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. 

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.

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.

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.

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.

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.

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

Bonitas – innovation, life stages and quality care

New Dad’s roles

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. Know that it’s normal to have fears – there is no simple way to prepare for parenthood and all new parents (yes Moms too!) have some concerns or fears about their new role. Learn as much as you can about your baby’s daily routine and offer to help out with activities you are comfortable doing. Make “Daddy Time” a special time every day by spending one-on-one time talking, reading or singing to the baby – work with Mom to build these activities into the daily routine. Offer to attend your baby’s doctors’ visits whenever possible – it helps you learn about your baby and provides a second set of ears to hear what the doctor has to say. Be actively involved in providing a safe environment for the baby – help keep an eye out for safety hazards. Make sure your baby is never exposed to second-hand smoke and has a drug free place to live. Be gentle with the baby – never shake your baby or toss them in the air. Be mindful of how you talk and act around the baby – a gentle voice and kind gestures are always best. Support from Mom to Dad 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. Ask Mom to teach you to do things you may not know how to do yet – this way you can help out and support her as you learn about your new baby. Once you’re comfortable, offer to watch the baby so Mom can get some extra rest – this gives you time with the baby while supporting Mom as well. Take care of yourself, get regular check-ups and exercise daily – work to stay healthy for the newest member of the family. Set a good example and keep smoking and drugs out of your baby’s home. Talk with Mom about how she feels about herself after her pregnancy – she may need your support and encouragement to resume intimacy and sex since things like her self-image and her body may have changed. Treat Mom to small gifts and simple gestures that tell her that you care about her – these will help her understand that she is still special to you even if she is feeling tired and her self-image has changed. Emotional aspects for Dad 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. Especially in the first few weeks after birth, use compassion when dealing with both Mom and baby. They both have just been through a difficult experience and your compassion will go a long way in supporting them as they move into the next part of their journey. You may often find yourself in new and challenging situations where you have the choice to either laugh or cry – choose humour, it helps everyone survive and thrive during challenging times. Life doesn’t always prepare us for our role as a parent so as a new Dad you will often find yourself in new situations with no rulebook – rise to the occasion by using your creativity and imagination to overcome new challenges. Remember that patience is a virtue – this is especially true when you have a newborn, so remember to slow down, take a deep breath and relax before you react to trying situations. Always keep in mind that much of what you are doing in the early days after the birth of your baby is a form of service for both baby and Mom – don’t see it as a negative, rather see it as a time for you to develop a new leadership role as you offer yourself in service to others. Dad comforting 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. As a first step, always make sure your baby has been fed and changed and that they are comfortable – if so then go on to the next steps to soothe them. Swaddling: holding a baby close can help them feel more secure, so snuggle them in a soft blanket. Side/Stomach: holding your baby on their side or stomach may help calm them. Shhh: making this noise often helps sooth your baby. Sucking: is very comforting for your baby, so if it’s not feeding time, give them a pacifier to suck on. Swinging: gentle movement is often soothing to a baby, so gently rock them in your arms or put them safely in an infant swing. Remember that even though it may be frustrating, it’s important for you to be patient and gentle with your baby. Use this time to bond with your baby and allow Mom a much-needed break from her role as a caregiver. Getting Dad involved 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. Talk with Dad about his thoughts, feelings and concerns regarding his role in caring for your newborn – this will help you understand his comfort level. Get Dad involved in your baby’s care – he may need help in learning how to hold the baby or change diapers so include him in as many of the day-to-day activities as you can. Have Dad help with a night feeding when possible – if you are breast feeding consider pumping a feeding ahead so he can take one feeding for you during the night. Have him talk, read or sing to the baby every day – build these activities into your baby’s daily routine. Involve Dad in doctors’ appointments whenever possible. Ask Dad

Bonitas – innovation, life stages and quality care

Premature birth – what to expect

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

Bonitas – innovation, life stages and quality care

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.

Bonitas – innovation, life stages and quality care

Your pregnancy – a comprehensive guide

Morning sickness remedies 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. Relieving morning sickness often takes some trial and error before you find a method that works for you. Here are a few suggestions you can try to see if you find them helpful. To find relief from a smell that is bothering your stomach try carrying a handkerchief or washcloth with a few drops of an essential oil in it that does not cause nausea, such as lemon. It may relieve morning sickness if you breathe into the handkerchief or washcloth, so you no longer smell the bothersome odour. Eat smaller meals every two hours or so. If you have morning sickness try eating cold foods as they have fewer smells that can make you feel sick. Vitamin B6 and B12 taken regularly as advised by your doctor could help reduce your nausea and/or vomiting due to morning sickness. Folic acid and pregnancy 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. Neural tube defects are birth defects of a baby’s brain and spinal cord that occur early in a pregnancy. They can often be prevented when the mother takes folic acid just prior to getting pregnant and through the first part of the pregnancy. Because much of this time period occurs before a woman knows she is pregnant, and 50% of all pregnancies are unplanned, it’s recommended that all women of childbearing age have folic acid supplementation. The recommended amount of folic acid intake is about 400 micrograms (or 0.4 milligrams) for women of childbearing age. For women who have had a pregnancy that resulted in a neural tube defect a higher dose is often recommended. Less folic acid is required at other life stages so check with your doctor to determine your exact needs. First Trimester The first trimester (weeks 1 to 12) 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. The first trimester can be a difficult time for many pregnant women.  Some may feel great, while others may feel horrible.  Here are some of the changes you may experience during the first 3 months: Nausea is normal in up to 85% of women; this may or may not include vomiting Light spotting is normal and about 25% experience this during implantation Tender breasts Constipation Increased vaginal discharge that is thin and milky white in colour Increased fatigue Cravings and aversions to certain foods Increased urination Heartburn Mood swings Gaining weight Call your doctor right away if you experience any of the following: Significant bleeding, cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain (more than 3 kg (6.5 lbs.) per month or less than 1 kg (2 lbs.) per month) Second Trimester The second trimester (weeks 13 to 27) 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. Most women find the second trimester the easiest and most enjoyable.  Usually, morning sickness and fatigue fade and you start feeling like your usual self again.  There are many big changes that occur during these weeks, some of these include: Growing breasts Gum discomfort, swelling or bleeding Increased pressure on back which can cause back pain Nasal congestion and increased nosebleeds Thin, milky white vaginal discharge continues Increased urination, heartburn and constipation continue Increased hair growth of current hair and in new places such as the face, arms or back Headaches Haemorrhoids Flutters of movement can sometimes start to be felt around 20 weeks Increased sensitivity to the sun Stretch marks, spider and varicose veins may show up Brown pigmentation on the face (“mask of pregnancy”) and a darker line down the abdomen (linea nigra, Latin for “black line”) may appear Increased weight gain Call your doctor right away if you experience any of the following: Significant bleeding, cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain (more than 3 kg (6.5 lbs.) per month or less than 4.5 kg (10 lbs.) by 20 weeks) Third Trimester The third trimester (weeks 28 to 42) 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. The third trimester can bring some uncomfortable symptoms as you prepare for the birth of your baby.  Here’s what to expect during this time: Back pain Braxton Hicks contractions Increased breast size Increased discharge from previous months Fatigue Increased urination, heartburn and constipation continues Haemorrhoids Difficulty breathing Swelling in your feet, ankles and hands Increased weight gain Call your doctor right away if you experience any of the following: Cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain Pain or burning with urination Sudden swelling in your feet Contractions that are regular and get closer and closer together and more intense Spotting or any bleeding Nutrition Good things to eat 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. Good nutrition is essential for a healthy pregnancy.  Here are some ways to eat healthy during your pregnancy: Take your prenatal vitamin Eat a variety of foods each day Eat more fibre (pasta, rice, fruits, veggies and cereals) Eat more calcium (at least 4 servings of dairy products, green leafy vegetables, etc.) Eat more iron (red meat, eggs, green leafy vegetables, beans/lentils, dried fruit and iron-enriched cereals and grains) Bad things to eat The

Bonitas – innovation, life stages and quality care

Don’t sleep on medical aid in your 20s

Your 20s are a crash course in adulthood. Between your first job, submitting your first tax return, learning how to budget and figuring out what belongs in a washing machine, there’s no shortage of new responsibilities competing for your attention. Yet one responsibility that often gets overlooked is healthcare cover. For many young South Africans, healthcare cover feels like something to worry about later in life, once you’re earning more, starting a family or dealing with health concerns. But while your 20s may be your healthiest years, they’re also one of the best times to start building healthy habits and financial resilience. Clinical Executive at Bonitas Medical Fund, Dr Themba Hadebe, shares his top five things worth knowing about medical aid in your 20s. It’s not only there for major medical emergencies When people think about medical aid, they often picture worst-case scenarios such as accidents, hospital admissions or emergency surgery. While these benefits are important, medical aid can also support your day-to-day health through preventative care, routine check-ups and screenings that help identify potential issues early. Looking after your health includes your mental wellbeing Your 20s can be an exciting but demanding stage of life. Career pressures, financial responsibilities and major life transitions can all take a toll on your mental wellbeing. Many medical aid schemes now recognise the importance of holistic healthcare and offer access to mental health support and digital wellness tools alongside traditional medical benefits. An unexpected medical bill can have a long-lasting financial impact One of the biggest challenges facing young professionals is building financial stability. Medical expenses can be difficult to predict, and a single hospital admission, procedure or specialist consultation can place significant strain on personal finances. Medical aid helps reduce the financial risk associated with unexpected healthcare costs, allowing members to access care when they need it without facing the full cost alone. Your 20s are a good time to learn how healthcare funding works Medical aid comes with its own terminology and processes, from provider networks and co-payments to benefit limits and authorisations. Learning how these systems work early can help you make more informed healthcare decisions over time and avoid costly mistakes. Much like learning how to manage a budget or submit a tax return, understanding healthcare funding is a valuable life skill that becomes easier when you start early. There are options designed for different budgets and life stages One of the biggest misconceptions about medical aid is that it is only accessible to high-income earners. Today, many schemes offer a range of options designed to cater for different healthcare needs and budgets, making it easier for young adults entering the workforce to find cover that aligns with their circumstances. “Bonitas offers options such as BonStart and BonCore, which are designed to provide accessible entry points for young South Africans as they begin taking greater ownership of their health and finances,” says Dr Themba. “The key is to look beyond monthly contributions and consider the overall value and benefits that support your healthcare needs.” The bottom line is that your 20s are about building foundations for the future, whether that’s your career, your finances or your wellbeing. Medical aid may not be the most exciting item on your monthly budget, but understanding your healthcare options early can help you make informed decisions, access preventative care and better prepare for the unexpected. The goal isn’t simply to have cover when something goes wrong. It’s to have the support, resources and healthcare access that help you stay well in the first place.

Bonitas – innovation, life stages and quality care

Preparing your home for your baby

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

Bonitas – innovation, life stages and quality care

Premature birth – what to expect

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

Bonitas – innovation, life stages and quality care

Why should I breastfeed my baby, and what if this is not an option?

Breastfeeding is important to your baby’s health and is the safest and healthiest thing that you can feed your little one. It is recommended by the American Academy of Pediatrics (AAP) you should feed your baby exclusively with breastmilk for the first six months. Unfortunately, some moms can’t breastfeed due to medical or health reasons. Read on if you want to know the benefits of breastfeeding, or if you can’t breastfeed your baby, here are some healthy alternatives. What are the benefits of breastfeeding?  Breastfeeding is the perfect way to get all the nutrients needed to your baby, as well as being a special bonding experience between mom and child. Breast milk is optimally suited to babies providing all the right nutrients, vitamins and minerals, being easily digestible and helping protect your baby by providing important antibodies. Baby’s who are breastfed have less ear infections, issues with diarrhea and respiratory issues. Benefits of breastfeeding include lowering your baby’s chance of getting infections and breastmilk can also help lower instances of asthma and eczema, and is thought to lower the risk of diabetes as well. Not only is breastfeeding good for your baby, but it’s also good for you. It helps your bond with your baby as your body releases the hormone oxytocin, which helps your uterus reduce to its pre-pregnancy size as well as lowers stress levels. And it’s an added bonus is that breast milk is cost effective and easily available. The only thing lacking from breast milk is vitamin D, and you can supplement this to your little one from birth. What are alternatives if I can’t breastfeed? Sadly some moms aren’t able to breastfeed their babies due to not having enough breastmilk supply, being on medication that could damage their baby’s health and, infectious diseases such as HIV. Although it’s hard not to be able to breastfeed, remember this won’t stop you bonding with or providing nutrients for your baby. The best alternative to your own breast milk is donated breast milk. However, if you are struggling to find adequate supply you can make use of baby formulas. In South Africa, the South African Breastmilk Reserve and Milk Matters supports breastfeeding moms through the provision of donated milk.  SABR focuses on helping premature babies under the age of 14 days, and Milk Matters supports babies in neonatal intensive care units (NICUs) in the Western Cape.

Bonitas – innovation, life stages and quality care

Supporting the next generation of doctors: Bonitas and Gift of the Givers award medical bursaries at Wits University

Bonitas Medical Fund, in partnership with humanitarian organisation Gift of the Givers, recently awarded bursaries to three medical students: Keikantse Swaratlhe (23), Blake Delroy Pierce Green (28) and Singita Manganye (24) at Wits University. The students are among some of the top performers at the university, looking to specialise in various fields including dermatology, paediatrics and internal medicine. As they look forward to learning and growing their knowledge in medicine, the bursaries come at a crucial time, providing financial support and easing the burden of university fees. In addition to financial assistance, the bursary programme aims to help address some of the challenges facing the medical fraternity in South Africa, including overloaded public hospitals, understaffed clinics and a shortage of medical professionals.

Bonitas – innovation, life stages and quality care

Millennials can now add hypertension to their list of potential health risks

Just when it feels like there are already enough things on the millennial worry list, from student debt and rising living costs to burnout and trying to maintain some semblance of work-life balance, experts say hypertension may be another issue quietly joining that list.  Ahead of World Hypertension Day on 17 May, health experts are drawing attention to a concerning shift in high blood pressure diagnoses, where the disease is no longer confined to older adults and is increasingly affecting younger South Africans. Hypertension, also known as high blood pressure, has long been associated with older adults, but research increasingly shows that younger adults are being affected far more than previously thought. A 2025 study published in the Journal of Human Hypertension found that 24% of South Africans aged between 24 and 40 reported having hypertension, yet only 16.8% had good knowledge of the condition. This gap highlights a growing concern that many young adults may be living with elevated blood pressure without realising it. Several modern lifestyle factors are contributing to this shift. Long working hours, financial pressure, highly processed convenience foods, limited time for exercise and the constant mental load that often comes with balancing careers, families and daily responsibilities can all contribute to rising blood pressure levels. “One of the biggest challenges with hypertension in younger adults is that it often goes unnoticed. People may feel healthy and assume their risk is low, yet elevated blood pressure can already be placing strain on the heart and blood vessels,” says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “The reality is that high blood pressure can develop silently for years and may only be detected during routine screening.” The good news, says Hadebe, is that hypertension is one of the most manageable chronic health conditions when it is detected early. With proper monitoring, lifestyle adjustments and, where necessary, medication, many people can control it and significantly reduce the risk of serious complications later in life. What you need to know about hypertension Hypertension occurs when the force of blood pushing against artery walls remains consistently too high. Over time, this increased pressure can damage blood vessels and strain major organs. However, things get a bit trickier when we start asking how to spot hypertension and its symptoms. Often called a “silent condition”, hypertension for many people results in experiencing no symptoms at all, especially in the early stages. When symptoms do appear, they may include: Because these symptoms can easily be dismissed as stress or fatigue from dehydration, many people only discover they have high blood pressure during a routine medical check. But, if left unmanaged, hypertension can have serious long-term health consequences, significantly increasing the risk of heart disease and heart failure. It is also one of the leading causes of stroke. High blood pressure can also damage the kidneys, affect vision by damaging the small blood vessels in the eyes and weaken arteries throughout the body, increasing the risk of circulation problems and aneurysms. “The challenge with hypertension is that damage can occur long before a person feels unwell,” explains Hadebe. “This is why early detection and consistent management are critical.” What young adults can do about it now For young adults juggling careers and families, preventative healthcare can easily fall down the priority list, but all it takes is only a few minutes and a simple blood pressure check to get important insight into your overall health. Blood pressure screenings can be done during routine GP visits, at many pharmacies or through workplace wellness programmes. They’re even more important for those with a family history of hypertension and who have other risk factors present, like smoking, obesity, diabetes, high stress levels or sedentary lifestyles. You can also play a proactive role in keeping blood pressure in check by making a few lifestyle adjustments. Reducing your salt intake, doing your best to maintain a healthy weight, moving and exercising regularly, keep alcohol intake to a minimum and cutting out smoking completely are all a good start. “Hypertension is not something that should cause panic, but it is something that should be taken seriously,” says Hadebe. “Depending on their benefit option, Bonitas Medical Fund members have access to preventative screening benefits, GP consultations and chronic condition management support that assists with the diagnosis and ongoing management of conditions such as hypertension.”

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

Why malaria is catching Gauteng residents off guard

For many South Africans, malaria is still seen as a distant risk, only associated with trips to the Kruger or rural parts of the country, and is widely assumed to be confined to the Lowveld or border regions such as Limpopo and Mpumalanga. However, recent developments show why that perception may be putting Gauteng residents at risk. In the first three months of 2026 alone, the Gauteng Department of Health recorded 414 confirmed malaria cases and 11 deaths – already exceeding the total number of fatalities recorded for the whole of 2025.  While local transmission remains rare in Gauteng, most cases are linked to travel to malaria-endemic regions such as parts of Limpopo, Mpumalanga or neighbouring countries, with symptoms often appearing only days or even weeks after someone has returned home. In rare instances, infections can occur without travel when infected mosquitoes are inadvertently transported into non-endemic areas through vehicles or aircraft, a phenomenon known as “odyssean malaria”. “The problem is that malaria is often not immediately suspected in urban settings, meaning symptoms are mistaken for a routine viral illness. And because malaria is not something many Gauteng residents expect to encounter, early symptoms can easily be dismissed,” says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “Delay in recognising the illness and seeking care is where the real danger lies.” Malaria is also widely misunderstood. Unlike many infectious diseases, it is not contagious and cannot spread from person to person through casual contact. Infection only occurs when someone is bitten by an infected Anopheles mosquito carrying the malaria parasite.  Don’t ignore flu-like symptoms One of the reasons malaria is frequently missed in its early stages is that the symptoms resemble common seasonal illnesses, like fever, chills, headaches, fatigue, muscle aches and nausea. Because of this overlap, people may try to manage symptoms at home rather than seeking medical care. This is where misconceptions can be dangerous. Malaria is not caused by a virus but by parasites transmitted through the bite of an infected mosquito, which invade red blood cells and can progress rapidly if left untreated.  “If someone develops flu-like symptoms and there has been any possible exposure, even weeks earlier, malaria should be considered and tested for,” says Hadebe. “Testing is quick and accessible, and early diagnosis dramatically improves outcomes.” When malaria becomes a medical emergency Although malaria often starts with relatively mild symptoms, it can deteriorate quickly. Warning signs that require urgent medical attention include confusion, difficulty breathing, persistent vomiting, seizures, jaundice, extreme weakness or reduced consciousness. These symptoms may indicate severe malaria, which is a life-threatening complication that requires immediate treatment. If malaria is suspected, the most important step is to seek medical care without delay. Blood tests or rapid diagnostic tests can confirm infection, allowing treatment to begin quickly. Waiting to see if symptoms improve, or attempting to self-medicate, could allow the disease to progress rapidly. The hidden travel risk many South Africans overlook Many people associate malaria risk only with extended travel to remote areas. In reality, exposure often occurs during routine regional travel, including holidays or family visits to malaria-endemic parts of South Africa or neighbouring countries such as Mozambique and Zimbabwe. Symptoms may only appear days or even weeks after returning home, which can make the connection easy to miss. “Travel history is one of the most important clues clinicians rely on when assessing a patient with fever,” says Hadebe. “Even short trips to malaria-risk areas can result in infection, so it is critical that patients mention any recent travel when seeking medical care.” Malaria remains both preventable and treatable, but delays in diagnosis and treatment significantly increase the risk of severe illness and death. Seek medical advice early when symptoms appear and ensure prompt testing and treatment to prevent avoidable loss of life.

Bonitas – innovation, life stages and quality care

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

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

Bonitas – innovation, life stages and quality care

Breastfeeding tips

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

Bonitas – innovation, life stages and quality care

Why is everyone sick right now? How to protect yourself before winter peaks

If it feels like everyone around you is coughing, sneezing or battling the same stubborn flu, you are not imagining it. As temperatures begin to drop across South Africa, respiratory illnesses start to circulate more widely, with workplaces, schools and households across the country quickly feeling the impact. “While many people think of flu as a routine seasonal illness, it can lead to serious complications, particularly for those with underlying conditions or weakened immune systems,” explains Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “Vaccination and proactive health habits help reduce both the severity of infection and the likelihood of hospitalisation.” The flu vaccine does not eliminate the possibility of getting influenza entirely. However, it significantly lowers the risk of developing severe illness and complications. For many people, the vaccine can also shorten the duration of illness and reduce the intensity of symptoms if they do become infected. Healthcare professionals generally recommend getting the flu shot before the winter peak that is coming up soon in South Africa, so that the body has time to build immunity. Many medical schemes also make it easier for members to access flu vaccinations through their healthcare networks. For example, Bonitas Medical Fund covers one flu vaccine per beneficiary each year through its preventative benefits across all options, subject to Scheme rates. Members can receive the vaccine through network pharmacies or healthcare providers, although it is advisable to call ahead to confirm stock availability and, where possible, schedule an appointment to reduce waiting times. Who should get the flu vaccine? While most people can benefit from vaccination, certain groups face a higher risk of severe illness and are strongly encouraged to get vaccinated. These include healthcare workers who are in contact with patients on a daily basis, people over the age of 65 and individuals with cardiovascular diseases, including chronic heart disease, hypertension or a history of stroke. People with chronic conditions such as diabetes, chronic kidney disease or chronic lung diseases like asthma and chronic obstructive pulmonary disease should also consider flu vaccines, as should pregnant women and people living with HIV/AIDS. Children can also receive the vaccine. Schools and early childhood centres are often environments where respiratory viruses spread quickly, as children may not yet have fully developed hygiene habits. The flu vaccine is widely used and considered safe for most children older than six months. “While children often recover well from seasonal flu, they can still experience severe symptoms and are also key spreaders of infection within families,” Themba explains. “Vaccination helps reduce the risk of serious illness and can also limit how easily the virus spreads to siblings, parents and grandparents.” Parents should always speak to a healthcare professional if they are unsure whether vaccination is appropriate for their child, particularly if the child has underlying health conditions or allergies. Who should avoid it? Although the flu vaccine is safe for most people, it is not recommended for certain groups. This includes individuals with severe allergies to eggs or egg proteins, as many flu vaccines are produced using chicken eggs. Infants younger than six months should not receive the vaccine, as it is not licensed for that age group. People who previously experienced a severe reaction to a flu vaccine should consult a healthcare professional before considering another dose. It is also advisable to delay vaccination if someone is already experiencing active flu symptoms. Strengthening your immune system before winter Vaccination is only one part of staying healthy during winter. Lifestyle factors play an important role in maintaining a strong immune response. A balanced diet rich in fruits, vegetables, lean proteins and whole grains helps supply the nutrients the body needs to fight infection. Adequate sleep is equally important, as poor sleep weakens immune function and increases vulnerability to illness, as is regular physical activity. “Taking proactive steps before winter fully sets in can protect not only individuals but entire communities,” says Hadebe. “Prevention remains one of the most effective tools we have when it comes to respiratory health.”

Bonitas – innovation, life stages and quality care

Staying healthy during your pregnancy

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

Bonitas – innovation, life stages and quality care

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

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

Bonitas – innovation, life stages and quality care

South Africans are stressed out: the hidden health impact of a strained economy

South Africans are living through another cycle of sustained economic pressure as rising fuel costs continue to filter through the economy, pushing up the price of transport, food and household goods. At the same time, broader global uncertainty and ongoing geopolitical tensions are adding further worry and dread to an already financially stressful landscape for South Africans. A 2026 study on the impact of geopolitical tensions on mental health shows that sustained global conflict and political uncertainty is a key driver of anxiety, even among populations not directly affected by war, contributing to a persistent sense of threat. For many people, this is experienced not as a single event but as a constant background load, which compounds existing financial strain and intensifies everyday stress responses. “When people are faced with instability and conflict narratives, even if events are occurring far away, the body can remain in a sustained stress response,” says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “Even when individuals are not directly affected, the constant sense that the world is unstable can heighten anxiety and intensify the strain already created by financial pressure. Over time, this compounds into burnout and emotional exhaustion that we are increasingly seeing in members.” Mental health challenges are also having a wider economic impact, with South Africa estimated to lose over R250 billion annually (around 4.5% of GDP) linked to mental health conditions. In addition, about 452 million work hours are lost each year, with “presenteeism” alone costing more than R200 billion in lost productivity. Chronic stress linked to money worries also drives physiological changes in the body that are harder to detect early. Sustained elevated levels of stress hormones like cortisol can affect sleep quality, weaken immune response and contribute to weight changes, fatigue and burnout. Over time, this creates a cycle where physical exhaustion and mental strain reinforce each other, making recovery more difficult. Managing stress in a high-pressure environment While economic conditions are not within individual control, there are practical steps that can help reduce the health impact of ongoing stress. Structured routines are important; regulating sleep patterns and ensuring you are eating balanced, consistent meals help regulate the body’s stress response. Even small adjustments, like limiting late-night screen exposure or introducing short daily walks, can improve sleep quality and mood regulation over time. Financial clarity also plays a role in reducing anxiety. Simple budgeting tools or weekly financial check-ins can reduce the cognitive load of uncertainty, which is often a major driver of chronic stress. “Preventative approaches are also important,” says Themba. “Early support for mental health symptoms can help prevent things from becoming worse. Members of a medical aid must look into the structured care programmes they are able to access and take benefit from through their plans, which can help a great deal in the event an individual requires further medical care that can become costly.” Bonitas’ Mental Health Programme offers its members structured support that is designed to help identify and manage conditions such as anxiety, depression and burnout earlier, with coordinated access to care pathways and ongoing support. “As a society we re quicker to discuss how these pressures affect us in economic terms, but are less cognisant of, or willing to speak to about, the very real and problematic physical and mental health issues that arise as a result of what’s happening in the world right now. “Stress linked to financial strain has real physiological and societal consequences, affecting all of us whether on an individual or organisational level. Don’t ignore the early signs of burnout and seek support to stop stress form developing into more serious conditions,” concludes Themba.

Bonitas – innovation, life stages and quality care

Smoking and pregnancy – should I quit

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

Bonitas – innovation, life stages and quality care

Symphysis pubis dysfunction (SPD) and to deal with it

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

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