Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Smoking and pregnancy – should I quit

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

March 3, 2025

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

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

February 24, 2025

Breastfeeding tips

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

February 17, 2025

All about epilepsy

It’s not surprising that Lavender is recognised as the international flower of epilepsy. Said to symbolise isolation and loneliness, often associated with epilepsy. National Epilepsy Week is celebrated from 10-16 February this year, its purpose: To create awareness about epilepsy and support the rights and well-being of individuals with epilepsy. Dr Themba Hadebe, Clinical Managed Care Executive with Bonitas Medical Aid, discusses the causes, types, treatment and misdirected social stigma around epilepsy. ‘Epilepsy is the most common chronic brain disease,’ says Dr Hadebe, ‘it affects an estimated 50 million people worldwide – across all ages, cultures and backgrounds. In South Africa, 1 in every 100 people have epilepsy. As we mark the significance of epilepsy globally, it is vital to explore this brain condition, including addressing the social challenges and stigma around the disease.’ He says, ‘despite its prevalence, many people suffering from epilepsy – especially in low and middle-income countries do not receive the treatment or understanding they need.’ What is epilepsy? It’s characterised by recurring seizures, which occur when there is excessive electrical discharge in a group of brain cells. Dr Hadebe says, ‘While seizures can range from mild lapses in awareness to severe convulsions with loss of consciousness, the frequency and severity of episodes can vary widely. Although one seizure does not constitute epilepsy, people who experience two or more unprovoked seizures are diagnosed with the condition.’ In high-income countries, treatment access is more readily available but the disease remains a challenge, due to misdiagnosis and the persistence of stigma, making life difficult for those affected. It is also worth noting that up to 70% of people living with epilepsy could become seizure-free with proper diagnosis and treatment. Yet, an estimated 90% of people in some low-income countries remain untreated. This gap in access is worsened by a lack of trained healthcare providers in these areas. Causes of epilepsy There are a number of causes, including: Types of seizures There are focal seizures, which start in one part of the brain and generalised seizures, which affect both sides of the brain. Focal seizures Simple focal seizures: The person remains conscious and may experience unusual sensations, such as strange tastes or visual disturbances. Complex focal seizures: These may impair consciousness or awareness and may involve repetitive movements such as hand-wringing or lip-smacking. Generalised seizures Tonic-clonic seizures: Involve stiffening of the muscles followed by rhythmic jerking movements, often accompanied by loss of consciousness. Absence seizures: Brief lapses in awareness, often misinterpreted as daydreaming. Myoclonic seizures: Sudden, jerky movements that can affect the limbs or entire body. Atonic seizures: Sudden loss of muscle tone, which may cause falls or head drops. The impact of seizures The impact on an individual’s life can extend beyond the physical symptoms. People living with epilepsy often experience higher rates of mental health disorders, particularly anxiety and depression. In fact, the risk of premature death for people with epilepsy is up to three times higher than the general population, with the greatest risks found in low-income countries. Treatment and care Although epilepsy is a lifelong condition, seizures can often be controlled with medication. ‘The primary treatment for epilepsy is the use of antiseizure drugs and, for up to 70% of individuals, these drugs can lead to seizure-free living’ says Dr Hadebe. ‘In some cases, when medication fails, additional options like surgery, vagus nerve stimulation, or responsive neurostimulation can help manage seizures.’ Many countries lack affordable antiseizure medications and healthcare workers may not have the training necessary to accurately diagnose and treat epilepsy. The World Health Organization’s (WHO) efforts to bridge this gap include training primary healthcare providers in diagnosing and treating epilepsy, which has already proven effective in pilot projects in countries like Ghana and Myanmar. Prevention An estimated 25% of epilepsy cases are preventable. Preventing traumatic brain injuries, improving perinatal care, reducing the incidence of stroke and infections and addressing health conditions like hypertension and diabetes, can help lower the incidence of epilepsy. In tropical regions, eliminating parasitic infections like neurocysticercosis is also critical for reducing the burden of epilepsy. The impact of diet on epilepsy management Diet can play a supportive role in managing epilepsy. The ketogenic diet, a high-fat, low-carbohydrate eating plan, has been shown to significantly reduce seizure frequency in both children and adults. It works by promoting a metabolic state called ketosis, where the body burns fat for energy instead of carbohydrates, which can help stabilise brain activity. For individuals who do not respond well to the ketogenic diet, alternatives like the Modified Atkins Diet or the Low Glycaemic Index Treatment (LGIT) can also be effective. In addition, ensuring adequate intake of omega-3 fatty acids, vitamin D and magnesium may help support brain function and reduce the risk of seizures. More research is needed to understand the impact of diet on epilepsy, but these dietary strategies offer an important complementary approach to medical treatment. Social stigma and Human Rights Dr Hadebe says, the stigma surrounding epilepsy is a significant barrier to care. ‘Many people with epilepsy suffer discrimination, whether in the form of myths about epileptics, workplace bias or limitations on their legal rights. The problem is so pronounced that Epilepsy South Africa’s hashtag is #StampOutStigma. In some countries, people with epilepsy face challenges in obtaining marriage licenses, employment or even the ability to drive. ‘Addressing these issues requires improved public education, along with legislation that protects the rights of people with epilepsy and ensures they receive equal treatment in all aspects of life.’ Epilepsy remains a global health issue that impacts millions of lives, particularly in low- and middle-income countries. The international community, with organisations like WHO leading the charge, continue to work towards reducing the global burden of epilepsy. By recognising the causes, types and treatment options available and addressing the social stigma, we can create a more inclusive world for people living with epilepsy. It is time to bring epilepsy out of the shadows and into the light of understanding, compassion and care.

February 12, 2025

Talking about HPV, cervical and the HPV vaccine

As the Department of Health gears up for the first round of Human Papilloma Virus (HPV) vaccinations for girls between 9 and 14 from February 3 to March 28, we put the spotlight on HPV and cervical cancer. The focus is on: Empowering, Preventing and Early Detection of cervical cancer. It’s important because cervical cancer kills more South African adolescents and women aged 15 to 44 than any other cancer. It can be successfully treated, if caught early enough but it’s far better to prevent it in the first place. Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas, provides some insights and important information about cervical cancer – caused by persistent infection with HPV – whyit is essential to screen for the virus and the vaccination that can help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘To help prevent cervical cancer, we have expanded our preventative care benefits to include the HPV vaccine across all plans,’ says Dr Hadebe. ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years, per lifetime’. Screening for HPV and cervical cancer: Screening is essential to mitigate the risk of developing cervical cancer and aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test should be done every 5 years. Signs and symptoms: The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. The power of prevention: ‘Talk to your daughter about important lifestyle choices she must make’, says Dr Hadebe. ‘These may be uncomfortable conversations to have but they’re vitally important to protect her from HPV and subsequent diseases.’ Discussion points include the fact that the HPV vaccination is her best opportunity for protection from the virus. In addition, she needs to consider the following: If you develop cervical cancer: Just like other cancers, cervical cancer is graded according to severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one (it’s still in the original organ and small). If it progresses, it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasised to surrounding tissues and other lymph nodes. As cervical cancer develops, the following may occur: ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’ Additional information on cervical cancer and HPV can be found on the Bonitas website: www.bonitas.co.za or the Department of Health https://www.health.gov.za

February 11, 2025

Symphysis pubis dysfunction (SPD) and to deal with it

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

February 10, 2025

Advice from the experts

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

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

January 21, 2025

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

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

January 21, 2025

Preparing your home for your baby

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

January 20, 2025

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

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

January 20, 2025

Are You Caring for Aging Parents and Children?

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

January 16, 2025

What is Plagiocephaly?

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

January 14, 2025

Physical Touch & Newborns- Why is this so Important

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

January 13, 2025

Rush Extreme and Discovery Vitality: Active Family Fun with Health Benefits

Rush Extreme, South Africa’s leading indoor adventure park, has teamed up with Discovery Vitality to make family fun both active and affordable in Cape Town and Johannesburg. This exciting partnership now offers Discovery Vitality members the opportunity to earn vitality points at Rush, making it easier for families to enjoy thrilling activities that promote physical fitness. Whether it’s bouncing on trampolines, scaling climbing walls, or navigating ninja obstacles, every visit to Rush provides significant health benefits in a fun, social environment. One of the standout attractions at Rush is the trampoline activities, which is more than just fun – it’s a powerful workout. Trampoline activities are a fantastic way to enhance cardiovascular fitness, build endurance, and improve balance and coordination. Just a few minutes of jumping can engage multiple muscle groups, strengthening legs, core, and even upper body stability. Studies have shown that trampoline exercises can burn more calories than running, while being gentler on joints, making it ideal for kids and adults who need safe yet active play. Through Rush’s partnership with Discovery Vitality, members can enjoy an active family environment, encouraging families to incorporate more active play into their weekly routines. The Ninja Warrior Obstacle Course at Rush further enhances physical fitness by offering activities that require agility, strength, and mental focus. Inspired by the popular show, this obstacle course challenges kids to climb, swing, and balance through a range of obstacles, building flexibility and resilience along the way. It’s a perfect fit for Discovery Vitality members looking for fun ways to stay active while earning Vitality points (100 points every time you sign in for a session on the Vitality iPad!) for their participation, rewarding healthy choices with a host of Vitality incentives. In addition to trampolines and the Ninja Warrior course, Rush’s Dodgeball Arena provides a dynamic team environment, allowing kids to build coordination and teamwork skills. Playing dodgeball on trampolines takes the classic game to new heights – literally! Kids jump, dodge, and aim in a high-energy activity that promotes cardiovascular health while encouraging social interaction and friendly competition. For Discovery Vitality families, this arena provides a space for regular activities that are both fun and rewarding. With locations in Cape Town and Johannesburg, Rush provides Discovery Vitality families with a convenient and affordable way to stay active together. This partnership makes it easy for families to engage in regular physical activity in a safe, supervised environment, while earning Vitality points! The collaboration between Rush Extreme and Discovery Vitality embodies a shared commitment to healthy living, ensuring that families have access to fun, fitness, and wellness-focused entertainment in every visit. Book your visit to the indoor adventure park in Cape Town here and in Greenstone here. For more information about Rush Extreme’s exciting activities, locations, and how you can earn Discovery Vitality points, visit their official website at www.rushsa.co.za.

January 10, 2025

TEARS Foundation Launches Soothing the Nation campaign

In South Africa we have great laws addressing our gender-based violence (GBV) problem, but we fall very short on implementation and accountability. As a result, very few of these laws help with the aftermath of rapewhilethe body and mind try to process the devastation of sexual violence. Our system is broken and subsequently there is very little trust in it and often people do not know where to turn to in order to get help. “To help victims get the support they need, we need to change the way we view and help survivors. They are not a statistic or a trend. They are broken people who, besides carrying the trauma of abuse, often also carry the burdens of not being believed, the stigma, the shame, the self-blame, and the fear of retaliation,” says Mara Glennie, founder and CEO of TEARS Foundation and a GBV survivor and advocate. All these factors work together to silence the victims of domestic violence, sexual assault, rape, child abuse and all other forms of GBV, despite the countless calls for victims to speak up about their abuse, to break the silence, to take action. It is no surprise that these are sometimes not heeded when victims might not know who they can trust to hear them, believe them and help them without judgement. TEARS Foundation, one of South Africa’s foremost anti-GBV organisations, now proudly launches the Soothing the Nation campaign — a deeply moving initiative designed to confront the country’s gender-based violence (GBV) crisis – by taking a step back and letting people know that there is in fact somewhere for them to turn… a place they can trust. The work done by TEARS Foundation by offering free, confidential help 24 hours a day, 365 days a year, acts as a soothing lullaby that can be heard across the nation by survivors of all types of abuse. TEARS Foundation has become a national symbol of hope. The organisation is celebrated for its pioneering work in crisis intervention, survivor advocacy, counselling, and education, creating pathways to safety and recovery for countless individuals. Its robust network connects survivors to emergency shelters, medical care, child-friendly centres, and legal assistance. Their team provides hands-on support with police follow-ups, protection order applications, and strategies for safely exiting abusive environments. Leveraging innovative technology, TEARS Foundation connects survivors to critical resources through multiple platforms, ensuring help is always just a call or click away: By combining innovation, compassion, and tireless dedication, TEARS Foundation ensures that no survivor faces violence alone. The Soothing the Nationvideo was produced by creative communications agency DarkMatter, with assistance from sound engineer Kevin Leicher at Jazzworx and Johannesburg Queer Chorus on vocals. Watch the full version of the video here

January 9, 2025

Sun Safety for Babies: Protecting Delicate Skin in Summer

While some sunlight is important for bone and muscular development and the immune system as it helps the body create vitamin D, particularly in children, too much sunshine is dangerous and can cause sunburn. Research shows that just one blistering sunburn during childhood hugely increases your risk of developing skin cancer later on. So, sun safety for babies and children is vitally important! Especially in our harsh South African sun. Since young skin is not as effective at protecting itself as adult skin, it must be especially protected from UV rays. Babies up to one year old should never be exposed to direct sunlight. Let older children get used to the sun gradually, and always use a sunscreen with a high SPF factor, as well as protective clothing and shade. TIPS FOR SUN PROTECTION So, why is a baby’s skin so much more sensitive than an adults? BABY SKIN – A SENSITIVE CLOAK Babies are miraculous yet very vulnerable beings since, in contrast to adults, their skin lacks important protective functions. The topmost layer of a baby’s skin is around 20% thinner than an adult’s. In the first few months of life, your baby’s skin lets more moisture pass through and dries out faster, making it prone to irritation and inflammation. The cells of baby skin are smaller and not as close together, which makes the skin more porous. Baby skin hardly produces any sebum (oily secretion) before puberty. Perspiration is not able to regulate a baby’s body temperature as effectively as it does in adult age. The acid mantle (fine slightly acidic film on the skin) only begins to develop after a baby has been born. Sensitive baby skin requires particular care and protection in the first year of life. That’s why it is so important to use baby care products which are tailored to the special needs of baby skin. German family-owned skincare brand sanosan, newly launched in South Africa, uses only nature’s very best ingredients for the most delicate skin in the world to ensure clinically confirmed maximum tolerability. Their scientifically tested products contain no nasties, and more than 90% natural ingredients to keep your little one, and the environment, safe. Sanosan Baby Sun Cream SPF 50+ is a top-tier sunscreen designed specifically for delicate baby skin including broad range of UVA+UVB protection SPF 50+. With its pleasant texture, this cream absorbs quickly for easy application. It does not leave a white cast or sticky residue, making it ideal for everyday use. This cream delivers 24 hours of nourishing care, making it suitable for babies, children, and adults alike. With its gentle formula, Sanosan Baby Sun Cream helps maintain skin hydration while protecting against sun damage, allowing for worry-free outdoor playtime. Plus, its microplastic-free, and safe for our oceans – winwin! More info on Sanosan Baby Sun Cream SPF 50+ High level of protection: High level of skin care: High level of safety: With respect for our oceans: Sanosan Baby Sun Cream SPF 50+ – RSP R307 Sanosan is available from selected Babies R Us Stores and Clicks Baby and Online stores, amazon.co.za, takealot.com, Makro Online For more info visit https://sanosan.com Follow: Facebook: https://www.facebook.com/SanosanSouthAfrica/ Instagram: https://www.instagram.com/sanosan_safrica/ Sanosan is available from selected Babies R Us Stores and Clicks Baby and Online stores, amazon.co.za, takealot.com, Makro Online

January 7, 2025

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

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

January 6, 2025

The Festive Favourite that avoids a diet disaster come the new year!

But instead of priming a diet disaster come the new year, you really can deck the halls, line your stomach and, above all, bulletproof your wellbeing over the festive season by adding loads of fresh mushrooms to your table – while not skimping on flavour or festive feels in any way! The key is embracing blendability – and a bit of balance and self-control at the dessert table too. But mushrooms have you sorted on the starters, mains, sides and snacks! Mushrooms are very low in calories, cholesterol and salt, while being titans of taste. And all you have to do is halve the meat in any recipe you are cooking and substitute with finely chopped mushrooms for all the flavour and meaty-mouthfeel, and a whole lot more good health. Added fungi feasting points: • Fresh mushrooms are amazingly budget-friendly when compared to meat. • Mushrooms are readily available in every supermarket. • Mushrooms can easily be used to stretch a meal like potjie to feed a bigger crowd – just chuck a punnet or two into the pot! • Mushrooms are extremely versatile, and easily adaptable to most cooking methods and cuisines. • Mushrooms are a marvellous meat substitute. Grill a few over charcoal with your usual braai marinade and you’ll be blown away! • Mushrooms have a unique nutrient profile, providing nutrients found in animal derived foods like meat, fish and chicken, and plant derived foods such as grains and vegetables. • Mushrooms are a mainstay of the Mediterranean diet, which is considered the healthiest lifestyle and eating plan in the world. • Along with moderate exercise, studies show that eating mushrooms can improve your mood. • Mushrooms are incredibly delicious! In Central and Eastern Europe, mushrooms are a big part of Christmas Eve celebrations, with mushroom soup always served in Germany and fungi-filled pierogi or uszka on every Polish table. But what about at home here in South Africa? Well mushrooms make themselves welcome in every situation. If you’re braaiing, give Mixed Mushroom Braai https://rebrand.ly/n8fioz8 a try, with sides of Spicy Chicken Livers, Baby Buttons & Creamy Samp https://rebrand.ly/fep2yf3 or Cheesy Mushroom & Spinach Loaded Polenta https://rebrand.ly/ybu60ih, and make a giant bowl of Mushroom Chakalaka https://rebrand.ly/boehhep for your meats. And don’t forget the other big flavours of South Africa. Maybe some Mushroom, Pea & Potato Samoosas with Mint & Yoghurt Dipping Sauce https://rebrand.ly/qyw59dx for that end-of-year party and a Mushroom & Mince Bobotie https://rebrand.ly/haxu7zv for the Christmas table. Then there are refreshing cold lunch salads like Grilled Mushroom, Chicken & Papaya Salad https://rebrand.ly/5u3p77y, late night messy-hand treats like Portabello Shawarma https://rebrand.ly/1kzp479 and those little-bit-fancy kuir-snacks from Mushroom Hummus with Sesame Mushroom Topping https://rebrand.ly/w69b6tu to Mushroom Summer Rolls https://rebrand.ly/u4ge6hp. Come Christmas Eve, Mushroom & Kingklip Ceviche https://rebrand.ly/2pqn6yq should hit the spot after a day of baking and getting ahead on dishes like Festive Mushroom Wellington & Cranberry Sauce https://rebrand.ly/vajgf83, which promises all the right kind of Big Day drama. So for your health, for your waistline and for your overall mood, this festive season, whenever your tummy rumbles, go to https://rebrand.ly/b3k3tok to fill your mouth with a mushroom! Mushroom & Walnut Tart Serves 8-10 Ingredients: Crust: Filling: To serve: Method: For the crust: For the filling: Image and Recipe Credit : The South African Mushroom Farmers’ Association

December 10, 2024

The Journey to Generation None: Building Safer Futures for South African Women and Children

At 1st for Women, we know that addressing gender-based violence (GBV) requires not only immediate action but also a long-term commitment to dismantling the cultural mindsets that allow such violence to persist. Our five-year strategy to tackle GBV in Diepsloot exemplifies our dedication to creating an environment where future generations can live free from fear, writes Seugnette van Wyngaard, Head of 1st for Women Insurance. This commitment is why we’re proud to have launched our Generation None campaign for this year’s 16 Days of Activism, envisioning a world where the next generation will be free from the shadow of violence that’s affected too many for too long. Our approach in Diepsloot is grounded in a partnership network designed to address GBV from multiple angles. Through programmes implemented by Action Breaks Silence and REPSSI, we’re reaching young people in schools—starting as early as grade two—to help shift the cultural attitudes that underpin GBV. By educating students on concepts like self-esteem, empathy, and healthy boundaries, these school-based programs aim to address the root causes of gender-based violence by challenging ideas around gender roles, masculinity, and patriarchy. Think of it as a proactive, preventive approach. Because, as research shows, if we want to foster new mindsets and behaviours, we need to reach people when they’re young. This is why our focus is on equipping today’s youth with values that encourage respect and equality—values that will become deeply ingrained as they grow into adulthood. We’re seeing firsthand how this approach impacts communities. By emphasising respect and understanding in schools, we’re already witnessing reductions in behaviours like bullying. This progress reflects that if we can help young people understand the importance of treating others with dignity and empathy, we can set the groundwork to reduce not just bullying but future incidents of gender-based violence. However, we also recognise that prevention alone is not enough. GBV survivors in Diepsloot need immediate support and access to justice, which is why our network also includes essential resources for those affected today. Tears Foundation, for example, provides a 24-hour support system that survivors can contact anytime for immediate assistance, assisting over 133,000 users in the last year alone. Lawyers Against Abuse is another critical partner in our mission, providing legal assistance and counselling to over 890 GBV survivors since the programme began. In the past year alone, LvA has supported survivors in 84 criminal cases, including 53 cases of sexual violence, 27 cases of assault, and three cases of child abuse. Beyond legal help, LvA has also reached over 2,000 young people through GBV awareness campaigns, promoting a community-wide culture of support and vigilance. One of the most significant additions to our work in Diepsloot is the Post-Violence Clinical Care Centre (PVCC), which opened in May 2024. To date, 132 survivors have received medical and counselling assistance in this dignified, safe space designed specifically for survivors of GBV. Unlike conventional police facilities, the PVCC is equipped with trained counsellors and medical staff who can provide immediate trauma support, enabling survivors to give clear statements and begin their journey toward justice. This facility is a critical step in helping to overcome barriers to reporting, which is often hampered by a lack of appropriate infrastructure and support in public institutions. By ensuring that survivors feel protected, respected, and cared for from the moment they report an incident, the PVCC is a model of how holistic support should look. The infrastructure and partnerships we’ve established in Diepsloot reflect a carefully considered strategy that prioritises both prevention and response. Our hope is to bring this model to other areas in South Africa. As we collect data and measure the impact of this program, we’ll be better equipped to replicate it in other communities that need it most. Diepsloot is a challenging environment, but that’s precisely why we chose it. If this program can make an impact here, we believe it can make an impact anywhere. To date, our Foundation has supported nearly 67,000 people in Diepsloot through our flagship schools and community programs. We understand the daunting statistics around GBV in South Africa. Fewer than 7% of incidents are reported to the authorities—a figure that underscores the urgent need for facilities like the PVCC, where survivors can feel respected, protected, and empowered to speak out. Our commitment remains to make these essential resources as accessible as possible. By supporting both present and future generations, we’re striving toward a South Africa where the next generation will be able to live without the threat of GBV. The Generation None campaign captures this vision perfectly. Through focused investment, compassionate care, and a long-term strategy, we are hopeful that the landscape of GBV prevention and support will change for the better. At 1st for Women, we believe that every woman deserves a life free from violence. Our work in Diepsloot is one step forward in that journey, and we remain steadfast in our mission to ensure this becomes a reality across South Africa.

December 10, 2024

Chase the happiness highway this festive season

We all need to eat, to sustain life and for the pure enjoyment of it. A delicious meal can reset your thinking as well as give you energy. And mushrooms have a lot to offer when it comes to good food, good mood, good life. Mom was right when she told you to eat your greens because they’re good for you. And while mushrooms are technically fungi, rather than vegetables, they hold the same eating and nutrition pluses as plants. A study by the University of Kent and the University of Reading found that uplifting your health by eating good-for-you mushrooms, fresh vegetables and fruit, and taking part in regular exercise, can indeed make you a happier and healthier person. Now we all know what foods we should eat for optimal health and mood, but we simply don’t do it. Mushrooms offer an amazing quick-fix to this conundrum, because they’re not only easily accessible and budget-friendly, they are also delicious and amazingly versatile, adapting to all sorts of dishes and cooking styles! But most importantly, mushrooms are simple to ADD to your meals, rather than a hard-to-stomach subtraction. Feel like pizza? Choose sliced mushrooms as one of your toppings. A braai with friends? Marinate and chargrill big brown mushrooms in place of some of the meat you’d ordinarily serve. Making a stir-fry, pasta dish or stew? Throw in some fresh mushrooms. It’s no extra effort but always a positive mental and lifestyle choice. Often when we want to feel better, we reach for the sweets and cakes, but nutrient dense foods like mushrooms will actually do more for your long-term mindset. Some of the reasons mushrooms are a mental health marvel, include: Vitamin D Fresh mushrooms were lauded in a recent CNET article titled, 8 Foods That’ll Make You Happy, According to Science. The reason? Vitamin D. “Mushrooms are packed with vitamin D, which has been linked to antidepressant qualities and may boost your mood,” states the article. “If you’re vegan or vegetarian, you’re in luck, since mushrooms are the only non-animal-derived food source with a substantial amount of vitamin D that’s bioavailable (the body can easily absorb it). To get the most vitamin D benefit from mushrooms, expose them to sunlight for a few hours before cooking.” Vitamin B6 A study published in 2022 in The National Library of Medicine “concluded that vitamin B6 actively helps in relieving symptoms that accompany depression and anxiety, making it an important supplement to be added to our daily lives.” And you guessed it, fresh mushrooms are a good source of B6. Selenium Mushrooms deliver a significant amount of the antioxidant selenium, which has long been associated with brain health, with studies mentioning benefits that range from lowering inflammation in brain cells to dementia support. According to WebMD, “research shows selenium’s antioxidant properties fight cell damage that may worsen brain and nervous system diseases like Parkinson’s, Alzheimer’s, and multiple sclerosis.” Ergothioneine A 2021 study at Penn State College of Medicine that looked at mushroom consumption and individuals’ mental health, and considered the information from more than 24 000 US adults between 2005 and 2016, collected from that country’s National Health and Nutrition Examination Survey, reported a connection between individuals eating moderate-to-high levels of mushrooms and depression. “Higher mushroom intake gave participants lower odds of experiencing depression or depression symptoms, compared to those who ate a low amount of or no mushrooms,” noted the authors. The lead researcher, Djibril Ba, then went on to says that “mushrooms are the highest dietary source of ergothioneine, an amino acid that works as an anti-inflammatory agent. Inflammation has been linked to depression, anxiety and other mood disorders, so this inflammation-fighting nutrient may help combat these common mental health woes.” Clearly fungi brings the chill, feeds the mind and boosts your happy days! And while happiness is not one of those things we can really strive for directly, it’s certainly a byproduct of good living, including eating well – and that means great flavour, fullness and overall satisfaction too. Chase the happiness highway with tasty mushroom meals from https://bit.ly/31Tza3V. Then add some exercise and time with good friends to the mix, serving up happy-to-share classics like Mushroom Loaded Nachos with Homemade Queso https://rebrand.ly/x6hbo4g to get those good vibes going. ______________________________________________________________ Mushroom Loaded Nachos with Homemade Queso (cheese sauce) Serves 8 INGREDIENTS For the cheesy sauce / queso: 2 Tbsp butter1 small onion, finely diced3 garlic cloves, grated 2 tsp ground cumin½ tsp cayenne pepper2 cups full cream milk1 Tbsp cornstarch300g cheddar cheese, finely grated Salt, to taste For the nachos: 500g corn tortilla chips2 chicken breasts, cooked and shredded1 onion, finely diced2 garlic cloves, grated 1 Tbsp Mexican spice mix / Taco seasoning 500g mixed mushrooms, sliced (baby button, portabellini & white button) 1 x 400g tin crushed italian tomatoes 1 x 400g tin black beans, drained & rinsed Olive oilSalt and pepper, to taste Optional nacho sides for serving:Guacamole, sour cream, tomato & onion salsa, fresh coriander, grilled corn METHOD For the cheesy sauce / queso: Heat butter in a medium saucepan over medium heat. Add onion and garlic. Cook, stirring occasionally, until onions are tender but do not brown. Add cumin and cayenne pepper and cook until fragrant. Stir in all but ¼ cup of the milk and bring to a bare simmer. With the remaining ¼ cup of milk whisk in the cornstarch until smooth. Add cornstarch slurry to the pot and whisk it through. Whilst simmering, continue to whisk and cook the cornstarch into the mixture for 2 minutes until thickened and mixture coats the back of a spoon. Turn off the heat and switch to a spatula. Adding a handful at a time, sprinkle in the cheddar and stir until it is fully dissolved. Do not add too much at a time. If you need to increase the heat, switch the burner on to the lowest setting to help the melting along. Continue adding the cheese until it has all melted. Cover the queso with a lid while preparing the rest of the

December 10, 2024

1st for Women Insurance Unveils Generation None Campaign for 16 Days of Activism Against Gender-Based Violence

1st for Women Insurance today launches its Generation None campaign, an initiative aimed at eradicating gender-based violence (GBV) to create a safer, more just future for South African women and girls. Taking place throughout the annual 16 Days of Activism, the campaign is premised on the fact that 28,000 girls will be born in South Africa during this period, and asks us to consider ‘How many of them will experience GBV?’ ultimately landing the point that: ‘it’s up to us to ensure it’s none.’ Despite the troubling statistic that one in three South African women will endure gender-based violence in her lifetime, Generation None envisions a future where none of these girls will grow up to be part of that statistic. This future—Generation None—represents 1st for Women’s commitment to a society in which no woman experiences violence simply for being a woman. The campaign calls for all individuals, communities, and corporations to take a stand to make this vision a reality. “For over 15 years, 1st for Women has been dedicated to fighting GBV and supporting victims through various initiatives and programs. We have raised more than R100 million to support GBV victims and prevention projects, but we know our work is far from over,” said Seugnette van Wyngaard, Head of 1st for Women Insurance. “Generation None is our commitment to amplifying the voices of those fighting for change and creating a safer society for future generations. Together, we can turn ‘1 in 3’ into ‘none.’” At the heart of Generation None is a vision of a future free from GBV. This mission emphasizes that ending GBV requires a united effort and a firm commitment to ensure: Introducing the Generation None Time Capsule To mark the Generation None commitment, 1st For Women will be unveiling a symbolic Time Capsule project that allows South Africans to make a tangible commitment today for a future free of GBV. The Time Capsule invites participants to: Each message, pledge, and post becomes part of a larger movement, a reminder to future generations that South Africa took a stand against GBV, actively working toward a world in which girls are free from harm and fear. “This campaign is more than just a vision — it’s our call to action,” added van Wyngaard. “Generation None represents the world we all deserve—one free from violence against women. Together, we can create this future.” The Generation None campaign ultimately serves as a promise, a responsibility, and an invitation to every South African to take action. Join us in shaping a violence-free world for these 28,000 baby girls, and for every girl yet to be born.

December 6, 2024

What to do if you get sunburnt this summer

When it comes to sunburn, prevention is better than cure. The sun’s rays are incredibly dangerous, and for those of us living on the African continent, summer can be brutal on our skin. Not only are we at risk of getting a painful sunburn, but we are also at risk of developing skin cancer. Each of us should do everything we can to prevent getting sunburnt, particularly during summer, when we are most at risk. This includes applying SPF daily, wearing protective clothing, and avoiding the sun during peak hours. However, we are only human, and even the most diligent of us slip up sometimes. Developing a sunburn should not be a part of your annual summer holiday, but if you do get one, it’s essential to know how to ensure your skin heals quickly. Why does our skin get sunburnt? When our skin is exposed to too much UV (ultraviolet) light, it results in sunburn. The primary source of UV light is the sun, however, artificial sources such as tanning beds may also burn the skin. The sun’s UVA rays can penetrate the deeper layers of the skin, leading to premature ageing and DNA damage. On the other hand, UVB rays penetrate the skin more superficially and are responsible for sunburn. When exposed to the sun, we are at risk of developing sunburn, long-term skin damage, and skin cancer. Everyone can get sunburnt, regardless of age, gender, or ethnicity, so it’s essential to take steps to protect yourself when you go outdoors. What are some of the symptoms of sunburn? The most apparent symptom of sunburn is redness, particularly in fair skin tones. The skin may feel hot to the touch, painful, itchy, or tender, and in severe cases, there may be swelling or blistering. When does a sunburn require medical attention? Do not underestimate the power of the sun. A bad sunburn can be life-threatening if not treated. You should seek immediate medical attention if you experience severe symptoms such as chills or fever, headaches, blistering, nausea, muscle cramps or dizziness. How can you treat a sunburn at home? In most cases, a sunburn can be treated at home, but the discomfort will take some time to be alleviated. Here’s what to do: Stay out of the sun—This may seem obvious, but the worst thing you can do is expose your sunburnt skin to further damage. Stay indoors while your skin heals, or wear protective clothing if you need to go outside. Drink lots of water – Sunburnt skin draws fluid to the skin’s surface, so your body will need more water than usual to avoid dehydration. Take cool showers or baths – The cold water will help soothe your skin. Don’t rub your skin when you get out; pat it dry gently to avoid further pain and irritation. Do not apply ice as it may worsen the damage. Take painkillers if necessary. Ibuprofen or aspirin can be taken to relieve pain and swelling. Wear loose clothing – Tight-fitting clothing irritates burnt skin and may cause unnecessary friction. Avoid perfumed products – Fragrances, scented soaps, or lotions should not be applied to sunburnt skin as they may cause irritation. Apply a cooling gel with healing properties – Lamelle Research Laboratories recently launched Helase Rescue Repair Gel, an after-sun skin saviour that can be used by the whole family. Helase Rescue Repair Gel is intended to nourish, repair, and soothe sun-exposed skin. The product’s potent anti-inflammatory, antioxidant, and cooling agents work rapidly to reduce the extent of the injury. It reduces and soothes redness, heat, and irritation and turns off damaging free radicals if you’ve been overexposed to the sun. Not only does it offer immediate relief from discomfort, but it also limits the damage done by sun exposure. Directions for use: Apply the required amount of product to the affected area two to three times a day until the redness has subsided. In severe cases of sun exposure, there may be a slight stinging sensation that quickly subsides. Once the Rescue Repair Gel has fully absorbed, additional moisturisers should be added to the affected area over it. Lamelle Serra Soothing Cream is an ideal option for extremely dry, inflamed, and sensitive skin. Be patient – Sunburn is uncomfortable and takes time to heal. Allow your body to heal naturally – do not pick at your skin or blisters, and once it begins to peel, do not rub, tug at or pull the skin. Protecting your skin from the sun should be a priority all year round, but it becomes increasingly important during summer when the sun’s UV rays are at their most dangerous. Be vigilant regarding sun protection, especially with young children whose skin is highly vulnerable.

December 6, 2024

Here’s that show-stopping dish you want for your festive table!

It’s almost that time of year again! We’re planning our end-of-year holidays and, equally important, the holiday menu! You’ll be pleased to know that mushrooms are especially great for this time of year. They’re robust and substantial enough to keep you going, delicious enough to have more and light enough not to ruin the next feast scheduled. PLUS our Twice Baked Mushroom Souffle is a winner – not only because it is a showstopper but because it is really easy to make….. Do we need to say more? The recipe is below the image and if you need more mushroom inspiration for the holidays, our website has it all. Check out www.mushroominfo.co.za Enjoy the cooking and the togetherness this Festive Season! Twice Baked Mushroom Soufflé Image and Recipe Credit the South African Mushroom Farmers’ Association Serves 6 Ingredients: Method: Bake for 15 – 20 minutes until puffed up once again and the cream has thickened and caramelised. Serve straight away with a lightly dressed green salad on the side.

December 5, 2024

Cwebeni gets a lifeline of water

In many rural villages across South Africa, access to clean, running water is not a convenience – it’s a lifeline. For the villagers of Cwebeni in rural Port St Johns in the Eastern Cape, fetching water for drinking, cooking and bathing is a daily struggle. It requires long, exhausting and treacherous walks along a narrow path to a spring, while balancing buckets. Today (November 21) there is cause for celebration as the lives of this local community are being transformed, thanks to the provision and activation of a borehole and access to running water. The need The village of Cwebeni of around 400 households and 3 000 residents, face many challenges. There are few employment opportunities and little access to basic services – such as clean water, sanitation and road infrastructure. They have not had water in the communal taps for the last eight years. This means locals, including the elderly, walk up to 5km every day to access water from a water hole they share with the livestock. ‘The entire community has suffered because we don’t have easy access to water,’ says Zuzukeli Duna, Principal of Cwebeni Junior Secondary School. ‘Without water, daily tasks like cooking, bathing and growing food in our gardens are very difficult. A borehole would make a significant difference to us. It will greatly improve life for thousands of people in our community as well as the 361 learners at our school.’ ‘For many of us, water is readily available, so we don’t stop to think what life would be without it,’ says Dr Imtiaz Sooliman of Gift of the Givers. ‘But access to water is a human right and, without it, communities face huge challenges including the threat of diseases, poor hygiene and malnutrition. Clean water and sanitation go hand in hand with dignity.’ Which is why when Gift of the Givers visited Cwebeni on a hunger alleviation intervention and were alerted to this crisis, they stepped in and approached Mr Duna for permission to drill on the school grounds to look for a good source of water. ‘We always attempt to place boreholes at institutions, such as schools, to secure the infrastructure,’ explains Dr Sooliman. ‘This provides a solution for both the school and community as we extend the water outlets to outside of the school property, so that the community can benefit too.’ The intervention Gift of the Givers began exploring the possibility of a borehole and approached Bonitas Medical Scheme for funding, as part of the Scheme’s ongoing commitment to community upliftment. Feasibility studies were conducted in March, drilling began in April when water was found, yielding 960 litres per hour. The borehole, at a depth of 200 metres, was completed in July and is solar powered. The pump and control box are run off 4 x 430-watt solar panels and the system has a 1.1 kw solar motor and a Dab 24-1/37 pump. The borehole has been lined with a PVC casing to lessen the risk of collapse and 2 x 5 000 litre storage tanks are on site, as well as two taps – one inside the school grounds and the other outside for community access. Due to the water testing results showing elevated levels of coliform bacteria and to provide safer and better-quality water, 4 x UV lights have been installed to kill the bacteria. However, it is recommended that water be boiled for drinking. The perfect partnership 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. Lee Callakoppen, Principal Officer of Bonitas says, ‘It’s wonderful to be able to make a difference in the lives of the villagers of Cwebeni. This precious resource is essential to every aspect of life. Water provides the chance for a brighter, healthier future and no one should be denied this fundamental right. ‘This project – and others – rolled out with Gift of the Givers, reinforces our commitment to being the medical aid for South Africa. It’s the perfect partnership, as we have the same passion and drive to assist where it is needed most. We have over 65 000 members based in the Eastern Cape and so are pleased to support this Province, in a small but meaningful way and help change lives.’ Impacting lives ‘We are so grateful to Gift of the Givers and Bonitas for undertaking this project,’ says Duna. ‘Life has been tough, especially during the winter but we’re so happy that we now have a borehole and access to running water within the village. It is going to make the lives of our community so much easier’. Dr Sooliman says, ‘The simple act of turning on a tap and seeing water flowing, inspires hope and possibility for a more prosperous life.’ Future investment Bonitas has committed to continuing to work with Gift of the Givers on projects that help impact the lives of vulnerable and marginalised communities, with a bias towards health interventions and access to clean water.

November 27, 2024

Due soon? What to include in your hospital bag

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

November 22, 2024

Putting together your birth plan

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

November 15, 2024

Building Healthy Sleep Habits for Kids of All Ages

Quality sleep is essential for children’s growth, development, and emotional well-being. However, getting kids to establish healthy sleep routines can sometimes be challenging, especially with varying needs at different ages. This guide provides practical tips to create age-appropriate sleep habits that help children thrive. Why Sleep is Important for Children Sleep Recommendations by Age The amount of sleep required varies by age: Healthy Sleep Tips for All Ages 1. Create a Consistent Sleep Routine 2. Foster a Comfortable Sleep Environment 3. Age-Specific Strategies 4. Monitor Nutrition and Activity How Parents Can Support Better Sleep When to Seek Help If your child experiences frequent sleep disruptions, insomnia, or signs of sleep disorders (like snoring or night terrors), consider consulting a paediatrician or sleep specialist. Conclusion Healthy sleep habits are essential for children’s physical, emotional, and cognitive well-being. By implementing consistent routines and age-appropriate strategies, parents can support their children’s sleep and overall development. Prioritising good sleep practices now will establish lifelong habits that benefit kids well into adulthood.

November 14, 2024

Coping with Parental Burnout: Self-Care Tips for Busy Moms and Dads

Parenting is one of the most rewarding experiences in life, but it can also be incredibly demanding. With the pressures of work, household responsibilities, and the never-ending needs of children, many parents find themselves feeling overwhelmed and exhausted. This phenomenon, known as parental burnout, can lead to feelings of frustration, fatigue, and even resentment. However, with the right strategies, parents can manage burnout and prioritise their well-being. Here are some self-care tips for busy moms and dads to help navigate the challenges of parenting. 1. Recognise the Signs of Burnout The first step in combating parental burnout is recognising the signs. Common indicators include chronic fatigue, irritability, feelings of inadequacy, and a lack of enthusiasm for activities you once enjoyed. If you find yourself experiencing these symptoms, it’s essential to acknowledge them and take proactive steps to address your needs. 2. Prioritise Self-Care Self-care is not selfish; it’s essential. Here are some self-care practices that can make a difference: 3. Set Boundaries Learning to say “no” is crucial for maintaining balance. It’s okay to decline invitations or limit commitments that add unnecessary stress to your life. Setting boundaries around work and personal time can help you manage your responsibilities more effectively. 4. Create a Support Network Don’t hesitate to reach out for help. Surround yourself with a supportive network of family, friends, or parenting groups. Sharing your feelings and experiences with others can provide relief and help you feel less isolated. Consider setting up a regular coffee date or virtual hangout with fellow parents to discuss challenges and share advice. 5. Schedule Quality Family Time While it’s important to take time for yourself, connecting with your children can also be a great stress reliever. Plan activities that everyone enjoys, whether it’s a family movie night, game day, or an outdoor adventure. Quality time together can strengthen bonds and create lasting memories, reminding you of the joys of parenting. 6. Seek Professional Help If feelings of burnout persist and interfere with your daily life, consider speaking with a therapist or counsellor. Professional support can provide valuable coping strategies and a safe space to express your feelings. 7. Establish Routines Creating a daily routine can bring structure to your day and make managing responsibilities feel less overwhelming. Involve your children in setting up a family schedule that includes chores, homework, and downtime. This not only lightens your load but also teaches your kids valuable skills. 8. Make Time for Hobbies Don’t forget to nurture your interests outside of parenting. Whether it’s reading, painting, gardening, or any other hobby, taking time for yourself can recharge your energy and creativity. 9. Limit Screen Time While technology can be a helpful tool, excessive screen time can contribute to feelings of burnout. Set aside specific times for social media and entertainment, allowing more room for real-life connections and activities. 10. Practice Gratitude Take a moment each day to reflect on what you’re grateful for. Keeping a gratitude journal or sharing positive experiences with your partner or family can shift your focus from stress to appreciation, fostering a more positive outlook. Conclusion Parenting can be a tough job, and feeling burnt out is not uncommon. By implementing these self-care strategies, busy moms and dads can reclaim their energy, reduce stress, and foster a more positive parenting experience. Remember, taking care of yourself is not just beneficial for you—it also sets a healthy example for your children. Embrace the journey of parenthood with the understanding that prioritising your well-being is key to being the best parent you can be.

November 13, 2024

School and work lunchbox ideas from Krazy Kiwi Kookbox!

School and work lunchbox ideas from Krazy Kiwi Kookbox! 1. Quinoa and Veggie Power Bowls Ingredients: Instructions: 2. Chicken and Avocado Wraps Ingredients: Instructions: 3. Greek Yogurt Parfait Ingredients: Instructions: 4. Veggie and Hummus Pita Pockets Ingredients: Instructions: 5. Brown Rice Sushi Bowls Ingredients: Instructions: 6. Chickpea Salad Ingredients: Instructions:

November 12, 2024

Time to screen men too, for osteoporosis?

Did you know that 1 in 5 men is at risk of a fracture from osteoporosis in South Africa (vs 1 in 3 women)? This alarming statistic – from the National Osteoporosis Foundation (NOFSA) -made dietitian, Yolandé Venter, choose to do her masters’ thesis* on diet and lifestyle risks in men with low bone density. Together with Dr Jaco du Plessis, a radiologist at SCP Radiology, they discuss osteoporosis in men, imaging to determine bone mineral density and the treatment for it. Osteoporosis usually progresses without symptoms and sometimes your bones are so fragile that a simple sneeze or small stumble results in a fracture, commonly in hips, spine and wrists. Often unjustly called an ‘old women’s disease’, it actually affects men in a surprisingly large way. Venter says, ‘even though fewer men seem to be at risk of developing osteoporosis, it is still a problematic percentage.’ With 15 years’ experience as a clinical dietitian, she says a healthy body weight plays a pivotal role in the prevention of osteoporosis. ‘If you are underweight, it increases the risk of osteoporosis and if you are overweight, your level of vitamin D is reduced, which can cause or worsen osteoporosis’. 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. Your bone mineral density (BMD) can be determined by radiologists through a diagnostic radiology exam used to measure bone mineral content and mass. It is usually performed with an X-ray, called a DEXA scan – commonly found in clinics and hospitals – or with a computed tomography (CT) scan of the bones. A computer tomography (CT) scan produces a 3D image, as opposed to the normal 2D image of a DEXA. The CT scan is more precise and gives detailed information about bone quality and microarchitecture, diagnoses osteoporosis and other conditions. However, the DEXA uses a low radiation exposure making it safe for routine screening and follow-up. ‘The amount of radiation is minimal,’ says Dr du Plessis, ‘it’s equivalent to 1 or 2 days of background radiation at sea level.’ Osteopenia vs Osteoporosis Osteopenia and Osteoporosis are both conditions measured on the scan and characterised by decreased bone density that is less than usual for your age. Osteoporosis is far more severe in terms of implications for bone health. Measuring bone density ‘We measure your BMD 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 du Plessis. ‘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. The aim is to prevent fractures later in life by maintaining healthy bone mineral density. Fractures in the elderly population are a significant cause of morbidity and mortality.’ Dr du Plessis says, ‘Understanding and managing both conditions is crucial for maintaining bone health and preventing fractures in both men and women. SCP Radiology reports a 317% increase in referrals for men over the last five years for a CT scan. That may be indicative of a greater awareness of the dangers of osteoporosis in men.’ What causes low bone density? Risk factors for osteoporosis include those you can’t change – such as age, genetics, ethnicity, medical conditions associated with bone loss and those you can: Tobacco use, alcohol abuse, high caffeine intake, sedentary lifestyle, poor dietary habits, low calcium and vitamin D intake, low body weight, low muscle mass. Men who are on medical treatment for breast or prostate cancer are also at an increased risk of osteoporosis and should discuss regular bone health screening with their medical practitioner. Male ‘menopause’ Men develop the male form of menopause, called andropause, as they age. During andropause, men lose bone density in the spine at a rate four times greater than in the rest of the body. Andropause also lowers testosterone levels, which affects bone health and increases the risk of bone fractures. Stress Said to be the root of most diseases or medical conditions, osteoporosis is no different. Stress can play a significant role in bone loss as an excess of the stress hormone cortisol depletes vitamin D and calcium in the body. Venter says, ‘literature clearly demonstrates that prevention and treatment of osteoporosis significantly reduces fracture risk. An observational study by Kern et al (2005) showed that hip DEXA screening was associated with a 36% lower hip fracture incidence during six years of follow-up, compared with standard medical care.’ Mortality rate after hip fracture The one-year mortality rate after hip fracture is actually high. Research shows that more men than women die after an osteoporotic fracture. Looking at the statistics, it is clear that osteoporosis represents a major public health burden, yet it does not seem that wider screening efforts are being implemented.’ Treating low bone mineral 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. Regular screenings 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 du Plessis, ‘when radiography for screening can put you on a path to wellness.’ *Thesis title: The level of knowledge, attitudes and behaviours regarding diet and lifestyle related risk factors in men who have been diagnosed with osteopenia and osteoporosis.

November 11, 2024

Premature birth – what to expect

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

November 8, 2024

Blushproof® Q & A

As a local manufacturer of period panties, we thought we’d answer some common questions about our business just to explain who we are and what we do. Q: How long has Blushproof® been in operation? Blushproof® started as an idea in September 2020, with our first sales being in August 2021. I have a tween daughter at junior school and so was thinking about her, and her friends’ introduction to puberty and my own experiences. I had also seen some of the alternative menstrual products that were being offered overseas. This coincided with an increased awareness of environmental issues after learning that each person uses approximately 14,000 pads and tampons during their menstrual years, which all end up in landfills and water systems. Q: Who founded Blushproof®? I, Thandi Hartmann, founded the company. I’m married with two children, living in Johannesburg. I obtained a B.Comm in the 1990s and later did a MBA to support me working in a number of corporates in Johannesburg and London. Shortly after having children, I took the decision to step back from my career to focus on raising my family. In 2020 (that COVID time where we all had lots of time on our hands!) I came across period panties and was amazed that such a wonderful alternative existed. I knew this was something I wanted to bring to the girls and women of South Africa. Q: How has Blushproof® expanded over the years? In 2020 I explored the topic of the menstrual product options for young girls and women and thought about what matters to them, as well as the issues that are relevant in South Africa at this time. I started thinking that period panties could be an effective solution – easy to use whilst having a lower impact on the environment. I also wanted to see if I could help (in some small way) to create jobs in our country. Finally, I believed that period panties could play a role in fighting “period poverty” by providing cost effective solutions to girls and women with limited means and limited access to other sanitary products. So the challenge started… Whilst I have a strong IT systems background and passion for the product, I had no experience in setting up a clothing manufacturing business. My team and I have learnt as we go and have had to “course correct” a few times along the way. It’s been an exciting journey so far, made possible by the support of friends and family and enabled by the tech world we live in. This has meant that it has been possible to set up Blushproof® as an E-commerce business that sells and delivers directly to consumers nationwide. Q: What is Blushproof’s® approach to creating the best product in the community? I decided that I wanted my business to try its hand at manufacturing locally, so that I could control the product quality and achieve the aim of providing local employment. It’s been exciting for me to design the product range, import the right materials in the right quantities and then produce the Blushproof® period panties that I believe in. Plus, making locally has ensured that our sizing fits our Rainbow Nation, rather than trying to squash uncomfortably into Chinese imports. The fact that we offer exchanges and give outstanding customer service certainly sets us apart from the large retail chains. Q: What new products can customers expect from Blushproof®? This is a tough one. If it were up to me, I’d be creating new products every month but this isn’t the best way to run a business. Our customers have their absolute favourites so I’ve learnt to focus on making what the customers actually want. We’ll certainly look at designing and making gym shorts, pyjama shorts and expand our swim range over time but right now, we’re focusing on what we do best. Q: How does ordering from Blushproof® work? Since our business is primarily online, customers simply go onto our website, choose the products they want, add them to cart and pay. They can choose between collecting from our Joburg workshop or having us ship their blushproofs nationwide. We might look at getting into shops over time but again, we’re focused on our core business for now. Q: Will/does Blushproof® offer any special programs for its customers? When customers sign up on our website for our newsletters, they always get the inside scoop on what’s new and promotional offers from discounts to free goodies to prizes. We love the support we get from our followers and like to reward them when we can. Q: Do you plan on opening any Blushproof® in person stores, or introducing your product in other stores and if so who? I’d love to get to a point where customers can come into our workshop to choose their items and pay right away. Although this already happens to a limited degree (we have to have the right style, size, absorption and colour in stock for this to happen) I’d love to have everything available all of the time. Once we get to this point, I’ll look at possibly getting into a few stores (we actually already sell our products through TigerLilly). It all comes down to whether or not it makes good business sense. Of course we have lots of small business owners already selling our products, like salons and spas, as well as swim schools. I’m being approached more and more by people wanting to expand their product offering and am honoured that they choose to include Blushproof® products. Oh, and we have an Affiliate programme whereby our customers become an affiliate and when someone uses their referral link to make a purchase, that person gets a discount and the affiliate gets a commission. It’s a win-win for everyone! Q: What brings Blushproof® joy? Gosh, I’d have to say it’s the positive reviews and feedback. Our customers truly find our products to be life-changing. That’s really such a wonderful thing to know as a business owner

November 7, 2024

Important Questions to Ask Your Child’s Audiologist

Empowering Your Child’s Hearing Health Journey As a parent, it is essential to advocate for your child’s hearing health. If you are concerned about your child’s hearing, preparing for appointments with an audiologist can make a significant difference in understanding your child’s condition and ensuring that your child receives the best care possible. Here are some of the critical issues to consider, and why they matter. CHOOSING AN AUDIOLOGIST Finding the right audiologist is a key step in caring for your child’s audiological needs. Audiologists who work with children should be caring, supportive of your questions and need for knowledge, and careful to take the time to fully understand your child’s home and school experience. Choices that you make together must be underpinned by an attitude of child- and family-centred care. The assessment and management of hearing loss in children can differ to management of the same issues in an adult, so your chosen audiologist should demonstrate care and knowledge about your child’s ‘whole person’ environment! What Can We Expect from a Hearing Test? Knowing what may be involved in a hearing evaluation can help ease your (and your child’s) apprehension, making it comfortable to ease into the assessment. So read this link to find out more about a common testing process. Then, also ask: What Type of Hearing Loss May My Child Have? Understanding whether your child has normal hearing, or whether a sensorineural, conductive, or mixed hearing loss is present, is crucial. This knowledge helps you comprehend the underlying cause/s and the most suitable management options. You can follow this up with: What Are the Management Options for Hearing Loss? If a hearing loss is identified, different management options are available to help your child function more effectively. Hearing aids are often appropriate ways to restore adequate sound when a hearing loss is permanent or semi-permanent because access to sound is essential for language and academic development. You may also be referred to an ENT or GP if the problem is amenable to treatment. Transient problems represent opportunities to return hearing to normal, quickly. Be empowered to make informed decisions about your child’s care! Ask questions like: How Do I Know What Type of Hearing Aid is Best for My Child? If semi-permanent or permanent hearing loss is identified, you may be exploring hearing aid options with your audiologist. Hearing aids come in a variety of styles and technologies, suitable for different acoustic, aesthetic, or contextual needs. These differences can also affect affordability. Knowing which options may suit your child’s lifestyle and hearing needs ensures that the best benefits may be achieved. Also, ensure that your audiologist explains your child’s full management plan, including the frequency of visits, regularity of device adjustments, and maintenance or servicing requirements. Good management is likely to result in a continuously good hearing experience. How Can We Protect My Child’s Remaining Hearing? Good hearing habits are essential to preserve your child’s remaining hearing and prevent further deterioration. Your audiologist should advise you about hearing safety so that you can protect your child’s hearing function. This may include bespoke hearing or ear protection. What Should We Do If My Child’s Hearing Changes? Monitoring your child’s hearing subjectively (through your own observation of their responses) and objectively (with regular hearing assessment) ensures that you can alter your plan if your child’s hearing circumstances change. Problems can be tiny (such as a blocked tube or dead battery) to significant (such as an ear infection). Your audiologist can teach you to troubleshoot problems for self-maintenance or help you to check your devices. A good audiologist will also advise you about what signs and symptoms to look for that may require a consultation. Are There Support Groups or Resources Available? Connecting with other parents and families with similar experiences can provide emotional support and practical advice. Often, audiologists can provide you with details for local or online support groups and useful parent resources. You can be properly empowered, uplifted, and encouraged by the right professional to support your child’s hearing needs throughout childhood. Our NB Hearing & Balance Team Is Here to Support Your Family Being proactive and informed about your child’s hearing health is vital. By asking these questions and asserting your needs, you can make informed decisions that ensure your child receives the best possible care. If you are ready to take the next step in your child’s hearing health journey, schedule a consultation with one of our NB Hearing & Balance audiologists. We have convenient locations across the Cape Peninsula, including Wynberg, Durbanville, Sea Point, Hout Bay, and Noordhoek.

November 5, 2024

Pregnancy, your body and your baby – week 40 of your pregnancy

Congratulations, you’ve reached the milestone that you’ve been counting up to from the beginning. It may feel surreal to think that 40 weeks ago you had your last period and now you’re about to welcome your new baby into your life. The third trimester of your pregnancy may have been fairly difficult, as your baby and belly take up more room, and your body adjusts to accommodate your growing little one. Your body at week 40 At week 40 your body is ready to give birth after housing and growing your baby for 9 months. So close to birth you may notice changes in your baby’s fetal movement, however, they will still be moving around, so if you notice a big decrease in movement, contact your doctor. Until birth, you’ll experience typical pregnancy symptoms, including leg cramps, back and pelvic pain, trouble sleeping and diarrhoea, which is normal close to birth. Your baby at week 40 At week 40 your baby is now full-term. When your baby is born you’ll notice that they are covered in a mixture of blood, vernix and amniotic fluid. On average, baby’s at week 40 weigh about 3,5 kg and they’ll be roughly the size of a pumpkin. Even though they are just about to be born, the lungs, liver and brain are still developing. Things to keep in mind at week 40 Labour can be overwhelming, and it’s important to remember that you can do this. While your doctor will have given you a due date, it is possible that your baby won’t arrive on the dot. So make sure that you keep aware of the signs of labour and have your birth plan, hospital bags and any additional plans ready (such as making sure you have someone to look after your other kids if you have).

November 1, 2024

Does your child suffer from low self-esteem?

When a child suffers from low self-esteem, it will almost always carry on into their adulthood if not addressed. Simple things such as meeting new people can be very difficult, as well as taking on challenges, valuing their own opinion and much more. It is so important for parents to understand just how crucial healthy self-esteem in a child can be because they have a crucial role to play in the development of their children’s sense of self-worth. If your child has a low self-esteem, parent intervention can prevent the following being carried through to adulthood. Poor communication skills: A child with low-esteem is likely to grow into an adult that has difficulty in communicating with others; whether it is with their spouse, coworkers or peers, as they often do not feel secure and confident with what they say and may be afraid to express themselves. Negative thoughts and feelings: Since a child with low self-worth will regularly have negative thoughts and feelings about themselves and even others, it will likely carry through into adulthood. Unfortunately, the difference in adulthood will be that they are more likely to keep their feelings internalised rather than expressing them. Hot temper: An adult with low self-esteem may have a hot temper. This is usually because of the frustration and constantly simmering negative thoughts that they experience. These bubble below the surface and spill over fairly readily when provoked. Blaming others: Instead of taking responsibility for things going wrong, they are often quick to blame others. This avoidance of responsibility takes blame from them and puts it onto others. For a while, they are able to feel buoyed up and justified. Difficulty with relationships: Relationship difficulty is common when your child takes their low self-worth into adulthood. It is hard to truly love and dedicated yourself to another when you don’t truly love yourself. What they end up giving to their partners is a less than whole self, often putting strain on the relationship. Keep in mind that while some of these signs may or may not carry through into adulthood, everyone is impacted differently. A child who has a low self-esteem won’t always be an adult with low self-esteem. Self-esteem is not a black-and-white-all-or-nothing matter. There are varying degrees of self-esteem or self-worth. A child can have very low self-esteem or just a little self-doubt which will impact how they transform into adults.

October 31, 2024

Help your toddler survive your divorce

Divorce is unpleasant, emotional and can be a downright hurtful experience. The problem is that we sometimes forget that we aren’t the only ones experiencing this pain. Often our children suffer an unnecessary degree of hurt as a result of our incompatibility with our chosen partner… Some tips: Consistency This is a watchword for the divorcing parent! With toddlers, parents must be mindful of the need for consistency in the child’s life. This is not the time to drag them from house to house. If at all possible, they should stay in familiar surroundings with the noncustodial parent visiting there. Communication At this age, the toddler understands more than they are often given credit for. They can comprehend that one parent has left the home, but not understand why. At this age, their concept of time is also arbitrary. Your child may ask you when they are going to see their daddy, or why their daddy isn’t here anymore. No matter how many times you have to give them the answers, don’t get frustrated with them, as their world is very confusing at this time. This ties back into consistency, as you become their source of understanding and answers. Conflict If you have to argue or “debate passionately”, make sure to do it in a way that doesn’t cause your child undue fear or concern. Remember, you are the adults in this situation and you have a responsibility to your child, to reduce as much harm as this separation is causing, as possible. Behaviour Toddlers often test their boundaries by saying “No” to adults or testing limits, such as hitting or throwing. This behaviour and acting out can increase during the divorce process as a result of confused boundaries and definitions in the family environment. Toddlers need clear, consistent rules (back to consistency!) that are enforced in a loving way. Empathy Toddlers don’t have a very developed sense of empathy and tend to be concerned primarily with how their own needs are to be met. In the event of divorce, their sense of security becomes more self-oriented and their concern is about whether or not they will be secure, if they will be loved and nourished. Emotions As your toddler becomes more aware of their own feelings, they learn to express them through words and play. As tensions increase in the household due to impending divorce, they may become more reactive. Strong feelings are hard for them to manage and moderate. Don’t forget to let them know that its ok to feel them, but remember to help them manage the intensity by proper displays of your own emotional state, as well as appropriate levels of affection and understanding towards your child. Why do divorce rates increase? There are several reasons that have been put forward as to why there could be an increase in the number of divorces being seen. Here are just a few! Time of year There is a commonly recognised trend that causes a spike in divorce numbers around January and February. The assumption here is that partners who are already discontent often reach a decisive point after having to spend prolonged holidays with their partners over the festive season. This seems to galvanise many into initiating divorce proceedings in the New Year. Empowerment With the increase in awareness of rights according to the constitution of South Africa, more women have become more empowered and are less likely to remain in abusive or undesirable relationships. In the past, many women would remain in unhappy relationships as they felt that they did not have another option, but in current times, a better degree of knowledge and understanding of women’s’ rights could be contributing to the rise of divorce. No-fault divorce South African law provides for no-fault divorce based on the “irretrievable breakdown” of the marital relationship. Couples no longer need to prove that one person is at fault. They can simply say that the marriage relationship has broken down. In essence, it has become much easier to secure a divorce on clear and available legal grounds, with less procedure than in the past. Traditional roles In the past, traditional roles played a strong part in maintaining the marital unit. Partners did not question their lot in the marriage as openly and as a result, there was less open conflict. This is not to say that there was more happiness, merely less interpersonal disagreement. With the blurring of the definition of these roles, there is a rise in open disagreement, ending too often in divorce. Greater social acceptance In certain cultural groups in South Africa, divorce has long held an extremely shameful cloud over the divorcee, especially for the former wife. This has resulted in shunning and community abandonment, which served to discourage others from initiating proceedings. The more accepting the societies become of the concept; the more individuals are willing to pursue it as a route out of an undesirable marriage. Less guilt It is not uncommon these days for couples to wait 10 years before having children. As a result, many do not feel the same degree of guilt over “breaking up” the family unit, or over causing children distress. The disclaimer “at least there aren’t kids involved” can be heard echoing through the divorce courts.

October 30, 2024

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