Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Pregnancy, your body and your baby – week 22 of your pregnancy

Your second trimester has you feeling more yourself, and feeling your growing baby moving inside your tummy is bound to bring a smile to your face. Your body may be feeling some strain as your baby grows in weight and size, and you’ll need to remember to eat healthy in order to ensure that you little one receives all the needed nutrients from you. Changes to your body at week 22 Your body may be feeling slightly uncomfortable all round thanks to the changes that pregnancy has had on your body. You may notice your back, pelvis and hips aching, leg and foot cramps, as well as swollen feet. This can be alongside heartburn, constipation (and possible haemorrhoids) as well as stretch marks. Your baby’s growth at week 22 Your baby is now approximately the size of a coconut and is sleeping in cycles – the time that you don’t feel them moving around will be when they are asleep. At this time your little ones taste buds are developing, and what they find tasty later in life may be influenced by what you’re eating. So try to keep it healthy and to stick to fruit and wholesome veggies. Their eyes are almost fully developed but lack colour in the iris. Your little one is also becoming more sensitive to outside stimuli, so you may notice that they react to loud noises. Things to remember at week 22 During your pregnancy, eating healthily is something that is important to keep in mind. Afterall, what you eat is nourishment for your baby. During your second trimester try and eat foods that are rich in protein, calcium and iron. These will help your baby’s growth – protein helps in tissue development, calcium helps in the formation of bones and teeth, and iron helps carry oxygen to your developing baby.

June 18, 2024

Coronary CT – detecting disease before it becomes life threatening

Radiology imaging techniques play a crucial role in the early diagnosis, management and monitoring of lifestyle diseases. Advancements in high-quality imaging, using reduced radiation doses, have positioned radiology ideally for this role. This contributes significantly to the understanding and treatment of these conditions. One such condition is cardiovascular disease, which accounts for approximately 30% of deaths worldwide, coronary artery disease is the commonest form. Dr Vishesh Sood, a diagnostic radiologist practising at SCP Radiology, says ‘radiology’s role in diagnosing and managing coronary artery disease is pivotal.’ What is coronary artery disease? Coronary artery disease is the gradual narrowing of the coronary arteries, which supply blood to your heart. What causes this narrowing? It is caused by plaque building up in the inner lining – a process known as atherosclerosis. Plaque is made up of deposits of varying degrees of fatty substances, cholesterol, cellular waste products, calcium and fibrin. As it builds up in the arteries, the artery walls become progressively thickened and stiff. What happens when this build up occurs? These signs and symptoms of coronary artery disease occur when the heart doesn’t get enough oxygen-rich blood. Reduced blood flow to the heart can cause a wide range of symptoms, most commonly chest pain (angina) and shortness of breath. A complete blockage of blood flow can cause a heart attack, which means that blood flow to a part of the heart is reduced for a long enough time and the heart muscle is permanently damaged or dies. What are the risk factors you CAN control? High blood pressure Elevated cholesterol levels Smoking Diabetes Overweight or obesity Lack of physical activity Unhealthy diet and stress What you can’t control However, it’s important to note that genetics also play a crucial role in determining an individual’s risk level. Managing coronary artery disease involves adopting lifestyle changes such as a healthy diet, regular exercise, and quitting smoking, along with medications like statins to lower cholesterol. A coronary CT empowers doctors to recommend these changes and treatments, with the aim of preventing serious cardiovascular events How long does this condition take to develop? Coronary artery disease generally progresses gradually over decades. The disease may go entirely unnoticed, until a significant blockage causes problems or a heart attack occurs. ‘Which is why,’ says Dr Vishesh Sood, ‘we advocate the use of a CT Coronary Angiography, the most sensitive imaging method to confirm the disease.’ He says, ‘This is particularly important in patients with non-specific symptoms, for example chest pain, which could be caused by a range of problems like musculoskeletal issues, gastrointestinal conditions or even anxiety. In these instances, coronary CT angiography is an excellent non-invasive test to confirm whether high levels of plaque are present in the coronary arteries.’ What is a CT Coronary Angiography (CTCA)? It produces detailed images of the heart for precise evaluation of the coronary arteries. A contrast dye is injected into a vein (usually in the arm) before imaging, to increase the visibility of any obstructions in the coronary arteries. The advantages It provides high resolution images of the coronary arteries, during a short, non-invasive procedure. The disadvantages Even though CTCA provides detailed images of the coronary arteries, it does not allow for interventions, such as inserting a stent during the same procedure. It is used primarily for diagnosis. Dr Sood says, ‘This is not the only method for detecting coronary artery disease. The diagnostic ‘gold standard’ has always been coronary/catheter angiography.’ What is a Coronary (Catheter) Angiography During this procedure, a catheter is threaded through blood vessels to the coronary arteries and a contrast dye is injected to make the arteries visible on X-ray images. The advantages It allows for detailed analysis of the blood flow within the coronary arteries. If a balloon needs to be inserted to stretch open a narrowed or blocked artery, it can be done at the same time. ‘Although’, says Dr Sood, ‘the more popular choice is to insert a permanent stent to allow blood to flow more freely, which can also be performed during a Coronary Angiography.’ The disadvantages It is an invasive procedure. Threading a catheter through blood vessels, usually from the groin or wrist, up to the coronary arteries can be uncomfortable for patients. It may take an hour or longer to complete and may result in bleeding, infection and some potential damage to blood vessels. Who makes the decision to do either procedure? The specialist will do a thorough assessment and then makes the decision. ‘The choice between cardiac CT and angiogram depends on the specific situation, the information needed and individual patient factors,’ explains Dr Sood. ‘Cardiac CT is often used for initial screening non-invasive assessment, while conventional coronary angiography is usually for cases where more detailed information about the blood flow is required or when the plan is to insert a balloon or stent into the artery to expand it.’ CTCA is quickly becoming a cornerstone in modern cardiology to detect coronary disease can be detected and managed before it becomes life threatening.

June 14, 2024

Pregnancy, your body and your baby – week 21 of your pregnancy

At week 21 of your pregnancy you’re now just over half to meeting your baby for the first time. You’re still in your third trimester, so take advantage of feeling better with a smaller baby bump while you can. Your body at week 21 Typical pregnancy symptoms during this are an achy back, swollen feet, heartburn, hot flashes, forgetfulness (nicknamed ‘baby brain’) and leg cramps. You may have also noticed stretch marks on tummy, breasts, thighs and butt, and this is thanks to your quickly growing tummy and baby. Headaches during pregnancy are fairly normal, especially if you’re slightly tired or dehydrated. However, if you experience bad headaches for hours on end, or ones that won’t go away, consult your doctor as you may have high blood pressure. This is also known as pre-eclampsia, which is a pregnancy complication characterised by high-blood pressure and protein in your urine. Your baby at week 21 Your baby is now the length of a banana or a carrot. Around this time your baby will also start sleeping and waking at different times (not necessarily the same as yours though). Your baby is also drinking amniotic fluid, although the placenta is how they receive the majority of their nourishment. Things to keep in mind at week 21 Braxton Hicks contractions are also known ‘false labour’ and they are your body’s way of preparing you for labour. These contractions are your womb contracting and relaxing and while they can be uncomfortable, they aren’t painful. Braxton Hicks contractions vary in length, and aren’t rhythmic, which is what differentiates them from normal contractions. There isn’t a treatment for these contractions, but changing your position (if you’re lying down) or taking a relaxing bath or nap can help ease them. If you’re unsure of whether or not you’re having Braxton Hicks contractions or labour contractions, contact your doctor immediately, as you may be going into preterm labour.

June 11, 2024

Championing the fight to prevent pneumonia

Every year a day is set aside to raise awareness of pneumonia, promote prevention, treatment and provide an annual forum for the world in the fight against pneumonia. The theme for World Pneumonia Day in 2024* is, ‘Championing the fight to prevent pneumonia’. According to the World Health Organization (WHO), pneumonia is one of the most common causes of morbidity in SA children, despite improvements in immunisation and HIV management programmes. WHO also states that globally a child dies from pneumonia every 30 seconds. This is higher than malaria, HIV/AIDS and tuberculosis combined. In South Africa, flu and pneumonia ranked second (after intestinal infectious disease) as the leading cause of death in children under 5 years. This just doesn’t make sense when vaccines are available in both the private and public healthcare sector for children and adults. As part of the Expanded Programme on Immunisation, babies have a series of 4 vaccinations: At 2 months of age, 4 months, 6 months and 12–15 months. What is Pneumonia? Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund says, ‘pneumonia is a respiratory infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing symptoms such as cough with phlegm or pus, fever, chills and difficulty breathing’. Types of Pneumonia Bacterial pneumonia Viral pneumonia Fungal pneumonia Aspiration pneumonia: This type is more common among certain people, including older people and those with nerve disorders or swallowing issues The flu shot as the first line of protection Dr Hadebe recommends having a flu vaccine and says it is the first line of defence when it comes to protecting yourself. Studies show it reduces the risk of contracting flu by about 50 to 60% and also helps prevent the development of Pneumonia. According to the New England Journal of Medicine (NEJM – 2015), ‘In addition to reducing the risk of hospitalisation for an influenza (flu) infection itself, flu vaccination appears to reduce the likelihood of hospitalisation for influenza-associated complications such as pneumonia.’ Perhaps the more telling piece of data shows that only 29% of the overall population have been vaccinated against flu, emphasising the need for more effective delivery of preventative services to prevent Pneumonia deaths. Pneumococcal vaccine There is also a vaccine that protects you against Streptococcus pneumoniae bacteria which causes 80% of Community Acquired Pneumonias (CAPs). These streptococcal bacteria can spread from the nose, throat and ears to cause pneumonia – a severe infection of the lungs. It also protects you against other pneumococcal diseases including those of the bloodstream (Bacteraemia) and the lining of the brain and spinal cord (Meningitis). Who should have the Pneumococcal vaccine? People over 65, particularly in a retirement village Anyone with heart and lung problems, including asthma or with chronic illnesses like anaemia, diabetes or kidney failure. Immune-suppressed people, including those who are HIV-positive Caregivers and close contacts of any of the above Smokers, as they are more prone to respiratory illnesses Cancer sufferers The WHO reports that some preliminary studies suggest that obesity and especially extreme obesity, may also be a risk for more severe disease. Signs and symptoms of Pneumonia may include: Chest pain when you breathe or cough Confusion or changes in mental awareness (in adults aged 65 and older) A cough, which may produce phlegm Fatigue Fever, sweating and shaking chills Lower than normal body temperature (in adults older than age 65 and people with weak immune systems) Nausea, vomiting or diarrhoea Shortness of breath When to see a doctor? With virtual consultations readily available, it’s recommended you first consult your doctor via a telephone or video call to discuss your symptoms, especially if you are having difficulty breathing, chest pain, persistent fever of (39°C) or higher or a persistent cough, especially if you’re coughing up phlegm. Your physician will then decide whether you need a face-to-face consult and examination. Dr Hadebe says that, despite the evidence of the efficacy of these vaccinations, there is not enough uptake. ‘It is up to each one of us to take charge of our health, this includes having regular wellness checks and ensuring that you have a flu vaccine and, if you are vulnerable to develop pneumonia, have the pneumonia vaccine at the same time.’ Remember that your GP is your first port of call for all your healthcare needs.

June 10, 2024

Tackling women’s health holistically

‘A woman’s health is her Capital’ As far back as 2014 at the World Health Organization’s (WHO) ‘Partnership for Maternal, Newborn and Child Health Forum’, South Africa stated their alliance with WHO’s statement and said, ‘the health of mothers and their children is key to achieving development equity.’ Which is why Bonitas Medical Fund, the Medical Aid for South Africa, has teamed up with CareWorks, to bolster its mother and childcare benefits and introduce a new Female Health Care Programme. With this renewed commitment to the health and wellbeing of women and toddlers, the Scheme will shine a light on the importance of preventative care and empower women to prioritise their health. ‘In South Africa, women face a range of health challenges influenced by socioeconomic, cultural and environmental dynamics at play,’ says Dr Themba Hadebe, Clinical Executive at Bonitas. ‘Many of these healthcare factors are unique to women. Early disease detection and appropriate care programmes are proven key factors in improving treatment outcomes and prognosis. Dr Hadebe says, ‘It is common knowledge that women often put their own health needs aside to care for their families. This programme will pro-actively assist women and provide them with support, to ensure that they access prevention services when they need to, as well as treatment plans.’ Top health issues in South African women are: Non-Communicable Diseases (NCDs) Diabetes in South Africa’s is the second deadliest disease and is also the leading cause of death among women in the country. 68% of women are obese, which is a strong risk factor for Type 2 diabetes. In addition, it is estimated that 10% of pregnant women in South Africa have gestational diabetes, which may go undiagnosed. This evidences the urgent need for screening and diagnosis. Breast and Cervical Cancer The statistics are stark: 1 in 6 women worldwide is estimated to develop cancer during their lifetime. By 2040, there will be a projected rise to 30 million new cancer cases amongst women globally. Screening services are encouraged for early HPV (Human Papilloma Virus) detection and breast cancer diagnosis. Mental Health Approximately 25.7% of South Africans are affected by probable depression, with similarly elevated levels of anxiety, particularly among women. These rates are influenced by socio-economic status, adverse childhood experiences and educational levels. HIV/Aids South Africa has one of the highest HIV prevalence rates in the world – with women, especially young women, being disproportionately affected. Of the 7.3 million adults living with HIV, 64% are women. According to Dr Mizpah Moru, the Clinical Service Manager of CareWorks, ‘The programme is focussed on educating and empowering women to take control of their health and to address any barriers that may stop them accessing health services. ‘We have a highly skilled female team of clinicians who understand the specific healthcare needs of women.’ Online Assessment and Preventative Screening There are various modules in the Self Health Evaluation (SHE) – each are educational and designed to alert potential red flags related to the likes of cardiovascular disease, hypertension and diabetes. Other modules deal with prevalent cancers, mental health, pregnancy and communicable diseases like HIV, as well as screening questions for TB and STIs. SHE and risk identification will enable targeted messaging to members. Screening results will trigger a support process to assist members in accessing appropriate, targeted care programmes. ‘We’ve taken proactive steps to address their unique healthcare needs. Our aim is to provide inclusive, tailored healthcare solutions at every stage of life,’ says Dr Hadebe. Female members will be encouraged to access their Bonitas benefits to: Promote preventative care strategies for both females and toddlers Detect non-communicable diseases such as hypertension, diabetes, mental disorders, cancers, etc. Help females plan appropriately during their reproductive ages Help expecting mothers to detect and manage any risks and complications as early as possible in their pregnancy Improve access for females and toddlers to essential care Improve parent education and awareness about toddler care Expansion of the Maternity Programme The comprehensive Maternity Programme includes support for new parents with milestone reminders for children under three, immunisation reminders and online screenings for infant and toddler health. Enhanced support for expecting mothers, includes: Early identification of high-risk pregnancies Weekly engagement for high-risk pregnancies Post-childbirth follow-up calls Online assessments for pregnancy and mental health Midwives and nursing sisters will provide nurturing and caring support to women who have suffered a miscarriage and assist them in working through both the physical and mental issues associated with the loss of their baby. Support will be offered to parents of neonatal babies The programme also includes a library of female specific health topics – with a monthly focus – screening reminders and support, all communicated through SMS, WhatsApp, emails, calls and other existing digital platforms. ‘The aim of the new Female Health Care Programme is to raise awareness and promote education around health and wellness,’ says Dr Hadebe. ‘It’s about influencing behaviour positively and encouraging early screening and preventative services. Importantly, it is also about providing inclusive, tailored healthcare solutions at all stages of life, to help members live their healthiest life.’

June 7, 2024

Pregnancy, your body and your baby – week 20 of your pregnancy

Congratulations to you and your baby, you’re officially halfway through your 40 week pregnancy. It’s crazy to think that 20 weeks ago you had your last period, and now a new life is blossoming inside of you – you may even know their gender and are thinking about possible names. Your baby at week 20 You little one is now roughly the size of a grapefruit or banana, and if you haven’t been able to feel your baby move around, at week 20 things may change. Although your baby still has a fair amount of room inside of you, and you should feel her moving around inside your tummy.Their heart is pumping between 120-160 beats per minute and their senses and reflexes are becoming more developed. How you’ll feel at week 20 You may have noticed the appearance of a dark vertical line on your belly, this is normal in pregnancy and is known as a linea nigra. This line isn’t a problem and is caused by hormones during pregnancy. If you’re wanting to travel or are planning to organise a baby nursery in your house, use the time during your second trimester to your advantage, as your pregnancy symptoms won’t be as intense as they were in your first trimester, and your belly won’t be inconveniently big just yet. But that being said keep your needs in mind and don’t push yourself to do something if you aren’t feeling comfortable. Things to remember at this time During your pregnancy you may experience lower back pain thanks to your growing baby putting increasing strain on your body. If your pain is unbearable it’s best to seek the advice of your doctor or physio, but if you are managing there are a few things you can do to make your life more comfortable. Practicing prenatal yoga, deep breathing, being aware of your posture and a pregnancy belt are all things which can help ease your tired back.

June 4, 2024

Advice from the experts

Just five percent of women regularly check their breasts for signs of cancer Cheeky CANSA campaign encourages female shoppers to check out their melons

According to the National Cancer Registry 2019, breast cancer remains the most prevalent of cancers amongst women, and females have a one in 27 lifetime risk of developing it. The breast is the leading cancer site in women throughout the world, states research by Bruni et al. (2019). It is also the leading cause of female cancer deaths in almost all countries, except for the most economically developed, in which it is second to lung cancer. While many factors such as age, family history, genetics and even diet play a role in the chances of developing breast cancer, early detection plays a key role in effective treatment and outcomes. To encourage self-screening, the Cancer Association of South Africa (CANSA) has joined hands with retail chain Food Lover’s Market and Grid Worldwide, a leading branding and design agency, in a national campaign that appeals to shoppers to check their breasts as often as they check out their fruit and vegetables. Taking place in October, for breast cancer awareness month, the Check Them Out campaign will see the fresh produce aisles of all Food Lover’s Market and Food Lover’s Eatery stores across the country brandished with cheeky stickers to remind women to perform home self-examinations to spot lumps, bumps and other irregularities, which could be signs of breast cancer. While the campaign aims to get a reaction from shoppers in a good way, the objective is to drive proactive cancer screening, as women treated for early breast cancer are likely to become long-term survivors, according to a study published in 2023 by leading medical research group, The BMJ. In addition to quirky stickers on fruits and vegetables, the Check Them Out campaign also takes the form of rebranded shopping bags and in-store promotional posters that detail how to conduct a self-examination. In-store and campaign artwork directs ladies to the CANSA page for further information and crucial next steps should they find something suspicious. As the ‘Make it Mean Something Company’, Grid Worldwide proactively approached CANSA and Food Lover’s Market for the Check Them Out campaign. “Everyone knows someone who has been affected by cancer” says Lauren Shewitz, creative director at Grid. “As a team, we wanted to create a relevant, memorable and impactful campaign that not only created awareness but also brought meaning to marketing, with the ultimate objective of saving lives.” Terri Coppin Harris, head of Culture and Communication at Food Lover’s Market, says this was an opportunity they couldn’t afford to miss. “As a retailer that holds fast to strong family values, we could not pass on the chance to weigh in and support this campaign. Breast cancer is still listed as the top invasive cancer reported for South African women, and this made us realise that it can so easily affect our shoppers and team members. We loved the idea of creating a bold reminder in our stores to educate our customers and our team about self-examination and screening.” While shoppers will be reminded to ‘check out their melons’ and ‘feel their avos’ through stickers on selected seasonal fruit, Food Lover’s Market has elevated the campaign in-house by creating an equally strong awareness campaign to engage and inform all Food Lover’s Market team members on the importance of preventative screenings. Says Coppin Harris, “I am confident that this campaign will garner the reaction we want. We’re aiming to grab shopper attention in a big way as it’s not every day you see fruit linked to some of our most intimate parts. Hopefully, it will make our consumers stop, think and take action.” “We’re excited to align ourselves with Food Lover’s Market and Grid Worldwide for the Check Them Out campaign,” adds Lorraine Govender, National Manager, Health Promotion at CANSA. “Together, we are raising awareness in a proactive and meaningful way, and delivering on the message that early detection is critical. We want to urge everyone to be aware of their own bodies, look out for anything that is unusual, and get checked out early – it could save your life.” *Breast self-examinations in African women is very low and needs to be driven through awareness tactics for behavioural change. Link to research report can be found here CANSA’s vision is to lead South Africa towards a cancer-free society. Our mission, as a non-profit organisation fighting cancer, is to enable research, educate the public and advocate for, and support, all people affected by cancer. Through collaborative research, we aim to promote and support innovative, effective, and relevant approaches to the prevention, diagnosis, and treatment of cancer. CANSA uses evidence-based research to inform our advocacy work, health education programmes, and service to those living with cancer. Our service comprises health, education, and advocacy awareness campaigns; CANSA Care Centres that offer a wide range of care and support services to those impacted by cancer – cancer screening and early detection; stoma and other clinical support, home-based care and medical equipment hire. We offer a free Tele Counselling service in seven languages and supply patient care and support in the form of 8 CANSA Care Homes in the main metropolitan areas for out-of-town cancer patients and CANSA-TLC lodging for parents / guardians of children undergoing cancer treatment. We further operate a national CANSA Help Desk with a toll-free line to offer information and support.  Food Lover’s Market has grown from its origins as a single Fruit & Veg City store 30 years ago to become South Africa’s largest specialist fresh produce retailer, with over 100 Food Lover’s Market stores in South Africa and 6 other Sub-Saharan countries, including Namibia. The retailer prides itself on its quality fresh produce, its theatre of food experience with a distinctive market feel and its consistent value offerings for the consumer. Food Lover’s Market caters to the discerning customer, the connoisseur, the professional ‘foodie’ and regular customers who are used to the exceptional quality and variety that has always been part of the Food Lover’s offering. Forming part of the Food Lover’s Market family, FVC International is

October 6, 2023

DEALING WITH KIDS AND PREGNANCY

Dealing with pregnancy can be tricky on its own, but when you have a toddler or young kids to look after things can become more difficult. If this is your second pregnancy, you may be struggling with morning sickness, fatigue and a tired achy body and still having to look after another young child. You’re probably wondering how to manage, so we’ve put together some useful tips to help you the second time around. Be patient with them and yourself It’s important that you’re patient with your child. Initially, they may not understand the pregnancy which can make them act out in confusion. Getting them involved and feeling like a big sibling can help them to feel excited about the new addition to the family. That being said you should also be patient with yourself. You may be feeling unwell due to your pregnancy, and with looking after another child you may find things falling by the wayside. It’s likely that only you will notice these things, so don’t be too hard on yourself. Playtime for you and them You might not always be feeling up to playtime with your little one, so this is a good time to encourage them to play independently. This way you free up a little bit more time for yourself while keeping them entertained. As your pregnancy progresses, play in ways that you can manage. Instead of running around, focus on board games, drawing and puzzles. Allowing a little bit of screen time (even together) is another way you can easily entertain your kids. Help and schedules Don’t be afraid to ask for help. If you have a partner, they are the obvious person to lend a hand, but if you are by yourself, either reach out to close family or consider getting paid help for part of the day. Another way to find some time for yourself is to nap when your toddler naps. Syncing up your sleep schedules may mean that you find yourself a little bit more rest time for when you’re feeling tired or nauseous.

October 6, 2023

Paracetamol Use During Pregnancy: What You Need to Know

Even the most trouble-free pregnancy has its share of aches and pains1. The good news is that some of these discomforts will go away as your pregnancy progresses, while others can be easily relieved with the power of Panado®. During pregnancy, your body undergoes a complete transformation as your baby grows. Your centre of gravity decides to play musical chairs, your organs rearrange to make room for your growing baby, and increased weight puts pressure on your joints and muscles.1a The circulatory system, too, faces stress during pregnancy, possibly leading to soft tissue pain due to fluid retention.1b Nerve pain enters the scene, often due to nerve compression from weight gain or uterine pressure.1c The sciatic nerve tends to be impacted, especially in later pregnancy and sometimes post-delivery.1d In the first trimester, shifting hormones and blood volume can trigger headaches. Overall a headache can often be exacerbated by fatigue, stress and eyestrain.2 Additionally, as your body readies itself for childbirth by loosening ligaments, it becomes more prone to strains, resulting in leg aches and back pain.3 As unpleasant as they may be, most of these aches and pains are normal during pregnancy. Medications During Pregnancy When it comes to taking medications during pregnancy, it’s crucial to be aware of the potential impacts on your developing baby. The journey from the moment of conception to birth is an intricate process, and substances you consume can sometimes cross the placenta, affecting your baby’s growth and well-being.4a The use of certain medications during pregnancy has been associated with lower birth weights, meaning that the baby may be born smaller than expected. Premature birth, where the baby arrives before the full term, is another possible outcome due to the influence of certain medications.4b To ensure the healthiest outcome for both you and your baby, it’s recommended to discuss any medications, supplements, or treatments with your health care provider before using them during pregnancy. They can provide guidance tailored to your specific situation, taking into account the potential benefits and risks. Remember, staying informed and seeking professional advice can greatly contribute to a smoother and healthier pregnancy journey.4c The Power of Panado® Panado® contains paracetamol, which boasts over 150 years of clinical experience5, and the first choice of painkiller if you’re pregnant.6 Paracetamol offers reliable relief for mild to moderate pain, encompassing headaches, toothaches, sore throats, general aches, and rheumatic discomfort.7a Additionally, it aids in alleviating flu symptoms and feverishness.7b Clinical studies show paracetamol is not only the choice for pregnancy, but also for those who are sensitive or allergic to aspirin.8a How Panado® Can Help Panado® offers a wide variety of pain and fever solutions to meet the needs of people at all stages of life. From infants and children, to teenagers, adults, pregnant women, and seniors, trust Panado® to provide reliable relief. Panado® is conveniently available in tablet9, capsule10 or effervescent11 form to suit individual preference, and offers fast pain relief. Panado® Tablets provide relief from pain and fever. For those seeking an alternative, Panado® Capsules offer a convenient option: the capsule shells are designed to be smoother and more slippery, making them easier to swallow – especially beneficial for individuals who struggle with tablet consumption. The tasteless and odourless nature of the capsules caters to those who find tablets’ taste or aftertaste bothersome. In cases where swallowing tablets or capsules poses a challenge, Panado® Effervescent formulation serves as a convenient solution. Make pain and fever care easy by shopping for Panado® products from available from Baby City, Pick n Pay, Checkers including Hypers, Shoprite, Clicks, Dis-Chem and Independent Pharmacies. For more information, visit https://panado.co.za/ and join the conversations on Facebook. 2023091310311916 References: Healthline. What body aches can you expect during pregnancy? Available from: https://www.healthline.com/health/pregnancy/body-aches-pregnancy. Last accessed September 2023. Stanford Medicine Children’s Health. Headaches in early pregnancy. Available from: https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-early-pregnancy-134-3. Last accessed September 2023. MedlinePlus. Aches and pains during pregnancy. Available from: https://medlineplus.gov/ency/patientinstructions/000580.htm. Last accessed September 2023. BetterHealth. Pregnancy – medication, drugs and alcohol. Available from: https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-medication-drugs-and-alcohol. Last accessed September 2023. 150 years of paracetamol. GP Pharma Update Mar/Apr 2019. Bumps. Paracetamol. Available from: https://www.medicinesinpregnancy.org/. Last accessed September 2023. Cambridge University Hospitals. Pain relief during pregnancy and after birth. Available from: https://www.cuh.nhs.uk/patient-information/pain-relief-during-pregnancy-and-after-birth/. Last accessed September 2023. Australasian Society of Clinical Immunology and Allergy (ASCIA). Allergic reactions to aspirin and other pain killers. Available from: https://www.allergy.org.au/patients/drug-allergy/allergic-reactions-to-aspirin-and-other-pain-killers. Last accessed September 2023. Panado® Capsules approved package insert, August 1984. Panado® Tablets approved professional information, July 2016. Panado® Effervescent (Tablet) approved professional information, July 2016.

October 4, 2023

16 Best Home Remedies For Sick Children

Today’s post covers a few helpful home remedies for sick children. When my son gets sick, it’s always challenging and worrisome. For serious illnesses, the best road to recovery is taking your child to your family physician. However, for various commonplace childhood ailments, there are different home remedies that you can try. You can also use these home remedies in conjunction with doctor-prescribed medicine to speed up recovery and alleviate some of the discomforts your little one is experiencing. Hydration Parents often forget the most important element of getting better – fluids. Kids (and adults alike) need to stay hydrated when their bodies are combating illness. Children experience fluid loss when they run a fever or have a stomach bug that causes diarrhoea and/or vomiting. Offer plenty of fluids like diluted fruit juice or water, even if he takes small sips throughout the day, to help keep him hydrated. Plenty of Rest When your child is asleep, his body is working hard to help him recover from illness. Ensure your child gets plenty of rest in a comfortable and quiet space that promotes peaceful sleep. Steam Therapy Steam therapy can offer welcome relief when your child is having respiratory issues due to having the flu or a cold. You can use a cool mist humidifier in his room to relieve congestion, or you can run a hot shower and let him inhale the steam for about 10-15 minutes. Vicks Vaporub I grew up with my parents always having Vicks Vaporub in our home, and now I use it to help my son feel better. I rub it into his chest and underneath his feet before bedtime to help him breathe easier during the night. Honey Honey is an effective home remedy for cough in children over one year old. It thins the mucus and is a natural cough suppressant. Mix one teaspoon of honey in herbal tea or warm water to help calm his coughing and soothe a sore throat. My neighbour uses a homemade recipe of one teaspoon of Aspen Borstol cough remedy and one teaspoon of honey mixed in half a glass of water. She swears by this recipe; it is the only cough remedy she used for her children and now her grandchildren. Ginger Ginger is the go-to remedy for upset stomach and vomiting. It is a natural anti-nausea home remedy. Not many children like the taste of ginger, but you can add a touch of honey to make it sweeter and more palatable. Make ginger tea by adding fresh ginger slices to hot water and allow it to simmer before draining the tea and adding the honey. Warm Compress A warm, damp cloth helps ease the pain associated with stiff muscles, ear pain, or stomach aches. Apply it to the affected area and remove it after 10-15 minutes. A warm bottle also works wonders for a sore tummy; just ensure the water is not too hot. I don’t boil the kettle completely. However, sometimes the water is still a bit too hot, so I add some cold water until it’s at the right temperature. Chicken Soup / Broth There’s a reason why grandma’s homemade chicken soup always makes you feel better instantly. Not only is it comforting, but it actually helps with alleviating cold and flu symptoms. The warmth of the soup clears indigestion and soothes a sore throat, while the soup itself keeps them hydrated. Saline Nasal Drops Saline nasal drops can be used for babies and small children who can’t blow their noses effectively. A few drops can be gently applied in the nostrils to loosen stubborn mucus. Elevation When your child struggles to breathe and has a nasty cough, you can raise his head to relieve the symptoms caused by illnesses like pneumonia and bronchitis. Create a slight incline by using an extra pillow. Saltwater Gargle When I was a child and frequented the doctor’s office with tonsillitis symptoms, he one day recommended that I gargle with salt water as soon as my throat started hurting. Since then, I’ve used this remedy often, which always seems to offer relief for sore throat symptoms within a day. A saltwater gargle can also do wonders for soothing a sore throat in children. Mix half a teaspoon in a glass of lukewarm water and let him gargle with it a few times throughout the day. Aloe Vera There is a good reason why Aloe vera is used in so many commercial cosmetic products and skin lotions. It offers relief from sunburn and can also be used for skin irritation, minor burns, and insect bites. Aloe vera gel is a common household remedy because of its active compounds that help reduce inflammation and pain on the skin. Probiotics Probiotics boost the immune system and encourage digestive health. You can implement a probiotic-rich diet with foods like plain yogurt or buy child-friendly probiotic supplements at your local pharmacy. Oatmeal Bath Oatmeal is an excellent remedy for irritated and itchy skin linked to chicken pox or rashes. Grind the oatmeal into a fine powder and add it to your child’s bath water. Let him soak in the bath for 15-20 minutes. Comfort Items No one likes to be sick, especially children. Never undervalue the effectiveness of comfort items like a favourite blankie, stuffed animal, or children’s book. These items can offer emotional support and make them feel more secure until life returns to normal for them again. Affection and Lots of Cuddles Above all else, your love and attention can significantly affect the healing process. There is no such thing as too many cuddles in my book, as it reassures them that you are them for them to provide comfort while they’re not feeling well. Final Thoughts I hope you’ve enjoyed reading my post about the best home remedies for sick children. Taking care of our little ones when they are sick can be challenging, but they rely on us as their parents to provide them the love,

October 3, 2023

How to help your child build resilience

our children face many challenges and obstacles as they grow and are faced with what life has to offer. She adds, “Children who have been taught the skill of resilience, are able to bounce back from stress, challenges, tragedy, trauma and adversity in more effective ways than children who do not know how to be resilient. Resilient children are more adaptable, have greater courage and are more curious when facing the world around them.”

September 28, 2023

Bonitas balancing increases with value and sustainability

onitas Medical Fund, one of the leading medical schemes in South Africa, announced its 2024 product line up today. Lee Callakoppen, Principal Officer of Bonitas says, ‘We appreciate that many of our members and South Africans in general, are faced with increasing financial pressures. We have therefore taken great care to balance our benefit enhancements to provide value to our members, while still ensuring that contributions remain affordable. ‘The percentage increase required is methodically worked out by our team of actuaries who determine the minimum increase against ensuring the financial sustainability of the scheme while meeting the regulatory guidelines and requirements. It’s a delicate balancing act,’ says Callakoppen. ‘For 2024, the weighted increase is 6.9% with the average increase across nine of our plans at 6%. This means that over 227 000 members – around 65% of our membership – will experience an increase below CPI.’ How we did this We conducted in depth research over the last year, which included stakeholder engagement, actuarial analysis and projections to look at how to enhance our benefits. In addition, we analysed feedback from over 10 000 member surveys, researched international healthcare protocols, trends and disease burden rates in South Africa. The result: We have stayed true to our ultimate commitment of giving more value to our members, by reducing out-of-pocket expenses, enhancing benefits and providing additional preventative and managed care. Our fiscal health The Scheme is financially sound, including financial indicators to claim’s paying ability and strong solvency levels. And, despite investing over R1.4 billion back to members in 2021 and 2022, we saw our reserves increase to R8.8 billion last year. A feat matched by no other open scheme. We have noted an erratic claims’ catch up emerge over the past 12 months and, it is for this reason that it’s essential to take a well-rounded approach and apply a modicum of conservativeness to our approach. This, to remain sustainable for our members, regardless of increased claim patterns. We also applied prudent investment management strategies that enabled solid returns for the members. Membership growth Membership grew by 62 000 principal members, 80% through organic growth – in a declining industry. New members are 13 years younger than the average, which means we have succeeded in attracting a younger, healthier profile which is coveted across our industry. We attribute this to offering a diversified product range from hospital plans to network options and Edge plans – driven by innovation and technology. So, what’s new? Our research identified various healthcare trends and needs and we have ensured these are met in our plan benefits and enhancements. Our solution to unregulated healthcare costs In South Africa, providers are free to charge patients any tariff they see fit. However, with the economic pressures faced by consumers, funding is usually in short supply. Through engagement and collaboration with healthcare providers we have found solutions to these challenges. We implemented networks at the most favourable tariffs for our members so that they can avoid out-of-pocket expenses and get more value from their medical aid. This applies to GPs, medication, dentistry, optical, specialists and hospitals. Not only do we direct members to the most efficient hospitals, with the best healthcare options but the discounted tariffs reduce co-payments or eliminate them. Specialist’s costs For 2024, we considered the input from specialists, regarding the cost of services and enhanced our specialist reimbursement rates. This allows 85% of our members to have full cover, wallet-free specialist visits. Our specialist network ensures members are covered with the top 15 speciality types contracted into the network. We have introduced three tiers of network specialist rates, based on experience and proximity. The key focus is on specialty types with high claim volumes and major medical costs such as gynaecologists, physicians and cardiologists. Managed Care enhancements Over the years the prevalence of non-communicable diseases, such as diabetes and hypertension, has increased year-on-year. This is further compounded by the increased burden of mental health which is an added risk factor. Mental health One of the key insights noted was that mental health prevalence is at an all-time high. This is exacerbated by factors such as an increased economic burden and increased psycho-social challenges, such as loadshedding. We have seen a 25% increase in the number of mental health hospital admissions, indicating a need for additional support. This need is particularly high in the 18 to 44 age groups. We further noted that mental health was a key driver for absenteeism in corporate groups. For this reason, we have included the Bonitas Mental Healthcare Programme across all plans for 2024 and included depression as a chronic condition. We also offer access to Panda, a digital platform available through the Bonitas app, giving members easy access to expert help, mental health information and community support. Back and neck programme We recognised that not all members have access to the DBC back and neck facilities so, in addition to adding a digital version of the programme, we have established a network of physiotherapists so members can access the benefits of the programme in more remote areas. Preventative screening A key trend across the healthcare industry has been the decline of preventative screening, including wellness checks and health risks assessments. We have taken up the challenge and have intensified our drive to increase screening uptake. Introducing the Bonitas Be Better Benefit! Funded completely from risk, this unique benefit provides a range of screening tests and benefits to ensure members have access to the necessary screenings, to allow for early detection and to be put onto a path to wellness. The Be Better Benefit is available on all options, except BonCap. This benefit is paid for from risk – helping families to get the best possible healthcare. As an added bonus for 2024, childhood immunisations following the State Vaccine Schedule will be added to six of our plans. HPV vaccine We’ve also taken great care to expand our preventative care benefits by including the Human Papilloma (HPV) vaccine on all

September 28, 2023

Bonitas Medical Fund: 2024 Product Launch round up

At a glance: 353 763 Principal members 727 041 Total beneficiaries 62 000 new principal members added last year 18.7% chronic profile Average age of beneficiary: 35.5 Average age of new members is 13 years younger than existing members R8.8 billion in reserves 41.3% solvency ratio AA+ Credit rating Plans Bonitas offers a wide range of plans that are simple and easy to understand. There are 15 options in five categories: Savings, traditional, hospital, Edge (virtual) and income-based. Increases The average increase, across all plans, is 6.9% The risk contribution on Primary, Primary Select, BonSave, BonFit Select, BonEssential, BonEssential Select, BonStart, BonStart Plus and BonCap is 6% These options contribute to over 70% of new business 227 000 members will experience an increase below CPI – approximately 65% of our membership Plan increases range from 2.7% to 9.6% Increased savings, for BonSave it’s an increase of 25% Note: Contributions from January 2024 Name of plan Type of plan Main member Adult member Child member % increase BonComprehensive Savings R9 853 R9 292 R2 006 9.6% BonClassic Savings R6 732 R5 780 R1 662 9.6% BonComplete Savings R5 359 R4 293 R1 455 9.6% BonSave Savings R3 447 R2 671 R1 032 6.8% BonFit Select Savings R2 295 R1 719 R 772 2.7% BonStart Edge R1 378 R1 378 R1 378 3% BonStart Plus Edge R1 754 R1 668 R 773 3% Standard Traditional R4 922 R4 267 R1 444 8.4% Standard Select Traditional R4 448 R3 849 R1 302 8.4% Primary Traditional R2 993 R2 341 R 952 7.2% Primary Select Traditional R2 619 R2 048 R 832 7.2% Hospital Standard Hospital R2 964 R2 497 R1 127 8.4% BonEssential Hospital R2 287 R1 690 R 739 7.1% BonEssential Select Hospital R1 998 R1 464 R 659 6.7% BonCap New and revised income bands Income-based 5.5% R0 to R10 680 R1 430 R1 430 R 673 R10 681 to R17 330 R1 745 R1 745 R 802 R17 331 to R22 541 R2 813 R2 813 R1 064 R22 542+ R3 453 R3 453 R1 310 What’s new? Mental Health: Due to a 25% increase in the number of mental health hospital admissions, the mental health programme has been included on all plans for 2024. Depression has also been added as a chronic condition on 11 plans The mental health app – Panda – is a free to download mental health and wellness mobile app available to all members Hearing: As part of the audiology programme, free online hearing screenings have been introduced DBC Back and neck programme: A physiotherapy network has been established Oncology: Increased specialised drug benefit on BonClassic, BonComprehensive, Standard and Standard Select International bone marrow searches allowed Introduction of a Be Better Benefit, paid from risk for a range of screening tests and benefits to allow for early detection (all plans except BonCap) An annual wellness screening (blood pressure, blood glucose, BMI, cholesterol) Flu vaccines HIV Lipograms Mammograms Pap smears Prostate screening Pneumococcal vaccine Whooping cough boosters HPV vaccines Stool tests for colon cancer Dental fissure sealants Online hearing screening Contraceptives Pharmacy network: Over 4 000 pharmacies to choose from including all Clicks, Dischem and Medirite branches HPV vaccine has been extended to all plans. 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years per lifetime HIV+ members: An annual test for HIV+ members who had a positive cytology test, as well as a choice between the 3-yearly basic cytology test or a 5-yearly HPV PCR test The Benefit Booster has been adjusted according to utilisation (10% monetary increase on 8 plans). The only benefit in the market which provides members with access to an additional amount to use for out-of-hospital expenses at no extra cost – effectively giving savings and day-to-day benefits a healthy boost Covers everything from additional GP consultations to acute medicine. Increased the child dependant age to 24 years, not just for students Partnered with What’s Up Doc: An innovative patient-driven WhatsApp service that allows doctors on the BonCap network to engage with members more easily – sharing prescriptions, blood test results, specialist referrals, etc – it’ll improve care coordination

September 28, 2023

Encourage your children to be physically active

Let’s face it, growing up today is a completely different ball game to when you were young. It doesn’t matter if you’re in your late 20s or 30s and coming to grips with parenthood for the first time, or if you’re north of 50 and are a veteran of raising children, the fact remains. Kids today are living in a world wholly different to the one we developed in.

September 27, 2023

WHY DO PEOPLE CUT THEMSELVES? CAUSES AND WARNING SIGNS

Affinity Health, a leading provider of high-quality health cover, delves into a sensitive topic that affects millions of individuals worldwide: self-harm. Through extensive research and analysis, we aim to shed light on the underlying causes and provide valuable insights into recognising warning signs. Our goal is to foster empathy, encourage open conversations, and offer support to those in need. What is Self-Mutilation? Self-mutilation is a complex behaviour that can take various forms, including burning, scratching, hitting, or cutting oneself. According to The South African Depression And Anxiety Group, self-mutilation has many different names and labels that people use to describe it, some of these include: Self-harming Self-inflicted violence Para-suicide Self-abuse Self-mutilation How Common Is This Complex Behaviour? Self-mutilation is more common than people realise. A comprehensive review published in the journal The Lancet in 2012 indicated that self-harm is a significant public health concern, particularly among adolescents and young adults. The study estimated that the global prevalence of self-harm in this population ranged from 13% to 23%. However, it is important to note that these figures are not representative of the general population, as they specifically focus on self-harm among young individuals. Moreover, self-mutilation is not limited to specific demographics or regions. It can affect individuals from various backgrounds, regardless of age, gender, socioeconomic status, or cultural factors. However, some studies have shown higher rates of self-harm among certain groups, such as individuals with a history of trauma, mental health disorders (such as depression, anxiety, or borderline personality disorder), or those who have experienced bullying or abuse. Why Do People Cut Themselves? Self-harm, including cutting, is a complex phenomenon that can manifest in various ways and for different reasons.3 It is crucial to approach this subject with sensitivity and compassion. While the specific motivations for self-harm may vary from person to person, several underlying factors have been identified: Emotional Distress: For some individuals, self-harm serves as a coping mechanism to manage overwhelming emotional pain or distress. The act of self-harm can provide a temporary sense of relief or control, allowing individuals to express and externalise their inner turmoil. Communication and Expression: When words fail to convey deep emotional struggles, self-harm may serve as a form of communication or expression. Some individuals resort to self-injury as a way to express feelings they find difficult to verbalize, drawing attention to their pain or signalling a cry for help. Emotional Numbness: Paradoxically, some individuals engage in self-harm to counteract emotional numbness or dissociation. By inflicting physical pain, they seek to feel something tangible, grounding themselves in the present moment. Self-Punishment and Guilt: Feelings of guilt, shame, or self-loathing can lead individuals to engage in self-harm as a form of punishment. They may believe they deserve pain or that physical suffering can somehow atone for perceived wrongdoings. Identifying Warning Signs Recognising the warning signs of self-harm is crucial in providing timely support and intervention. It is important to remember that individuals who self-harm may not always exhibit visible signs, and some warning signs may overlap with symptoms of other mental health conditions. Nonetheless, the following indicators should be taken seriously: Unexplained Injuries: Frequent unexplained injuries, such as cuts, burns, or bruises, particularly in patterns or shapes, may indicate self-harm. These injuries are often found on areas of the body that can be easily concealed. Wearing Concealing Clothing: Individuals who self-harm may wear long sleeves, even in warm weather, to hide scars or fresh injuries on their arms. They may also attempt to conceal other body parts with clothing or accessories. Isolation and Withdrawal: Social isolation and withdrawal from previously enjoyed activities or relationships may be indicative of emotional distress. Individuals who self-harm often struggle with shame or guilt, leading them to isolate themselves from others. Frequent Excuses or Unusual Behaviour: Repeatedly making excuses to avoid situations that require exposing skin, or engaging in secretive behaviours, may be a sign of self-harm. These individuals may also have an unusual fascination with sharp objects. Common Misconceptions of Self-Mutilation Suicide: Even though suicide and self-mutilation appear to possess the same intended goal of pain relief, the respective desired outcome of each of these behaviours is not the same. Those who cut themselves seek to escape from intense affect or achieve a level of focus and usually feel better after the act of cutting. Whereas feeling of hopelessness, despair and depression predominate for those individuals, who intend on committing suicide. Attention-seeking behaviour: Self-mutilators are often accused of being attention seekers. Since cutting serves to dissociate the individual from feelings, drawing attention to wounds is not typically desired. Dangerous to others: This is a misconception as most of self-mutilators are functional and pose no threat to the safety of others. Support and Resources If you or someone you know is struggling with self-harm, please consider the following resources: The South African Depression and Anxiety Group: 0800 567 567 South African Federation For Mental Health Helpline: (011) 781-1852 Netcare Akeso Crisis Helpline: 0861 435 787 Remember, reaching out for help is a sign of strength, and recovery is possible with the right support system.

September 26, 2023

Webinar – Dealing with blocked noses in babies & toddlers

In this antenatal class, Sr Talia, explains how to treat block noses in Babies and Toddlers. Knowing when to go to the doctor and what to do at home.

September 22, 2023

Preventing Dog Bites in Children

Every 3 days a child is treated for serious dog bites. In 2020, 107 children were treated for dog bites and these children were between the ages of 5 and 12 years. During this month of April ChildSafe is encouraging all parents and dog owners to be aware of the risks involved with dog bites and to learn about ways they can protect children and their families from dog bite incidents. “Dog bites often happen during everyday activities among children and seniors,” says Yolande Baker, Executive Director, ChildSafe. “Certain situations can be more conducive to the risk of a dog bite. Protect your family and yourself by being familiar with preventive measures that will minimize the risk of a dog bite.” How can you protect your family Be cautious around strange dogs. Treat your own dog with respect. Because children are the most common victims of dog bites, parents and caregivers should: NEVER leave a baby or small child alone with a dog. Be alert for potentially dangerous situations. Teach children – including toddlers – to be careful around pets. Children must learn not to approach strange dogs or try to pet dogs through fences. Teach children to ask permission from the dog’s owner before petting the dog. What’s a dog owner to do? Carefully select your pet. Puppies should not be obtained on impulse. Make sure your pet is socialized as a young puppy, so it feels at ease around people and other animals. Do not put your dog in a position where it feels threatened or teased. Be calm. Always talk in a quiet voice or whisper, no shouting. Train your dog. Basic commands help dogs understand what is expected of them and help build a bond of trust between pets and people. Walk and exercise your dog regularly to keep it healthy and provide mental stimulation. Avoid highly excitable games like wrestling or tug of war. Use a leash in public to ensure you can control your dog. Keep your dog healthy. Have your dog vaccinated against rabies and other preventable infectious diseases. Parasite control and other health care are important because how your dog feels affect how it behaves. If you have a fenced yard, make sure your gates are secure. Neuter your pet. Approximately 92% of fatal dog attacks involved male dogs, 94 percent of which were not neutered. Dog bite emergencies If you are bitten, here is a checklist of things you should do: If the dog’s owner is present, request proof of rabies vaccination, and get the owner’s name and contact information. Clean the bite wound with soap and water as soon as possible. Consult your doctor immediately or go to the emergency room if it is after office hours. Contact the dog’s veterinarian to check vaccination records. For more information on prevention of dog bites, call ChildSafe at 021 685 5208 or please visit www.childsafe.org.za

September 20, 2023

Webinar – Cracked nipples during breastfeeding

Sr Talia talks about cracked nipples during breastfeeding, why they are caused and how to treat them.

September 15, 2023

Medicating to help with sleep – Babies & Children

As sleep consultants we come across many instances of parents medicating their children to aid sleep. Parents are often faced with this decision, desperate for the entire family to get some much-needed sleep. There are special medical cases where medication may be needed and will be prescribed by your doctor, but for the most part healthy sleep routines and habits are NOT something that should be achieved by medicating. Sleep is essentially a learned behaviour that we can teach our babies and children. What does normal sleep look like? It is important to understand what normal sleep looks like for babies and children as it gives us a better indication of what to expect and why they wake so often, even after they are no longer feeding at night. We all sleep in cycles. We move through stages of light sleep (also referred to as Rapid Eye Movement or REM) and deep sleep. For a baby, sleep cycles are around 45 minutes and it gradually gets longer as they get older. They therefore naturally have a lot more REM sleep than we do. An adult has a sleep cycle that lasts up to 1.5 hours in length. During the newborn phase babies wake in the night for nutritional purposes. Between the age of 4 – 5 months, babies can usually manage one longer sleep period at night and the need to feed gradually reduces. Unfortunately, the night waking’s do not always end when the need to feed does. Even though sleep is a natural process and is a necessity to our wellbeing, linking sleep cycles and sleeping through the night is an essential skill that babies need to be taught. Some babies manage to do so naturally, but more often they need some help to get there. Children require 11 to 12 hours of sleep a night, with age-appropriate naps during the day. There are endless health and wellness benefits of getting the sleep we need. Growing children are at a disadvantage if they do not sleep well. It has a direct influence on their health, mood, weight, concentration, stamina and learning. What influences sleep? We need to look at sleep holistically and not in isolation. Sleep is a complex function as there are so many influencing factors in our daily life. NutritionWhen Nutrition Can Influence Sleep – Good Night (goodnightbaby.co.za) EnvironmentSetting the stage for a good night’s sleep – Good Night (goodnightbaby.co.za) RoutineYour 7- to 11-month-old baby’s sleep routine – Good Night (goodnightbaby.co.za) Sleep associationsUnderstanding the sleep training Process – Good Night (goodnightbaby.co.za) Stimulation IllnessMy great sleeper is sick – Now what? – Good Night (goodnightbaby.co.za) Trying to ‘cure’ sleepless nights by looking at sleep in isolation is treating the symptoms and not the cause. By – Dr Carla Jardine – Paediatrician All parents (including Paediatricians!) have struggled through sleepless nights with their kids. Trying to get your child to sleep through the night is one of the most exhausting phases of parenting. Many parents are tempted to try medication after endless sleep deprived nights. Unfortunately, this is never a real solution. These medications may provide a brief sense of relief when your child drifts off to sleep more easily at bedtime, but prolonged use can cause side effects and do not address the core problem…only a good routine with healthy sleep habits and sleep associations can encourage children to sleep through the night! The Common Culprits Melatonin: This is a natural hormone that is produced by the pineal gland in the brain. It controls our circadian rhythm-the natural sleep-wake cycle in our brain. When it is dark, melatonin increases, and the effect is that you feel progressively more sleepy. When it is light, melatonin decreases with the opposite effect. Some insomniacs have been found to have naturally low levels of melatonin. There are also instances when the circadian rhythm (and melatonin secretion) become disturbed, such as in shift workers, long haul flights (jet lag) and in people living in countries with extremes of either daylight hours or night hours. In these instances, a melatonin supplement is appropriate. Melatonin is a synthetic hormone and has side effects such as: headache, feelings of depression, daytime sleepiness, dizziness, stomach cramps and irritability. Melatonin has not been approved for use in children but there are certain instances where it can been used “off-label”. This is mainly in children who have ADHD or Autism. In these conditions there is often a disturbance in the sleep-wake cycle and melatonin has been of benefit. Anti-Histamines: These are medications that decrease the levels of histamine in the body. They are usually used to treat allergic conditions. The first generation of anti-histamines were found to be very sedating as a side effect. This resulted in these drugs being marketed as over the counter sleep aides. This is not however the appropriate use of these drugs, and they also have many side effects: dry mouth, drowsiness, dizziness, nausea and vomiting, restlessness, headaches, moodiness, blurred vision and confusion. Codeine: This is usually the ingredient in pain medication that causes sedation. Codeine is a weak opioid. It can be a useful pain medication and is also sometimes used in cough mixtures as it also causes cough suppression. Some of the side effects of codeine are: lightheadedness, dizziness, nausea and vomiting, shortness of breath, sedation, allergic reactions, constipation, abdominal pain or rashes. All of these common “sleep aides” have many side effects and their long term use is ill advised. Some are not tested in children at all and others should not be given to children under 2 years of age. The safest thing to do is to use medications only as prescribed by a doctor and not to improvise their use according to their sedative properties. If in doubt, always get your doctors advice! How do you teach your child to sleep? Just as we help our children master the skills of walking, talking, using manners, sharing, brushing teeth, we can teach them how to sleep well by putting down good

September 14, 2023

Hygiene Habits Made Fun with Hygiene Heroes!

What is Hygiene Heroes? No child should miss school over an illness that’s easily preventable, but unfortunately, that’s something that happens every day. Practicing good hygiene habits can ensure kids stay healthier and don’t miss out on their education. Teaching kids basic hygiene lessons is simple and fun with Hygiene Heroes! This free platform, presented by Unilever and the Dept. of Basic Education, helps children learn all about handwashing, toilet hygiene and oral care through animated videos, quizzes and interactive games. Fighting Germs the Fun Way Teach your little ones’ hygiene habits the fun way through our collection of games and activities! Their journey starts with our animated videos – where colourful characters teach practical hygiene habits that kids can easily understand. Afterwards, the Hygiene Heroes platform offers quick quizzes to test their knowledge. The real fun begins with the germ dodging game. To play, simply use the up and down arrows to collect virtual coins and avoid bumping into the evil germs that cause illnesses! As your kids keep playing and improve their skills, their scores will climb, allowing them to compete with their friends. Watch your kids climb the leader board as they learn hygiene habits. Then watch them bring those habits home and school, where they’ll fight real germs and avoid real illnesses! Win with Hygiene Heroes! Enjoying Hygiene Heroes? Show us how your child is doing! Visit Hygiene Heroes Here Share a photo of your child or children playing #HygieneHeroes & tag @unileversa for your chance to WIN R10 000 cash PLUS your share of: Unilever Product Hampers worth R1000 Grocery Vouchers worth R500 1G Data bundles

September 12, 2023

Webinar – breastfeeding positions

Sr Ingrid Groenewald explains the different breastfeeding positions that you can try to have a successful Breastfeeding journey, as well as the latch baby, should have.

September 8, 2023

What are period panties

Since launching Blushproof® – friends, family, strangers – they all ask the same question, “What the heck are period panties?!?”. This was especially true more than two years ago when I started researching the product. I’ve always hated pads and tampons and as I was starting peri-menopause, I was dreading using these products sporadically. That’s when I came across period panties. Amazingly, there was a store in Joburg importing them from the US. I had to try them!! It turned out, they were much better than I expected. These looked and felt like normal panties but had an additional 3 layers sewn into the gusset or crotch. They were perfect for my sometimes hectically heavy and sometimes non-existent flow. Where were these when I was younger? It was after trialing them for a few months that I decided South Africans needed to know about this amazing invention and I also decided that I wanted to be one of the ones to educate the “masses”. Of course, I could have gone the easy route and simply applied to be a distributor but the overseas products were just too costly for our South African market and I wanted to make something PROUDLY SOUTH AFRICAN. I could have also simply imported the Chinese brands but they didn’t meet my high standards in terms of quality and absorption. Enter Blushproof® period panties – or ANY absorbing panties for that matter! They’re generally made with a “shell” which is the actual panty and a gusset which is the absorbing part. This absorbing part has 3 layers: The first layer touches your skin and is made of wicking fabric which draws your flow away from your body and into the gusset; The second layer is made of absorbing fabric (think Glodina bath towels but MUCH thinner) which absorbs your flow; and The third layer is a very thin waterproofing layer which stops your flow from leaking through onto your panties and clothes / bed sheets / you name it (we’ve all been there). After about a year of research, I found the right fabrics for the job and started importing them from the US and Taiwan (sadly, we don’t make these fabrics in SA). Why I chose these specific fabrics was because of their certification in terms of being anti-bacterial, anti-odour, moisture wicking, hypoallergenic, free of nasty chemicals and sustainably made – all things that are key in absorbing panties. People want to know that what they’re putting close to their vagina is not going to irritate, cause smells or lead to infections – so the right fabrics are essential. From there it was days and nights and many tears spent on designing styles and trying to get sizing right – what a challenge – but worth it to see that we now have something for everyone in our beautiful Rainbow Nation. There’s been a massive uptick in people starting to know about period panties and in different suppliers entering the market (although most are imported from China, which is fine too) and I’m starting to find that people actually know what I’m talking about without me having to first explain. So, why are Blushproof® period panties so amazing? They completely replace disposable sanitary pads and tampons. No more products ending up in landfills (did you know pads take 500+ years to biodegrade so the first pad you ever used is still out there somewhere?! EEUUWW – just saying). Another EEUUWW fact is that, in South Africa, used sanitary pads are being fished out of landfills and used for “muti”, but I digress. I get asked all sorts of questions like, “Do they last all day?”, “Surely they’re not for very heavy flow?”, “Isn’t it gross to carry the worn pair around in your bag?”, “What about the blood?”. Whenever something is new and requires a different mindset, generally, consumers will be weary (and in some cases, horrified!). In actual fact, they’re very easy to “use”. You’ll be wearing a pair of period panties and have a spare pair in your leakproof storage bag which you’ll keep in your gym bag, school bag, handbag. If, at some stage in the day, they start to feel wet (they actually feel dry until they’re “full”), then you’ll go to the bathroom, remove the worn pair and put on the spare pair of blushproofs. The worn pair will be safely stored in your leakproof pouch until you get home where you can rinse them before hand washing them or popping them into a mesh laundry bag and into the machine. Blushproofs can be worn, rinsed, washed and hang out to dry, ready for the next use. If looked after correctly, they can last for at least two years (I know this because my first customer that bought Blushproofs for her daughter in August 2021 is still using them AND they’re still in perfect condition). They come in a variety of styles, sizes (ranging from tweens aged 10 to plus sizes 3XL) and absorbencies (from light to super). We’re talking from the Thong with light absorbency which is used for spotting or as a backup to your menstrual cup or tampon, saving you from having to use panty-liners to the super absorption Hi-waist style for maximum coverage and absorption. We even have a Period Swim Bikini bottom which can be used during swimming so that girls and women don’t have to miss out on pool & beach time just because it’s that time of the month. I also always get asked, “But what about the cost?”. Yes, they are an investment but in actual fact, once you’ve bought a few pairs, you’re set for the next two+ years AND you’ll save about 40% compared to what you’d spend on normal pads (never mind the organic ones). You also won’t have to worry about dashing out to buy single-use products each month and you won’t be adding to the landfills and water systems. Culturally, period panties still have a long way to go in terms of

September 7, 2023

Seasonal Wellness & Immune Boosters for the Family

We live a fast-paced modern lifestyle where all too often we neglect our health and well-being by not aligning with the correct nutritional support needed to keep our immune systems healthy and functioning, increasing our risk of infections, diseases, and aging. Together with seasonal changes and incremental doses of daily stress we further compromise our immune system, metabolism, mood, allergies, weight, and overall health before we even leave our front door to start our day. Stress reduces your ability to fight viral infections and cancer by up to 50% and acute stress increases the number of neutrophils, which are involved in inflammation and tissue damage by up to 300% increasing the risk of developing autoimmune diseases, such as rheumatoid arthritis and multiple sclerosis, according to the journal Nature Immunology and the Cleveland Clinic. Winter lowers our body temperature, reduces our exposure to sunlight, increases our appetite and decreases our physical activity, all of which lead to lower levels of vitamin D, melatonin, and serotonin in our body, increasing our risk of infections such as colds and flu, as well as respiratory problems, like asthma and bronchitis. Similarly, Spring can trigger allergies and hay fever from the high pollen count in the air. While Summer and Autumn can improve our mood, we must be aware of the risks of dehydration, heat exhaustion, food poisoning, hormonal imbalance, insulin resistance, mood swings and weight gain or loss. We can ensure a better future for our health naturally when we support ourselves and our family with the range of immune boosters and vitamin care from NOW Foods®, which work from the inside out – where it most counts. Simple Steps for Natural Health There is no need to beat yourself up or feel guilty about bad lifestyle habits and nutritional gaps in your diet; add one good habit to your daily routine by topping up with feel-good natural health support every morning to boost your immune system and protect you against seasonal sickness every day of the year. Supplementing with a quality natural immune booster for adults and kids provides the essential nutrients that we may not be getting from food, such as vitamins, minerals, omega-3 fatty acids, probiotics and antioxidants which help us to address specific health concerns and goals. Try NOW Foods® Daily Vits (R219), a vitamin and mineral supplement for hard-working Moms and Dads. Just one capsule a day provides a fruit and veggie blend with Lutein and Lycopene multiple vitamins to help bridge the nutrient gap in our daily diets, filling in the areas lacking in your diet to ensure a broad range of nutritional health; and NOW Kids® Kid Vits (R399) a daily two-a-day chewable vitamin for kids, that support immune health and adds nutrients for bone health and overall well-being. NOW Foods® delivers battle-tested health and wellness supplementation that is competitively priced, and soundly formulated with high-quality natural ingredients that actually save you money. Backed by scientific research, human trials, and multiple certifications from independent organisations, together with strict manufacturing standards, all NOW Foods® ingredients are tested for purity, potency, and identity, and are true to what is listed on the packaging. When you choose NOW Foods®, you are saying yes to high-quality clean ingredients following their global innovation and experience in the health food and supplement industry. For NOW Foods®, natural means products as close to nature as possible, formulated without artificial ingredients and minimally processed. To demonstrate its commitment to natural products, NOW has earned a Good Manufacturing Practices (GMP) certification from the Natural Products Association (NPA) and is also a member of the NPA’s TruLabel Program. NOW’s dedication to testing raw materials through finished products sets them apart and ultimately meets its mission of supporting people to live healthier lives. Being prepared for the season ahead is forethought in action. Start the daily habit of boosting your body for optimum health and energy NOW so you are ready to sail through every stressful or seasonal change. NOW FOODS® IMMUNE SUPPORT GUIDE: WHOLE BODY FUNCTION: Comprehensive Care: Our patented Allibiotic formulation offers a comprehensive herbal combination for a healthy immune system. NOW Foods® AlliBiotic CF™ (R469) is an immune booster formulated with garlic extract, elderberry, olive leaf extract and oregano oil to promote overall wellness. It features a patented formula, ImmunEnhancer™, a prebiotic supplement for supporting healthy intestinal flora, a key component of normal immune function. Respiratory & Immune Health: Quercetin with Bromelain (R749) is a naturally occurring free radical scavenger that supports a healthy seasonal immune system. This complementary combination promotes year-round respiratory health and supports overall seasonal comfort. Bromelain has a long history of use by herbalists and is known to help balance the immune system’s response to environmental challenges. Respir-All with Quercetin (R699.95), Vitamin C, Nettle Extract and Bromelain combines key vitamins, minerals and herbal extracts that nutritionally support healthy respiratory function so you can breathe easy and get your day done. Healthy Liver and Brain: N-acetyl cysteine (NAC) (R449) is a free radical protector with selenium and Molybdenum for cellular health – your protective shield and wellness all-star! NOW’s NAC antioxidant support offers a versatile supplement that promotes overall wellness. It maintains healthy glutathione levels, supports respiratory and bronchial health, supports liver health, and promotes brain function and overall immune support. Metabolism for Skin Health: Biotin 5000mcg (R199), also called Vitamin B7, is necessary for normal growth and body function. All B vitamins help the body to convert food (carbohydrates) into fuel (glucose), which is used to produce energy. They help the body metabolize fats and protein. Like all B vitamins, Biotin is water-soluble, meaning the body does not store it. Biotin forms an essential part of B complex vitamins that are needed for healthy skin, hair, eyes, and liver and help the nervous system function properly. Feel Good Stress Relief: Ashwagandha 450mg (R339.00) is an Ayurvedic Adaptogen used as an “adaptogen”, helping your body adapt to typical daily stress. It promotes relaxation and can promote better overall sleep quality, something everyone needs more

September 7, 2023

BIPOLAR IN TEENS: WHAT ARE THE EARLY SIGNS?

Affinity Health, a leading provider of high-quality health cover, explores what bipolar disorder is, highlights the early signs to watch out for in teenagers, and emphasises the importance of seeking professional help and support. What is Bipolar Disorder and How Does it Affect Teens? Bipolar disorder, formerly known as manic-depressive illness, is a mental health condition characterised by extreme mood swings. During adolescence’s ups and downs, teenagers with bipolar disorder navigate an additional layer of mood swings that can be intense and unpredictable. Their emotional journey becomes a delicate balancing act between moments of exhilarating highs, manic or hypomanic episodes, and deep lows of profound sadness or depression. In general, bipolar disorder affects approximately one in every 200 people globally. It is important to note that bipolar disorder can often go undiagnosed or misdiagnosed, particularly in teenagers, as symptoms may overlap with regular hormonal changes and typical teenage behaviour. The lack of awareness and stigma surrounding mental health issues can also contribute to underreporting and inaccurate statistics. What Causes Bipolar? The exact cause of bipolar disorder in teenagers is not fully understood. However, it is believed to result from a combination of the following factors: Genetics: Bipolar disorder tends to run in families, indicating a genetic predisposition. A family history of bipolar disorder or other mood disorders increases the likelihood of developing the condition. Neurochemical Imbalance: Imbalances in certain brain chemicals, such as serotonin, dopamine, and norepinephrine, are believed to play a role in the development of bipolar disorder. These imbalances can affect mood regulation and contribute to the disorder’s extreme mood swings. Brain Structure and Function: Studies have shown that individuals with bipolar disorder may have structural and functional differences in specific brain areas responsible for emotion regulation and impulse control. These differences can impact the brain’s ability to regulate mood effectively. Hormonal Imbalances: Fluctuations in hormones during adolescence may contribute to the onset of bipolar disorder in some teenagers. The hormonal changes during puberty can affect mood stability and trigger or exacerbate symptoms of bipolar disorder. Certain environmental factors can influence the development of bipolar disorder in susceptible individuals. Traumatic events, chronic stress, substance abuse, and significant life changes can contribute to the onset or recurrence of symptoms. Possible Bipolar Indicators Recognising the early signs of bipolar disorder in teenagers is crucial as it allows for timely intervention and appropriate treatment. The following are some common indicators to be mindful of. Extreme Mood Swings: Adolescents with bipolar disorder may experience intense shifts in mood that are more severe than typical teenage mood swings. These shifts can occur rapidly, with periods of elevated mood, irritability, or euphoria followed by profound sadness or hopelessness. Changes in Energy Levels: Teens with bipolar disorder may exhibit significant changes in their energy levels. During manic or hypomanic episodes, they may display increased energy, restlessness, and impulsivity. Conversely, during depressive episodes, they may feel lethargic, fatigued, and lacking motivation. Sleep Disturbances: Bipolar disorder can disrupt a teenager’s sleep patterns. They may experience insomnia during manic episodes, feeling little need for sleep, or hypersomnia during depressive episodes, sleeping excessively. Changes in Appetite and Weight: Fluctuations in appetite and weight are common in bipolar disorder. Some teenagers may experience increased appetite and weight gain during depressive episodes, while others may have decreased appetite and weight loss during manic episodes. Difficulty Concentrating: Bipolar disorder can affect a teenager’s ability to focus and concentrate, causing them to struggle with completing tasks, maintaining attention, and performing academically. Social Withdrawal or Agitation: Teens with bipolar disorder may exhibit changes in their social behaviours, withdrawing from social activities they once enjoyed or displaying increased irritability, agitation, or hostility towards others. Impaired Judgment: Teens with bipolar disorder may engage in risky or impulsive behaviours, such as reckless driving, excessive spending, or unprotected sex. Their impaired judgment during manic episodes can lead to adverse consequences. “It is important to note that these early signs may vary in intensity and duration from person to person”, says Murray Hewlett, CEO of Affinity Health. “Not all teenagers experiencing these symptoms will have bipolar disorder. However, if these signs persist and significantly impact a teenager’s daily functioning, seeking professional evaluation and support from a qualified mental health provider is crucial. They can conduct a comprehensive assessment, accurately diagnose your teenager, and develop an individualised treatment plan”. Treatment for Bipolar Disorder in Teens Treatment for bipolar disorder often involves a combination of medication, therapy, and lifestyle adjustments to manage symptoms effectively. Parents and caregivers also play a crucial role in supporting teenagers with bipolar disorder. Affinity Health offers the following eight tips to help navigate this challenging journey. Educate Yourself: Learn about bipolar disorder, its symptoms, and available treatment options. Understanding the condition will empower you to provide informed support. Promote Open Communication: Create a safe and non-judgmental environment where your teenager feels comfortable discussing their feelings and experiences. Establish a Routine: Help your teenager establish a consistent daily routine that includes regular sleep patterns, healthy meals, and structured activities. Maintaining a stable routine can help stabilise their mood and provide a sense of predictability. Encourage Self-Care: Teach your teenager the importance of self-care practices such as regular exercise, practising relaxation techniques, and engaging in activities they enjoy. Encourage them to prioritise their well-being and manage stress effectively. Foster a Supportive Network: Help your teenager to connect with supportive peers, join support groups, or participate in activities that promote social interaction. A strong support network can provide validation, understanding, and a sense of belonging. Monitor Medication: If their medication is prescribed, ensure your teenager takes it as directed and schedule regular check-ups with their healthcare provider to monitor its effectiveness and address any concerns. Be Patient and Understanding: Bipolar disorder can be challenging for teenagers and their families. Be patient, understanding, and supportive. Encourage open discussions about their experiences and feelings and be prepared to adapt and adjust as needed. Seek Professional Help: Bipolar disorder is a complex condition, and professional guidance is essential. Consult with mental health professionals specialising in adolescent bipolar disorder to ensure your teenager receives appropriate treatment and support. By being vigilant for the early

September 4, 2023

Fabulous fungi-loaded family meals perfect for both kids and busy parents

Our brand new kid-friendly recipes will have everyone leaving the dinner table happy, healthy and satisfied without feeling bloated.. Plus, they are quick and easy to make: exactly what we want to hear when racking our brains to find the best option for a busy weeknight dinner! Beef & Mushroom Stew with Mini Dumplings Serves 6 Ingredients: Stew: ± 1.2 kg stewing beef 50g flour 2 leeks, washed & sliced 2 medium carrots, peeled & sliced 2 celery stalks, sliced 2 sprigs rosemary 4 sprigs fresh thyme 2 Tbsp tomato paste 2 Tbsp balsamic vinegar 1L beef stock 4 shallots, peeled & halved 500g white button mushrooms, quartered Dumplings: 100g self raising flour 50g butter, cold and cubed Pinch sea salt 1 Tbsp fresh parsley, chopped ± 60ml cold water Olive oil, for cooking Salt and pepper, to taste Method: For the stew: Preheat oven to 160˚C. Heat a drizzle of olive oil in a large heavy-based pot over a medium heat. Place the beef in a bowl, toss with the flour and season well with salt and pepper. Add the seasoned meat to the hot oil and brown all over. Remove and set aside. Heat another drizzle of oil in the same pot. Add the leeks, carrots, celery and herbs. Sauté. Add the tomato paste and cook for a minute. Add the balsamic and stock, making sure to scrape any stuck brown bits off the bottom of the pot. Return the browned beef to the pot along with the shallots. Bring to a simmer, cover and cook in the oven for 2 hours until the meat is fall apart tender. When the stew is almost done cooking, make the dumplings: Place the flour, butter and salt into a bowl. Rub the butter into the flour until it resembles coarse breadcrumbs. Add the chopped parsley and mix well. Add 2-3 Tbsp water at a time and knead into a soft dough. Shape the dough into small balls. Remove stew from the oven. Turn heat up to 180˚C, with the fan on. Stir the mushrooms into the stew. Cover the surface of the stew with the little dumplings, spacing them evenly all over. Cover with the pot lid and return to the oven for 15 minutes. Carefully remove the lid and bake for a further 15 minutes until the dumplings are golden. Scoop the stew into bowls, dividing up the dumplings and enjoy! Beef, Bean & Mushroom Sliders with Homemade Tomato Sauce Makes ± 12-15 sliders, depending on size Ingredients: Patties: 1 x 400g tin black beans, rinsed, drained and lightly mashed 250g portabellini mushrooms, finely sliced 1 large white onion, diced 500g beef mince 50g panko breadcrumbs 2 Tbsp fresh parsley, finely chopped Homemade tomato sauce: 1 x 400g tin tomato purée 40g brown sugar 3 Tbsp red wine vinegar ½ tsp onion powder 1 tsp celery salt To serve: 12-15 white slider buns / mini burger buns (Many bakeries also call these cocktail buns) Mayonnaise Lettuce leaves Sliced tomato Sliced red onion Olive oil, for cooking Salt and pepper, to taste Method: To make the tomato sauce: Place all the ingredients in a saucepan over medium heat. Stir gently until everything comes to a light simmer. Cover and reduce heat to low. Simmer for 15 minutes for the flavours to develop. Taste to adjust seasoning. Cool. For the patties: Preheat a braai to medium high heat. Heat a drizzle of olive oil in a frying pan. Add the mushrooms and cook until golden brown. Add the onion and a pinch of salt. Cook until tender, golden and lightly caramelised. Place in a large bowl. To the bowl add the black beans, beef, breadcrumbs and parsley. Season well with salt and pepper. Mix thoroughly until very well combined. Shape mixture into patties. It is a good idea to check the size of your slider buns and make your patties are just larger than the buns as they will shrink during cooking. Brush patties all over with olive oil and braai until golden brown on both sides. You can also bake them in the oven or cook them on the stovetop. Allow the patties to rest. Build sliders with your favourite burger toppings. Add a generous dollop of homemade tomato sauce to each slider and enjoy! Cheesy Mushroom Macaroni Serves 8 Ingredients: 500g portabello mushrooms 350g macaroni or similar short pasta 500g medium fat cream cheese 100g cheddar cheese, grated 2 tsp Dijon mustard 2 tsp onion powder 1 tsp garlic powder Pinch of nutmeg 1 Tbsp fresh chives, minced 100g cheddar cheese, grated 15g / 3 Tbsp breadcrumbs Salt and pepper, to taste Fresh basil leaves, for serving 28 x 18 cm baking dish Method: Preheat oven to 200˚C, fan on. Place portabellos on a large baking tray, season with salt and pepper. Roast in the middle of the oven for ±7 minutes until tender and juicy. Allow mushrooms to rest, drain off their liquid and slice into large chunks. In a large pot of salted, boiling water, cook the macaroni until al dente. Using a jug, scoop out a generous cup of pasta cooking water and set aside. Drain the macaroni. While the macaroni is cooking, place cream cheese, cheddar, mustard, onion powder, garlic powder and nutmeg in a large saucepan. Switch heat onto very low and allow everything to melt together. When the cream cheese is almost melted, pour in a little pasta water, mixing well until you achieve a smooth silky sauce. Add the drained macaroni and the fresh chives, stir to combine. Keep adding a little extra pasta water to keep things saucy. Finally fold in the large chunks of roasted mushrooms. Taste to adjust seasoning. Scoop mixture into a baking dish and top with remaining cheddar and breadcrumbs. Transfer to the oven and bake for 10 – 15 min until the top is golden brown and bubbling. Scoop into bowls, top with some fresh basil and enjoy! Veggie Loaded Spaghetti Cake

September 1, 2023

Dealing with diabetes

South Africa is the most obese nation in sub-Saharan Africa*. It’s not surprising then that we also have the highest rate of Type 2 diabetes. The danger is that most people are unaware of the risk until they are diagnosed as pre-diabetic or Type 2 diabetics. Diabetes is the third most significant risk factor for disability and early death in South Africa. While 4.5 million South Africans are currently diagnosed with the condition, what’s more alarming is it’s estimated that 61% of diabetics remain undiagnosed. The concern about the number of diabetics is not restricted to our country though. The International Diabetes Foundation predicts that by the year 2040, over 642 million people worldwide will be diagnosed with the disease. Lee Callakoppen, Principal Officer at Bonitas Medical Fund, together with the Scheme’s clinical team talks about diabetes and why a proactive and holistic approach to management of the disease is essential. What is diabetes? It is a disease that occurs when your blood glucose, also called blood sugar, is too high. Insulin – a hormone made by the pancreas – helps glucose from food get into your cells to be used for energy. An overview Type 1 diabetes. Results from the body’s failure to produce insulin, the hormone that unlocks the cells of the body, allowing glucose to enter and fuel them Type 2 diabetes. With Type 2 diabetes, the more common type, your body does not make or use insulin well Pre-diabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. If you are at risk for Type 2 diabetes, you may be able to delay or prevent developing it by making some lifestyle changes Gestational diabetes. Is diabetes diagnosed, for the first time, during pregnancy (gestation) 10 early signs of diabetes The symptoms of diabetes are usually so mild that they can easily go unnoticed. This results in many diabetics being unaware of their condition until they are diagnosed with Type 2 diabetes. Fortunately, diabetes is a manageable condition, especially if diagnosed early. Here are 10 early signs you can look out for: #1 Frequent urination When your blood sugar is elevated, the kidneys can’t keep up with the amount of glucose in your system, allowing some of it to go into your urine. This results in you having to urinate more often than usual. #2 Increased hunger and thirst Diabetics usually don’t get enough energy from their food, which leads to a craving for more food. The frequent urination is also likely to cause dehydration and lead to you feeling thirstier than normal. #3 Pain and numbness If you have Type 2 diabetes, you might experience numbness in your hands and feet. This is usually a sign of nerve damage or diabetic neuropathy and is usually after years of living with diabetes. #4 Dry Mouth A dry mouth is one of the most common symptoms of diabetes. Symptoms may include: Trouble chewing, swallowing or speaking, dry, cracked lips, sores or infections in the mouth or a furry, dry tongue. #5 Blurred vision High sugar levels in the blood can damage the tiny blood vessels in the eyes, causing fluid to seep into the lens of the eye, potentially causing blurry vision. #6 Yeast infections Yeast feeds on glucose, so having plenty of glucose around makes it thrive. Yeast infections usually grow in warm, moist areas of skin, like between fingers and toes, under breasts and in or around sex organs. #7 Slow healing cuts and wounds Over time, high blood sugar levels narrow your blood vessels, slowing blood circulation and restricting much needed nutrients and oxygen from getting to the wounds. As a result, even small cuts and wounds may take weeks or months to heal. #8 Skin discolouration Insulin resistance can cause patches of darker skin to form on creases of the neck, armpits, groin area or over the knuckles. This condition, known as acanthosis nigricans, can be a result of diabetes. The skin in the affected area also becomes thickened. #9 Fatigue Diabetes-related fatigue is caused by fluctuating blood glucose levels resulting in not enough glucose for the body’s energy supply. #10 Weight loss Losing weight without trying to, can be a warning sign of diabetes. When your body can’t get energy from your food, it will start burning muscle and fat for energy instead, resulting in weight loss even though you haven’t changed your eating habits. Holistic treatment and management of diabetes critical Over the past few years, the Council for Medical Schemes (CMS) cited an increased prevalence of chronic conditions, diabetes in particular, as one of the key contributors to a rising disease burden and escalating healthcare costs. ’To offset this growing disease burden and proactively empower patients with diabetes to take control of their health, Bonitas has developed an integrated, holistic programme that is based on the specific needs of members with diabetes,’ says Callakoppen. Diabetic co-morbidities – a higher risk Individuals with diabetes often have other chronic conditions (co-morbidities) – such as high blood pressure, high cholesterol, heart disease and depression. This fact greatly increases the risk of diabetics developing complications such as nerve damage, eye problems, kidney damage as well as problems in pregnancy. To manage diabetes effectively, all the other conditions and complications must be managed as well. A key feature of the Bonitas diabetes programme is that it manages each individual’s unique mix of disease and lifestyle factors, rather than a standard approach to managing a specific disease. Diabetes Management Complications of diabetes must be prevented by ensuring access to proper treatment such as specialised diabetes’ doctors, paediatricians, podiatrists, diabetic educators to help manage the diabetes. Diabetics need to understand their condition and be empowered to make the right decisions to stay healthy. Containing the risk ‘We believe the way forward is an increased focus on prevention, lifestyle changes, coordination of care by doctors and the utilisation of evidence-based disease management interventions,’ says Callakoppen. ‘The Bonitas clinical team uses an innovative Emerging Risk predictive model and screening algorithms

September 1, 2023

Women’s Wellness: How to Achieve Optimal Health for Every Stage of Life

As unique as women are, so are their nutritional needs that constantly change throughout their life stages. Women in general may face silent challenges in maintaining their health and wellness and often experience specific health issues that require special attention and care. With a wide range of supplements, beauty products, and health solutions specially designed for women, Now Foods®, a leading natural products manufacturer, provides a range of specialty vitamins, antioxidants, minerals, amino acids, and enzymes to benefit a woman’s well-being and wellness every day and month of the year. DAILY SUPPORT NOW Women often have busy schedules juggling the many responsibilities life brings, making it difficult to maintain a balanced diet and eat a wide enough variety of healthy foods necessary to provide them with the essential vitamins and minerals to maintain their daily performance. Boost your vitality and stave off that afternoon lag with a daily habit of adding healthy supplementation to your morning cup of coffee. A powerhouse for your immune system, Liposomal Vitamin C, Immune & Collagen Support (with PureWay-C) (R699), demonstrated enhanced absorption, cellular uptake, and bodily retention in clinical studies as compared to other forms of vitamin C. It simply protects you from the onset of autoimmune disorders, is necessary for collagen synthesis, and maintains capillary and blood vessel integrity, cartilage, and bone health against inflammation. It also relieves endometriosis sufferers while enhancing mood and cognitive brain function. Vitamin C is necessary for collagen supplementation to be absorbed into your system, and PureWay-C is certainly the best combination if you’re looking for rapid absorption. Combine it with Now Food’s Super Omega 3-6-9 1000 mg (R449) for a blend of nutritional flax seed, evening primrose, canola, black currant, and pumpkin seed to maintain healthy skin from the inside, normal immune system balance, and proper nervous system function. IMMUNE SUPPORT NOW Whether you are a soccer mom, entrepreneur or business globe trotter, your metabolism can be tested by the variety of people and universal germs you may encounter along the way. Biotin 5,000 mcg supports your Amino Acid metabolism. It boosts your energy production by improving the synthesis of certain proteins, enhancing your immune system and giving you strong nails, healthy hair and a lively skin tone. If you’re looking for a one-world wonder, look no further. Eve™ Women’s Multivitamin (R649) as created to provide women with a natural alternative to mass-market multiples and formulas with synthetic ingredients and questionable additives. EVE™ is a premier women’s multivitamin specially formulated for the vitamin needs of pre-menopausal adult women, featuring unique natural ingredients like evening primrose, cranberry, green tea, horsetail silica, coq10, and more, and is formulated for better GI tolerability. COLLAGEN SUPPORT NOW Yes, there’s more to collagen to just aiding wrinkles. With aging your body might start complaining of morning aches and pains. UC-II Type II Collagen (R769) provides holistic joint health with a patented undenatured type II collagen, which is active in the primary connective tissues of the body, giving flexibility and support to your joints and cartilage. Derived from chicken sternum cartilage, UC-II® has proven in human clinical studies that just one 40 mg capsule per day can help to promote joint comfort, as well as healthy joint function and flexibility so you can stay agile, strong and pain free. Finally, before you step out for the day, add the final touch to your beauty regime. The new Colllagen Jelly Beauty Complex – Jelly Sticks (R499) features VERISOL® Bioactive Collagen Peptides, which have been optimized to maximize collagen production. Enjoy one jelly stick a day for healthy, radiant skin while reducing fine lines and wrinkles within 4 weeks. Available in sweet orange and sweet plum flavours and comes in convenient sachets to enjoy on the go. P.S. Always pair up your collagen supplementation with a high-quality Vitamin C to ensure absorption – our Liposomal Vitamin C, Immune & Collagen Support (with PureWay-C) is ideal. Staying healthy and feminine has never been this easy! DIGESTIVE HEALTH NOW Based on our genetic nature, women are more likely to have irritable bowel syndrome and other gastrointestinal (GI) disorders than men. Chronic digestive problems can be a real pain in the gut and interfere with healthy eating habits or worsen quality of life. Food in the stomach tends to empty into the intestines more slowly in women than in men and this sluggish digestion can make women feel nauseas or bloated. Super Enzymes (R599) can offer a comprehensive blend of enzymes to support healthy digestion. It’s formulated with bromelain, ox bile, pancreatin and papain that helps to optimize the breakdown of fats, carbohydrates and protein. Probiotics are essential for maintaining a healthy gut and preventing and treating digestive problems such as diarrhoea, constipation, irritable bowel syndrome, inflammatory bowel disease, and lactose intolerance. Not only do probiotics balance the levels of good and bad bacteria in our intestines, but they also help us digest certain foods, absorb nutrients, and produce beneficial short-chain fatty acids. Probiotic-10™ (R399) provides ten probiotic strains and is dairy, soy and gluten-free, giving you a balanced spectrum of live organisms to naturally colonise your gut and maintain the integrity of your intestinal lining and detoxification process. Pair it with Now Food’s Optimal Digestive System (R499) of full-spectrum enzymes to further aid the digestion of most foods, including beans and cruciferous vegetables. STRESS & MOOD SUPPORT NOW When we lack time and energy to get things done, we add further stress to the equation. If crisis management seems to be the order of the day, your nervous system can do with some added reinforcement. Mood Support (R469) with St. John’s Wort, provides the nutrients and herbal extracts needed by your nervous system, helping you hold it all together and be more effective with a positive, balanced mood state that helps you to keep winning. You can also add the tonic effect of Rhodiola 500 mg (R649), which helps you adapt to the stress and naturally support your body’s capacity to cope. Rhodiola has been

August 31, 2023

5 clever ways to make toddler mealtimes less stressful

Toddlers can be strong-willed, especially when it comes to sitting down and eating, which can turn mealtimes into a battle of wills. These tips will help make things a little calmer. 1. Understand your limits To minimise mealtime stress, it is important to have a clear understanding of who is responsible for deciding what – and some things, unfortunately, are beyond your control! As the parent of a toddler, you get to decide what food is prepared, when it is served, and where it is served. Your child gets to decide whether they will eat it and how much they will eat, and no amount of fighting and arguing is going to change that. There are, however, some things you can do to encourage them along the way… 2. Watch how you react The methods you use to encourage a reluctant toddler to eat their food plays an important role in their mealtime behaviour. If your child decides they don’t want to eat, do not tickle them, make them laugh, sing or dance to get them to take a bite. If you do this, it might stop them from eating next time, so that they get a little ‘entertainment’ from you. Save your praise for when they do eat – that’s when you can do a happy dance! 3. Stick to their favourites If your toddler is going through a tricky eating phase, hold off on introducing new foods. Instead, save your energy – and minimise waste – by rather serving some of their tried and tested favourites. Our Squish 100% Fruit and Veg Purees come in a variety of naturally delicious flavours, including Apple + Guava, Pear + Prune, Mango + Banana, Butternut + Carrot and Sweet Potato, Apple + Cinnamon. And our Squish Yogi range contains a mix of fruit, veg and double cream yoghurt. All Squish pouches have a convenient resealable lid, so you can just use what you need and save the rest for tomorrow. 4. Step back and see the big picture As parents it is our natural instinct to want our child to enjoy a nutritious, balanced diet, so it is natural that we feel concerned – and frustrated – when they don’t. Force yourself to stop and look at the big picture. Does it really matter if your child skips one meal? If your child is really hungry, they will eat the food that is offered to them. If your child won’t eat breakfast or lunch, make sure you have healthy snacks on hand to offer them later if they decide they are hungry. You’ll find a whole host of naturally delicious snack ideas under the Quick + Easy Recipe tab on the Squish website, all containing Squish 100% Fruit and Veg Puree as a key ingredient. Try these Mini Banana Muffins or Chocolate Popsicles, which are packed full of fruit and yoghurt. Squish 100% Fruit and Veg Purees contain no added colourants, flavouring, and preservatives, and have no added starch or cane sugar. They’re made using quality fresh fruit and veg, which means they’re as good as homemade, but without you having to lift a finger! 5. Ask for their help By getting your little one involved in mealtime prep they might feel more invested in the meal and be keen to taste their culinary creations. Prepare this Cream Cheese Dip and Crudites recipe and get them to mix the dip together, or help them cut cute shapes from their toast with a cookie cutter for this Cheesy Mixed Vegetable Egg Scramble. Even if your child still shuns the meal they helped you prepare, be sure to give plenty of praise for being such awesome kitchen helpers.

August 28, 2023

WHAT IS A “LAZY” EYE?

Amblyopia better known as “lazy eye” occurs when the vision in a child’s one eye doesn’t develop like it should. If it is not treated promptly the brain will only process the picture from the normal eye and learn to ignore the picture from the lazy eye. It is in fact the leading cause of visual impairment in children and affects approximately 2 to 3 out of every 100 children. What are the possible causes? Amblyopia commonly starts when one eye has a much better focus than the other. This can be caused by a number of conditions * such as: Strabismus (squint) –This is the most common cause of amblyopia. It occurs when the eyes don’t line up properly, for example, one-eye turns in towards the nose or it turns out towards the ears. The eyes cannot focus together on an image so the brain compensates by switching off whichever eye produces the fuzziest image. Unequal Refractive Errors or focus – Refractive amblyopia occurs when the brain favours one eye over the other due to extreme near-sightedness, far-sightedness or even astigmatism *. The brain gets a blurry image from the eye with the refractive error and a clear image from the normal eye, so to stop the confusion; it starts to ignore the eye with the blurry image. Vision Obstruction – This is also known as deprivation amblyopia. This occurs when something blocks light from entering a baby’s eye. Common causes include cataracts, scars and blood at the back of the eye. How is it Diagnosed? Amblyopia can be difficult to spot because it doesn’t have any external signs or symptoms and it begins in infancy or early childhood. Because of this some experts recommend that children have their eyes tested at six months, then at three years and again before they start school. Some clues that amblyopia may be present include: Observing a baby’s behaviour when one eye is blocked; if the baby continuously and constantly fusses or cries, it might indicate a vision problem. Squinting eyes can also be another clue that amblyopia may be present. Because amblyopia often affects one eye only, the parents may notice that the child constantly bumps into objects on the affected side.* If amblyopia runs in the family, the child is more likely to get it. Remember, you can’t tell by just looking at a child that they have it, and although these clues might give a suggestion of amblyopia, a full examination is needed to make an accurate diagnosis. This is essential so that prompt treatment can be started to try and prevent irreversible vision loss. How is it treated? The most common form of treatment for amblyopia is to retrain the brain to start using the weaker eye. This is done by firstly correcting any focusing problems with glasses or surgery (when needed) and then wearing a patch over the stronger eye. Sometimes eye drops are also prescribed to blur the image in the stronger eye, forcing the brain to use the weaker eye. What’s the long-term outlook? Amblyopia can lead to problems* if left untreated, such as loss of depth perception or blindness in one eye. If the stronger eye gets injured somehow, then serious problems with visual acuity can follow. With early diagnosis and treatment, most children’s vision will improve. It becomes increasingly difficult to treat after the age of 10 and therefore it is so Important to catch it early!

August 24, 2023

WARM UP YOUR WINTER WITH 10 NUTRITIOUS FOODS FOR A HEALTHY SEASON

As the winter chill settles in, Affinity Health, a leading provider of high-quality healthcare, highlights ten healthy winter foods that can help fortify our immune system, boost energy levels, and promote a healthy lifestyle. “During the winter months, it’s essential to focus on nutrient-rich foods that support our immune system and overall health,” says Murray Hewlett, CEO of Affinity Health. “By including winter fruits, vegetables, whole grains, and lean proteins in our meals, we can fuel our bodies with the necessary nutrients to thrive during the colder months.” Here are the top 10 food recommendations from Affinity Health to help you stay healthy during winter. Citrus Fruits: Bursting with vitamin C, citrus fruits such as oranges, lemons, and grapefruits are winter powerhouses. They boost our immune system and fight off colds and flu. Enjoy them as a snack, or add them to salads, smoothies, or warm herbal teas. Winter Squash: Winter squash varieties like butternut, acorn, and kabocha are rich in fibre, antioxidants, and vitamins. They offer a lovely and hearty addition to winter meals. Roast, mash, or turn them into soups and stews for a dose of nourishing goodness. Dark Leafy Greens: Greens such as kale, spinach, and Swiss chard are packed with essential nutrients like iron, calcium, and vitamins A and K. Incorporate them into soups, stir-fries, or salads for a vibrant and nutritious boost to your winter meals. Root Vegetables: Root vegetables like carrots, beets, and sweet potatoes are earthy and nutritious staples in winter. They are high in fibre, vitamins, and minerals, providing sustained energy and supporting digestive health. Roast, steam, or use them in hearty winter casseroles and stews. Oats: A comforting and versatile grain, oats are rich in fibre, protein, and essential nutrients. Start your winter mornings with a warm bowl of oatmeal topped with fruits, nuts, or spices like cinnamon and nutmeg. Oats provide long-lasting energy and promote healthy digestion. Cruciferous Vegetables: Broccoli, cauliflower, Brussels sprouts, and cabbage belong to the cruciferous vegetable family. They are packed with vitamins, minerals, and disease-fighting compounds. Roast or sauté them to enhance their flavours and reap many health benefits. Soups and Stews: Warm, hearty soups and stews made with nutrient-dense ingredients are perfect for winter. Opt for homemade varieties using seasonal vegetables, legumes, and lean proteins. They provide hydration, nourishment, and comfort during the colder months. Nuts and Seeds: Nuts and seeds, such as almonds, walnuts, chia seeds, and flaxseeds, are excellent sources of healthy fats, protein, and essential nutrients. Sprinkle them on salads or yoghurts, or enjoy them as a snack to boost energy levels and support heart health. Herbal Teas: Warm up from the inside out with herbal teas like chamomile, ginger, or peppermint. They not only provide comforting flavours but also offer various health benefits. Sip on these teas to promote relaxation, aid digestion, and boost overall well-being. Fish and Seafood: Fatty fish like salmon, mackerel, and sardines are rich in omega-3 fatty acids, which support heart health, brain function, and reduce inflammation. Include them in your diet to promote a healthy heart and provide essential nutrients. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our range of healthcare products is designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

August 22, 2023

Breastfeeding Webinar – How to know if baby is full

Sr Ingrid Groenewald explains more about breastfeeding and how to know if baby is full or still hungry.

August 18, 2023

Lifesaving tips every parent should know about

While most parents prefer not to think of their children in potentially life-threatening situations, being prepared and knowing how to respond appropriately in the event of an accident, injury or illness is crucial for the well-being of children. These unexpected events can also place huge financial burdens on families if they are not dealt with quickly, decisively and correctly. For this reason, Bestmed Medical Scheme has introduced Best Care, a life-saving first aid series that offers insights on how parents and caregivers can better care for their families. In this article the brand offers tips on first aid kits, CPR and Wound care in collaboration with some of SA’s best paediatricians. First aid A fully stocked first aid kit is an essential item in every home, but it’s also a good idea to create a mini first aid kit that can be carried in a handbag, diaper bag or in the car for use during an emergency while out and about or on the road to your next holiday destination. According to paediatrician, Dr Enrico Maraschin, having medical tools and medication that can be used to measure and control a temperature is vital. High fevers can be dangerous to the health and wellbeing of little ones if left unattended or not properly treated. It can result in convulsions, which is a stressful event for parents to witness and support their child through. Rehydration solutions, over-the-counter medicines to bind a runny tummy and even probiotics are good items to include in your home first aid kit for children, in case your child is exposed to a virus or bacteria that can cause diarrhoea and sometimes vomiting. Antiseptic creams, bandages to wrap wounds and a small pair of scissors to cut bandages may also come in handy in case of a fall or injury, and keep safety pins, an eye patch and adhesive dressings packed too. CPR Knowing how to resuscitate a child who is choking or having difficulty breathing is a necessary first aid skill that every parent and caregiver should possess, as it could help keep them alive until emergency services arrive. Resuscitation is necessary when a child appears unresponsive, has collapsed or is gasping for air and struggling to breathe. It’s always best, of course, to intercede and assist a child as early on as possible – always take signs of breathing difficulty seriously and don’t wait for the child to collapse before taking action. The first abbreviation to keep in mind is SSS – Safety, Shout and Stimulate. Safety: Look at the immediate environment around you and ascertain whether it’s safe to attend to the child here or if they need to be moved to safety. It might seem simple enough, but in a moment of panic it’s easy to lose sight of this very important step. Shout: Call for help from people nearby, phone the emergency services or get someone to call an ambulance for you. Stimulate: Check if the child is responsive by gently tapping their arm, stroking their face or speaking to them. If the child does not groan or move and is unresponsive, quickly move on to the ABC. ABC is a CPR abbreviation that stands for Airway, Breathe, and Circulation. Airway: Make sure the child’s head and neck are aligned and that their body is positioned in a straight position – don’t let the neck flex as this prevents air from reaching the lungs. Breathe: In the case of infants and babies, place your mouth over their nose and mouth to create a seal. For bigger babies and children, pinch the nose and place the mouth over just their mouth. Circulation: There are three steps involved in this section: Step one: Take a breath and breathe into the mouth, making sure that the chest rises. Step two: Wait for the chest to deflate to normal position Step three: Repeat the first step. You can continue this cycle five times. If the child is still not responsive, move on to chest compressions. While the technique varies between younger and older children, the gist remains the same. For infants, use two fingers or a hand circling technique to apply compressions. For older children who are above the age of one, use one or two hands curled around the other to press on to the breastbone (the same would apply for an adult). Use quick compressions, positioning yourself directly over the chest and keeping the elbows straight. “You need to do the compressions at a rate of 100 to 120 seconds. Singing a song like ‘Staying Alive’ in your head and compressing to the beat will help you to do this,” says paediatrician, Dr Kevanya Coopoo. Alternate between compressions and administering rescue breaths, and continue this until help arrives, the child is responsive, or you are too fatigued. “I always recommend that families go for basic life support courses. Have a look at the Resuscitation Council of South Africa’s website for a range of courses to choose from,” says Dr Coopoo. She adds that this ensures all members of the family are aware of safety practices and are able to help one another in a crisis. For younger children, teach them the phone numbers of emergency services so that they can call for help in an emergency. Wound care Accidents happen, and when they do, they may result in wounds that require proper care and treatment to ensure they heal well. A wound is any break in the skin or injury to the tissue. It can be open (in the case of the skin being penetrated or cut) or closed (if there’s damage to underlying tissue). “If there’s bleeding, compress the wound with a clean cloth or gauze for a few minutes until the bleeding stops. Then rinse off with clean running tap water for a few minutes. Now, clean the wound by using an alcohol-sterilised pair of tweezers to pick out any debris,” says Dr Coopoo. Dr Coopoo adds that the wound would most likely be moist at

August 17, 2023

Emotional Health during pregnancy

Expecting a child is a blessing and an incredible experience, whether it’s your first child or not. Often, focus is mainly placed on the joy that comes with expecting, the long nights ahead or how it will change life as you know it. But we usually don’t emphasise on emotional health during pregnancy when in fact, the reality is that pregnancy can become overwhelming and stressful at times, where you might be going through a rather tough time while the best thing in your life is underway. So how do you identify stress, anxiety and depression during your pregnancy, and very importantly, how do you manage or overcome it? Identifying the signs It is important to be self-aware of your emotions and how you feel from day-to-day, maybe having a journal to keep note of your health might be the right place to start and help you notice any changes – even the subtle ones. There are some key things to look out for to ensure you are aware of triggers related to anxiety and depression: Feeling lonely and sad; Crying a lot; Feeling anxious all the time Fatigue and wanting to sleep Avoiding people and not wanting to socialise Getting through the stress and anxiety during your pregnancy Once you have identified the signs – it’s critical that you address them. How you do this is up to you, and there are a number of options that can be considered, from speaking to someone, going to a professional to get properly diagnosed to identifying your stress areas and working on relieving or finding solutions to better manage these. Even just taking time out to focus on yourself – regrouping, reassessing and realising what you need, and want, can go a long way in helping you get through such times. The process of growing a life can be quite daunting as you are focused on whether you are living your best life to ensure your little one’s growth is healthy. You worry about what you eat, drink and if you are doing enough physical activity to ensure that you are also healthy enough to have the best possible delivery process for you and baby. In some cases, the stress can be severe for expecting moms and ways to manage or deal with the stress and anxiety need to be top of mind – emotional health is probably one of the most important. Start small and maybe opt for a more intimate solution – talk to your partner about what is keeping you up at night and your fears of not doing enough for your unborn child. Your partner – or a good friend – can be your confidant and through doing this, you might find out that he is also stressing about – or has been through – similar or different things. Because you are both being open and sharing your feelings you will find comfort in one another and end-up reducing your stress and anxiety levels. You can also look at solutions or putting some things in place that work for both of you. And of course, it’s always good to know you are not alone in your fears. Additionally, keep these tips in mind when you are feeling overwhelmed: Reduce the time you spend on the internet – researching is great, but don’t get to a point where it consumes your entire life and fuels your paranoia. Take time in the day to meditate – quiet time to clear your mind and thoughts might be just what you need to calm yourself and have a level-head when reacting to situations and new information. Resting is vital – whether it’s sleeping early, taking breaks or going on a short vacation, time away from it all will help you with your stress levels. Try to eat healthy – when you eat healthy it translates to you feeling better about yourself and that way you focus less on negative things. Don’t overload yourself with work – don’t commit to stressful amounts of work, know your limits and plan your tasks accordingly to avoid unnecessary stress and anxiety. How to deal with depression while pregnant Depression is an illness that alters your mood, causing you to feel sad and hopeless. In many cases, it is easier for women who have been diagnosed with depression previously and fall pregnant, to ‘relapse’ into depression as pregnancy can be quite overwhelming. In fact, 1 in 10 pregnant women suffer from Ante-natal Depression so it is essential that expectant moms take care of their mental health and know how to identify the cues. Pregnancy is an amazing thing to experience – enjoy the process of growing a life inside of you and make sure you are self and emotionally aware to notice the little, or big, things robbing you of fully experiencing this time in your life. Ensure that you have a solid support system around you – be it your partner, family or friends. Make your pregnancy journey one to remember and embrace every moment of it!

August 17, 2023

Mental Health In Teens: Top Six Things Parents Need To Know

Affinity Health is a leading provider of high-quality healthcare cover. They say teenage mental illness is more prevalent than parents may realise. It is typical for adolescents to experience moodiness on occasion. But when do teen mood swings mean something more serious, like mental illness? “Teenage mental illness is very prevalent. But many forms of mental disease are treatable. All patients need is an accurate diagnosis,” says Murray Hewlett, Affinity Health CEO. “Untreated mental illnesses hinder children, their friends and family, schools, and communities.” Affinity Health says it is more important now than ever that South Africans address child and adolescent mental health. Learn More: Know the Symptoms of Childhood Mental Illness Here are six things parents need to know about teen mental health. 1. Mental Illness In Teens Is More Common Than You Think At least one in five youth ages nine to 17 has a diagnosable mental health disorder. One in ten has a disorder that causes considerable impairment. Only one-third of these adolescents receive the required care. Half of all significant adult psychiatric problems begin by age 14. But therapy is often not initiated until six to 23 years later. 2. Signs of Mental Illness In Teens Can Differ There are various definitions of mental illness. Physicians use several particular factors to decide if a person has a mental disease. Doctors often look for sadness or disinterest in hobbies and recreational activities. But, in adolescents, symptoms may manifest as follows: Fluctuating grades Social disinterest Volatile moods More criteria may come into play if at least one of these symptoms is present: Having trouble sleeping, such as falling asleep or staying asleep Changes in energy level Alterations in focus or task completion Loss or increase in appetite Decreased motivation Suicidal thoughts A fall in grades Body aches or pains Tearfulness Avoiding friends and social activities Overuse of substances like alcohol or drugs Difficulty perceiving reality (delusions or hallucinations) Intense fear of weight gain or concern with appearance Difficulty understanding or relating to other people A teen mental illness is present if more than five of these symptoms occur every day for at least two weeks. 3. There Are Different Types Of Mental Disorders In Teens Some common teen mental illnesses are anxiety, mood, attention, and disruptive behaviour disorders. Anxiety Disorders Generalised Anxiety Disorder (GAD) Social Anxiety Disorder Panic Disorder Obsessive Compulsive Disorder (OCD) Posttraumatic Stress Disorder (PTSD) Mood Disorders Adjustment Disorder With Depressed Mood Major Depressive Disorder (MDD) Bipolar Disorder Premenstrual Dysphoric Disorder Attention Deficit Hyperactivity Disorder Disruptive Behaviour Disorders Conduct Disorder Oppositional Defiant Disorder 4. Teenage Mental Illness CAN Be Treated Treatment is available for mental illnesses. But, often, parents do not bring their child to therapy until months have passed because they are in denial. Most parents believe that what is occurring to their children is impossible. If you are concerned, you should talk to your child. If there are signs of stress or dramatic behavioural shifts, ask them first. It may not be a psychiatric disorder, but they need your support. 5. Communication With Your Teen Is Beneficial To Their Recovery Maintain open, honest, and consistent communication. Your children should know they can talk to you about anything. But you should also encourage open communication. Discuss your personal experiences and worries as a teenager. Inform them that they are not alone and that their problems are not unique. 6. Certain Meds Can Worsen Mental Disorders Be alert for prescription drug misuse. The following medications are abused: Opioids intended for pain relief Stimulants for attention deficit hyperactivity disorder (ADHD) Depressants for anxiety Sleeping aids These all exacerbate mental health disorders in teenagers. Teenagers also overuse over-the-counter cough and cold remedies. How Affinity Health Can Help At Affinity Health, we strive for early intervention to assist struggling adolescents. We want to assist them with coping before they become lifelong struggles. Although psychologist and psychiatrist visits are not covered, Affinity Health’s Telehealth Consulting provides access to nurses, doctors and mental health practitioners. Contact 0861 11 00 33 for more information. Learn More: Improving the Mental Health of Children and Adolescents

August 16, 2023

How to Sleep Deeply & More Naturally

Sleep can be elusive and stressful simultaneously; those who know will agree that nothing is more frustrating than lying awake in the dead of night worrying about not being able to fall asleep, yet as many as 1 in 3 adults worldwide suffer from insomnia symptoms. There is good reason to worry about not getting enough sleep. Sleeplessness is linked to Impaired memory, concentration, decision-making skills, reduced immune system function, mood swings, irritability, low self-esteem and many other chronic health problems, including heart and kidney disease, high blood pressure, diabetes, stroke, obesity, and depression. If you suffer from insomnia or disruptions to your usual sleep-wake cycle caused by jet lag, shift work, or irregular sleep habits, you don’t need to resort to elaborate or pricey solutions, such as prescription drugs, sleeping pills or expensive gadgets which don’t address the problem of stress, anxiety, pain or inflammation. Happily, medically approved Biomedcan CBD Sleep, derived from the hemp plant, can help you to sleep better naturally. Not only is CBD natural and safe to use, but it is also a proven way to consistently improve your sleep quality and quantity into the future without any concern about side effects. Rather, it works to reduce anxiety, relax muscle tension, ease pain, and promote more restful and restorative sleep when you need it most. How does it work? CBD interacts with your endocannabinoid system, which makes up your immune and nervous system, and regulates your mood, emotions, and stress response, helping to calm your mind and body and easing the worry and fears that may keep you up. It also supports you by regulating your sleep patterns and calming your circadian rhythm, which is your natural sleep-wake cycle, to promote more balanced and consistent sleep models. Entourage Effect Unlike other sleeping aids, CBD does not produce any psychoactive effects, addictions or dependencies, meaning it does not make you high or impair your mind. You also do not need to increase your dose over time for it to continue working, rather the Entourage Effect of CBD (with zero THC included) maximises the active ingredients the longer you take them, thereby working to help you sleep faster and better, naturally. Clinically approved and recommended by pharmacists, Biomedcan CBD sleeping pills combines active ingredients (herbs and minerals) and 20mg CBD isolate per daily dose of 1 capsule with water at least 30 minutes before sleep. The CBD benefits of this highly concentrated health food supplement are recommended in combination with a varied, balanced diet and a healthy lifestyle. Chocolate Dreams For the inner chocoholic in you, Biomedcan has designed an alternative option to taking a pill. The Biomedcan CBD Healthy Dark and Milk Chocolate bars is handcrafted by Von Geusau Chocolates South Africa to deliver the same natural CBD effect. Nibble on your choice of delectable non-addictive dark or milk CBD chocolate from Biomedcan and slip into sweet dreams for a deep, brain-nourishing sleep with zero hallucinogenic effect or hangover. Support Your Loving Self with Good Habits AVOID: In addition to introducing a natural sleep support such as Biomedcan Sleep into your bedtime routine, you can further support your sleep recovery by avoiding caffeine, alcohol, nicotine, and other stimulants, which keep you awake or disrupt your sleep patterns. A study by Journal of Clinical Sleep Medicine found that 400 mg of caffeine taken at 0, 3, or even 6 hours prior to bedtime significantly disrupts sleep. Even at 6 hours, caffeine reduced sleep by more than 1 hour. This degree of sleep loss, if experienced over multiple nights, may have detrimental effects on your daytime function. PREP: When preparing for sleep, limit your exposure to light, avoid using electronic devices, such as phones, computers, or TVs, before bed or in the bedroom, draw curtains and blinds to block out any external light sources, and make sure your bedroom is quiet, cool, dark, inviting and cosy. Avoiding bright light two hours before bedtime will make it easier to fall asleep. Sleeping with a light on interferes with sleep cycles and causes more fragmented sleep, and these downsides may be greatest in the few hours before waking up according to the Sleep Foundation. PAY OFF: It pays off in sleep hours to follow a bedtime routine. Scientists agree that every hour of sleep before midnight is worth two after midnight, so plan to be in bed by between 9 and 10pm latest. Take a Biomedcan CBD sleep capsule and do something calming and enjoyable in bed, such as reading a book, listening to a podcast, meditating, or relaxing in a warm bath. It’s important to avoid stressful or stimulating activities, such as work, homework, or video games. According to one Biomedcan CBD Sleep review, “I have been using it for two weeks now, and I can honestly say that I have never slept better in my life. I wake up feeling refreshed and energized. No more tossing, turning, or waking up in the middle of the night.” MOVE: Regular exercise during the day can also help you to reduce stress, improve your mood and help you to relax in the evening. EXPLORE: You can also explore the range of Biomedcan products that assist in a multitude of benefits, such as Improvement of memory and focus, increased pleasure and skin repair by hydrating, repairing and restoring the balance of your skin. All Biomedcan products are locally produced in a SAHPRA and FDA-approved facility. If you have any questions about Biomedcan products or certifications, feel free to email [email protected]. View the full range of Biomedcan products on www.biomedcan.co.za and on sale at the following retail outlets: Wellness Warehouse, Takealot, Faithful to Nature, CBD store, Vintage & Vogue, Organic Living and certain Dischem stores.

August 16, 2023

A Focus on Food Allergies

Did you know that if one parent has an allergy, there is a 30 – 50% increased risk of a baby also being allergic? And, if both parents are allergic, there is a 60 – 80% increased risk. Yet actual food allergy rates are quite low with just 3 in 100 South African children allergic to peanuts, egg, milk or fish according to a local study. So, if this is actually the case, what is the best way to approach food allergies with our children? Understanding Allergies When we have an allergic reaction, the body’s immune system overreacts thinking that the food is harmful. To protect itself from this suspected invader, the immune system goes on attack and makes antibodies against that food (the soldiers that defend the immune system). The next time the food is eaten, these antibodies are ready for action and make histamine. It is these chemicals that cause allergy symptoms that make us so miserable. Usually an allergic reaction will show up within a couple of hours of eating the food that causes the allergy. Signs and symptoms can range from mild, like watery eyes, a blocked nose, skin rashes, itchiness, or tummy upsets, to more serious issues like breathing troubles. In theory, any food can cause an allergy, but foods like egg, peanuts, tree nuts, wheat, cow’s milk, soy, fish, shellfish, and sulphites are the most common culprits. In some countries other foods are also considered allergens, such as sesame seeds, lupin, mustard, and celery. Rates of food allergies vary for each food though. For example, a cow’s milk allergy (also called a cow’s milk protein allergy or CMPA) affects between 2 – 6 % of children and an egg allergy up to 17%. Don’t Delay, Allergen Away Registered dietitian, Monique Piderit says: “Many parents worry about introducing allergens to their little ones. Yet did you know that waiting too long can increase the risk of developing an allergic reaction? Many studies support that there is no benefit in delaying the introduction of potential allergens. And what’s more, many of the potential allergenic foods provide great nutritional benefits for our children. Milk, for example, has muscle-strengthening protein, bone-building calcium, magnesium and phosphorus, and other important nutrients like vitamin A, zinc, potassium, and the vitamins B2 and B12. Milk is also used to make other foods much-loved by babies, children and adults alike, like yoghurt, maas and cheese.” This is why healthcare professionals suggest that the benefit of including these foods in a healthy and balanced diet is far greater than the very small, potential risk of a reaction. Out With The Old (Allergy), In With The New Great news – it is entirely possible for babies and children to outgrow a food allergy. This is because allergies to foods like cow’s milk is highest in the first year of life, with most children outgrowing the allergy by age 3 – 5. So go ahead and offer up the allergens to your babies and children. Stir maas into the morning porridge, offer up yoghurt as a convenient and tasty snack, and let your little one practice their pincer grasp with finger foods like grated cheese. To find out more about the difference between milk allergy and lactose intolerance visit the Rediscover Dairy website: https://www.rediscoverdairy.co.za/kb/what-is-the-difference-between-milk-allergy-and-lactose-intolerance-2/

August 15, 2023

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pvc_visits[0]	1 day	This cookie is created by post-views-counter. This cookie is used to count the number of visits to a post. It also helps in preventing repeat views of a post by a visitor.
tk_ai	session	Gathers information for WordPress by themselves, first party analytics tool about how WP services are used. A collection of internal metrics for user activity, used to improve user experience.