questions. Follow up on symptoms. Encourage your mother, sister, daughter or friend to do the same. As radiologists, we meet women at pivotal moments. We see relief, courage, resilience and hope every day. We also see the difference early detection can make. This Breast Cancer Awareness Month, my appeal is simple: Make breast health a priority, not just in October but all year long. Your future self will thank you. Warm regardsDr Salomine Theron, Head of Mammography at SCP Radiology

Parenting Hub

Why Gut Health Is the New Foundation of Wellness

ProbiFlora™, a multistrain probiotic range,¹ knows that gut health is the new foundation of wellness.² Yet most of us only think about gut health when our tummies start causing trouble, whether it’s bloating after a meal or constipation. Paying attention to your gut health can help you support your gut before small discomforts become harder to manage.³ What Is the Gut Flora? Inside your digestive tract lives a vast community of microorganisms known as the gut microbiome. It includes bacteria, viruses, fungi and other tiny organisms, with bacteria making up the largest share.⁴ Around 70 to 80 percent of the body’s immune cells are found in the gut, where they help identify what is harmless, what poses a threat and which beneficial bacteria should be left alone.⁵ The gut also communicates with the brain through the gut-brain axis, a two-way messaging system linked to mood, sleep and stress.⁴ What Can Disrupt Your Microbiome? Antibiotics are one of the biggest disruptors of gut health. A single course of broad-spectrum antibiotics may remove large numbers of helpful bacteria within days. Many recover over the following weeks or months, but some may not return to their previous levels.⁴ What you eat also shapes what is happening in your gut. Meals high in processed foods, sugar and saturated fat can reduce the variety of helpful bacteria and give fewer desirable microbes more room to grow. Stress, poor sleep, too much alcohol and very little movement can also affect the balance of your gut flora.⁴ With ProbiFlora™ Your Gut Is Good! When your gut needs more than everyday support, ProbiFlora™ Adult Intensive Rescue,⁶ rebuilds balance fast after gut disruptions. For daily support, ProbiFlora™ Adult Everyday Flora Balance,⁷ protects and restores gut flora and improves gut function, so you can feel light, balanced and ready for anything. If comfort and regularity are your focus, ProbiFlora™ Adult Classic Bowel Support,⁸ with four active strains for bowel support, provides relief from bowel discomfort and diarrhoea, while supporting immunity and gut balance. Across the family range, daily use ProbiFlora™ Infant Drops⁹ offer a three-strain probiotic combination for immunity and gut support. For older children, ProbiFlora™ Junior Everyday Flora Balance Chews¹⁰ bring 3 everyday strains tailored for juniors into an easy format because happy tummies mean happy, active kids. Your gut works hard for you every day. Healthy habits can go a long way, but there are times when it may need extra support to get back into balance. That is where ProbiFlora™ can help, with targeted probiotic support designed to restore balance and give your gut exactly what it needs to feel good. ProbiFlora™‘s range of products are available from leading pharmacies and retailers nationwide. For more information, visit https://probiflora.co.za/ and join the conversations on Instagram and Facebook. Approval ticket #05.08.2026.1000006241. August 2026.

Bonitas – innovation, life stages and quality care

Breast cancer awareness: The medical aid questions worth asking now

A breast cancer diagnosis can change far more than a person’s health. Alongside treatment decisions and emotional challenges, many patients and their families are suddenly faced with questions about medical aid benefits, healthcare costs and financial planning. During Breast Cancer Awareness Month, understanding what your medical aid covers can be just as important as understanding the disease itself. Breast cancer remains the most common cancer affecting women in South Africa. According to CANSA, a woman’s lifetime risk of developing breast cancer is approximately one in 27. While Breast Cancer Awareness Month traditionally focuses on screening, early detection and treatment, it is also an opportunity to better understand your medical aid benefits and available support. Alongside the emotional and physical demands of treatment, many people find themselves having to make decisions about healthcare costs, time away from work, transport, caregiving responsibilities and household finances. “Every person’s experience with breast cancer is different, and no two treatment journeys look the same,” says Lee Callakoppen, Principal Officer at Bonitas Medical Aid. “What many people also don’t anticipate is the financial and administrative burden that can accompany a diagnosis, even when medical aid cover is already in place.” Understanding your cover Having medical aid can provide valuable support during a serious illness, but understanding exactly what your plan covers is equally important. “People often assume that every cost associated with a cancer diagnosis will automatically be covered. A serious illness can quickly highlight the difference between having cover and understanding how that cover works,” Callakoppen explains. Cancer-related treatment may involve specific funding arrangements, healthcare provider networks, treatment protocols and authorisation requirements that differ between plan options. While Prescribed Minimum Benefits (PMBs) provide important protection for eligible cancer treatment, members should understand how their plan applies this cover. Before treatment is ever needed, make sure you understand: Questions to ask now The best time to ask about cancer-related cover is before you need to access treatment. Knowing the answers in advance can reduce delays and make difficult decisions easier to navigate. Consider asking: The hidden costs of treatment A common misconception is that the financial impact of serious illness begins and ends with treatment. In reality, additional expenses can continue throughout diagnosis, treatment and recovery. Additional costs may include transport to specialist appointments, accommodation when treatment takes place away from home, nutritional support, caregiving assistance and specialised products such as mastectomy bras. Income may also be affected if patients need extended periods away from work. Family members or caregivers may likewise need to adjust their work commitments to provide supportive care. “Diagnostic procedures such as biopsies, PET scans and MRIs can also involve specific funding rules depending on a member’s option,” says Callakoppen. “Understanding these aspects of your cover can help reduce financial surprises and allow families to plan more confidently.” Support beyond treatment Following a diagnosis, engaging early with your medical scheme can help ensure treatment requirements and funding arrangements are clearly understood. Access to practical support can make a meaningful difference during treatment. For Bonitas members, this includes anOncology Management Programme that assists with oncology registration, treatment authorisation and benefit-related queries, as well as emotional support through qualified social workers. “Support during a cancer journey is about more than funding treatment,” says Callakoppen. “It is also about helping members understand the process, access available support and feel guided during a particularly difficult time.” Preparing for the unexpected Breast Cancer Awareness Month is an opportunity to think beyond screening and diagnosis and consider how preparation can help individuals and families navigate treatment and recovery. “Financial preparedness cannot prevent a diagnosis, but it can help reduce uncertainty during a difficult time. Understanding your medical aid benefits, knowing what questions to ask and planning ahead can help individuals and families navigate treatment with greater confidence and peace of mind,” concludes Callakoppen.

Bonitas – innovation, life stages and quality care

The First Signs of Labour

If you’re expecting your first baby you’ve probably read up a little (or a lot) on pregnancy and birth process. Labour is something you’ve probably wondered about and seeing as every pregnancy is different, many moms experience different labour signs. However, there are a few tell-tale signs to look out for that you are about to meet your new baby soon.  What to look (or feel) out for  You may be worried that you won’t distinguish normal late pregnancy signs from the fact that you’ve started labour. Luckily your due date should give you an indication of when you could expect your baby to arrive, but this won’t always be the case. Here are some indicators that your baby is on the way.  One of the more obvious signs of labour beginning is regular contractions. This will be different to the Braxton Hicks contractions you may have been experiencing leading up to this point. Labour contractions are longer, stronger and more frequent – when they come every 5 minutes you should call your doctor or midwife.  Another sign your baby is on her way is your cervix dilating or beginning to open. This can start happening in the days or weeks before you deliver. Your baby will also move down into your pelvis during this time – which is known as your baby dropping.  When your labour begins, the mucus plug which seals your cervix opening comes away. This jelly-like pink mucus is known as a show, and you may notice it when it passes out your vagina.  Lower back pain, diarrhoea and looser feeling joints are all other signs that your labour may be starting. Another sign is your water breaking, this can happen in a gush but a trickle is more likely, most moms-to-be go into labour within 24 hours of their water breaking.  Be sure to keep your birth partner in the loop about how you are feeling mentally and physically around the time of your birth. If you are at all worried about your baby or experience anything abnormal be sure to let your doctor know as soon as possible. 

Medicalaid.com

Having a Baby? 7 Medical Aid Benefits Parents Often Forget to Use

Preparing for a baby comes with a long list of expenses, from the cot and car seat to nappies and everything in between. Medical costs can also add up quickly. What many parents don’t realise is that their medical aid may include maternity and newborn benefits they aren’t fully using. Benefits differ between medical aid schemes and plans, but understanding what’s available before your baby arrives can help you get more value from your cover and avoid some unexpected expenses. According to Adriaan Schoeman from MedicalAid.com, one of the biggest mistakes expecting parents make is assuming that all pregnancy-related expenses will automatically be paid from their normal medical aid benefits. “Parents should contact their medical aid as early as possible in the pregnancy and ask for a full breakdown of their maternity benefits. Some benefits may only become available once you register for the scheme’s maternity programme, while others have specific limits, networks or authorisation requirements. Knowing this upfront can make a big difference when it comes to unexpected medical bills.” Here are seven benefits worth checking. 1. Antenatal Consultations Regular antenatal check-ups are an important part of monitoring the health of both mother and baby. Depending on your medical aid plan, some antenatal consultations with a GP, midwife or gynaecologist may be covered through a maternity benefit rather than your normal day-to-day benefits. There may be limits on the number of consultations covered, and some schemes require you to use healthcare providers within their network. Ask your medical aid exactly how many consultations are included and whether you need to register your pregnancy before accessing the benefit. 2. Pregnancy Scans and Blood Tests Ultrasounds are often one of the highlights of pregnancy, but they also play an important medical role in monitoring your baby’s development. Some maternity benefits include specified ultrasound scans as well as certain routine blood tests. Depending on your plan, tests may include blood group and Rh testing, haemoglobin levels and other pregnancy-related screening. More specialised tests may not automatically be covered. Before having additional scans or tests, check whether your medical aid requires a referral or pre-authorisation. 3. Maternity Programmes One benefit that’s particularly easy to overlook is the maternity programme offered by some medical aid schemes. These programmes can provide pregnancy-related information and support throughout the different stages of pregnancy. Depending on the scheme, members may have access to educational resources, advice from healthcare professionals and additional maternity benefits. Registration isn’t necessarily automatic. Once your pregnancy has been confirmed, contact your scheme and ask whether you need to register for its maternity programme. 4. Childbirth and Hospital Benefits Whether you’re planning a vaginal delivery or Caesarean section, it’s important to understand your hospital benefits well before your due date. Your medical aid may cover the hospital admission, but that doesn’t necessarily mean every account will be paid in full. The hospital, gynaecologist, anaesthetist and paediatrician can submit separate accounts, and specialists may charge more than your scheme’s tariff. Check your hospital network, obtain pre-authorisation and ask how your medical aid will cover the different healthcare providers involved in the birth. 5. Lactation and Postnatal Support Going home with a newborn can bring an entirely new set of questions. Some medical aid maternity programmes provide postnatal support, which may include access to nurses, midwives or lactation advice. Certain plans may also contribute towards consultations with a lactation specialist. These benefits can be particularly useful if you’re struggling with breastfeeding or adjusting during the first few weeks after birth. Don’t assume the benefit isn’t available. Ask your scheme what postnatal services are included. 6. Newborn Screening and Early Check-ups Your baby’s first medical checks start almost immediately. Depending on your medical aid and plan, newborn benefits may include certain screenings, paediatric consultations or follow-up checks. One important administrative task is adding your baby to your medical aid within the scheme’s required timeframe. According to medicalaid.com, this is something parents should understand before going into hospital. “Ask your medical aid before the birth exactly how and when your baby must be registered. You don’t want to be trying to understand the rules for newborn cover while you’re dealing with hospital accounts and looking after a new baby.” Have the required documents ready and confirm the registration requirements with your scheme. 7. Baby Vaccinations and Preventative Care The medical expenses don’t stop once you leave hospital. Your baby will need vaccinations and routine healthcare as they grow. Some medical aid options provide preventative-care benefits that cover specified vaccinations or childhood health checks, subject to the scheme’s rules and benefit limits. Find out whether vaccinations are paid from a separate preventative benefit, your medical savings account or normal day-to-day benefits. Check Your Benefits Before Baby Arrives Every medical aid plan works differently. Two people belonging to the same medical aid scheme can have very different maternity benefits because they’re on different options. Ideally, contact your scheme early in the pregnancy and ask for a detailed breakdown of your maternity and newborn benefits. As Schoeman explains, “The important thing isn’t simply having medical aid. It’s understanding what your particular plan will pay for, what you need to register for and where you could still face out-of-pocket costs.” A few questions early in your pregnancy could help you avoid unexpected bills later – and make sure you’re actually using the benefits you’re already paying for. Adriaan Schoeman is from MedicalAid.com, a South African medical aid comparison website that helps consumers compare medical aid options and understand their healthcare cover.

Panado®

Managing Bumps, Bruises and Minor Aches as Kids Get Active Outdoors

After just an hour outside, your child can come back with grazed knees, a fresh scrape on one elbow and a bruise the size of a plum on their shin. How did all of that happen in one afternoon? The reassuring answer is that, in most cases, this is simply what an active childhood looks like. And with warmer weather keeping kids outdoors longer, climbing, running, riding bikes, and seeing just how high they can jump, you may notice a few more bumps, scrapes, and bruises that need a little TLC. Why do children get bruises? Bumps and bruises are almost a childhood rite of passage. Most are nothing to worry about. They’re simply part of having an active and adventurous child who is still figuring out where their body ends and the coffee table begins. Children may seem to bruise more than adults, but that doesn’t necessarily mean their skin or blood vessels are more fragile. Kids spend more time running, jumping, climbing, falling and bumping into things than the average adult, who has generally learned to walk around furniture rather than through it. Add a little built-in childhood clumsiness into the mix, and bruises are almost guaranteed.1 First aid for bumps, bruises and minor aches Cuts, bumps and bruises can all come from the same tumble, but they happen in slightly different ways. A cut breaks the skin, while a bruise forms underneath it when tiny blood vessels are damaged and a little blood leaks into the surrounding tissue.The majority of small injuries can be treated at home so long as bleeding is light or has stopped, your child is not in severe pain, and they can move the area normally. If the injured area has a skin scrape, wash it with mild soap and lukewarm water.  You can apply an antibacterial cream to prevent infection. Cover the wound with a sterile gauze pad and tape or a simple plaster.2 Bruises may not appear straight away, but the skin can still be painful and often feel tender at first. Most need nothing more than a cold pack wrapped in a towel (or even a bag of frozen veggies), for no more than 20 minutes. And if your baby seems in pain, an age-appropriate pain reliever with paracetamol may help.3 Stocking a child-safe first aid kit A first aid kit stocked with a few essentials gives you peace of mind when your child gets hurt. Start with plasters in a range of sizes and antiseptic wipes for cleaning small cuts and grazes. A digital thermometer is also worth keeping close for checking your child’s temperature. Add tweezers for splinters, blunt-tip scissors for cutting gauze or tape, and sterile gauze pads for anything too big for a plaster.Saline solution is useful for rinsing eyes or wounds, while a cold pack can help soothe bumps, bruises and sprains.4 Keep an age-appropriate pain reliever such as Panado® available in handy single-use 5 ml sachets13 on hand, along with oral rehydration salts for bouts of vomiting or diarrhoea and burn gel for minor burns or scalds. Finish with disposable gloves and hand sanitiser.4 When should you call the doctor? Most childhood bumps heal themselves with time, a hug, and maybe an extra story before bed. But a few situations warrant a trip to your child’s paediatrician. Any head injury followed by vomiting, slurred speech, pupils that look different in size, or a sudden change in the way your child walks needs medical attention.5 The same goes for a limb your child suddenly refuses to walk on or put weight on, cuts that are long, deep, or ragged edged, any visible deformity,numbness around the injury, or pain that seems far bigger than the bump itself.Redness, swelling, discolouration, or pus are all signs of infection worth flagging quickly, while anything needing stitches or an X-ray is usually best handled at a hospital rather than waiting it out at home.6 The power to fight pain and fever Panado®’s Paediatric Range delivers the trusted7 pain relief South African families have relied on for generations.  The range includes Infant Drops,8 named Product of the Year 2025 in the Child – Health category following a Kantar survey of 2,000 South African consumers,9 as well as Peppermint Syrup10 with improved taste11 and Strawberry Syrup,12 which is also available in handy single-use 5 ml sachets13 for families on the go. Panado® products are available from Baby City, Pick n Pay, Checkers including Hypers, Shoprite, Clicks, Dis-Chem and independent pharmacies. For more information, visit: https://panado.co.za/ and join the conversations on Facebook and Instagram. For references and legal disclaimers, visit https://panado.co.za/references. Approval ticket #09.09.2026.10000064388. September 2026.

Bonitas – innovation, life stages and quality care

Mental health vs mental illness: Why knowing the difference matters

An estimated one in three South Africans will experience a mental health condition during their lifetime, yet many people still struggle to distinguish between poor mental health and mental illness. While the terms are often used interchangeably, they are not the same thing. Everyone has mental health, just as everyone has physical health. Mental health refers to our emotional, psychological and social wellbeing and can fluctuate in response to stress, life events and everyday challenges. Mental illness, on the other hand, refers to diagnosable conditions such as depression, anxiety disorders, bipolar disorder and schizophrenia that can affect how a person thinks, feels and functions. According to Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, knowing the difference between a difficult period and a potential mental illness is an important first step towards getting help. “It’s normal to experience stress, sadness or worry from time to time. However, when these feelings persist, worsen or begin affecting daily functioning, they may indicate something more serious that requires attention and support,” he says. Recognising the signs early can make a significant difference. Here are five indicators that it may be time to seek professional support. Persistent feelings of sadness, anxiety or hopelessness Everyone experiences difficult emotions from time to time. However, if feelings of sadness, worry, fear or hopelessness continue for several weeks and begin interfering with your daily life, it could be a sign of an underlying mental health condition. Pay attention to emotional changes that don’t improve with rest, self-care or changes in circumstance. Changes in your sleep patterns Mental illness often affects sleeping habits. You may struggle to fall asleep, wake frequently during the night, experience restless sleep or find yourself sleeping significantly more than usual. Over time, disrupted sleep can affect concentration, energy levels, mood and overall wellbeing. Withdrawing from people and activities A common warning sign of mental illness is losing interest in activities that once brought enjoyment or distancing yourself from family, friends and colleagues. While it’s natural to need time alone occasionally, ongoing social withdrawal may indicate that something deeper is affecting your wellbeing. Difficulty coping with everyday responsibilities If routine tasks suddenly feel overwhelming, or you’re struggling to focus, make decisions, meet deadlines or manage responsibilities that once felt manageable, it may be a sign that your mental wellbeing requires attention. “One of the biggest misconceptions about mental illness is that seeking help is a sign of weakness,” says Dr Hadebe. “In reality, recognising when you need support and taking action is a sign of strength.” Relying on unhealthy coping mechanisms Turning to alcohol, overeating, substance use or other unhealthy habits to cope with emotional distress may provide temporary relief, but often masks underlying challenges. Recognising these behaviours early can help prevent them from developing into longer-term problems and can signal the need for professional support. Mental illness is not a personal failure, and effective treatment and support are available. The earlier a condition is identified and managed, the better the outcome is likely to be. “We need to normalise conversations about mental illness in the same way we normalise conversations about physical health,” says Dr Hadebe. “Awareness helps reduce stigma and encourages people to seek help before challenges become crises.” Understanding the difference between mental health and mental illness can help people recognise when they or a loved one may need support. If symptoms persist, worsen or begin affecting daily life, speaking to a healthcare professional is an important step towards recovery. Bonitas members also have access to a dedicated Mental Health Programme, which offers professional guidance, counselling support and resources to help them better understand and manage their condition. Looking after your mental health is important, but recognising the signs of mental illness and seeking help early can make a meaningful difference to your long-term health, wellbeing and quality of life.

Bonitas – innovation, life stages and quality care

Veganism and pregnancy

Veganism is becoming an increasingly popular lifestyle which abstains from the consumption and use of animal products, predominantly for health, and/or ethical reasons. If you’re vegan and are considering pregnancy, or are pregnant, you are probably wondering how to best provide nutrients for your growing baby, and if veganism is still the best option for both of you. Can I stay vegan while pregnant? Veganism is often criticised for its lack of certain vitamins and minerals that a typical ‘balanced’ diet contains. Luckily, it is still possible to stick to your vegan diet during pregnancy – you’ll just have to make sure that your growing baby receives the nutrients that she needs. While pregnant, it’s important to eat foods that contain folic acid (a B vitamin), calcium, vitamin D, iron and protein – you can get this from the food you eat as well as supplements. If you’re wondering where you can find these important nutrients in a plant-based diet, read on. Citrus fruits, dried beans and leafy green veggies are all foods that include folic acid. Typically dairy is a source of calcium, however, non dairy foods rich in calcium are broccoli and kale.  Vitamin D can be found in mushrooms and fortified products, such as rice milk and soy milk.  Although meat is often seen as a primary source of protein, beans, peas, nuts and seeds are all rich in protein. Potatoes and tofu are also good foods to eat when replacing meat protein, and iron can be found in spinach and beans. What nutrients are typically lacking in a vegan diet? As a vegan, there are certain nutrients that you can’t find in plants – during pregnancy it becomes even more important to supplement these. Vitamin B12 (which helps with proper brain development), vitamin D (which aids bone and teeth development), omega 3 fatty acids and iron (you’ll need about twice as much when pregnant) are vitamins and minerals you might need to supplement. Even if you’re not vegan, making sure your baby gets all the correct nutrients is important and may mean adjusting your diet. If you are planning on sticking to a strict diet plan it’s a good idea to consult with someone knowledgeable first.

Bonitas – innovation, life stages and quality care

Everything you need to know about having a miscarriage

Deciding to become a mom, or even finding out by chance that you’re pregnant can be an exciting time in your life. However, sometimes you will spontaneously lose the embryo before 20 weeks and this is known as a miscarriage. You may be wondering what causes a miscarriage and how to notice the symptoms and signs of one.  What is a miscarriage and what causes them? Miscarriages are defined as the spontaneous ending of a pregnancy before 20 weeks. Miscarriages can both be emotionally and physically painful to deal with, but it is thought (according to the NHS) that 1 in 8 pregnancies end in miscarriage, with many happening before a woman notices that she has missed her period (meaning she probably won’t even know that she’s been pregnant.  American Pregnancy Association (APA) states that the most common cause of miscarriage is an embryo that is genetically abnormal, which can be either genetic or spontaneous. However, miscarriages can be caused by underlying health conditions such as diabetes, or poor lifestyle choices, such as drug use and drinking. Maternal age is also a contributing risk factor, as women over 35 have higher chances of pregnancy loss.  How do I know if I ‘m having a miscarriage? Symptoms of a miscarriage can be similar to that of your menstrual period. You may experience cramps and abdominal and back pain, as well as bleeding which can vary from light spotting to heavy discharge. It is normal to have pain and bleeding after a miscarriage, and these period-pain type signs should stop after two weeks.  If you experience heavy bleeding, fever or chills be sure to seek professional help as you could have an infection. Unfortunately, the miscarriage process can’t be reversed and if you think you are having a miscarriage you should speak to your doctor about how to manage it.  Can I have a normal pregnancy after having a miscarriage? Many women may worry that having a miscarriage may affect their chances of getting pregnant again – however, many women have healthy pregnancies after miscarriage. Most doctors recommend waiting a period of time before trying again, so speak to your health care provider about the best way forward. 

Parenting Hub

You Look After Everyone Else. Isn’t It Time You Put Yourself Back on the List?

For busy parents, finding time to exercise can feel like one more impossible demand. Body20’s 20-minute EMS training helps you prioritise yourself, making your limited time feel meaningful and rewarding. For many women, self-care happens last. After children, partners, work, and endless daily admin, your own wellbeing quietly slips to the bottom of the list. The problem is rarely that women don’t know they should exercise. It’s finding the time and energy actually to do it. That’s where Body20 can make a difference. What if your workout only needed 20 minutes to be effective? Body20’s guided EMS sessions fit into your busy day, making fitness achievable without sacrificing time or energy. Body20 uses guided Electro Muscle Stimulation (EMS) training in personalised sessions that take just 20 minutes. Instead of finding an hour or more to exercise, Body20 offers busy parents a structured session that removes the time barrier. A coach guides you through your workout, adapting to your fitness level and goals. Join a community that understands your busy life and supports your journey. This spring, Body20 is encouraging members to put themselves back on their own priority lists through its 2026 National Transformation Challenge, with R10,000 up for grabs. But transformation doesn’t have to mean chasing a dramatic before-and-after photograph. “Too often, fitness is judged by what someone looks like before and after,” says Philip Hughes, Body20 Global CEO. “But the most important changes are often the ones a photo can’t capture.” For a parent, those changes might mean feeling more confident, carrying shopping bags or picking up a child with ease, and knowing you’re taking control of your health in just 20 minutes. This empowerment can extend to every part of your life, making you feel stronger and more in charge. Make your Body20 session the anchor and book a free demo today to see how just 20 minutes can fit into your busy schedule and transform your routine. When life is busy, don’t aim for a perfect routine. Make your Body20 sessions the anchor of your routine. You don’t need to add extra workouts. What you do between EMS sessions should support your training and recovery, not add complexity. Gentle walks, stretching, taking the stairs, or playing with your children all count as everyday movement. But your structured Body20 training remains the foundation. You can also do a few simple things to get more from it. 1.Eat to support your training Exercise and nutrition work together. Body20 Nutrition Doctor Melissa Nel recommends avoiding restrictive diets and focusing on foods that nourish and sustain you. “There’s no one-size-fits-all approach,” says Nel. “A routine only works if it brings you joy and fits your life.” Start by building meals around vegetables, quality protein, fibre-rich carbs, and healthy fats. Protein is especially useful when you are working to get stronger because it gives your body the nutritional building blocks it needs. Think eggs, chicken, fish, lentils, yoghurt, beans, and nuts—simple, everyday foods. The goal isn’t to eat as little as possible, but to fuel the body you want to build. 2. Don’t arrive dehydrated Proper hydration matters when you train. Drink water consistently throughout the day, not just before your Body20 session. If your day disappears into school runs, meetings and errands, keeping a water bottle somewhere visible can be one of the easiest healthy habits to maintain. 3. Give your body time to recover More training is not automatically better training. Your body needs recovery as well as stimulation. Sleep, rest, and good nutrition are all part of fitness. Don’t feel guilty for missing a workout; focus on arriving at your next Body20 session ready to train. Consistency matters more than perfection. 4. Keep moving between sessions Let Body20 be your structured workout, and let ordinary movement keep you active between sessions. Walk, take the stairs, stretch while watching TV, or play outside with your children. It doesn’t need to become another item on your to-do list. See these activities as supporting, not replacing, your Body20 training. 5. Work with your coach A key Body20 advantage: you don’t have to figure it out alone. Tell your coach how you feel, discuss your goals, and let them know when you’re ready for more. Personalised progress matters more than comparison. “Time is my scarcest resource” For Body20 Ballito member Rashmika Govender, that may be the biggest benefit of all. Govender joined Body20 in 2023 while managing a demanding life and health challenges including PCOS, insulin resistance, asthma, and eczema. “Time is my scarcest resource,” she says. Since then, her experience has been about far more than weight. Govender reports losing about 15kg, gaining muscle, and improving strength, mobility, and endurance. She has more energy and can now run without her asthma pump. But perhaps the most powerful change is the way she describes herself. “I walk into rooms differently, take up space, and feel empowered in my own skin.” That is the kind of transformation a bathroom scale cannot measure. Consistency beats perfection There will still be chaotic weeks. A child gets sick. Work explodes. You sleep badly. Dinner comes from the nearest takeaway. You miss something you intended to do. None of that means you have failed. Govender says consistency was the hardest part of her Transformation Challenge, and it may be the most valuable lesson for other women. You don’t need to overhaul your life overnight. Book the Body20 session. Drink the water. Eat something that nourishes you. Get enough protein. Take the short walk. Sleep when you can. Then come back and train again. Progress is built on what you do repeatedly, not one burst of motivation. The 2026 Body20 National Transformation Challenge celebrates exactly that kind of progress—the decision to keep showing up for yourself. Putting yourself back on the list isn’t selfish. When you feel stronger, healthier, and more confident, those benefits extend to every part of your life. Twenty minutes is a great place to start. Experience Body20 for yourself and discover how 20

Parenting Hub

How breast density matters in breast cancer 

One of the most important and least understood factors in breast cancer detection, is breast density. Dr Marna du Toit, a radiologist from SCP Radiology who recently obtained a European Diploma in Breast Imaging (EDBI), explains what dense breasts are, the impact on the kind of imaging that will be used and explanations of each one.  Breast cancer remains the most commonly diagnosed cancer in women globally and multiple factors determine a women’s risk of being diagnosed. One of which is dense breasts. Dr du Toit says, ‘It is not only an independent risk factor but also has an impact on breast cancer screening.’ Breast tissue density is plotted on a typical Bell curve:  What do dense breasts actually mean? Your breasts are composed of fibrous tissue (supports and holds tissue in place), glandular tissue (milk glands which produce milk and ducts that transport the milk) and fatty tissue (fills the space between fibrous and glandular tissue). If you are told that you have dense breasts – referred to as ‘fibroglandular density’ – it means that you have more fibrous and glandular tissue and less fatty tissue.  How many women have dense breasts and why? Having dense breasts isn’t something you can control, it is often inherited but can change over time. Some women are more likely to have dense breasts, such as those who are pre-menopausal, are menopausal and taking hormone replacements or are lean with low Body Mass Index (BMI).  How does this impact breast screening? Dense breast tissue can make breast cancer more difficult to see or detect on a mammogram, for the following reasons: Average woman lifetime risk of breast cancer: About 2-13% . Women with Type D breasts: Often estimated about 18-25% lifetime risk.  ‘This means you probably need supplemental imaging in addition to a normal digital mammogram,’ explains Dr du Toit. Digital mammogram A digital mammogram is the primary imaging method for screening. It uses low-dose X-rays to take detailed pictures of the breast tissue, to check for the possible presence of breast cancer and benign breast disease.  Why it’s useful  A mammogram can pick up breast cancer before any symptoms develop and detect a tumour that cannot be felt – this means less aggressive treatment and a reduction in mortality rates.  Something to consider: Younger women often have more dense breast tissue, which means changes in the breast might be obscured. Therefore, a mammogram is not used as a screening tool in women under 40 but can be used diagnostically. Dr du Toit says there is a difference between a screening mammogram, which looks for breast cancer before there are any symptoms or a diagnostic mammogram which investigates a specific symptom or abnormality.  When to start  Average risk: Annual screening starting at age 40 and continuing for as long as you are in good health.  If you have a first degree relative diagnosed at a young age, speak to your doctor about starting your screening earlier.  ‘There are various supplemental screening methods used for women with dense breasts. These include: Ultrasound, a 3D mammogram (tomogram) and an MRI’, explains Dr du Toit.  A 3D mammogram (tomogram) This captures multiple X-ray images, from different angles, to create a series of very thin cross-sectional ‘slices’ of the breast. A radiologist will scroll through these images to look for areas of distortion, which is often an early sign of cancer before other symptoms appear. Advantages: It is helpful for women with dense breasts because it is a clearer picture than a 2D mammogram and improves detection rate.  Something to consider: It does have a slightly higher radiation dose than a regular mammogram but it is still a safe dose ascribing to the ALARA (As Low As Reasonably Possible) rule in radiology.  Ultrasound Ultrasound is a non-invasive procedure that uses sound waves to create images – particularly to investigate lumps felt by hand or seen on the mammogram.  Advantages: It is especially helpful in younger women with dense breast tissue, as it can help detect cancers that may not be visible on standard mammograms. It provides a real-time view of the breast during the scan and is excellent for examining the lymph nodes in the underarm area. There is no radiation involved. Something to consider: It may not detect all cancers, particularly small lumps or micro-calcifications, which can be early signs of cancer.  Magnetic Resonance Imaging (MRI) A breast MRI uses magnetic fields and radio waves to create detailed pictures of the breast. It can be used together with or instead of a mammogram. You do, however, need an injection of contrast dye. This is the ‘Gold Standard’ in breast imaging and has a 90% sensitivity.  Can be used as screening in young or high-risk patients, diagnostic imaging, pre-operative to determine the extent of disease and breast cancer surveillance. Advantages: No radiation is used. It’s a good screening tool for high-risk individuals and patients with extremely dense breasts, as well as those with a strong family history and gene mutations. Something to consider: You may have an allergic reaction to the contrast dye containing gadolinium. This is very rare, usually mild and quickly treated. Most reactions are mild (nausea, warmth, flushing, dizziness, mild urticaria/itching) and don’t last long. Dr du toit says that knowing your breast density and the implications is crucial for assessing your overall breast cancer risk (and should be included on your imaging report). It also determines if you could benefit from supplemental screening tests – such as a breast ultrasound or MRI – to ensure early detection. The European Society of breast screening advises women aged 50 to 70 years, with extremely dense breasts, to have a breast MRI every 2 to 4 years. ‘Remember these tests can detect breast cancer long before you can feel a lump. Early detection is crucial,’ says Dr du Toit. ‘It can save your life.’

Parenting Hub

222 Nights of Hope: Body20 Eases the Journey for Families Facing Childhood Cancer

For families grappling with the harsh realities of childhood cancer, the struggle extends far beyond the hospital ward. But this year, Body20’s nationwide fundraising campaign became a catalyst for hope: R155,800 raised for the CHOC Childhood Cancer Foundation South Africa, providing 222 nights of safe accommodation for children in treatment and the parents who never leave their side. The Body20 Cares initiative – a collaboration of heart and purpose – pledged half of all new member joining fees to CHOC from April to May 2026. Now in its second consecutive year, the campaign’s impact is growing: last year’s R151,525 contribution, combined with this year’s total, brings the grand sum to R307,325. These funds directly sustain CHOC’s Accommodation Programme—an essential lifeline for families forced to travel long distances to specialist centres. With each bed night costing R700, this year’s donation alone ensures 222 nights where families are spared the anxiety of where to sleep while their child battles illness. “CHOC Childhood Cancer Foundation South Africa is deeply grateful for this generous donation of R155,800,” said Antonella Swanepoel, Business Development Unit Manager at CHOC Childhood Cancer Foundation SA. “This meaningful support will help us continue walking alongside children and teenagers diagnosed with cancer or life-threatening blood disorders, and their families, during an incredibly challenging time. “The donation will support CHOC’s Accommodation Programme, where the cost of providing one bed night for a child and caregiver is R700. This contribution will fund 222 bed nights, offering families a safe and welcoming home away from home while their child receives treatment.” Childhood cancer continues to lurk in the shadows of South Africa’s health landscape. Officially, about 1,000 children receive a cancer diagnosis each year. Still, experts warn the real figure is likely much higher, hidden by late diagnoses and the silent toll in communities with limited medical resources. The survival gap is stark: while over 80% of children in high-income countries survive cancer, the odds fall dramatically in lower-income settings, where late diagnosis and barriers to care persist. For families, a diagnosis is not just a medical crisis but a financial one. Travel expenses, lost wages and the looming question of where to sleep can make an already dark time feel insurmountable. CHOC steps in to ease these burdens—offering accommodation, emotional support and practical help when it matters most. Philip Hughes, Global CEO of Body20, said businesses have an opportunity to make a meaningful contribution beyond their commercial activities. “Transformation has always been central to who we are. While we help people become stronger physically, mentally and emotionally, we also believe healthy communities are built through compassion and shared responsibility. Seeing our franchisees, coaches, staff and members unite behind this campaign has been incredibly encouraging.” He added that long-term partnerships often deliver the greatest impact. “The fact that this is the second consecutive year of support is important to us. Consistency allows organisations such as CHOC to continue delivering essential services to families when they need them most.”

Bonitas – innovation, life stages and quality care

What is abdominal separation and how do I deal with it?

Abdominal separation or diastasis recti is the separation of the two parallel bands of muscle in your belly. This is common in pregnant women, and luckily often heals on its own, or with the help of exercises,  after pregnancy. This condition is not only experienced by pregnant moms, but also by men, as well as women who’ve never been pregnant. You may be wondering how you’d know if you have abdominal separation,  how to tell if it’s bad and what you can do to help your tummy return to normal. How do I know if I have diastasis recti? If your muscles have separated, you may notice a bulge in your abdomen where the two muscles have pulled apart. In addition to this, you may notice a sore lower back, constipation and bloating. Women who are expecting multiples or women who have been pregnant more than once (especially if the pregnancies are close together) are more likely to experience muscle separation. There is a way you can check if you have diastasis recti yourself. Lie flat on your back and then sit up slightly, engaging your core muscles. Put your fingers just above your belly button on the middle of your stomach. If you feel like the gap between your fingers is more than three fingers, then you probably have diastasis recti. However, this is not an exact science but rather a way to gauge if you may have a problem. How can I correct my diastasis recti? If you have a smaller separation, it may go away on its own or with the help of exercises, however, bad cases may need the help of a physio or even surgery. If you have a gap, chances are it’ll close up one or two months after birth. However, certain exercises may help the gap close up quicker. That being said, be careful of what exercise you do, some fitness practices make it worse. If you are worried about it, it’s best to talk to a health care professional and they can help you make the best choice for you and your body.

EduHelp

Teaching Kids About Capacity and Mental Load

It’s a struggle every woman understands down to her very core. The constant mental arithmetic, the endless checks and to-do lists. Mentally taking stock of fridge and pantry and deciding what to eat, not only to suit everyone’s taste, but also the month’s grocery budget. Keeping tabs on what is running low, what needs to be replenished this week and what can wait until the end of the month. Food, cleaning products, clothing, pet supplies, supplements, hygiene products. Who has what on their schedule on any given day. Who needs to be where, which day, at what time. What will they need? Are the sports clothes clean? Do the kids have snacks for their lunchboxes? Have the water bottles been sterilised recently? Who has a birthday party, when, what time, do we need a gift? If you know, you know. But what happens if you suddenly fall sick, or have to go away, or crumple into a heap because it’s all just too much for one person? Maybe the answer isn’t another app or regulation method. Maybe, instead, we can teach our kids about capacity, what the mental load is and how they can share it instead of just adding more items to the grocery list. Let’s Talk Capacity Capacity refers to your bandwidth for all the things that need to get done at any particular time. This covers work, home, family, social life, the whole caboodle. In her book, Capacity and Capabilities Handbook, Melissa van Hal refers to the fluid nature of capacity. There are many factors impacting your capacity on any given day, from physical health to emotional regulation and your sensory environment (van Hal, 2025). The crux of the difference between capacity and capability is this: While you may be capable of taking care of a sick child at home while making sure the others get to school on time, host a webinar at noon and then a dinner that evening, your capacity to do it all will be very different when you are feeling on top of the world compared to when you are sick yourself, or grieving, or haven’t slept, or have a raging migraine. But as we know all too well, the world does not stop. The mental load, most often borne by one person, continues unabated, whether we have the capacity to deal with it all or not. But who benefits from us suffering in silence? Making the mental lists and working ourselves into a frenzy trying to track all the consumables, the schedules, the dietary requirements, the appointments, the homework, and the emotional well-being of our families? Do our kids benefit from growing up thinking these things happen by magic? That executive function is something that suddenly is bestowed upon you when you become an adult? Because what happens when they move out and have absolutely no clue how to buy electricity, or change appointments, or draw up a grocery budget for the month? We know kids pick up on their parents’ mental states. They know – consciously or subconsciously – when their moms are stretched to the limit, juggling a hundred different small tasks and never quite getting to everything. Half-listening to a story about what Andy did in class today and having a niggling feeling that something is bugging her youngest, while never quite finding the time or the mental bandwidth to think it through clearly. We cannot expect our kids to know how to help in a meaningful way, or how to respond with empathy, thoughtfulness and emotional maturity, unless we have taught them to do so. But the important takeaway here is that we can teach them. Teaching Kids to Share the Mental Load I came across a brilliant post on Instagram this week. Mom and parenting educator, Katy Goodwin, detailed how she coached her nine-year-old son on very specific ways to handle some of the mental load she had been carrying alone. Not the visible chores he is instructed to do. The invisible stuff that ‘just gets done’. She describes teaching him to go through the pantry systematically, check the levels of all consumables, and make a shopping list. Sure, at first it took him four times longer than it would have taken her, but it taught him invaluable lessons. He now knows that it takes a person to pay attention to these things. And that quite often, the visible chore is the smallest part of the task. It taught him, first of all, to notice when the sugar is running low. To then think about other things that might be running low too, and compile a list of what needs to be bought. To check the pantry, the fridge, freezer, toiletries cabinet and add all the items that are in regular use to a grocery list. She taught him to track his own schedule. When soccer practice is, when he’s writing a test, when there is a birthday to attend, or a tutoring session, or a playdate. To check beforehand that his soccer kit is clean (instead of the morning of, frantic, “Mooom! Did you wash my soccer stuff?”). To load the dirty stuff into the machine, ask for help getting it started, and make sure it is dry and ready when he needs it. Learning the Bigger Lesson Learning the mechanics of all these life-skill tasks is secondary to the lesson that none of this stuff happens without someone noticing, remembering, and taking the time to do it. He is learning consideration, planning, keeping track of physical items and schedules, communication, responsibility. Instead of just filing a request (or demand) for something to be magically done, arranged, or procured, he is learning the executive functioning skills he will need as an adult, partner, employer or employee. He will know what it takes to run a household, instead of being the kind of man who has to be asked to take out the trash on Sunday night. Twice. When we teach our kids to notice

Bonitas – innovation, life stages and quality care

You’re pregnant! But is your baby automatically covered by medical aid?

Pregnancy comes with a long list of things to prepare for: antenatal appointments, choosing a hospital, packing a hospital bag, buying tiny clothes and, eventually, figuring out how you’re going to function on very little sleep. But there is another question expecting parents should ask before their baby arrives: what happens to my baby’s medical aid cover when they’re born? It may seem like a straightforward question, but it is one that can catch parents off guard. Many assume that because they have medical aid and their pregnancy and maternity care are covered, their baby is automatically covered too. The reality is that maternity benefits and newborn registration are not necessarily the same thing. The rules can differ between medical schemes and options, which is why understanding what your specific cover provides, and what you need to do once your baby arrives, is important. Does my medical aid automatically cover my unborn baby? This is one of the questions many first-time parents may not think to ask. While a mother may have maternity benefits that cover certain antenatal consultations, scans, tests and the delivery, that does not mean parents can simply assume their newborn has been formally added to the medical scheme. The baby will generally need to be registered with the medical scheme after birth, and there are deadlines for doing so. With Bonitas members for example, newborns must be registered within 30 days of birth to qualify for cover from birth without waiting periods or underwriting, subject to the applicable scheme rules. That makes the registration process something parents should understand before they head to hospital, rather than something to worry about once they are home with their new arrival. “Pregnancy and childbirth involve a lot of planning, and medical scheme administration is easy to overlook among everything else parents are preparing for,” says Lee Callakoppen, Principal Officer at Bonitas. “Understanding your maternity benefits and knowing what needs to happen once your baby is born can help parents avoid unnecessary stress during an already busy time.” But what happens if my baby needs medical care immediately after birth? This is where understanding your cover becomes particularly important. While many newborns will only need routine examinations and follow-up appointments, some babies may require additional medical attention in their first hours, days or weeks. A newborn could need treatment for conditions such as jaundice, feeding difficulties or breathing problems, or require investigations, specialist consultations or neonatal care. For parents, this can be an incredibly stressful experience. The last thing they want to be wondering about is whether their baby is covered or whether they will be responsible for unexpected costs. This is why parents should speak to their medical scheme before the birth and understand exactly what happens if their baby requires medical treatment immediately after delivery. Questions worth asking include: The answers will depend on the medical scheme and option, so it is important not to rely on assumptions or advice from friends and family. One of the easiest things to overlook There is a tendency to think that once you’ve had one baby, you know how the process works, but medical scheme benefits, options and rules can change, and every pregnancy and birth is different. Even parents welcoming their second or third child should take a few minutes to check their current benefits and understand what has changed since their previous pregnancy. The goal isn’t to expect something to go wrong. It is simply to know what to do if it does. “When parents understand what their medical scheme covers and what they need to do to register their newborn, they can approach those first few weeks with greater confidence,” says Callakoppen. “It means that if their baby does need additional medical attention, they are better prepared to focus on their child and their recovery rather than trying to navigate the administration at the same time.” Preparing for a baby isn’t only about choosing a name, buying a pram or deciding whether you really need 14 different types of newborn clothing. It is also about understanding what happens once your baby arrives, including how their healthcare cover works. Your best starting point is simple: speak to your medical scheme before the birth, understand your maternity benefits, ask how your newborn will be covered, and make a note of the registration deadline. When you’re holding your newborn for the first time, the last thing you want to be doing is wondering what you were supposed to do next. A few questions before the birth could mean one less thing to worry about when baby arrives.

Bonitas – innovation, life stages and quality care

Postpartum bleeding – what is normal?

Giving birth to your baby after 9 months can be a relieving, beautiful and exciting experience. Postpartum your body will still be going through adjustments for a while, and as you care for your new baby, you’ll need to remember to take care of yourself as well. Postpartum bleeding, also known as lochia, is normal after both vaginal and c-section births, however, it is best to know what is and isn’t common in post birth bleeding. Normal postpartum bleeding Lochia is similar to menstruation in the way in which it is made up of blood and tissue, it’s just heavier and longer lasting – it should stop between 4 and 6 weeks after giving birth. Initially, your bleeding will be heavy. This first phase of postpartum bleeding is known as lochia rubra and you’ll experience this in the first 3 to 4 days. Bleeding will be red to reddy brown and you may have small clots. In the next few days after birth your lochia will decrease in volume. Lochia serosa lasts 4 to 10 days and during this period your blood will darken in colour and become more watery. Blood clots should get smaller and disappear. Finally you’ll experience lochia alba, which usually lasts about another 1 to 2 weeks, but can be up to 28 days. Discharge will be yellowy white in colour, you may see pinkish or brown stains on some days. There should be no smell other than what you would experience during a normal period – a strong odor can be a sign of an infection. When to reach out to your doctor Even though lochia is normal, if you are bleeding heavily this can indicate that you have a postpartum haemorrhage. If your bleeding is heavy a week after birth, you experience fever or chills, a tender abdomen or foul-smelling discharge, you’ll need to seek medical assistance.

NB Hearing & Balance

From Pregnancy to Menopause: A Woman’s Hearing and Balance Journey

Women go through extraordinary changes over the course of their lives. These hormonal changes most commonly occur during menstruation, pregnancy, postpartum, breastfeeding, return of menstrual cycles, use of contraception, fertility changes, perimenopause, and menopause. Most women will experience at least a few of these events which affect their hormones. However, there is one part of women’s health that is rarely included in the conversation: hearing and balance. We tend to think of hearing as something that changes with age, while balance problems are often dismissed as something unrelated or temporary. Yet the auditory and vestibular systems, the systems involved in hearing and balance, are influenced by complex interactions between the inner ear, nervous system, circulation, and broader health. Pregnancy: When the Body Changes, So Can the Inner Ear For some women, pregnancy may coincide with changes in hearing, tinnitus, or balance. Others may notice that existing symptoms become more noticeable. This may be related to the inner ear’s sensitivity to changes in fluid balance and circulation. However, some women may experience dizziness during pregnancy for reasons unrelated to the inner ear, such as changes in blood pressure, blood sugar, anaemia, dehydration, or fatigue. The important message is this: Dizziness during pregnancy should not automatically be assumed to be “just pregnancy.” If dizziness is persistent, recurring, severe, or affecting daily life, it is worth discussing with a healthcare professional. After Pregnancy: The Listening Load of Motherhood The postpartum period brings a different kind of change. With a new baby to care for, broken sleep, breastfeeding, and emotional adjustments, concentration, listening and communication can become more difficult. You may find yourself thinking: “Why am I struggling to concentrate?” “Why do conversations feel so exhausting?” “Why do I keep asking people to repeat themselves?” Sometimes the answer may simply be exhaustion. However, if hearing difficulties persist, it is worth considering whether there may be more to it. Audiologists understand that hearing is not only about detecting sound. It is also about processing information, understanding speech, and making sense of what is happening around you. When you are already tired, stressed, and mentally overloaded, even a subtle hearing difficulty can make communication feel much harder. The Years In Between: Protecting Your Hearing Between pregnancy and menopause, women may move through many different stages of life, including career development, family responsibility, and other lifestyle changes. Through these changes, the constant is exposure to the everyday sounds of modern life. Common activities may include use of headphones, attending fitness classes, loud playgrounds, traffic, and social events. Some of these activities may involve exposure to loud sounds that may contribute to hearing difficulties, regardless of age or gender. This is why hearing protection should be part of every woman’s long-term health habits. Such health habits may include the following:  When Hormones Begin to Shift: Perimenopause Perimenopause is the transition towards menopause, and it can begin earlier than many women expect. Fluctuating hormone levels related to perimenopause may result in changes in menstrual cycles and sleep patterns. Some women may also notice changes in their hearing or experience tinnitus or dizziness around the same time. This connection between hormonal changes and hearing is complex and still being studied.  Hormones such as oestrogen affect many parts of the body, including the nervous and cardiovascular systems. Because the inner ear relies on these systems, hormonal changes may influence hearing, tinnitus, or balance for some women. However, there is no single explanation for every symptom. Therefore, new or ongoing symptoms should not simply be dismissed as “part of menopause.” Instead, ask yourself: Could there be more than one reason for how I am feeling? Menopause and Hearing: A Conversation Worth Having By the time women reach menopause, usually between the ages of 45 and 55, hearing changes can become more common for many reasons. Some women report experiencing tinnitus or noticing changes in their hearing during this stage of life. Others may find that conversations become more difficult, particularly in restaurants, family gatherings, or other noisy environments. You may experience the following: These are all reasons to consider having your hearing checked.  And Then There Is Balance Hearing and balance are closely connected through the inner ear, and as women move through different hormonal stages, they may experience dizziness or changes in balance for many different reasons. You may notice: These symptoms can have many causes. The important thing is not to assume. Balance problems deserve to be understood, not simply endured. An audiologist with expertise in vestibular assessment can evaluate aspects of the balance system and help determine whether the inner ear may be contributing to your symptoms. The Question We Should Be Asking More Often Women’s health is often divided into separate conversations. Pregnancy belongs to one conversation, while menopause belongs to another. Hearing is seldom mentioned, and balance is discussed only when someone is already struggling. However, the body does not work in separate compartments. The systems that support hearing and balance are connected to the rest of the body, and women’s health changes throughout life. When Should You Have Your Hearing or Balance Checked? Consider speaking to an audiologist if you notice: An assessment can help establish what is happening and whether further investigation or support is needed. Your Health, Your Hearing, and Your Balance. Women spend so much of their lives listening to others, that perhaps it is time to listen to themselves and their own health needs.  From the first hormonal changes of pregnancy to the transition through perimenopause and menopause, your body is constantly communicating with you. Sometimes, it may be telling you that you need more rest, and sometimes, it may be asking you to slow down. Generally, however, a change in hearing, or onset of tinnitus, dizziness, or imbalance are worth investigating. Your hearing and balance are part of your health story at every stage of life. The next time you notice something feels different, do not automatically write it off as hormones, stress, ageing, or “just one of those things.” 

Parenting Hub

The bra that keeps on giving

Do you have a bra at the back of your cupboard that you never wear? Don’t bin it, donate it to the ILoveBoobies ‘bring a bra campaign’ … it could have a second life and provide some much-needed support to another woman. What began as a once-off suggestion from an ILoveBoobies supporter has grown into an unexpectedly successful initiative. Now in its third year, the organisation’s ‘Gently Used Bra Campaign’ has collected over 20 000 bras, giving thousands of pre-loved bras a new purpose, while helping women access breast health screening. That message is at the heart of ILoveBoobies’ work. The organisation provides free clinical breast health examinations to South African women who face financial, geographic or social barriers to accessing healthcare, while also educating communities about breast health and the importance of early detection. To date, ILoveBoobies has screened more than 16 700 women, with 925 lives changed through early detection. For women who require further investigation, following their examination, SCP Radiology provides mammograms or ultrasounds. SCP contributes these imaging services free of charge as part of a wider circle of care for patients referred by ILoveBoobies. The ‘Gently Used Bra Collection’ campaign runs from Women’s Month (August) through to the end of Breast Cancer Awareness Month in October. Collection boxes are available at SCP Radiology branches across the Western Cape, where women are invited to donate clean, gently used bras in good condition.  The bras are then washed, sized, repackaged and given to women who attend ILoveBoobies breast health screenings. Each woman receives two bras as a practical gift and, in the words of ILoveBoobies, ‘a garment of dignity’.   This year the bra packs gifts have been extended to high school learners who participate in ILoveBoobies’ early detection education programme, run at several Cape Town high schools in collaboration with District 6 Clinic. ‘It is something we never expected to grow to this extent,” says Philippa Brinkmann of ILoveBoobies. ‘But as the number of our redistribution points has increased, we are actually starting to run low on bras. So, we are encouraging women to donate the bras they no longer use.’ Call to action: Bra stocks are running low. If you have a seldom-used bra sitting in the back of your cupboard, ILoveBoobies needs it. Please donate now… The campaign taps into the growing interest in reuse and thrifting – but with a purpose. Rather than ending up in landfill, a bra that is still perfectly wearable can be passed on to someone who needs it, while being part of a much bigger message about women’s health. ‘Breast health is about much more than what happens inside a mammography room,’ says Madelein de Wet of SCP Radiology. ‘Our partnership with ILoveBoobies allows us to be part of a support initiative for women at different points along that journey, from education and screening to providing the imaging they may need. The bra campaign is another simple but tangible way of supporting women.’ There is also a practical reminder behind every screening. ILoveBoobies gives every woman who is screened a pair of socks as a reminder to regularly check her breasts – a small gift designed to keep the message of early detection going long after the screening is over.  The organisation’s message is simple: Early detection saves lives. And this October, women can help spread that message by doing something equally simple: Checking their underwear drawer or cupboard and donating a gently used bra that they no longer wear to ILoveBoobies.  Collection boxes are available at SCP Radiology Panorama, Louis Leipoldt, Durbanville, Cape Gate, Tygervalley Mammography Centre, Vredenburg, Malmesbury, Paarl and Worcester until the end of October. For address details go to www.scp.co.za For more information on ILoveBoobies and its breast health initiatives visit www.iloveboobies.org.za.

Bonitas – innovation, life stages and quality care

5 things every parent should know about the HPV vaccine

Cancer prevention may seem like an adult conversation, but when it comes to HPV, some of the most important protection can start in childhood. Here’s what parents and caregivers need to know. When your child is offered a vaccine at school, it is natural to have questions. What does it protect against? Why is it being given at this age? And, perhaps most importantly, why does my child need it now? The HPV vaccine can be an important opportunity to protect your child against certain cancers later in life. Here are five things every parent should know. The HPV vaccine is about cancer prevention – not sexual activity One of the biggest misconceptions about the HPV vaccine is that giving it to a child somehow assumes they are or will soon become sexually active. That isn’t the purpose of the vaccine. Human papillomavirus (HPV) is extremely common and can be passed through intimate skin-to-skin contact. Most HPV infections cause no symptoms and clear naturally, but persistent infection with certain high-risk HPV types can lead to cancer. “Parents may understandably wonder why a vaccine linked to a sexually transmitted virus is being offered to their child at such a young age. The answer is prevention. We want to provide protection before exposure to HPV occurs, giving children the best opportunity to benefit from the vaccine when they are older. This is why we offer 2 doses of the HPV vaccine for female beneficiaries between ages 9 and 14,” says Dr Themba Hadebe, Clinical Executive at Bonitas. HPV is common, and you may never know you have it HPV isn’t something that only affects people who are unhealthy or have made poor choices. It is one of the most common viral infections globally, and most people will encounter HPV at some point in their lives. The challenge is that an HPV infection often has no symptoms. While most infections resolve on their own, persistent infection with high-risk HPV can cause abnormal cell changes that may eventually develop into cancer. Almost all cervical cancer cases are linked to HPV infection, making vaccination an important tool in cancer prevention. Why vaccinate so young? Because timing matters The HPV vaccine is most effective when given before exposure to the virus. This is why HPV vaccination is recommended during early adolescence, rather than waiting until adulthood. South Africa’s national school-based programme provides an opportunity to vaccinate eligible girls while they are still young and before potential exposure. And there has been encouraging progress. South Africa achieved 88% HPV vaccination coverage among eligible Grade 5 girls in 2024/25, according to the National Department of Health. But every child who misses that opportunity represents a gap in prevention. If your child missed a vaccination at school, speak to a healthcare professional about whether catch-up vaccination is appropriate. The HPV vaccine doesn’t mean you can forget about prevention later Getting vaccinated is an important step, but it doesn’t replace other preventative healthcare. The HPV vaccine significantly strengthens protection against HPV-related disease, but women should still follow recommended cervical cancer screening guidelines as they get older. Vaccination reduces risk, but it doesn’t eliminate the need for cervical cancer screening later in life. The World Health Organization’s cervical cancer elimination strategy aims for 90% of girls to be fully vaccinated against HPV by age 15 – alongside increased screening and timely treatment for women who need it. In other words, prevention is a journey, not a once-off appointment. Questions are encouraged – misinformation isn’t It is completely reasonable for parents to have questions before consenting to a child’s vaccination. If you’re unsure about the HPV vaccine, its safety, timing or whether your child needs a catch-up dose, speak to a healthcare professional who can provide advice based on your child’s circumstances. With so much information online, make sure your questions are answered by a qualified healthcare professional or a trusted health source. The bigger message is that preventative healthcare works best when we act early – before disease has an opportunity to develop. For parents and caregivers, the HPV vaccine is one small decision that can form part of a much bigger goal: protecting your child’s health today, so that they have a healthier tomorrow.

Bonitas – innovation, life stages and quality care

Due soon? What to include in your hospital bag

With your due date fast approaching, this is a very exciting, yet stressful time for most moms to be. Here is a great list of what to pack for the big day! Ideally, you should have your bag ready to go by 36 to 37weeks, apart from the last minute grabs such as your tooth brush and phone charger. Please see our extensive list of the essential items and also items to make you feel more comfortable for mom and baby (and dad, of course!) Baby Car seat – Many hospitals won’t let you leave without one. Please make sure you know how to strap baby properly into the seat and the seat is secure in the car. Safety first! A going home outfit: It’s important to keep baby skin to skin (this means no clothes on baby; only a nappy) for as long as possible, as this promotes growth, bonding and a calming period for you and your baby. When it’s time to go home, pack different outfits in different sizes as you don’t know how big or small baby will be. Aim for an outfit in Newborn sizes, and 0-3 months. Don’t forget a beanie or socks if the weather is cold. Blankets or Muslin wrap to keep baby nice and cosy. Bottles – If you are going into the hospital knowing you are going to bottle feed, take your bottles with. The hospital usually supplies the formula, but if you have a preferred brand, take some along. If breastfeeding doesn’t work for you, don’t stress! The nurses will provide the bottles and formula. Nappies and wipes to keep baby clean and dry. The nurses in the hospital will show you how to change baby if you are a first time mom. Mom Your medical aid information, your pre authorization/ doctors forms, your ID card and all other important documents you may need. Keep this safely in a folder all together to avoid any stress. A robe or dressing gown – This is such a handy item to have to cover up and make you feel comfortable Pyjama’s that button down at the front – If you are breastfeeding it’s a lot easier to undo the buttons than lift your top continuously. Comfortable, soft and loose pants such as lights weight shorts, stretchy leggings or sleep pants are ideal. Maternity pads and disposable breast pads. Nursing bras are also wonderful and offers great support for breastfeeding moms. Slippers or slip in shoes. Your feet may be a little swollen after delivery, so don’t feel bad leaving the hospital in the snuggest and easiest pair of shoes you can slip into. Slipper socks also work great. Cotton underwear, preferably in a dark or black colour. One that fits you well but rises above the uterus. This is good for moms who have a caesarean section and natural birth as it offers support and doesn’t cause pain along the wound site. Nipple cream – If you’re planning on breastfeeding, your nipples will be happy you are being so proactive. Toiletries – You will want to brush your hair and have a shower after baby has arrived. Take your shampoo, face cream, lotion and body wash, as well as your toothbrush and toothpaste. Deodorant, lip balm and extra hair ties are also a great items to have on hand. Cell phone charger – Because your phone will be full of photos of your new addition to your family. Water bottle and snacks. Take a reusable water bottle as its very important to keep hydrated during and post-delivery. Snack on dried fruit and wine gums to keep your sugar up and to give you energy (with permission from your midwife or doctor of course) A magazine or book, your laptop or some music. Labour may sometimes become a little long. It’s good to keep busy. Most hospitals and birthing clinics supply towels, pillows and blankets. If you have a favourite, take yours along to the hospital. A set of clothes to go home in. Your make up bag and straightener or curling iron. While you won’t be focused on looking great during labour, you may want to take some photos after the birth of your little one. Get someone to help you and make you feel good about yourself (and the great work you’ve just done!) Dad/Birthing partner Camera – Take photos! Lots of them. This is a great job for dad to do during birth. It will make them feel a lot more involved. Snacks: Another great job for dad. Full his bag with plenty of snacks and treats that you can both enjoy during your stay. Comfortable clothes – As he may be sitting with you for quite some time, let him pack some tracksuit pants, t shirts, slippers and hoodies.  Extra underwear is also a winner if he is staying overnight. Chargers – For phones, laptops and cameras. The longer the wire, the better, as most plug outlets are likely to be far from you. Toiletries – He may want to freshen up during the course of your stay. Many private hospitals offer you a baby bag when you are admitted for delivery. This is a great item and will contain most, if not all baby’s toiletries such as soap and creams. If you forget something, it’s not the end of the world. The nurses may be able to help or someone can go to the shop for you. All baby ideally needs is a clean nappy, milk, and most importantly, you.

Parenting Hub

Family Meals That Actually Happen (Even on Busy Nights)

The image of a family sitting down together every evening for a home-cooked meal, phones away, unhurried conversation flowing, is a lovely one — and for most real households juggling work, activities, and exhaustion, it’s also fairly unrealistic most nights. The good news: research on family meals points less to elaborate dinners and more to consistency and connection, both of which are achievable even on the busiest weeknights. Why Family Meals Matter So Much Multiple long-term studies have linked regular family meals to a range of benefits for children and teens, including stronger vocabulary development, better academic performance, lower rates of risky behavior in adolescence, and improved emotional wellbeing. The mechanism isn’t magic — it’s the built-in, low-pressure opportunity for conversation, connection, and modeling that a shared table naturally creates. Importantly, the benefit comes from the connection and consistency of the ritual, not from the complexity of what’s on the plate. Letting Go of the Pinterest-Perfect Version A major barrier to family meals is the pressure to make them elaborate. If the bar is a home-cooked, multi-course dinner every night, most families will quietly give up before they start. Lowering that bar is often the single most useful shift: Making It Actually Happen on Busy Nights 1. Protect one meal, not all of them. Rather than aiming for every dinner together, pick a realistic anchor — perhaps two or three weeknights, plus weekend breakfast — and protect those specifically. 2. Batch and freeze on lower-pressure days. A weekend spent making double portions of a simple meal (and freezing half) can turn a hectic Wednesday into a five-minute reheat rather than a from-scratch cook. 3. Involve kids in prep. Even young children can wash vegetables, set the table, or stir. Involvement builds investment in the meal and often reduces mealtime resistance. 4. Keep phones away from the table — including your own. The conversational and connective benefits of family meals depend on actual engagement. A meal eaten together in silence with screens on doesn’t deliver the same benefit as one with conversation. 5. Use simple conversation starters. “What was the best and worst part of your day?” or “Tell me something that made you laugh today” can turn a quiet table into a genuine connection point, especially with kids who default to “fine” when asked how their day was. 6. Don’t aim for peaceful every time. Some family meals will involve a picky eater refusing everything, a sibling squabble, or a toddler meltdown. The ritual still counts — the goal is showing up consistently, not achieving a serene, TV-perfect scene every night. The Real Win Family meals aren’t really about the food. They’re about a repeated, low-pressure ritual where connection happens almost by accident — a shared moment in an otherwise busy day. Even a simple, imperfect, fifteen-minute dinner together delivers real value, and that’s a far more achievable goal than the elaborate version most of us feel we’re failing to live up to.

Bonitas – innovation, life stages and quality care

Physical Touch & Newborns- Why is this so Important

The birth of your baby is a beautiful and special moment in both of your lives. You may be wondering about your newborn’s senses, while they are born with all necessary senses, some are less precise than others and develop as your baby grows. Physical touch is an important aspect of your child’s growth, coming from your womb, where they are tightly cocooned in your womb. Skin to skin contact offers benefits to both you and your baby, and touch is one of the senses that can help comfort your baby, making them feel more secure and helping strengthen the bond between the two of you. Why is touch important? Touch enables your baby to learn more about the world, bond with their mother and learn communication skills, as touch and body language will be the first way that you can ‘speak’ to one another. Breastfeeding is an important part of this, as your baby then spends time in her mother’s arms. The benefits of touch goes beyond the physical. Contact between mom and baby has been shown to lower cortisol levels, which in turn benefits the functioning of the immune system.  Children that are deprived of touch can be more aggressive with other conduct disorder problems. What is swaddling? Coming from a tightly packed womb, you’ll find that your baby is comforted by touch and close cuddles. Swaddling your baby in a blanket is also another technique that you can use on young babies to help them feel more secure, as it stops them from upsetting themselves from their own startle reflex. It’s important that your newborn finds their new world a comfortable and soothing place. Swaddling is an old technique, and beyond helping your little one feel safe and secure, your baby is likely to sleep better and will be kept nice and cosy in their blanket. If you decide to swaddle your baby it’s best to do so from birth, as opposed to introducing it when they are older as this can increase the risk of Sudden Infant Death Syndrome. Using the proper techniques when swaddling is also important, as incorrect wrapping can lead to issues.

Parenting Hub

How paediatric radiology gives answers when children cannot

Children are NOT small adults. They experience and express illness and injury very differently from adults. Which is why paediatric diagnostic imaging is a highly specialised field of medical imaging and is specifically designed for children, from birth to adolescence.  Dr Ebrahim Banderker, a paediatric radiologist at Red Cross War Memorial Children’s Hospital (RXCH) explains why children need a different approach to imaging and the role of radiology in children. He also talks about the success of a public-private initiative with SCP Radiology where he is a consulting radiologist. Why is paediatric imaging so important? Children are often unable to, or struggle to describe the nature of their discomfort, pain or symptoms clearly. Imaging helps doctors understand what is happening inside the body, when language and understanding are limited.  When we diagnose early, we are often preventing future pain, disability or developmental issues as well as reducing the anxiety of the family.   What should parents know or understand about paediatric radiology? Paediatric imaging is designed with the needs, safety and the specific conditions of children in mind. It is a tool for clarity, reassurance and early care. Our goal is to care for the child in their imaging journey and provide their doctors and families with clear answers they can trust. How is paediatric radiology different from adult radiology? Do paediatric radiologist work directly with children and their parents?  Paediatric radiologists interact with the child and their caregivers far more often than adult radiologists interact with their patients. It is one of the most rewarding aspects of our work. Parents are generally more involved and can help the radiologist by confirming the history and symptoms. The radiologist in turn can reduce parent anxiety, explain the procedure and obtain consent where needed.  Please can you talk about radiation and safety in children – we know that one of the issues both parents and other adults have is safety and radiation? Children have rapidly developing cells and tissues, often tightly packed together in small bodies and are considered to be 10-15 times more sensitive to radiation.   The guiding principle of all radiation safety is ‘ALARA,’ which stands for ‘As Low As Reasonably Achievable’ or as we say, ‘when benefit clearly outweighs the risk.’  Ultrasound and MRI do not use radiation and these should be used where possible. What injuries are commonly seen in children that require imaging?  Common injuries include those from motor vehicle accidents and particularly pedestrian accidents, fractures from falls or playing sport and unfortunately, increasingly from child abuse which is sometimes first identified by the radiologist.  Children’s bones are different from adults and have areas where the bone is still growing. These are called growth plates. Injuries to the growth plates require special care because they can affect how a bone develops and this impacts the overall growth of the child.  Outside of injuries, paediatric imaging also looks at chest infections, abdominal pain, appendicitis, urinary tract problems and hip development in infants. Brain imaging may be used for seizures, headaches or developmental concerns. In essence, imaging can help us rule out serious causes quickly, which brings enormous reassurance to families.  Even for adults, radiology can be stressful and frightening – for children it must be worse.  How are children supported during scans?  Radiographers and radiologists are trained to work gently and calmly with children and parents are encouraged to be involved and ask questions. For example, when a child needs to be sedated for an MRI, the parent will stay with them until they are asleep. When children feel safe, the scan is quicker, easier and more accurate. The team ensures the child is warm and comfortable and the environment is child friendly with toys and reading material to distract patients and to keep them happy and engaged. What developments in paediatric radiology do you feel are the most important – especially over the 5 years?  The scope of interventional radiology techniques (treating not just diagnosing) is expanding rapidly to make less invasive treatment possible, with less complications for patients and much shorter recovery times. Paediatric radiology increasingly includes minimally invasive procedures (image-guided drainages, biopsies, nephrostomies, angiography), which can shorten hospital stays and reduce surgical burden.  

Freebees PR

Mid-Year Reset: Why Winter is the Perfect Time to Refresh Your Everyday Habits

As South Africans reach the halfway mark of the year, many people find themselves running on autopilot. The excitement of New Year’s resolutions has faded, workloads have piled up, school schedules are in full swing, and winter’s shorter days often leave us feeling tired and uninspired. Rather than waiting for summer to make positive changes, winter is actually one of the best times to pause, reflect and reset.  A mid-year reset doesn’t have to mean making dramatic lifestyle changes. Instead, it’s about taking stock of your daily routines and asking a few simple questions: What’s working? What’s causing unnecessary stress? What small improvements could make everyday life healthier, easier and more enjoyable? Here are five simple areas worth reviewing this winter. Refresh your daily routine Routines naturally evolve, but we don’t always notice when habits are no longer serving us. Whether it’s spending too much time scrolling before bed, skipping breakfast, or feeling constantly rushed in the mornings, now is an ideal time to make small adjustments. Start with one habit rather than trying to overhaul your entire lifestyle. Going to bed 30 minutes earlier (and actually putting the phone away!), preparing lunches the night before, or scheduling short walks during the day can all have a noticeable impact on energy and wellbeing.  Give your skincare routine a winter update Winter conditions are far harsher on skin than many people realise. Cold air, indoor heating and hot showers can strip away natural moisture, leaving skin dry, tight and irritated. This is the perfect time to reassess the products you’re using. Look for gentle cleansers and richer moisturisers that help support the skin’s natural barrier rather than products that may dry it out further.  SKNLOGIC’s Gentle Cleanse Cream contains Fig Extract that has moisturising properties similar to the skin’s own and is therefore an excellent hydrator providing a gentle tightening effect.  The newly launched Hada Labo Glow Brightening Hydrator is a Japanese water-gel lotion created to tackle hyperpigmentation, uneven tone and dull, dehydrated skin. An innovative blend of Super Hyaluronic Acid (nano + macro), Tranexamic Acid and calming Hatomugi Extract dives deep into the dermis, locks in moisture for 24 hours, brightens sun, hormonal or post-acne marks and restores fresh radiance. The ultra-light texture absorbs in seconds, leaves zero tackiness and works for every skin type, especially from your mid-20s, when the first dark spots and fine lines appear.  Starting your day off with an invigorating Earthsap Citrus & Ginger Body Wash shower is a great option. This zesty citrus-scented body wash is fresh, foamy and made with a mixture of sensational natural ingredients. Coconut hydrates the skin, while grapefruit and ginger stimulate your circulation and get the blood pumping. Plus this is a non-toxic body wash, so it will cleanse, rejuvenate and soften your skin without causing any harm to you or the environment. If you have been indulging in scorching baths or showers, or the aircon has been taking its toll and your skin is super dry, the Bodylab Camphor Complex Soothing Body Cream is rich, calming formula designed for very dry skin. Infused with camphor, it delivers deep moisture while providing a refreshing cooling sensation to soothe and comfort dryness and irritation.  Revisit what’s on your plate Comfort food certainly has its place during colder months, but winter can also be an opportunity to add more nourishing foods to your diet. Think colourful vegetables, seasonal citrus packed with vitamin C, warming soups, legumes and whole grains. Staying hydrated remains just as important during winter, even if you don’t feel as thirsty. Small swaps, rather than restrictive diets, are often easier to maintain over the long term.  Create a healthier home Winter usually means closed windows, more time indoors and increased exposure to dust, germs and allergens. A mid-year reset is the ideal opportunity to declutter living spaces, wash bedding and couch blankets, clean overlooked areas, and choose household cleaning products that are kinder to both your family and the environment. Plant-based cleaning products, such as those from Earthsap, effectively clean the home while reducing exposure to harsh chemicals, making them a practical choice for households looking to embrace healthier everyday living.  Make wellbeing part of everyday life A reset isn’t only about physical health. Taking time to reconnect with family, spending less time on screens, enjoying hobbies or simply creating moments of calm can have a significant effect on emotional wellbeing. Remember, hobbies aren’t about perfection – it’s about finding something you enjoy doing that brings you contentment or fun.  For parents, winter also offers opportunities for quality family time through indoor play, reading together or creative activities. Products designed to make everyday family life simpler, such as Vital Baby’s practical feeding and home essentials, can help reduce some of the small daily stresses that busy families experience. Their Nourish Prep & Wean allows you to steam, cook, and blend healthy homemade meals quickly for your little one all in one machine, helping to cut out clutter and streamline your routine. Simple and easy to use, the Prep & Wean has three distinct functions and a large 900ml jug capacity to help you through every step of weaning – sterilising, steaming, and blending.  Even something as simple as lighting a naturally fragranced candle in the evening, such as those from SoyLites, can help create a calm and welcoming atmosphere after a busy day. The Clarity Tumbler Candle with Bergamot, Patchouli, Lemon and Rosewood  is an antidote for stress and nervous tensions, enhancing and uplifting your mood. Or light the Energise Tumbler Candle with Spearmint, Peppermint, Geranium & Ginger during the day for renewed energy – it’s a cooling scent with stimulating undertones of fresh mint, a perfect pick-me-up. Small Changes Add Up The beauty of a mid-year reset is that it isn’t about perfection. It’s about making thoughtful adjustments that support healthier habits for the months ahead. Whether it’s choosing gentler skincare, eating more nourishing meals, creating a healthier home environment or simply slowing down long enough

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.

Parenting Hub

Colic & Crying: Supporting Babies with Ease

ProbiFloraTM, a multistrain probiotic1 range, understands that parenting is the most rewarding job in the world – and also the most exhausting. Add infant colic into the picture, and those early months can feel truly overwhelming. But here’s the good news: understanding what’s happening in your baby’s gut – and doing something about it – could make a difference in easing colic symptoms4. What Is Colic? Colic is when your healthy baby cries for long stretches with no clear reason, and none of the usual soothing tricks, from rocking and burping to pacing and cuddling, seem to help.  It is most common in the first six weeks of life. While extreme crying can be very stressful and difficult on parents, there is light at the end of the very noisy tunnel. By six months, most babies have outgrown colic completely.2 Colic symptoms Colic is more common than many parents realise, affecting up to 28% of babies. It is also one of the top reasons sleep-deprived parents arrive at the paediatrician, baby in arms and stress levels running high.3 Along with the crying, a baby with colic may also seem extra windy. They might burp a lot or pass more gas. You may also notice that your baby has a red, flushed face, has a tight tummy, pulls their legs up towards their belly and clenches their little fists while crying.2 What causes colic? Experts still don’t know exactly what causes colic, but there are a few ideas. Some babies may be more sensitive to the world around them. After birth, they suddenly have to deal with lights, sounds, smells, feeds, cuddles, visitors and all the busy bits of daily life. Some babies take it all in their stride. Others need a little more time to settle in. Another theory is that some babies are still learning how to calm themselves. Their nervous system is still developing, so once they get upset, it can be hard for them to wind back down.2 The gut connection While we still don’t know exactly what causes colic, research suggests the gut may be involved. This includes the balance of gut bacteria, inflammation, and the way the gut and brain communicate.4 This is where probiotics may help, thanks to their anti-inflammatory properties.5 With ProbiFloraTM your baby’s gut is good! ProbiFlora™ Infant Drops is a three-strain probiotic combination formulated for infants to support immunity and gut health, and to assist with diarrhoea.6 It has been shown to reduce crying and fussing time in breastfed infants with colic.7 This gentle, targeted approach helps support your baby where it matters most – in the gut. Easy to use every day When you’re juggling feeds, nappy changes, and broken sleep, the last thing you need is a complicated supplement routine. ProbiFlora™ Infant Drops keeps it simple, with an easy 5ml drop format and a recommended dose of just four drops a day. You can give it straight into your baby’s mouth, pop it onto a spoon, or mix it into breast milk or formula. A Note for Parents You know your baby best. If the crying feels overwhelming or it’s starting to take a toll on family life, have a chat with your paediatrician. ProbiFloraTM’s range of products are available from leading pharmacies and retailers nationwide. For more information and references, visit https://probiflora.co.za/ and join the conversations on Instagram and Facebook.   Approval ticket #01.07.20261000005871. July 2026.

Bonitas – innovation, life stages and quality care

Reasons why your baby is crying

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. If your baby is crying, the first step is trying to figure out the reason.  Some of the most common reasons why a baby is crying are: Hunger is usually the first thing you should think of – they may give other signs first like rooting, fussing, smacking their lips and putting their hands to their lips. A dirty diaper – many infants don’t like a wet or dirty diaper, so changing their diaper when they cry is a simple thing you can do to help calm them. In need of sleep – babies may not just nod off to sleep when they are tired, they may get fussy and cry, so after feeding and changing diapers you may want to try soothing activities like finding a quiet place, holding them close and rocking them to help them get to sleep. Wanting to be held – babies like to be cuddled, so if you have tried all of the above tips without success it could be that your baby just wants you to hold and cuddle them; also talk in a soft voice or sing softly. Tummy troubles – babies can develop gas pains, colic, constipation, milk allergies and other conditions that make them cry; if this happens often talk with your doctor about ways you can soothe their tummy. Needing to burp – a trapped gas bubble in your baby’s stomach can make them uncomfortable, so if they are crying after a feeding, try burping them to see if that helps. Additional reasons are mentioned in the following tip. Additional reasons why your baby is crying 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. In addition to the reasons mentioned in the previous tip, the following are reasons why your baby may be crying: Temperature troubles – babies will often cry if they are too cold, this may happen when you are changing them or washing them; it can also happen if they are too hot, though this is less common. Little irritations – babies are very sensitive to small discomforts like a hair wrapped around a finger or toe, scratchy clothing or being placed in the wrong position, so look for little discomforts if the big things don’t appear to be the cause of their distress. Teething – newborns don’t have teeth coming in but sometimes their teeth will move around under the gums causing them discomfort; their teeth won’t usually start to come in until they are about 4-7 months; a cold washcloth and gentle pressure on their gums may be soothing. Over stimulation – newborns can’t always process all the things that are going on around them, so if you think your baby may be suffering from too much stimulation take them to a quiet spot away from bright lights, hold them close and soothe them until they can calm down. Not enough stimulation – some babies are outgoing and like to see what’s going on around them, so if you think this is your baby’s issue try carrying them in a sling, front carrier or backpack so they can get the extra stimulation they need. Not feeling well – if you’ve met all your baby’s basic needs and they are still crying and fussy they could be coming down with something, so keep a close eye on them, check their temperature if you think they might have a fever and contact your doctor if needed. Things to try to comfort a crying baby 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. Sucking is soothing for a baby and can lower their heart rate and relax their stomach, so give them a pacifier or a clean finger to suck on when nothing else seems to stop their crying. Babies are used to being warm and secure in the womb so when all else fails try imitating that experience by swaddling them and holding them securely or carry them with you in a sling. Some babies respond well to sound and movement, so try putting on some music and dancing with them – gently of course! Try white noise – often babies like noises that mimic the whooshing sounds they heard before they were born, so try running the vacuum cleaner, a fan or the water faucet or use a recording of a water fountain, a gurgling stream or waves. A change of scenery can sometimes help, so dress your baby appropriately and step outside your front door; walk around slowly and talk in a soothing tone. Get them moving – babies like motion so try carrying them around or take them for a ride in the stroller or the car; sometime this will work when nothing else seems to help. Massage may be helpful for some babies – don’t worry about knowing the right movements, just try a soft, gentle massage in a warm place free from drafts. Start all over again – sometimes it’s helpful just to start at the top of the list again; change their diaper, hold them close, feed them if their hungry and see if something works the second time around. If you ever think your baby is in distress because of a health-related issue don’t hesitate to contact your doctor. No question is ever “dumb” if it involves the wellbeing of your baby! Feeling frustrated when a baby won’t stop crying 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. Keep in mind that crying won’t hurt your baby, they may just need a release so let them cry. Put your baby down and let

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