Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Nipping allergies in the bud

Spring has sprung and while most of us welcome the warmer weather and seeing blossoms on trees, carpets of wild flowers and new buds, millions of people dread this time of the year because of seasonal allergies. In fact, around 27% of the world’s population suffer with seasonal allergies twice a year – during spring and autumn. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, gives us the low-down on seasonal allergies: What they are, how they can impact your life, avoiding triggers, how to alleviate the symptoms and when to seek help. What are seasonal allergies? Often referred to as hay fever or allergic rhinitis, these are triggered by airborne allergens, which are tiny particles that enter the body through the respiratory system. These particles include pollen released by trees, grass and weeds, mould spores and dust mites. When these allergens enter the body, the immune system mistakenly identifies them as harmful and releases chemicals, such as histamine, to fight them off. The symptoms Symptoms can last for a few weeks to several months, depending on the severity of your allergies and the length of the pollen season. Most common are: Sneezing Runny or stuffy nose Itchy or watery eyes Coughing or throat irritation Sinus pressure and headaches Fatigue Postnasal drip Ear congestion Less common symptoms include: Headaches Shortness Of Breath Wheezing Coughing If you suffer from asthma as well as hay fever, it is very likely that the seasonal allergy may trigger an asthma attack. Dr Hadebe advises asthma sufferers to take extra precautions and to carry an asthma pump. Impacting your life ‘Whatever the cause of your seasonal allergy, it can make you feel miserable,’ says Dr Hadebe. ‘Allergies can leave you feeling drained and exhausted. ‘This is usually because of disrupted sleep due to congestion and sinus issues, decreased productivity at work or school from fatigue and poor concentration, curtailed socialising by avoiding outdoor activities and compromised quality of life for those with asthma, as allergies can worsen respiratory symptoms. ‘They can cause significant discomfort, disrupt daily activities and your quality of life.’ Try over-the-counter remedies (OTC) Your pharmacist can recommend several types of non-prescription medications to help ease your allergy symptoms. Antihistamines are the first line of defence in treating seasonal allergy symptoms. They work by blocking the action of histamine Decongestants help to relieve a stuffy nose by shrinking the blood vessels in the nasal passages. However, decongestants may raise blood pressure and should be used cautiously by people with cardiovascular conditions Nasal sprays can help reduce inflammation in the nasal passages and relieve congestion Eye Drops can relieve itching, redness and watery eyes Saline Nasal Irrigation. Using a saline rinse can help flush out mucus and allergens from your nose providing relief from congestion and a postnasal drip When to see a doctor While most seasonal allergies can be managed with OTC treatments, there are times when professional medical advice is needed. You should consider consulting a doctor if: Symptoms persist despite using OTC medications regularly You have breathing difficulties, particularly if you have asthma. Sinus infections or other complications develop You experience severe reactions such as hives or swelling after exposure to allergens ‘Your doctor may prescribe stronger or more personalised treatment,’ explains Dr Hadebe. ‘Immunotherapy, in particular, can provide long-term relief by gradually desensitising the immune system to allergens.’ Managing season allergies Beyond medications, there are lifestyle changes you can make to minimise your exposure to allergens and reduce symptoms: Stay indoors during high pollen counts, especially in the morning when levels tend to peak Use air purifiers with HEPA filters to remove allergens from indoor air Shower and change clothes after spending time outside to remove pollen from your body and clothes Close windows in your home and car to keep pollen from entering Monitor allergy forecasts and take preventative measures when pollen levels are high If all else fails If your seasonal allergies are really bad and nothing else seems to work, your doctor may recommend that you have skin or blood tests to find out exactly what triggers your symptoms. This can help determine what steps you need to take to identify which treatments are likely to work best for you. ‘Seasonal allergies are a common but manageable condition,’ says Dr Hadebe. ‘With the right combination of OTC medications, lifestyle adjustments and, in some cases, professional medical advice, you can reduce the impact allergies have on your life. Always pay attention to your body’s response and don’t hesitate to seek medical advice if your symptoms worsen or persist, despite treatment.’

September 27, 2024

Pregnancy, your body and your baby – week 35 of your pregnancy

You are now 5 weeks away from your due date, should everything go according to plan. This can be both an exciting and nerve-wrecking time, especially if this is your first pregnancy and you’ve never experienced birth first hand. Your body at week 35 At week 35 you’ll probably be feeling tired and heavy – your body will probably be feeling the strain of growing a baby. Frequent urination, lower back and abdominal pain, constipation, Braxton Hicks contractions, tender breasts and trouble sleeping are all normal symptoms at this time. When your baby moves further down into your pelvis (to get ready for birth) you may notice that your shortness of breath improves. While this may help your breathing, it probably won’t help your frequent need to urinate. Your baby moving down is known as lightening or dropping. Your baby at week 35 Your baby is now roughly the size of a pineapple or melon, has lungs that are almost developed, and a brain and nervous system that are still developing. The musculoskeletal system and the circulatory system are fully developed at this point, and if your baby was born premature they will have a very good chance of survival. Babies born between 34 and 37 are called late preterm, and while they may look like a smaller full term baby there are some challenges that they’ll face being born earlier. Your baby will also start to move into position for birth around this time, moving down into your pelvis. Things to keep in mind at week 35 During the third trimester it is recommended that you go for a group B streptococcus test. Although this is a common bacteria in the gastrointestinal tract, it can be harmful to newborns. If your test is negative you won’t need to do anything, however, if you are positive you’ll be given antibiotics during labour which will lower the risk of your baby contracting early-onset GBS.

September 23, 2024

Pregnancy, your body and your baby – week 34 of your pregnancy

You have now reached week 34 of your pregnancy. Your birth date is ticking closer and closer, it’s less than two months away now. During this week your baby may drop lower into your abdomen, getting ready for the big day. Your body in week 34 Your body may be feeling the strain of your growing baby. Your breasts are becoming fuller as you approach the final stages of your pregnancy, which could mean they are feeling tender and itchy as the skin stretches. Be sure to invest in a supportive bra to help with the discomfort. Your back and pelvis may also be feeling the strain, and this is generally accompanied by shortness of breath. Leg cramps, worry about your pregnancy and the frequent urge to use the bathroom can mean that your nights are lacking in sleep, leaving you feeling tired and drained during the day. A pregnancy pillow is one way which can help you feel more comfortable at night. Something else to keep in mind, is to be aware that your pregnancy hormones will have made your ligaments looser and muscles more relaxed, so take care when exercising so as to avoid injury. Your baby at week 34 Your little one is getting bigger, and is now roughly the size of a melon. The space inside your womb is also getting tighter, and you might see a little hand or foot pushing a bulge into the side of your belly when they kick. Things for you to keep in mind at week 34 Whether it’s a home birth or hospital that you have chosen, make sure that you feel familiar and comfortable with the process to eliminate any unexpected surprises. If you’ve chosen a hospital, make sure you know which buildings and rooms you need to be in beforehand, and make sure you know where the emergency exit is, just in case. The same goes for the prep of a home birth, ensure that you have a solid back up plan, should anything go wrong during the process.

September 16, 2024

Pregnancy, your body and your baby – week 33 of your pregnancy

You now are in your thirty third week of pregnancy, and at the end of this week you’ll only have 7 more left to go (that’s just under two months!). You are probably often thinking of how your life is going to change with the newest addition to your family, and your sore and aching body serves as a constant reminder of what big changes are on their way. Your body at week 33 Your body may be feeling tired and run down. Pain and discomfort are fairly normal to you, and your body has changed significantly since week 1 of pregnancy. Common pregnancy symptoms at this time are shortness of breath, forgetfulness, constipation, heartburn, leg cramps and a sore back. Your baby at week 33 Your little one is now developing their own immune system, thanks to the antibodies being passed from you to them – enabling them to fight off germs once they are born. All five senses have developed now, and your baby can both hear and see (changes in light) in your belly. Their eyes stay open more regularly while awake and they are able to coordinate sucking and swallowing – an important skill to have once born. Things to keep in mind at week 33 You may notice that you feel irregular contractions from time to time, and these are known as Braxton Hicks contractions. However, it is a good idea to be aware of the difference between Braxton Hicks and the real deal. Braxton Hicks contractions are normally sporadic, irregular and don’t last long periods of time. These false labour pains aren’t painful and they may even stop when you change position or start doing a different activity. True labour contractions in contrast come in regular intervals and the contractions get stronger and closer together as time passes. The contractions won’t go away if you change your position and the pain from these contractions can be felt throughout your abdomen and lower back. If you go into labour before 37 weeks this is known as preterm labour. If you think you are going into preterm labour, call your doctor immediately, as they can do alot to delay your delivery. Treatment for preterm labour isn’t guaranteed to work but it can help you stay pregnant longer – and therefore increase the likelihood that your little one is born healthy and happy.

September 9, 2024

Pregnancy, your body and your baby – week 32 of your pregnancy

You officially have 8 weeks until delivery, but this is likely not to be exact, as many babies aren’t born on their due dates. Your body may be feeling sore and tired, thanks to the strain your growing little one puts on you. Your body at week 32 As you get closer to delivery day, you may notice more frequent Braxton Hicks contractions, which is just your body’s way of preparing for the real-deal. Your feet and ankles may be swollen and your back and pelvis are probably taking strain. Constipation, shortness of breath, fatigue, a sore mouth and leg cramps are also all common pregnancy symptoms at this time. Look after yourself (and your baby) and don’t be afraid to ask for help or to put your feet up for some well earned rest – growing a baby is hard work! Your baby at week 32 Your little one is now roughly the size of a melon and they are practicing breathing, sucking and swallowing to prepare their body for the outside world. Your baby is also busy shedding the lanugo, which is the fine hair covering their body. Most of it will be gone by the time they are born, although some babies are born with some lanugo covering parts of their body. Your baby’s finger and toenails are also growing – you may even find them fairly long when they are born. Things to keep in mind at week 32 of your pregnancy You may be wondering how realistic your due date is, although pregnancies are 40 weeks long, as little as 5% of moms give birth on their due date. Most women give birth to their babies between week 37 and 42, although about 11% of moms-to-be deliver prematurely. If you don’t go into labour within a week of your due date, you will most likely have a nonstress test which monitors your baby’s heart rate and checks they are reacting normally to stimuli. When you hit 42 weeks, your doctor may induce labour.

September 2, 2024

Strokes in children and adults under 45

Strokes, often associated with older adults, can also affect young people. Understanding the causes, risk factors, symptoms and preventive measures is crucial for addressing this serious health issue. It is considered to be an early stroke if the person is younger than 45 – although not as common as older people, about 10-15% of strokes occur in children and adults under 45. Unfortunately, that number is rising. A stroke changes your life in an instant and, although survival rates are high, around two-thirds of stroke survivors live with a disability. Dr Themba Hadebe, Clinical Executive with Bonitas Medical Fund, takes a look at some of the causes and risk factors associated with strokes as well as symptoms, treatment and preventative measures. What is a stroke? There are two main causes of stroke: Ischemic (caused by a blocked artery in the brain) and haemorrhagic (related to bleeding in the brain). A stroke may strike seemingly out of nowhere but, approximately 12% of patients may have only a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA) or mini stroke up to 90 days before a full-blown stroke. TIAs may cause symptoms similar to an intense migraine when a clot temporarily blocks a blood vessel but gets dislodged. And a silent stroke? According to Harvard Medical School, ‘A silent stroke refers to a stroke that doesn’t cause any noticeable symptoms. Most strokes are caused by a clot that blocks a blood vessel in the brain, preventing blood and oxygen from reaching that area, resulting in brain cells dying. Depending on the location of the clot, this can cause symptoms such as weakness in an arm or leg, trouble speaking or seeing. Sometimes, the area of damage is small and occurs in a part of the brain that doesn’t control any vital functions, so the stroke remains undetected. Causes and risk factors ‘There are a number of genetic conditions that can lead to a stroke,’ explains Dr Hadebe. Hereditary conditions, such as sickle cell disease or connective tissue disorders Heart problems: Congenital heart defects, arrhythmias or infections like endocarditis Blood vessel abnormalities: Conditions like arteriovenous malformations (AVMs) or aneurysms Blood clotting disorders: These can lead to the formation of blood clots that travel to the brain Infections and inflammatory conditions: Certain infections (like meningitis) or autoimmune conditions (like lupus) can cause inflammation and increase stroke risk Hormonal factors: Use of oral contraceptives, particularly in combination with smoking Trauma: Head or neck injuries can damage blood vessels, leading to a stroke He also lists some lifestyle factors that can add to the risk of having a stroke: Smoking Diabetes High cholesterol Heart disease Alcohol Obesity High blood pressure Lack of exercise Unhealthy diet Drug abuse (especially cocaine and methamphetamines) Signs and symptoms ‘The symptoms of a stroke in young people are similar to those in older adults,’ says Dr Hadebe. ‘In the youngest of stroke patients, congenital heart abnormalities or heart valve problems that lead to clot formation can cause a stroke. Most important is identifying a stroke and getting medical assistance quickly, the sooner you get treatment the better your chances are of survival and making a full recovery.’ He says you need to BE FAST when remembering stroke symptoms. Balance – trouble walking, dizziness or lack of coordination Eyesight changes – trouble seeing in one or both eyes Facial drooping Arm weakness, especially on just one side Speech difficulty – confusion and trouble speaking Time to get to hospital Women may experience other seemingly unrelated signs of stroke, such as difficulty breathing, general weakness, fainting, hallucinations or nausea and vomiting. Treatment for a stroke An IV injection of recombinant tissue plasminogen activator (TPA) is the gold standard treatment for ischemic stroke. It breaks up the blood clots that block blood flow to your brain however, this type of medication must be given within 3 hours after stroke symptoms start. In cases of haemorrhagic stroke, surgery might be needed to repair blood vessel abnormalities. Recovery time Every stroke is different, the quickest recovery takes place in the days and weeks immediately afterwards but can continue for months and years. For all patients, the recovery process involves making changes in the physical, social and emotional aspects of their life. The injury to the brain can lead to widespread and long-lasting problems with rehabilitation and long-term support needed to help regain as much independence as possible. Brain exercises can help survivors regain thinking, reasoning and memory skills. Other activities include eating a heart-healthy diet, getting regular exercise and limiting alcohol consumption. Mitigating the risks A healthy lifestyle – no matter what your age – that includes regular exercise and a balanced diet can certainly reduce, if not minimise, the risk of having a stroke. Dr Hadebe says, ‘Many strokes can be prevented. Make sure you go for wellness screenings to check your blood pressure and cholesterol levels and work with your clinician to control health conditions that raise your risk. Being aware of the symptoms and following a healthy lifestyle can possibly prevent a stroke from happening in the first place.’

August 21, 2024

Advice from the experts

The Impact of Screen Time on Children’s Physical Development

In recent years, the proliferation of digital devices such as smartphones, tablets, computers, and televisions has significantly increased the screen time of children worldwide. While these technologies offer educational and entertainment benefits, excessive screen time can negatively impact children’s physical development. This article explores how screens affect children’s eyes, brain development, and sleep. Effects on Vision Digital Eye Strain One of the most immediate physical effects of excessive screen time is digital eye strain, also known as computer vision syndrome. Symptoms include dry eyes, blurred vision, headaches, and difficulty focusing. These issues arise because children, like adults, tend to blink less frequently when staring at screens, leading to dry eyes and discomfort. Moreover, prolonged focusing on screens can strain the eye muscles, causing fatigue. Myopia (Nearsightedness) There is growing concern about the link between screen time and the increasing prevalence of myopia among children. Research suggests that prolonged near work activities, such as reading or using digital devices, may contribute to the development and progression of myopia. A study published in the journal Ophthalmology found that the prevalence of myopia has increased significantly over the past few decades, partly due to lifestyle changes that include more screen time and less time spent outdoors. Outdoor playtime is crucial for eye health, as exposure to natural light and the opportunity to focus on distant objects can help prevent myopia. Encouraging children to take regular breaks from screens and spend time outside can be beneficial in mitigating this risk. Impact on Brain Development Cognitive Development Screen time can have both positive and negative effects on cognitive development, depending on the content and duration of exposure. Educational programs and interactive apps can support learning and skill development. However, excessive or inappropriate screen time can hinder cognitive growth. Studies indicate that children who spend too much time on screens may have difficulty developing critical cognitive skills, such as attention, memory, and problem-solving. The rapid shifts in attention required by fast-paced video games and shows can lead to shortened attention spans and reduced ability to concentrate on tasks that require sustained focus. Social and Emotional Development Excessive screen time can also affect social and emotional development. Children who spend significant time on screens may miss out on important face-to-face interactions with family and peers, which are crucial for developing social skills, empathy, and emotional regulation. Furthermore, exposure to inappropriate content or excessive use of social media can lead to increased anxiety, depression, and a distorted self-image. Effects on Sleep Disruption of Sleep Patterns One of the most well-documented effects of screen time on children’s physical development is its impact on sleep. The blue light emitted by screens interferes with the production of melatonin, the hormone responsible for regulating sleep-wake cycles. This disruption can lead to difficulty falling asleep, reduced sleep quality, and shorter sleep duration. A study published in the journal Pediatrics found that children with more screen time, especially in the evening, were more likely to experience sleep problems. These issues can have cascading effects on physical health, cognitive function, and emotional well-being. Sleep Deprivation and Its Consequences Sleep deprivation in children can result in various negative outcomes, including impaired academic performance, mood disturbances, and a weakened immune system. Lack of sleep can also contribute to obesity, as it affects hormones that regulate hunger and appetite. Ensuring that children have a consistent bedtime routine and limiting screen time, particularly before bed, can help promote better sleep hygiene. Strategies for Managing Screen Time Given the potential negative impacts of excessive screen time on children’s physical development, it is crucial for parents and caregivers to implement strategies to manage screen use effectively. Here are some recommendations: Set Limits: Establish clear guidelines for screen time, ensuring that it is balanced with other activities such as outdoor play, reading, and family interactions. The American Academy of Pediatrics recommends that children aged 6 and older have consistent limits on the time spent using media, while children younger than 6 should have no more than one hour of high-quality programming per day. Encourage Outdoor Activities: Promote outdoor play and physical activities to support overall health and reduce the risk of myopia. Time spent outside allows children to engage in physical exercise, socialize with peers, and experience natural light, all of which are beneficial for physical and mental well-being. Create Tech-Free Zones: Designate certain areas in the home, such as the dining room and bedrooms, as tech-free zones to encourage family interactions and promote healthy sleep habits. Model Healthy Habits: Parents and caregivers should model responsible screen use, demonstrating balanced media habits and prioritizing face-to-face interactions. Choose Educational Content: Select age-appropriate, educational content that supports learning and development. Co-viewing programs and engaging with children about the content can enhance the learning experience and provide opportunities for discussion. Monitor and Discuss Content: Be aware of the content children are exposed to and engage in open conversations about what they see and how it affects them. This can help children develop critical thinking skills and understand the impact of media on their thoughts and emotions. While screens are an integral part of modern life, it is essential to be mindful of their impact on children’s physical development. By understanding the potential risks associated with excessive screen time and implementing strategies to manage screen use, parents and caregivers can help support healthy growth and development. Encouraging a balanced approach to screen time, combined with outdoor play and face-to-face interactions, can promote children’s physical, cognitive, and emotional well-being in the digital age.

August 16, 2024

The lowdown on diabetes in children and teenagers

The diagnosis of type 1 diabetes in children can be overwhelming, especially in the beginning. Suddenly you and your child – depending on your child’s age – must learn how to count carbohydrates and monitor blood sugar levels and give injections. But even though there is no cure, it can be managed. Diabetes is a chronic disease, characterised by high levels of blood glucose. ‘In type 1 diabetes your immune system, the body’s system for fighting infection, attacks and destroys the insulin-producing cells of the pancreas,’ explains Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘It can lead to serious damage to the heart, blood vessels, eyes, kidneys and nerves. However, advances in blood sugar monitoring and the delivery of insulin have improved blood sugar management and quality of life for children with type 1 diabetes.’ Statistics currently show that there are close to 5 000 adolescents that live with Type 1 diabetes in South Africa. Type 1 diabetes can be either: Hyperglycaemia: When your blood sugar levels are too high. It is the hallmark of diabetes onset and it usually continues to occur on and off after you start treatment Hypoglycaemia: Sugar levels are too low. This usually occurs as the result of diabetes treatment, particularly insulin administration which lowers blood sugar How does diabetes in children and adolescents start? It can come on suddenly or gradually in children and teens and parents often aren’t aware of the symptoms or patterns that point to a potential diabetes diagnosis. Symptoms may be similar to those of flu but, if diabetes is the cause, the sooner it’s diagnosed, the better. Symptoms of Hyperglycaemia: High blood sugar Increased hunger The body’s cells are not able to utilise glucose for energy due to a lack of insulin or insulin resistance, leading to a craving for more food. Dry mouth: A dry mouth is one of the most common symptoms which can cause trouble chewing, swallowing or speaking, dry cracked lips, sores or infections in the mouth or a furry, dry tongue Frequent urination (especially at night): Excess glucose in the blood spills into the urine, drawing water with it and increasing the frequency of urination. This in turn increases thirst Weight loss: Despite increased food intake, the body starts breaking down fat and muscle for energy, due to the lack of insulin Fatigue: The body’s cells cannot use glucose for energy efficiently, leading to feelings of tiredness and fatigue Blurry vision: High sugar levels in the blood can damage the tiny blood vessels in the eyes, causing fluid to seep into the lens, potentially causing blurry vision Slow-healing sores or frequent infections: 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 Fruity-smelling breath: The breakdown of fat for energy produces ketones, which can cause a fruity smell in the breath Ketoacidosis: This is when blood sugar levels are very high and the body starts making ketones. It is a very serious condition that needs immediate in hospital treatment, sometimes in the intensive care unit. If not treated right away, there is a risk for diabetic coma. A child with a diabetic coma loses consciousness because of brain swelling due to very high blood sugar levels Symptoms of Hypoglycaemia: Low blood sugar Trembling: Low blood sugar levels trigger the release of adrenaline, which causes shakiness Sweating: The body’s response to low blood sugar includes releasing adrenaline, which can cause sweating Hunger: The brain detects low blood sugar and signals the body to eat Irritability or moodiness: Low blood sugar levels can affect brain function, leading to mood changes Fatigue: The brain and muscles are deprived of glucose, leading to feelings of tiredness Paleness: The body’s stress response to low blood sugar can cause blood vessels to constrict, leading to paleness Headaches: The brain is sensitive to changes in blood sugar levels, low levels can cause headaches How is type 1 diabetes treated? A daily dose of insulin is needed to keep the blood glucose level within normal ranges. Insulin is given either by injection or via an insulin pump. Your child’s healthcare provider will show you how to give your child insulin with either method. Dr Hadebe says, ‘to make it easier for children and adolescents to monitor glucose levels and administer insulin the Scheme offers Insulin Pump Therapy and Continuous Glucose Infusion Monitoring device (CGM) to members under the age of 18.’ Eating the right foods to manage blood glucose levels. This includes timing meals and counting carbohydrates Exercise Regular blood testing Regular urine testing for ketone levels How can I help my child live with type 1 diabetes? The diagnosis affects the entire family emotionally – there are various support groups and organisations for children with Type 1 diabetes and their families. A younger child may not understand all the life changes, such as glucose monitoring and insulin injections, this can lead to anxiety and depression. They may feel different from their peers, try to treat them as a normal child, with managing diabetes as just one aspect of their daily life. Ask your healthcare provider for more information and call them if you need help. Also ensure they are following the treatment plan and are eating the right foods, exercising and testing their blood and urine. Early detection and comprehensive management are key to ensuring children with Type 1 diabetes lead healthy, fulfilling lives. Remember that your GP is your first port of call for all your healthcare needs.

August 15, 2024

Pregnancy, your body and your baby – week 30 of your pregnancy

You now officially have ten weeks left of your pregnancy, this can be both an exciting and overwhelming realisation, and feelings of anxiety during this time are normal. Your little one’s kicks and growing baby bump are reminders that your due date is increasingly getting closer. Your body at week 30 Your back and feet may be increasingly getting more painful as your baby grows in size. Swollen ankles and feet are normal, so remember to give yourself some time to put your feet up and invest in some comfortable footwear. Bloating, constipation and stretch marks are normal at this point in your pregnancy. The fatigue you felt in your first trimester may be returning. You could be struggling to sleep at night, which will leave you feeling drained during the day. Don’t be afraid to ask for help at this time, you’ll need extra hands now and after your baby has been born. Your baby at week 30 As your delivery date grows closer, your baby is constantly growing in size, and at this point she is roughly the size of a cabbage. Your little one is also prepping for the big day and they should have (or will be soon) changed position, facing head down with their face towards your back (known as the occipito-anterior position) – ready to enter the pelvis. This is the ideal position for birth, however it is possible for your baby to be lying another way inside you. Some babies will only turn this way closer to your due date. Things to keep in mind at week 30 It’s normal to feel anxious about your approaching delivery. Going to antenatal or birth classes can help you feel more prepared for what is to come. Do exercises that can help you prepare your body for what it will go though, certain yoga and pilates positions can strengthen your muscles and help make the process quicker and smoother. If you find that your anxiety is overwhelming, chat to a health professional, as you may be experiencing antenatal anxiety. This is nothing to be ashamed about, and is something that can be managed with the help of professionals.

August 14, 2024

How Tissue Salts Can Help During Pregnancy

Pregnancy is an incredible journey, but it can come with a few annoying discomforts, especially when we’re having babies later in life. Natura Tissue Salts can help alleviate some common issues associated with pregnancy, making the experience more comfortable and enjoyable. The Benefits of Tissue Salts Our bodies, which might have breezed through pregnancy in our 20s, face new challenges as we enter our 30s and 40s. Our skin’s elasticity decreases, making us more prone to stretch marks and other little joys. But don’t worry, there’s hope with tissue salts! Tissue salts, like those offered by Natura, are biochemic remedies that address various health concerns. Developed in the 19th century by Dr Wilhelm Schuessler, tissue salts encompass 12 essential minerals necessary for proper cell function and health. These mineral-based supplements help maintain and restore the elasticity of our skin and connective tissues. Calc Fluor: Your Skin’s Best Friend Meet Tissue Salt #1, Calc Fluor. It helps keep skin and connective tissues elastic, which is crucial during pregnancy as your skin stretches to accommodate your growing baby. Start taking Calc Fluor as soon as possible, or, if you can, before you’re even pregnant, to help reduce the formation of stretch marks and keep your skin healthy and happy. Tackling Haemorrhoids Stretch marks aren’t the only issue pregnant women may encounter. Haemorrhoids can be a real pain in the, well, you know… In your last trimester, your body ramps up progesterone, slowing down the contractions of your uterus and, unfortunately, your colon. This slow-down can cause constipation, leading to haemorrhoids. Calc Fluor can help strengthen blood vessel walls, reducing the likelihood of developing haemorrhoids. Fighting Colds and Sniffles Lastly, let’s talk about colds and sniffles. Being pregnant seems to make you a magnet for them, especially if you’re around runny noses. Many over-the-counter meds are off-limits, which can be frustrating. Enter Tissue Salt #4, Ferrum Phos. It supports your immune system and reduces inflammation, helping fight off infections. By taking Ferrum Phos at the onset of symptoms, you can reduce the severity and duration of colds and sore throats. How to Incorporate Tissue Salts Into Your Routine Tissue salts are gentle, non-toxic, and have no known side effects, making them an excellent choice for pregnant women. Dissolve the tablets under your tongue for best results. To support skin elasticity and prevent stretch marks, take Calc Fluor twice daily throughout your pregnancy and for a few months afterward. Increase the dosage to three times a day for haemorrhoids, stay active hydrated, and consume a fibre-rich diet. Just a heads-up: Natura Tissue Salts are made with a lactose base, so if you’re sensitive to lactose, it’s a good idea to consult with your health professional before starting them. When you feel the onset of a cold or sore throat, take Ferrum Phos every 15 minutes until symptoms subside. You can also take it as a preventive measure if you’re exposed to others who are sick. For further information on the Natura Tissue salts range, please visit the Natura website https://natura.co.za/natura-best-of-the-best/tissue-salts-range/. If you have any queries, or need advice on which Tissue salts to use, please send an email to: hello@natura.co.za. Follow Natura on our socials: Facebook, Instagram and TikTok.

August 12, 2024

Nighttime tricks to help your child sleep when sick

As parents, we know how challenging it can be when our little one battles with colds and flu. Disrupted sleep, nasal congestion, and discomfort can make nights feel endless. Not only is your little one suffering the symptoms of being congested, but as parents we are also trying to navigate exhaustion and stress while being their cold fighting “heroes”. “A child who can’t sleep at night because they can’t breathe properly due to a blocked nose will become frustrated and irritated, and nothing you do will seem good enough,” explains Bronwyn Ragavan, brand manager for Karvol. “Rest and sleep are needed when a child is sick and will help them feel better quicker. This is why it is important to know how to help your child sleep soundly while sick – for the both of you.” When your baby has a cold or the flu, their sleep patterns may go haywire. Expect some sleepless nights and be prepared to adjust routines. Ragavan suggests trying the following sleep assisting strategies to help your baby sleep at night, and help them feel better at the same time: Be there for your baby. Parenting isn’t about perfection, it’s about presence. When your child is feeling under the weather, comforting them and being there while they are trying to fall asleep is a great relief. Also, don’t panic when sleep training goes out the window. It is more important to help your baby feel better than to stick to a schedule. If your child is congested, Karvol inhalation capsules can be used in two ways to provide double impact when dealing with a blocked nose. Steaming with Karvol before going to sleep will open your baby’s nasal passages, especially when followed with a few drops of Karvol on their pillows while they sleep. Karvol’s ingredients, eucalyptus, camphor, thymol, lavender and menthol, when released actively work together to help with the symptoms of congestion, providing easy breathing and a clear head. Just as when adults are sick, children must also be kept well-hydrated. A child can become dehydrated quickly while sick which will impact their healing. Depending on your child’s age, warm tea can soothe a sore throat. When a child is coughing, it can get worse at night when lying on their backs. A humidifier in their room, can help keep the air moist and allow to breathe a little easier. If your child is not eating during the day, try and give them some nourishment at night. A full tummy can also help them sleep better. Don’t wake your child while they are sleeping, even if they are not following their usual routine. Being sick, your child will want to sleep more – so let them. Sleep will help them get better quicker. Don’t ignore a fever. If your child has a fever and you can’t lower it, seek medical attention. A sick child needs comfort, and providing them with TLC while implementing cold and flu remedies is a winning combination that they will appreciate and help them start feeling like their healthy selves.

August 7, 2024

Letibalm nose and lip repair your family’s must-have winter essential

Letibalm Nose & Lip Repair is a winter essential for the whole family, formulated with gentle, active ingredients to protect and soothe the delicate skin around the nose and lips. Dry air, cold weather, allergies, colds and ‘flu can leave your nose and lips chapped, red and inflamed. Frequently wiping a runny nose adds to the irritation. Letibalm helps to restore the skin barrier, soothes inflammation and forms a protective layer to help prevent further chapping. Letibalm Nose & Lip Repair balm and fluid are suitable for adults and children three years and older. Letibalm Paediatric is safe to use from birth. Find Letibalm at Dis-Chem, selected Checkers, pharmacies and retailers for a recommended retail price of R109 (10ml tube or jar). To shop online, or for additional product details and stockists visit Ivohealth

August 7, 2024

Quick tips for a safe pool

So you have a pool and you have small kids that you watch like hawks when outside. But do you really have total peace of mind? Could you get there in time if your toddler made it out to the pool while you were distracted for a moment? Drownings happen in seconds. To lower the statistics pool safety is now regulated by way of SANS 10134 – the recommended Standard for swimming pools. It is every home owner’s duty to understand and comply with this much-needed pool safety regulation. Quick tips for a safe pool: Cover the pool with the PowerPlastics Solid Safety Cover as soon as swimming is over. Always have an adult supervising. Use the Safety Monitor tag from PowerPlastics Pool Covers and request the free child drowning prevention guide. www.powerplastics.co.za Know what drowning looks like. It really isn’t like in movies with splashing and loud calls for help. In a drowning, the child can be upright and look like he/she is just treading water. Start CPR as soon as you find the child and don’t stop until paramedics get there. Always use a SABS-compliant safety cover such as the PowerPlastics Solid Safety Cover, which comes with certification. Thermal pool covers or ‘bubble’ covers that lie directly on the water should never be considered as child safety pool covers as they do not bear weight. Request a quote today or shop online. www.powerplastics.co.za info@powerplastics.co.za

August 6, 2024

Pregnancy, your body and your baby – week 29 of your pregnancy

Week 29 of your pregnancy and you may notice that your body is taking more strain. Be mindful of this and don’t be afraid to take it easy if needed. Make sure that you’re still eating healthily (and remembering to take your prenatal vitamins) and exercising gently, both are important to your health as well as your growing baby’s. Your body at week 29 You are now entering the last phase of your pregnancy, and because of this you may find this very challenging, both physically and mentally. Your back, pelvis and feet are probably aching, and you’ll experience constipation, frequent urination and shortness of breath. Your baby at week 29 Your baby is now filling more of your womb, this means that any kicks, which used to be soft and barely notable, may feel more like hard pokes now. Your little one is also growing rapidly, and will probably have doubled in weight before birth. At this point many of their organs are almost fully developed, meaning they have a good chance of survival if born premature. That being said, their lungs still have lots of developing to do, which is why preemies need help breathing via a ventilator. Things to remember If you haven’t already, start planning your maternity leave. In South Africa, moms are entitled to four months of unpaid leave. If you’re still feeling able to work, you’ll probably want to keep most of your leave for after birth, so that you can spend as much time with your growing baby as possible. Generally speaking, maternity leave begins about a month before birth – and the good news is dads are now entitled to 10 consecutive days of parental leave. Your employer is obliged to keep your job for you until you return from leave, so you won’t have to worry about losing your job.

August 5, 2024

ADVANCING EQUITY – BREASTFEEDING SUPPORT FOR ALL

South Africa is one of the most unequal countries in the world, and this is tragically evident in the nutritional status of millions of our children. However, breastfeeding has the power to be an equaliser ensuring that no child is left behind when it comes to optimal health and development. Despite widespread promotion of the many benefits of breastfeeding, these rates remain low in South Africa. The country has solid policies in place and progressive legislation for infant and young child nutrition, although these are not often implemented and monitored consistently and effectively. Perhaps, though more critically, there’s a lack of a groundswell of support for all breastfeeding moms in our homes, workplaces and communities. According to the World Health Organisation (WHO) guidelines for maternal and infant health, babies should be breastfed exclusively for the first 6 months of life. After that mothers are encouraged to breastfeed on an ongoing basis as solid foods are gradually introduced from six months. The evidence-based health benefits are clear – improved maternal and child health, reduced household food costs, reduced national healthcare costs and improved child well-being and development. There are a range of reasons why mothers either do not start breastfeeding or give it up prematurely. Sometimes, there are medical reasons that cannot be prevented. But mostly, moms experience barriers and obstacles that they cannot overcome on their own and they do not get the right support at the right time. Spokesperson for the Association for Dietetics in South Africa (ADSA) , Tsholofelo Mohloane, a Registered Dietitian and Lactation Consultant says, “I do much of my work at a public hospital and I am always encountering mothers who struggle with solvable issues such as perceived low breast milk supply, sore nipples, engorged breasts, improper breastfeeding positions and little to no knowledge of the importance and benefits of breastfeeding, leading to mothers opting for breastmilk substitutes. So, we must address the lack of educated support for breastfeeding moms in the healthcare system, especially for women in under-resourced communities. However, the issue is much wider than this. There’s also a lack of support for breastfeeding in homes, families and communities. While workplaces have policies in place to support breastfeeding mothers who have returned to work, reports of women resorting to expressing milk in their cars or toilet cubicles during lunch breaks highlight a lack of adequate support. Failure to provide clean, private facilities and adhere to legal requirements for additional breaks undermines these policies and can discourage breastfeeding mothers from continuing. Employers must ensure they fulfil their obligations to create a supportive environment that enables all breastfeeding employees to express milk comfortably and safely. It is a clear lack of support when employers do not make facilities available and fail to adhere to the legal guidance to provide breastfeeding workers additional breaks every day to express milk. In broader society, there are judgements made, and moms are frequently shamed for needing to feed anywhere, any time. All of this can be tremendously discouraging and stressful for a new mom, and moms sometimes feel that there is no other option than to bottle-feed with commercial milk formula. But in terms of health, child development and healthcare costs, we pay a high price as a country for failing to wholeheartedly support and encourage all our breastfeeding moms.” World Breastfeeding Week is celebrated every year from 1 to 7 August. In 2024, the theme is Closing the Gap: Breastfeeding Support for All. ADSA spokesperson, Professor Lisanne du Plessis, a leading academic from Stellenbosch University focused on Public Health and Community Nutrition sets some of the key campaign messages in a South African context: Support for women to breastfeed anytime, anywhere, so that it is normalised and not censured in public life – “In my opinion, the barriers to breastfeeding are not cultural issues, but societal,” says Prof du Plessis. “This includes unsupportive workplaces and public spaces, lack of or poorly implemented maternity protection policies, ignorance about correct breastfeeding practices, lack of access to lactation support and social perceptions about women’s roles. Mothers need to be supported to nourish and nurture their babies, and their partners, own mothers, mothers-in-law, grandmothers and the broader family and community should be educated on how to support breastfeeding mothers and about the dangers of introducing commercial milk formula unnecessarily.” Effective maternity entitlements that do not force women to choose between their families and their work – “For South Africa the changes I would advocate for here include a breastfeeding policy in every workplace. This can ensure that the necessary sensitisation is created about mothers’ needs and employers’ human resource obligations. Provision of a private, hygienic space to breastfeed or express, and the resources to safely store breastmilk are essential in every workplace. The provision of educational material or access to a professional breastfeeding consultant can create the necessary support for mothers to ensure continued breastfeeding once they have returned to work.” An end to exploitative baby-milk promotions in all contexts – “The Lancet Series on Breastfeeding of 2023 explicitly shows that commercial milk formula companies use perverse and exploitive marketing and promotional methods to drive the demand for their products. These tactics continue to undermine breastfeeding and contribute to millions of women not breastfeeding as recommended, which results in infant and young child illness and death. The Global Nutrition report of 2018 stated that just 35 of 194 countries have laws to cover all areas of commercial infant formula, while a further 96 are partially covered. Despite some efforts to stop the harmful promotion of commercial milk formula, countries are still falling short in protecting parents from misleading information. South Africa has progressive legislation to curb the promotion and marketing of commercial milk formula through Regulation 991. However, the capacities to enforce the law and follow-through on transgressions are limited. Many of these offences are also subtle and happen online, where it is difficult to monitor. The current loopholes that industry has found in SA Regulation 991 should be amended and more

August 2, 2024

Paediatric sleep problems: dealing with sleep crutches

During the first three months, babies establish a rhythm of feeding, wakefulness, and sleep. Then, at around three to four months, babies’ circadian rhythms begin to mature. According to Dr Alison Bentley, Restonic sleep expert, this is often when paediatric sleep problems arise. Parents may end up relying on “sleep crutches” to get their baby to fall asleep, such as bottle or breast feeds or using touch, such as rocking, patting or having to lie with their child. “While these behaviours are natural and comforting in the early months, they can become problematic if they develop into long-term dependencies,” she says. “Babies may develop anxiety or resistance to sleep without their preferred crutch, leading to bedtime battles and sleep disturbances. Crutches teach a baby a ritualised way of falling asleep – and that’s fine until the baby needs to fall asleep without that particular crutch (for example, the specific way mom holds the baby, which means dad can’t get baby to sleep).” Importantly, Dr Bentley says, parents shouldn’t feel guilty about a child having developed a sleep crutch. “Things happen that interfere with being able to fall asleep, that you have no control over. For example, your baby might have acid reflux, so lying down is a disaster, so they learn to only fall asleep being held upright, which becomes their sleep crutch. Or it might be as simple as travelling to stay with family for two weeks and you compromise on how you handle nighttime wakeups to avoid disturbing everyone, and your baby learns that whenever they wake up, you’ll put them in the bed with you. These things are not your fault. Your baby learns a way to fall asleep and sometimes there’s no accounting for what works or why.” Sleep training – tips from Dr Bentley Check for health issues: Check that there is no medical problem interfering with sleep, such as reflux, ear infections or lactose intolerance before you start sleep training. Don’t fight at bedtime: Make it a pleasant time you spend with your child. Bedtime is separate to what happens in the middle of the night, so treat it that way. Do what you need to do to get your child to sleep. Deal with the first nighttime wake-up: The first time your child wakes after bedtime is when you need to make your stand. Don’t give them the sleep crutch. They don’t need a feed. They need to practice falling asleep on their own. In my experience, it normally takes at least three nights to even get that on their radar. But then it gets easier. Expect three phases: First, they will be furious because you won’t help them fall asleep the way they are used to. And that’s understandable – they don’t know what you want them to do and they don’t think they can fall asleep without the crutch. They are frustrated and they’re entitled to be. They will scream. You should keep talking to them to calm them down. You are welcome to pat them or touch them to help. If your baby can already stand, part of this process is trying to keep them lying down – they can’t fall asleep in any other position. It might take 40 minutes. And they will go from furious to almost sad (the second phase), and then finally to sleepy (the final phase). Eventually, they’ll fall asleep. Only fight once a night: The next time the baby wakes up that night, you give them the crutch they’re used to. You only fight once a night, at the first wake-up. After three nights, they’ll fall asleep faster because they’re less anxious – they know they’ve done it before. Keep it up: If you keep going, the first wake-up should move later in the night. So, if you were getting up at 11pm, you might now get up at 1am and do the same thing. Gradually, that first period of sleep should become longer until eventually they’re getting through most of the night. Parents can find a more in-depth look at paediatric sleep issues, as well as other sleep advice and bedtime stories for children, on the Power of Sleep with Restonic Podcast channel.

August 2, 2024

Breastfeeding Awareness

With Breastfeeding Awareness Week (1-7 August 2024) coming up, mothers face a multifaceted journey. They encounter common challenges such as latching difficulties, lack of support, and workplace obstacles. This week aims to shift the stigma surrounding breastfeeding and formula feeding, highlight the critical role of support networks, and explore solutions to these challenges. Why Mothers Stop Breastfeeding Breastfeeding is often portrayed as a natural and straightforward process, but many mothers face significant hurdles that lead to early cessation. Among the most common reasons are: Latching Difficulties: A proper latch is crucial for effective breastfeeding, yet many infants struggle to latch correctly. This can result in pain for the mother and insufficient milk transfer for the baby. Latching issues often stem from anatomical challenges, lack of immediate postnatal support, or both. Lack of Support: Successful breastfeeding requires a supportive environment. Without encouragement from family, friends, and healthcare providers, mothers may feel isolated and overwhelmed. Community support, breastfeeding groups, and access to lactation consultants are vital for sustaining breastfeeding practices. Returning to Work: The transition back to the workforce is a significant barrier. Without adequate facilities for pumping and storing milk, and without flexible schedules, many mothers find it difficult to maintain their breastfeeding routine. Concerns about Milk Supply: Many mothers worry about their milk supply being insufficient. This concern can be fuelled by societal pressures, misinformation, or a lack of visible milk during pumping sessions. Understanding normal feeding patterns and growth indicators can alleviate these concerns. Shifting the Stigma Breastfeeding is a personal journey that can vary greatly from one mother to another. Some may breastfeed for a short time, while others may continue for years. It’s important to recognise and normalise this variability. There is a societal stigma attached to not breastfeeding, often exacerbated by the phrase “breast is best.” While breastfeeding has many benefits, it is essential to acknowledge that fed is best. Formula feeding can be a healthy alternative, providing necessary nutrients and allowing mothers who cannot or choose not to breastfeed to ensure their babies are well-nourished. High-quality formula products are designed to closely mimic breast milk, supporting infant growth and development. Supporting mothers means respecting their choices and providing the resources they need to nurture their babies. Importance of Support & Men as Breastfeeding Champions Support networks play a crucial role in helping mothers achieve their breastfeeding goals. Lactation consultants and healthcare providers offer invaluable assistance in overcoming breastfeeding challenges. Additionally, fathers and partners can be powerful advocates, providing emotional and practical support that enhances the breastfeeding experience. By being present, encouraging, and helping with tasks that ease the mother’s burden, partners can significantly contribute to a successful breastfeeding journey. Workplace Challenges Returning to work presents unique challenges for breastfeeding mothers. Employers can support breastfeeding by providing lactation rooms, scheduled pumping breaks, and flexible working hours. These accommodations help mothers continue breastfeeding without compromising their work responsibilities, fostering a more inclusive and supportive workplace environment. Relevant Statistics and Benefits of Breastfeeding According to the World Health Organisation (WHO): Globally, rates of exclusive breastfeeding in the first six months of life have increased by 10 percentage points over the past decade, reaching 48% in 2023, nearing the World Health Assembly target of 50% by 2025. Significant progress is observed across various regions, with 22 countries in Africa, Asia, Europe, and Oceania documenting increases of more than ten percentage points in exclusive breastfeeding since 2017. Breastfeeding offers numerous benefits, including optimal nutrition, immune support, and bonding opportunities between mother and baby. It also contributes to the mother’s health, reducing the risk of certain cancers and postpartum depression. Progress and Challenges While global rates of exclusive breastfeeding are improving, many mothers still face barriers, especially in the workplace. We call on policymakers to prioritise breastfeeding rights and support initiatives that enable mothers to breastfeed without barriers. As Breastfeeding Awareness Week approaches, it’s important to reflect on the diverse experiences of breastfeeding mothers. By understanding the challenges they face, shifting societal perceptions, and providing robust support networks, we can create a more supportive and empathetic environment for all mothers. Vital Baby is proud to contribute to this cause by offering support and innovative products designed to aid mothers throughout their breastfeeding journey. Let’s work together to normalise this journey, celebrate every mother’s choice, and ensure that all babies receive the nourishment they need.

August 2, 2024

Pregnancy, your body and your baby – week 28 of your pregnancy

Welcome to week 28 of your pregnancy, you are now in your third trimester – the final stretch before birth! Your baby will do lots of growing during this time, and your body may start taking some strain in the final weeks before delivery. You’ll probably be feeling both nervous and excited, soon you’ll be able to take your little one home! How your body will be feeling at week 28 If you haven’t started experiencing it already, you may notice that back ache and pelvic pain are becoming an issue. This is due to the fact that pregnancy hormones cause your ligaments to loosen, which can cause lower back and pelvic pain. Your changing centre of gravity also puts strain on your back. Excruciating pain in your pelvic reason is cause for concern and the culprit could be symphysis pubis dysfunction (SPD). Luckily this isn’t harmful to your baby, but is probably very painful to you. Chat to your doctor if you’re feeling pain that you see as abnormal. They’ll probably recommend a physiotherapist to you as physio can help minimise your pain and improve your muscle function. Other common week 28 pregnancy symptoms include Braxton-Hicks contractions, frequent urination, swollen ankles and feet, sleeping problems, stretch marks, heartburn and indigestion and constipation. Your baby at week 28 Your little one is growing fast, and is now the size of a head of lettuce. Around this time your baby will begin to open and close their eyes, and can sense changes in light. Your baby’s heart rate will have lowered to about 140 bpm (and at birth this will have dropped to around 130 bpm). If you were to have an ultrasound now you may notice hair on your baby – this is known as lanugo, which is fine hair that grows on babies before birth. This will disappear at birth or shortly afterwards.

August 1, 2024

Radiology’s role in monitoring the silent disease – osteoporosis

Osteoporosis is often called a ‘silent disease,’ because it progresses, without symptoms, until a fracture occurs most commonly in your hips, spine and wrists. However, a bone density scan can alert doctors to the disease before a patient has experienced any symptoms. Radiology imaging techniques play a crucial role in the early diagnosis, management and monitoring of low bone density. The rapid evolution of high-quality imaging techniques, using reduced radiation doses, has positioned radiology ideally for this role. What is osteoporosis? A healthy bone viewed under a microscope, looks like honeycomb. Osteoporosis, put simply, is when the ‘holes and spaces’ in the honeycomb increase in size, causing the bones to lose density or mass and develop abnormal tissue structure. This is caused by the body losing too much bone or making too little bone because of a lack of calcium, vitamin D and not doing any weight-bearing exercises or both. This can lead to a decrease in bone strength which, in turn, can increase the risk of broken or fractured bones. There are degrees of bone density loss which are determined by radiologists doing a DEXA scan. ‘The standard method of determining your bone density,’ says Dr Hein Els, director at SCP Radiology, ‘is a DEXA scan (dual-energy X-ray absorptiometry). This involves using two X-ray beams, at different energy levels. to measure the bone mineral density. It has a high accuracy for overall bone density and is commonly found in clinics and hospitals.’ The scan uses a low radiation exposure making it safer for routine screening and follow-up. ‘The amount of radiation is minimal,’ says Dr Els, ‘it’s equivalent to 1 or 2 days of background radiation at sea level.’ Osteoporosis vs Osteopenia Osteoporosis and osteopenia are both conditions measured on a DEXA scan and characterised by decreased bone density. While they are related, they differ in severity and implications for bone health. The fracture risk is higher in osteoporosis due to more significant bone fragility. Understanding and managing both conditions are crucial for maintaining bone health and preventing fractures. Measuring bone density ‘We measure your bone mass density by comparing it to that of a healthy, young adult. The result will tell us how much lower (or higher) your bone mass score,’ explains Dr Els. ‘Software is also used to calculate a predicted 10-year fracture risk for a major osteoporotic fracture and a hip fracture. The result is a T-score which you will be given by your doctor.’ Who is at greater risk The vast majority of patients referred for a DEXA scan are women. However, men over the age of 50 are also at risk, though not to the same degree as women. The aim is to prevent fractures later in life by maintaining healthy bone mineral density, which means it is beneficial to know your bone mineral density. Fractures in the elderly population are a significant cause of morbidity and mortality. Apart from diagnosing osteoporosis and osteopenia and assessing fracture risk, DEXA scans are helpful in the following ways: Monitoring bone density changes over time: For individuals diagnosed with osteoporosis or those undergoing treatment for bone loss, DEXA scans are used to monitor changes in bone density. This helps in evaluating the effectiveness of treatment Postmenopausal women: Are at a higher risk of developing osteoporosis due to decreased oestrogen levels. DEXA scans are recommended for postmenopausal women, especially those with additional risk factors Men over 50 can also be at risk of osteoporosis A family history of osteoporosis or fractures can increase an individual’s risk. DEXA scans can help assess bone density in those with a genetic predisposition Individuals with a low body mass index (BMI) are at a higher risk for osteoporosis and may benefit from bone density testing Smokers and heavy alcohol users are risk factors for osteoporosis Patients with fragility fractures: Individuals who have experienced fractures from minor falls or injuries may undergo DEXA scans to determine if osteoporosis is the underlying cause How do you treat low bone mass density? This can be done through medication such as bisphosphonates, hormone-related therapy and other bone-building medications or through lifestyle changes. This includes an adequate intake of calcium and vitamin D, regular weight-bearing exercise, quitting smoking and limiting alcohol. The DEXA scan is the safest, most reliable method of determining your bone loss and whether your bones are normal or if you are osteopenic or osteoporotic – the precursor to osteoporosis or full-blown osteoporosis. Regular medical check-ups and proactive lifestyle changes can significantly mitigate the risks associated with these conditions. ‘There is no need to be harbouring this silent disease,’ says Dr Els, ‘when radiography is available to test for these and can put you on a path to wellness.’

July 29, 2024

Pregnancy, your body and your baby – week 27 of your pregnancy

Congratulations, you are now in the last week of your second trimester and approaching the third, which will start at the beginning of week 28 – so you are nearing the final stretch of your pregnancy. You’ll find that you’re probably becoming more used to your little one moving around inside of you and while you may have enjoyed less fatigue during trimester two, this unfortunately may begin to change. Your baby at week 27 Your baby is starting to pack on the final pounds before birth (which should be in 13 weeks, but not all babies arrive at their due date). Inside of your uterus, your little one will be kicking and grasping, slowly developing their muscle tone before birth. Your baby will also be practicing breathing and swallowing with the amniotic fluid. Your body at week 27 Haemorrhoids are a common pregnancy, thanks to your uterus becoming larger and putting pressure on your veins. Haemorrhoids are swollen veins in the anus and rectum, and these are both uncomfortable and painful. While these are unwanted, they generally aren’t harmful to you or your growing baby and normally go away after birth. Other pregnancy symptoms common during this time are leg cramps, aching pelvis and back, heartburn bleeding gums, constipation, trouble sleeping, frequent urination and stretch marks. Things to remember at week 27 At week 27, something you can start considering is putting together a birth plan. A birth plan is a written document that communicates your wishes during your pregnancy (think of the ideal way you’d like your birth to go) as when the time comes, you probably won’t be thinking clearly. There is no right or wrong way to go about doing this – some may be detailed and others just cover the basics, the choice is yours!

July 23, 2024

Simplifying Your Child’s Nutrition

Ensuring your child gets the right nutrients can be challenging amidst the chaos of daily life. Choose Alula Gold Kid 4-in-1 nutrition – a comprehensive solution designed for kids aged 3 years and older, dubbed as Super Nutrition for Super Kids. This 4-in-1 drink packs a powerful punch, offering protein, vitamins and minerals in a convenient package. Protein supports muscle growth, while vitamins and minerals help boost overall immune function. Why choose Alula Gold Kid 4-in-1? Firstly, convenience reigns supreme. With this product, there’s no need to juggle multiple supplements or worry about missing crucial nutrients. It streamlines the process, ensuring your child’s nutritional needs are met with ease. Quality is paramount, and we deliver. This commitment to excellence provides peace of mind for parents. Moreover, taste matters. Yet, Alula Gold Kid has zero added sugar and comes in two variants, ready-to-drink and powder formula, making it a breeze to incorporate into your child’s routine. Overall, Alula Gold Kid 4-in-1 simplifies your child’s nutrition. By providing essential nutrients in one convenient drink, it takes the guesswork out of ensuring your child thrives. Make Alula Gold Kid a staple in your child’s daily routine and pave the way for their future.

July 23, 2024

Prevent child drownings with these practical tips for pool safety

Don’t let your pool’s water levels drop. Keeping the pool topped up allows for small arms to easily grab the edge if needed. For every two children in the pool, have one adult supervising and use the Safety Monitor tag system. The more children, the more supervisors needed. Be aware that children’s pool parties are high-risk events. Turn off fountains and water features. Not only do they waste water and power, they can cause ripples and splashing, making it harder to see when a child has encountered difficulty in the pool or has sunk to the bottom. Ensure that every adult in the home knows CPR, including domestic workers. Never hire a baby sitter or au pair who can’t swim. Don’t let anyone who has been drinking or on sedative medication supervise children in a pool. Don’t leave toys in or near an open pool as children will be tempted to retrieve them. Teach your child to swim fully clothed and with shoes on. If your child develops a fear of water, don’t ignore this – a child who panics is at greater risk of drowning. Never allow swimming after dark. Discourage your dogs from swimming. Children and pets in a pool are not a good mix. Never leave the pool without securing it with your PowerPlastics Solid Safety Cover. Never design / build a pool that cannot be secured for child safety. The PowerPlastics Solid Safety Cover is SA’s bestselling safety cover to prevent drownings. The baton and ratchet system creates a tensioned PVC cover that a child is not able to tamper with. Babyproof your pool with this safety cover and enjoy peace of mind!

July 17, 2024

Pregnancy, your body and your baby – week 26 of your pregnancy

Although you are yet to meet your baby, they are slowly taking over your life and you may notice weekly and even daily changes in your body. Some days you’ll feel better than others, and it’s important that you take each day as it comes. Both by taking advantage of your good days, and being gentle on yourself on the bad ones. How your body may feel during this time Tiredness, an achy body, a sore mouth and stretch marks are all part of your pregnancy journey. Your belly and breasts are also growing, so make sure that you accommodate your body and dress in clothes that are both supportive and comfy. Your baby’s growth at week 26 Your little one’s lungs are now working hard, getting ready for the day that she’ll need to start using them. At this time the lungs start to produce surfactant, which’ll make it possible for your baby to breathe at birth. Your baby’s suck reflex is growing stronger (they may even suck their thumb!), and their eyes may open for the first time around now and they’ll start to practice blinking. Not only this, but your little one also has eyelashes that are starting to grow. Now that your baby can hear you, you can also spend some time talking to them. Research has shown that babies prefer the sound of their mothers voices and you may even notice that they start responding to the sound of your voice, and by late pregnancy they should be able to distinguish between voices. What you should keep in mind at this time Something to keep aware of during your pregnancy is the possibility for gestational diabetes. Gestational diabetes is high blood sugar levels during pregnancy, and it’ll go away after birth. However, moms who develop gestational diabetes are at higher risk of developing type 2 diabetes after birth. Warning signs are unusual thirst, frequent urination and dizziness, if you feel like you are checking these boxes then it’s important to speak to your doctor about treatment. If treated effectively, there is no reason you shouldn’t have a healthy pregnancy.

July 16, 2024

Ensuring Your Baby’s Safety with Safety 1st

Parenting comes with many responsibilities, but none are as important as ensuring the safety and well-being of your child. At Safety 1st South Africa, we understand the various challenges parents face, and we are dedicated to providing reliable and innovative solutions that bring you peace of mind. From baby safety gates and bedrails to grooming accessories, health essentials, and home safety solutions, our comprehensive range of products covers all aspects of baby safety. Baby Safety Gates and Bedrails One of the main concerns for parents is preventing accidents and falls, especially as babies start to explore their surroundings. Safety 1st offers safety gates and bed rails designed to create a safe environment for your little one. Our safety gates are perfect for blocking off staircases, kitchens, or any area that might pose a danger. They are easy to install and strong enough to withstand curious toddlers. Bedrails, ensure that transitioning from a crib to a bed is smooth and secure, preventing nighttime falls and giving both parents and children a restful night’s sleep. Baby Grooming Essentials Taking care of your baby’s hygiene is crucial for their health and comfort. Safety 1st’s baby grooming essentials are thoughtfully designed to cater to the delicate needs of your infant. Our grooming kits include everything from soft-bristle brushes and combs to nail clippers, ensuring that you have all the tools you need to keep your baby looking and feeling their best. Each item is ergonomically designed for ease of use and safety, making grooming routines a breeze. Baby Health Essentials Monitoring and maintaining your baby’s health can be daunting, but with Safety 1st’s baby health essentials, it doesn’t have to be. Our range includes Healthcare kits, nasal aspirators, and medicine dispensers, all designed with the highest safety standards in mind. Accurate and easy to use, these products help parents effectively manage their baby’s health, providing quick relief and accurate readings when it matters most. Baby Proofing or Home Safety Essentials Creating a baby-proof home is one of the best ways to ensure your child’s safety as they grow and explore. Safety 1st offers a wide array of baby-proofing and home safety essentials that protect against everyday hazards. From corner cushions and outlet plug protectors to cabinet locks and door stoppers, our products are designed to secure your home. These essentials are discreet and easy to install, allowing you to maintain the aesthetics of your home while ensuring a safe environment for your baby. Why Choose Safety 1st? At Safety 1st South Africa, we believe that safety is not just a product feature but a fundamental aspect of parenting. Our products undergo rigorous testing to meet the highest safety standards, ensuring that they provide reliable protection for your child. We understand that parenting is a journey filled with precious moments and unique challenges, and our goal is to support you every step of the way. By choosing Safety 1st, you’re investing in quality, innovation, and peace of mind. We are committed to helping parents create a safe and nurturing environment for their children, so you can focus on cherishing the moments that truly matter. Find Safety 1st products at selected Dis-Chem pharmacies, Clicks, Takealot, ToysRus and other leading retailers.

July 12, 2024

Debunking myths about Mpox

Myths are widely held beliefs about various issues, including illness and disease. They come about through frequent storytelling and retelling. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, helps debunks myths about monkeypox (mpox). Myth 1: Mpox (formerly monkeypox) is a new disease created in a lab Fact: The mpox virus was discovered in Denmark (1958) in a colony of monkeys at a laboratory kept for research. The first reported human case was in 1970 in the DRC. Mpox is a zoonotic disease, meaning it can be spread between animals and people. It is found regularly in parts of Central and West Africa and can spread from person to person or occasionally from animals to people. Myth 2: Mpox comes from monkeys Fact: Despite its name, monkeypox does not come from monkeys. The disease earned the name when the ‘pox like’ outbreaks happened in the research monkeys. While monkeys can get mpox, they are not the reservoir (where a disease typically grows and multiplies). The reservoir appears to be rodents. Myth 3: Only a handful of people have contracted mpox Fact: Globally, more than 97 000 cases and 186 deaths were reported across 117 countries in the first four months of 2024. South Africa is among the countries currently experiencing an outbreak. On the 5 July, it was reported that the number of mpox cases in the country has risen to 20. This after four more cases have been confirmed in Gauteng and KwaZulu-Natal in the last few days. 15 patients have, however been given a clean bill of health. Myth 4: It is easy to diagnose mpox Fact: It is easy to mistake mpox for something else. While the rash can be mistaken for chickenpox, shingles or herpes, there are differences between these rashes. Symptoms of mpox include fever, sore throat, headache, muscle aches, back pain, low energy and swollen lymph nodes. Fever, muscle aches and a sore throat appear first. The rash begins on the face and spreads over the body, extending to the palms of the hands and soles of the feet and develops over 2-4 weeks in stages. The ‘pox’ dip in the centre before crusting over. Laboratory confirmation is required. A sample of one of the sores is diagnosed by a PCR test for the virus (MPXV). Myth 5: Mpox is easily treated Fact: ‘Currently,’ says the National Institute for Communicable Diseases (NICD), ‘there is no registered treatment for mpox in South Africa. However, the World Health Organization (WHO) recommends the use of TPOXX for treatment of severe cases, in immunocompromised people’. However, the Department of Health (DoH) has only obtained this treatment, with approval on a compassionate use basis, for the five known patients with severe disease. There is no mpox vaccine currently available in South Africa. Myth 6: You can get mpox from being in a crowd or from a public toilet seat Fact: Mpox is not like Covid-19 which is highly contagious. It spreads through direct contact via blood, bodily fluid, skin or mucous lesions or respiratory droplets. It can also spread though bites and scratches. Studies have shown that the virus can stay on surfaces but it is not spreading in that way or in a public setting. The risk of airborne transmission appears low. Myth 7: Mpox is deadly Fact: While mpox lesions can look similar to smallpox lesions, mpox infections are much milder and are rarely fatal. That said, symptoms can be severe in some patients, needing hospitalisation and, in rare cases, result in death. It is, however, painful and very unpleasant. So, it is important to avoid infection. Myth 8: Mpox is sexually transmitted Fact: You can become infected though close, direct contact with the lesions, rash, scabs or certain bodily fluids of someone who has mpox. Even though this could imply transmission though sexual activity, it is not limited to that. You can also be exposed if you are in close physical proximity to infected people, such as spouses or young children who sleep in the same bed. Myth 9: I can’t protect myself from getting Mpox Fact: You can take precautions: Avoid handling clothes, sheets, blankets or other materials that have been in contact with an infected animal or person. Wash your hands well with soap and water after any contact with an infected person or animal and clean and disinfect surfaces. Practice safe sex and use personal protective equipment (PPE) when caring for someone infected with the virus. Myth 10: You can’t stop other people being infected by you Fact: You may not protect them by 100% but you can isolate. Also, alert people who have had recent contact with you. Wash your hands regularly with soap and water or use hand sanitiser, especially before or after touching sore and disinfected shared spaces. Cover lesions when around other people, keep skin dry and uncovered (unless in a room with someone else). Mpox is a notifiable medical condition but is treatable, if you are concerned, call the DoH toll free number of 0800 029 999 but remember, your GP is your first port of call for all your healthcare needs.

July 12, 2024

Introducing Cool Stool™

We’ve teamed up with top gut health experts to change the conversation and break the stigma surrounding gut issues. Our goal is to make gut health a fun, everyday topic, and to provide a product that is not only highly effective but also easy and enjoyable to use. Meet Cool Stool™ – Your daily good gut gift! Cool Stool™ is a fresh and much needed addition to health and wellness aisles, bridging the gap between harsh laxatives and soluble and other (often unpalatable) fibre supplements. This delicious, 100% raw, high-fibre, and super seed mix is a nutritionally diverse daily supplement that enhances natural bowel movements and improves gut health. Perfect for those dealing with digestive challenges, Cool Stool™ begins improving digestive health within days while adding a delicious nutty crunch to your meals. This is a very topical topic! “Hack your health – The secrets of your gut” is a recently launched Netflix film offering intriguing insights into how our gut influences overall health, including our brain function. Furthermore, research is continuously being released linking gut health to mental wellbeing, immunity, skin health and more. We believe that Cool Stool™ is your “Good Gut” gift. Who Should Use It? Cool Stool™ makes a valuable addition to anyone’s diet! Used daily, it goes a long way to helping you achieve the daily dose of high fibre and super seeds recommended by nutritionists and gut health experts. Specifically, it has been scientifically formulated to provide an all-natural solution for common digestive ailments like constipation, IBS, and reflux, supporting the management of these conditions. Key Ingredients and Their Benefits: Packed with nature’s best Chia seeds, linseeds, psyllium husk, buckwheat, and digestive bran, Cool Stool™ features a nutritionally-rich and carefully balanced mix of fibre, healthy fats, and essential nutrients. Acacia gum, a natural prebiotic, enhances the symbiotic balance in your gut, promoting the growth and activity of beneficial bacteria. Usage Instructions: Just two tablespoons daily! Achieve optimal gut function with just two tablespoons of Cool Stool™ daily. It’s easy to integrate into your daily routine too! Soak for two minutes in a little water or milk and mix into your smoothie, porridge or breakfast cereal. You can also sprinkle it on a salad. To maximise gut health benefits, pair it with your favourite probiotic like yoghurt, kefir, kombucha or pickles. Health Claims and Expectations Those suffering from chronic issues like constipation, bloating, IBS and reflux can expect to see notable improvements in their digestive health within just a few days of starting their daily regimen. Beyond easing digestive discomfort, Cool Stool™ supports overall wellness. Once a healthy gut microbiome is achieved, other benefits are evident like improved mental health mental health, stronger immunity, increased energy levels, effective weight management, and improved mental clarity. [Discussions around the gut-brain axis is a very topical topic right now!] “Consuming super seeds and maintaining a high-fibre diet over the long term can have profound benefits for your gut microbiome. Regular intake of super seeds along with high fibre- supports a diverse and balanced gut microbiota. This diversity is crucial for optimal digestion, nutrient absorption, mental wellness and immune function.” Product Range Available in 250g resealable packs in three delicious flavours, Original, Cranberry and Vanilla. Availability Cool Stool™ is currently available to order from: https://www.coolstool.co.za Faithful To Nature, Takealot Selected PnP stores Wellness Warehouse Selected pharmacies and health stores nationwide Other major health and wellness retailers have shown great interest and will be on-boarding soon. Customer Offers Sign up to our mailing list to receive a FREE Gut Health Guide, an informative download featuring eating plans, recipes, food swaps and shopping lists to help them get started on their gut health journey. Sign up here Launch offer: 15% off when you order either a Trio Pack or a Six Pack direct from www.coolstool.co.za Follow your gut and follow us! We’ve just launched our communications on social media. Be sure to follow us for product news and gut wellness tips and advice! Instagram Facebook

July 10, 2024

Introducing Rohto® Eye Drops

Introducing Rohto®- The World’s No.1 Eye-care Brand*. In an era dominated by digital screens, where eye discomfort has become a prevalent issue, Rohto® is a world-renowned remedy for tired, strained, and dry eyes. As a leading Eye-care Brand, Rohto® offers a range of quality eye-care products accessible for all. From combating digital eye strain to soothing redness and dryness, Rohto® provides everyday eye-care for everyone. Among our most trusted products are: Rohto® Cool Eye Drops: Specifically formulated to combat tired eyes – these moisturising drops offer a burst of cooling relief which immediately refreshes strained and tired or dry eyes. Rohto® Aqua Eye Drops: Introducing a gentle lubricating eye drop designed to provide a protective moisturising veil. Aqua offers soothing relief to irritated and tired eyes and effectively retains moisture and natural tears. Rohto® Dry Aid Eye Drops: Dry, sore, itching, irritation, burning, grittiness, stinging and tired eyes? Rohto® Dry Aid provides intensive dry eye relief, soothing and relieving 8 common symptoms associated with dry eyes. Its unique & advanced formula, using TEARSHIELD TECHNOLOGYTM, targets dry spots that appear on the eye’s surface, to restore the eye’s natural tear film – providing long-lasting hydration and protection and breaking the dry eye cycle. So next time you settle down for an intense gaming session, armed with your favourite snacks and a refreshing drink, remember to include Rohto Eye Drops on your list of essentials. With Rohto® Eye Drops by your side, you’ll have the ultimate solution to combat digital eye strain and keep your eyes refreshed, ensuring you stay at the top of your game. Learn more at https://rohtoeyecare.co.za/ Follow Rohto® Eye Drops on social media: Facebook: Rohto Eye Drops *Source: Euromonitor International limited, Consumer health 2023 Eye-care definition, retail value share USD 03.07.22 exchange rate, 2022 data.

July 9, 2024

Pregnancy, your body and your baby – week 25 of your pregnancy

As you enter week 25 of pregnancy, you will be nearing the end of the second trimester and the start of the third. You may find that your rise in energy levels you felt at the beginning of your second trimester is now beginning to drop. Your baby at week 25 Your baby is now roughly the size of a cauliflower and they are slowly starting to become the chubby baby you’ll expect at birth, as fat is added to their body every day. Your little one is also starting to develop a sense of balance, becoming more aware of what is up and down. Not only this but your baby’s lungs are slowly developing closer to maturity, as blood vessels (caprillirs) grow and they start to practice breathing in amniotic fluid. Your body at week 25 As your baby grows, it is normal that your back and pelvis may be starting to take some strain. This is also thanks to pregnancy hormones which cause your ligaments to soften. To avoid any injuries, make sure you aren’t tempted to over stretch if you’re doing something such as yoga and don’t lift any heavy objects around the house or office. If your back is feeling sore, gentle exercise in water, such as aqua aerobics, can help alleviate the aching. However, if your back is seriously painful , chat to your doctor about finding a physiotherapist who can help you during this time. Other common pregnancy symptoms around this time are heartburn, sore feet and ankles, camping in your legs, swollen and bleeding gums, dizziness, trouble sleeping and stretch marks. Although many aspects of pregnancy (and certainly afterwards) are rewarding, there are also many parts of it which can be uncomfortable. Things that you should keep in mind Cravings are a natural part of pregnancy (and these generally peak in your second trimester), and they are the sudden desire to eat a particular kind of food. These can be odd foods and combos that you’ve never had the urge to eat before, and generally these are personal to you. Strange combinations, such as pickles and ice cream, might suddenly be on your most wanted list. Just be aware of what you are consuming, as trying to keep things healthy will be best for your growing baby. Unfortunately big meals can also mean heartburn, so little and often can often be the answer here. The book: http://picklesandicecreamcookbook.com/

July 9, 2024

Incidental Learning in Children

The Impact of Hearing Difficulties and the Importance of Early Intervention Incidental learning is the process by which children absorb information from their environment, often without direct instruction. This type of learning is crucial for developing language, social skills, and cognitive abilities. However, children with hearing difficulties may miss out on many of these learning opportunities, which can impact their development. At NB Hearing and Balance, we support early intervention to help children reach their full potential. The Role of Incidental Learning What is Incidental Learning? Incidental learning occurs as children interact with their surroundings. This can happen during conversations while listening to stories, or through observing interactions between others. It plays a vital role in: Language Development: Children pick up vocabulary, grammar, and pronunciation through listening to speech around them. Social Skills: By overhearing conversations, children learn social norms, empathy, and appropriate responses. Cognitive Growth: Incidental learning helps in understanding concepts, problem-solving, and critical thinking. How Hearing Difficulties Affect Incidental Learning Children with hearing difficulties may not fully hear or understand conversations, instructions, or environmental sounds. This can lead to: Delayed Language Acquisition: They may struggle with vocabulary, sentence structure, and overall language comprehension. Social Isolation: Difficulty in following social interactions can hinder the development of social skills, leading to isolation or withdrawal. Delayed Development of Auditory Processing Skills: Hearing loss can lead to auditory processing difficulties that may impact reading and spelling. Academic Challenges: Hearing difficulties can impact the ability to follow classroom discussions, instructions, and peer interactions, leading to academic delays. The Importance of Early Intervention Early detection and intervention for hearing difficulties are crucial for minimising the impact on incidental learning and overall development. Benefits of early intervention include: Enhanced Language Skills: Early use of hearing aids or other assistive devices helps children hear and learn language more effectively. Improved Social Integration: With better hearing, children can engage more fully in social interactions, leading to better social skills and relationships. Academic Success: Addressing hearing issues early allows children to participate more fully in classroom activities, improving their academic performance. Intervention Strategies: Regular Hearing Screenings: Early and regular hearing tests can detect issues promptly. Solving Medically Treatable Hearing Loss: A thorough assessment can identify hearing loss caused by ear issues, leading to the right referrals and the restoration of hearing as early as possible. Use of Hearing Aids: When medical or surgical treatment is not an option, properly fitted hearing aids or cochlear implants can significantly improve hearing and restore access to sound, improving learning and development. Speech and Language Therapy: Targeted therapy can help children catch up on language skills they may have missed. Educational Support: Schools can provide additional support and resources to help children with hearing difficulties succeed academically. We Can Help! Incidental learning is a critical component of a child’s development, and hearing difficulties can pose significant challenges. However, these challenges can be mitigated with early detection and appropriate intervention, allowing children to thrive. Prioritising hearing health and seeking timely professional help ensures that children have the best possible start in life. If you have concerns about your child’s hearing, don’t wait. Schedule a consultation with NB Hearing & Balance at any of our Cape Town offices and take the first step towards ensuring your child’s healthy development and bright future.

July 8, 2024

Unlocking the Power of Breastfeeding with Medela

Breastfeeding is one of the most intimate and rewarding experiences for a mother and her baby. Tt can however sometimes be challenging to find the right products to support this journey. Medela is committed to providing innovative and reliable breastfeeding solutions to ensure that every mother can enjoy this special bonding time. Medela’s range of breast pumps covers all the potential needs of breastfeeding mums: from initiating breastfeeding for a prematurely born baby with the highest-standard, hospital-grade breast pump Symphony (available to rent), to expressing milk to cover the odd night out with the high-performance manual pump Harmony, to exclusive expressing with our Freestyle Hands-free pump. All Medela breast pumps feature 2-Phase Expression™ technology, which mimics babies’ natural sucking rhythms, allowing mums to express more breast milk in less time. Medela Freestyle Hands-Free Double Electric Breast Pump For the modern, on-the-go mom, the Medela Freestyle Hands-Free Double Electric Breast Pump is a game-changer. This pump is designed to provide maximum flexibility, allowing moms to pump hands-free while continuing with their daily activities. The lightweight, compact design is perfect for busy moms who need to pump at work, home, or on the move. With its double pumping feature, it significantly reduces the time needed for each expressing session. The Freestyle also has a rechargeable battery and a digital display, ensuring you have everything you need for a seamless pumping experience. Medela Swing Maxi Double Electric Breast Pump The Medela Swing Maxi Double Electric Breast Pump is another excellent choice for moms seeking efficiency and comfort. This double electric breast pump is designed to express milk from both breasts simultaneously, saving valuable time and increasing milk production. Its compact and portable design makes it ideal for both home and travel use. The Swing Maxi is equipped with Medela’s 2-Phase Expression technology, which mimics a baby’s natural sucking rhythm, ensuring maximum comfort and efficiency. Whether you’re at home or on the go, the Swing Maxi makes the breastfeeding journey smoother and more manageable. Medela Solo Electric Single Breast Pump For moms who prefer a single pump, the Medela Solo Electric Single Breast Pump is a great option. It offers simplicity and ease of use with its compact design and intuitive controls. The Solo features Medela’s 2-Phase Expression technology, which mimics babies’ natural sucking rhythm. This pump is perfect for moms who need a reliable, efficient option for occasional pumping. Its lightweight and portable nature ensures you can take it anywhere, whether you’re at home, at work, or traveling. Medela Harmony Manual Breast Pump The Medela Harmony Manual Breast Pump is a fantastic option for moms who prefer a more traditional, manual pumping method. This lightweight and portable pump is ideal for occasional use and provides a quiet, discreet pumping experience. The Harmony features Medela’s 2-Phase Expression technology, allowing you to switch between stimulation and expression phases easily. It’s perfect for moms who need a backup pump or prefer manual expression for comfort and control. Medela South Africa is dedicated to supporting moms on their breastfeeding journey by offering a range of high-quality, innovative breast pumps. Whether you need the hands-free convenience of the Freestyle Hands-Free, the efficiency of the Swing Maxi, the simplicity of the Solo, or the control of the Harmony, Medela has a solution that fits your lifestyle. You can hire a Medela Symphony Hospital Grade Breast Pump for 4 weeks for ONLY R999.00. Contact Lorraine at LSekgetle@sunpac.co.za or 011 445 3300 and jump onto your breast-pumping journey with us. For more information about these products and to find the right pump for you, visit Medela South Africa’s website Medela breast pumps are available at selected Dis-Chem, Baby City Clicks, Takealot, Fedisbest.

July 8, 2024

Can you Swim on your Period?

A question I get asked almost daily, is “Can you really swim on your period using only Period Swim bottoms? Like really, really?” When I was in school, I loved the fact that I could get out of swimming during PE lessons by blaming my period. I believe swim coaches have since wizened up and now keep a calendar for each girl – that would have totally scuppered my plans! So how is it possible to swim with just Blushproof® Period Swim Bottoms, no tampon or menstrual cup needed? There’s a myth that your flow stops when you’re in the water. Barring any medical problems, like hormonal disorders that can make you skip periods, your uterus will keep on shedding its lining whether you dive into the ocean or not. However, getting into the water can make it seem like your period goes away. According to Dr. Haughton, an ob-gyn at Weill Cornell Medicine, it’s all thanks to the pressure of the water surrounding your vagina which can counteract the force of gravity that helps blood flow out of your body. There’s no biological magic going on here, it’s all physics. “When you’re in water there’s opposing pressure happening,” says Dr. Haughton. Essentially, the water doesn’t make your period stop, so to speak, but it can block the exit. Source: https://www.womenshealthmag.com/health/a26801700/does-your-period-stop-in-water/ Will there be a red trail if I bleed in water? Will I attract the sharks? Most people bleed less than 100ml of blood during their 5 or so days so there’s no ways that the water is going to turn into the Crimson Tide. Even a whole pool full of people on their periods wouldn’t give the water even the tiniest tinge of pink! And there’s no chance that this tiny amount of menstrual blood would attract every shark in the ocean (or even just 1 of them)! Does this mean you can swim without using anything? The point of using a tampon, cup or period swim bottoms is to save you on exiting the water. I remember getting out of the water at The Cradle, after swimming a race ,and as I walked up the hill, I had 2 red streaks running down my legs and no bathroom in sight! The Blushproof® Period Swim Bikini bottoms help avoid any leaks (like mine) or stains on your costume by trapping any blood in the hidden gusset. Lots of our customers happily dive in and out of the water all day without even having to give their period a second thought. Reading moms’ ⭐️⭐️⭐️⭐️⭐️ 5-star reviews about how confident their daughters are in their period swimwear, really is one of the most rewarding things for me. So schoolgirls, beware! Once the swim coaches know that you can simply wear your Blushproof Period Swim Bottoms under your school costume, there’ll be no escaping those PE sessions! Be sure to get your daughter her Blushproof® Period Swim Bikini bottoms before you go on holiday so that she doesn’t have to miss out on the holiday fun!

July 3, 2024

Pregnancy, your body and your baby – week 24 of your pregnancy

You’re a good few weeks past half way of your pregnancy, which means you are closer than ever to finally meeting your little one. In terms of months, you’re about 6 months in, which means you only have 3 left to go! Your Body at Week 24 As you near your third trimester, you may notice that your body is feeling more uncomfortable thanks to your growing baby. Back ache, tired swollen feet, leg cramps and constipation are all pretty common during pregnancy. You’ll also be gaining weight (which is completely normal) and your breasts are also bigger. Heartburn may be something that you’re struggling with and this is normal during pregnancy thanks to hormones and your growing baby taking up space. Your pregnancy hormones are the reason the valve between your stomach and throat doesn’t close as it should, as the hormones relax the tight muscle between your stomach and your esophagus. Your growing uterus can also put pressure on the stomach, making it more likely that acid can spill out. Your Baby at Week 24 As your baby grows, they are putting on more and more weight, and their muscles are developing and gaining strength – which means their kicks are getting stronger and harder. Your little one also has hair at this point, however, none of it is pigmented yet. Your baby is pretty active now, and you should feel them move around regularly, however, unless you don’t feel your baby moving around for long periods of time, stillness is nothing to be concerned about. Things to take note of While it may seem obvious, eating healthily and frequent exercise are both ways to stay mentally, physically and emotionally happy and healthy during pregnancy. While a few stresses here and there are common, a constant state of worry or sadness is probably a sign of antenatal depression or anxiety. If you feel like you don’t have the energy for small tasks or every small detail of your pregnancy is triggering anxiety, it may be best to both seek the support of those you love, and medical professionals.

July 2, 2024

CryoSave South Africa: A Trusted Choice for Safeguarding Your Baby’s Future with Stem Cell Banking

In the rapidly evolving field of medical science, the importance of stem cells in treating various diseases and conditions cannot be overstated. For expecting parents, the decision to bank their baby’s stem cells is a significant step towards securing the health and well-being of their child. CryoSave South Africa emerges as a distinguished choice for this crucial responsibility, and here are three compelling reasons why. 1. Pioneering Legacy in Stem Cell Banking CryoSave proudly stands as the oldest established stem cell bank in South Africa, with a commendable 20-year history of providing private stem cell processing and storage services in Southern Africa. In a region where public stem cell banks are scarce, CryoSave has been a trailblazer, offering families unparalleled access to cutting-edge technology and expertise. A strategic partnership with PBKM Famicord, the fifth-largest cord blood bank globally, further solidifies CryoSave’s reputation as a trusted family stem cell bank in South Africa. PBKM Famicord, with its extensive international presence and expertise, brings invaluable experience to the table, particularly in the transfer of materials for transplantation. 2. State-of-the-Art Facilities for Unparalleled Security CryoSave’s laboratory in Pretoria stands as a testament to its dedication to excellence. The state-of-the-art processing and storage facility adhere to rigorous international standards, guaranteeing the highest quality in cord blood and tissue preservation. The cord blood samples undergo processing and cryopreservation using internationally validated protocols. Rigorous tests, including viability assessments, cell counts, and sterility evaluations, provide an added layer of assurance for parents entrusting CryoSave with their baby’s precious stem cells. Stored within liquid nitrogen storage tanks at temperatures ranging from -196 to -150 °C, these stem cells remain secure within CryoSave’s fortified facility for long-term preservation. 3. International Accreditation for Unmatched Quality CryoSave South Africa’s commitment to excellence is exemplified by its voluntary pursuit of accreditation from the AABB Association. Dr. Robert Crookes, medical consultant to CryoSave South Africa, emphasizes the significance of AABB accreditation in fostering a level of professional and technical expertise that contributes to quality performance and patient safety. As a member of the Cord Blood Association, CryoSave actively participates in an international network that collaborates to advance cord blood banking and therapies. Led by Professor Joanne Kurtzberg, a distinguished transplant specialist in regenerative medicine, this association reinforces CryoSave’s dedication to staying at the forefront of scientific advancements in stem cell therapy. For more information on CryoSave’s commitment and partnerships, interested readers can visit CryoSave’s website. In conclusion, CryoSave South Africa emerges as a premier choice for parents seeking a reliable partner in safeguarding their baby’s future through stem cell banking. With a rich legacy, state-of-the-art facilities, and international accreditation, CryoSave sets a benchmark for excellence in the critical field of stem cell preservation.

June 26, 2024

Pregnancy, your body and your baby – week 23 of your pregnancy

Your growing baby is making her presence known, and you may regularly feel little kicks inside you when she is awake. Your body is also starting to take some strain, and you may have uncomfortable feet and back to name a few. While you are excited to meet your little one, you may notice this excitement in strangers who might attempt to touch your baby bump, and this added attention is not necessarily something you’re happy with. Your body at week 23 At week 23 you may be experiencing a variety of bodily aches and pains as your body takes on the strain of growing and carrying a small human. Leg cramps, swollen feet, bleeding gums and a tired, sore back are unfortunately all normal during pregnancy. During this time you may also feel stressed out and overwhelmed. Although pregnancy is a beautiful and exciting time, it can also be very stressful for moms to be. You may be under financial strain, and you may feel pressure at work to finish up pieces of work before going on maternity leave. All of this is normal, and if you feel like you’re not coping well it’s important to speak to a health professional who can help you through this tough time. Your baby at week 23 Your baby is now the size of a squash and in their 23 week, your baby is now able to survive outside your body if they are born prematurely (although they aren’t’ ready to be born yet and have lots of growing to do!). Their lungs are developing and their face is fully formed, it just needs to do some filling out first. Your baby is also gaining weight each week (they should double in weight in the next 4 weeks), so by the time your baby is born, she’ll be the plump, chubby little one you’re expecting. Their middle ear bone is also hardening, and they are able to hear you talking to them. Things you should remember at week 23 During your second trimester as your baby bump grows you may experience both wanted and unwanted attention to your baby bump, as well as advice from everyone – from strangers to your mother. Dealing with this added attention can be overwhelming at first, but be sure to state your boundaries clearly if strangers attempt to touch your bump. While some moms-to-be may not mind extra attention, others may not like the invasion of their space when strangers want to touch their growing baby belly.

June 25, 2024

Partnership with GOTG brings water to teaching hospital

When a hospital has interrupted water supplies, the consequences are dire. Water that is essential not only for handwashing, hygiene and drinking but for cleaning and sterilising instruments, laundry, cooling medical gas and suction compressors for patients on ventilators. The list is endless. It is clear that both the patients’ health and the medical staff’s ability to provide quality healthcare will be severely compromised. This is what happened at Kalafong Hospital – an 1 118-bed teaching hospital in Atteridgeville, Pretoria. The hospital was built in the 1973 and services a large population of residents in Pretoria and beyond. The University of Pretoria uses Kalafong Hospital as a training institute for the Faculty of Health Sciences. They reached out to Gift of the Givers (GOTG) with respect to water challenges at the hospital and GOTG agreed to step up to another issue that required humanitarian aid. ‘We rely on stable water supply to service patients adequately and provide a safe training environment for our students,” said Professor Priya Soma-Pillay, the Chairperson of the School of Medicine at UP. ‘As the Chairperson of the School of Medicine at UP responsible for training at our health facilities, I’m grateful to Gift of the Givers Foundation and Bonitas for hearing our plight. With consistent and reliable water supply we can ensure the health and safety of patients, staff, students and the proper functioning of medical equipment.’ GOTG began exploring the possibility of a borehole to supply uninterrupted water and partnered with Bonitas Medical Fund for funding. Drilling began on 20 January this year and by the 26 January they found water at 148 metres. The borehole currently yields 8 000 litres per hour and is literally a fountain of life for this healthcare facility. In addition, 8 x 10 000 litre water storage tanks have been installed. The partnership between Gift of the Givers and Bonitas began in 2018, the key objective: To provide relief to the most vulnerable and marginalised communities, specifically in the field of healthcare interventions. Bonitas donated R1.2 million to the Kalafong Hospital borehole project. Lee Callakoppen, Principal Officer of Bonitas says, ‘This and the other projects carried out together with GOTG, align with the Scheme’s commitment to being the medical aid for South Africa. It is the perfect partnership, as we have the same passion and drive to assist where it is needed most. ‘ The borehole will provide water to the hospital’s reservoir and supplement the municipal water supply by 150 000 litres a day. This is over half of the hospital’s daily consumption of between 200 000 and 250 000 litres. It will also help lower running costs by reducing the water bill, these savings can be channelled into other operational costs. Importantly though, when there are intermittent water cuts in the area, the hospital can rely solely on the borehole to continue to function efficiently. The water was tested using The South African National Standard (SANS) 241 test – a drinking water specification that outlines the minimum requirements for potable water to be considered safe for human consumption, after an ultraviolet system was installed Other projects involving the partnership between GOTG and Bonitas include: Sponsoring final year medical students who were struggling financially, water interventions at Tower Psychiatric Hospital, Senekal Orphanage, Cwebeni Village in the Eastern Cape, disaster relief after the KZN floods and the sponsoring an audiology programme testing the hearing of 16 000 learners in KZN. Dr Imtiaz Sooliman says, ‘We know what a difference this consistent water supply has made to Kalafong Hospital. After all, clean water is life and clean water is health. We look forward to our continued partnership with Bonitas, always with the health and wellness of South African being the priority.’

June 24, 2024

Revolutionizing Blood Cancer Treatment: Cord Blood Transplants Provide Hope for Non-Matched Patients

In the past, people with blood cancer’s only hope of a cure was getting a stem cell or bone marrow transplant from a donor, which is called an allogeneic transplant. These patients needed a matched donor, thus the recipient and donor had to have the same immunologic proteins, called HLA. If not a match, the donor cells would attack the recipient’s immune system. Over the past few decades, substantial progress has been made in learning how to perform transplants using donated cells that aren’t a perfect match. Only 25% of people that require an allogeneic transplant, will have a sibling that is a match and 75% will need to find a match elsewhere. However, for southern European, Asian, African, Hispanic, Middle Eastern, or mixed ancestries people, it is often difficult to find a match. Where there is no sibling match for these people, patients can benefit from finding a cord blood match. This is where cord blood from a healthy newborn baby is used in the transplant. The following examples illustrate the incredible progress made with cord blood transplants: In May 2023, Duke University of Medicine published an article about the increased use of cord blood transplants in adults. Dr. Edwin Alyea, Chief Medical Officer stated that”. “More patients can benefit from transplants now because there are more donor options.” In September 2022, the Memorial Sloan Kettering Cancer Centre published an article about how cord blood transplants have saved lives in patients with Leukemia, Lymphoma, and Myeloma. Kirsten Riemer, age 41 of African American and Creole descent, was diagnosed with acute myeloid leukaemia in 2016; and received a cord blood transplant in 2016. She is still disease-free after 7 years. Ali Abouzari, age 67 of Persian descent, was diagnosed with acute myeloid leukemia in 2009; and received a cord blood transplant in 2010. Stuart Apfel, age 63 of Ashkenazi (Eastern European) Jewish descent, was diagnosed with acute lymphoblastic leukemia in 2017; and received a cord blood transplant in 2018. Donamarie Gerardi, age 52 of Southern Italian descent, was diagnosed with diffuse large B cell lymphoma and chronic lymphocytic leukemia in 2001; and received a cord blood transplant in 2006. Wincheng Lin, age 41 of Chinese descent, was diagnosed with acute leukemia in 2006; and received a cord blood transplant in 2009. Keelly Nieves, age 41 of Colombian descent, was diagnosed with myelodysplastic syndrome in 2020; and received a cord blood transplant in 2020. Ankit Sundaram, age 33 of Indian descent was diagnosed with acute myeloid leukemia in 2019; and received a cord blood transplant in 2019. All these above patients have survived their cancer and are still disease-free today and living normal lives. To this day, nearly 400 adults and children have received cord blood transplants at Memorial Sloan Kettering, of these more than 50% were from non-European ancestry. The major benefits of a cord blood transplant are: The cord blood stem cells do not have to be a perfect match and can be transplanted without harm since a baby’s immune system is less developed and therefore less likely to recognize the patient’s body as foreign. The cord blood stem cells can help stop the cancer from returning after the transplant and are also excellent at combating cancer. The patients are also less likely to have the potentially life-threatening complication called graft versus host disease (GVHD). The stem cells are also immediately available for an urgent transplant, as they are already cryopreserved once a match is found. Given that there are relatively few stem cells in each unit, and the time for the stem cells to settle and start producing blood cells is longer; a way to overcome this is with a new technology called “expansion”. This technology replicates these blood cells in the laboratory before being used in a transplant. Through clinical trials, Duke University has shown that using expansion shortens the time for the stem cells to settle and start producing blood cells from 28 to 12 days. This is much faster than any other transplant technique available. This product, called Omdidubicel, was approved by the Food and Drug Administration (FDA) in April 2023. This means that many more patients will now have access to the therapy. Another option to make cord blood transplants available for more people is to do a haplo-identical cord transplant. This involves a combination of donated cord blood stem cells and half-matched (haploidentical) cells from a related half-matched adult donor, typically a parent, child, or sibling. Medication given after the transplant, dampens the immune response among the newly transplanted cells to discourage graft versus host disease. Another way to make cord blood transplants available to patients that cannot endure high-dose chemotherapy before a transplant is to allow low-dose chemotherapy before the transplant, for it was found in these instances that the transplanted cord blood can recognize and kill cancer cells that were not eliminated by the chemotherapy. Today, more than 50,000 of these transplants have been performed worldwide. Cord blood even contains rare stem and progenitor cells for tissues that are different from the blood. Scientists are studying the likelihood that cord blood cells could be used to repair damaged tissues including those in the heart, brain and pancreas. To quote from an article in Diabetologica in 2011: “By implication, it appears that the stem cells in cord blood may hold more promise for the formation of pancreatic beta cells than those in bone marrow”. With all of these developments in regenerative medicine, it would be a great investment in a family’s future for parents to make the choice to bank their baby’s umbilical cord- and tissue stem cells at birth. References Gupta AO, Wagner JE. Umbilical Cord Blood Transplants: Current Status and Evolving Therapies. Front Pediatr. 2020 Oct 2;8:570282. doi: 10.3389/fped.2020.570282. PMID: 33123504; PMCID: PMC7567024. https://medschool.duke.edu/stories/more-options-people-blood-cancers https://www.mskcc.org/news/how-msks-cord-blood-transplant-program-has-saved-lives Huang, C.J., Butler, A.E., Moran, A. et al. A low frequency of pancreatic islet insulin-expressing cells derived from cord blood stem cell allografts in humans. Diabetologia 54, 1066–1074 (2011). https://doi.org/10.1007/s00125-011-2071-2

June 19, 2024

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