Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Pregnancy, your body and your baby – week 39 of your pregnancy

You’re now one week away from week 40 – the final week of your pregnancy. Strange to think back 39 weeks, where you wouldn’t even have known you were pregnant. Lots has changed since then, and a lot will continue to change before and after birth. Your body at week 39 At this point, you’ll definitely be feeling your pregnancy. Braxton Hicks contractions, leaking colostrum from your nipples and the frequent urge to urinate may all be part of your daily life. You may be having trouble sleeping, struggling with pelvic and back pain, and your vaginal discharge may be tinged with pink or brown as the blood vessels n your cervix rupture. It is possible to be diagnosed with preeclampsia in your last weeks of pregnancy. This is high blood pressure in pregnancy and is accompanied by protein in your urine and swelling of the hands and feet. Vomiting, nausea and dizziness are also symptoms you may have preeclampsia, and if you suspect you have it you’ll need to contact your doctor right away. Your baby at week 39 Your baby is now roughly the size of a honeydew melon and is considered full term if they’re born this week. At this point, their lungs are producing surfactant so that when they take their first breath, the air sacs won’t stick together. Things you should keep in mind at week 39 You may be wondering if you can still keep doing light exercise, or what you can do to keep active during this time. Exercise in late pregnancy is still doable and is a good idea if you’re feeling up to it. Although you may be worried about damaging your growing baby, exercise during this time is beneficial as it can help strengthen your body for delivery and birth. That being said, it’s important to clarify what you plan on doing with your doctor, and focus on short, low-intensity exercises such as certain yoga and water aerobics.

October 21, 2024

Pregnancy, your body and your baby – week 38 of your pregnancy

There are now two weeks left of your official pregnancy span, however, there is even a chance that you may get to meet your little one sooner, as about 5% babies are born before or after their due dates. Your breathing may be feeling easier, as your baby moves lower down into your pelvis. But this can leave you with an increasingly shrinking bladder and smaller tasks that used to feel easy are now more difficult. Your body at week 38 Don’t be surprised if your nipples start leaking colostrum around this time. You may also be experiencing frequent Braxton Hicks contractions (which will be helping to prepare you for the real deal) and your nesting instincts may have kicked in, leaving you with a strong urge to clean and organise your house. Other common pregnancy symptoms at this time are frequent urination and pressure on your pelvis and hips as your baby has dropped lower into your abdomen. You may also be struggling to sleep, have swollen feet and ankles and your vaginal discharge may be tinged pink or brown. Your baby at week 38 Your little one is almost ready to meet the world! Your baby has probably shed the soft hair, lanugo, which covered their body (although some are born with patches). Although they are mostly fully developed, if born now, they will be considered early term. They are still continuing to add fat on their body, and the brain and nervous system are continually developing. Things to keep in mind at week 38 One of the questions you may have going through your mind, is how will you be sure that labour has started? Birthing classes are a good way to get to know what to expect, but if you haven’t been able to attend any of those, there are other ways to know that your baby is on its way. Your cervix will start dilating, which your doctor will be able to track in weekly check-ups. You may experience diarrhoea and during labour you’ll have frequent contractions which will grow stronger over time.

October 14, 2024

Pregnancy, your body and your baby – week 37 of your pregnancy

You are now in the final stretch of pregnancy, and at the end of this week you’ll only have 3 weeks left until your due date. 37 weeks ago you had your last period – a lot has changed since then! Although 40 weeks is the official length of time for pregnancy, many women give birth before or after this time. If your baby is born between week 37 and 38, they are known as early term babies. Your body at week 37 At this point in your pregnancy you may often feel tired, and this is usually made worse by the fact that you are generally getting a poor night’s sleep. Normal pregnancy symptoms are abdominal pressure, the frequent urge to urinate, a sore back and pelvis, Braxton Hicks contractions and stretch marks. Your baby at week 37 At this point almost all babies will have moved downwards into your pelvis, most commonly they will be in the cephalic presentation, which is head down, facing your spine. There are other positions that you baby can be in, such as cephalic posterior position, which is when they face outwards, or a breech position, which is feet first. If your baby is in an awkward position such as a breech, your baby may be delivered by c-section so as to minimise the risk to you and them. Things for your to keep in mind at week 37 Around week 37 of pregnancy you may start to experience the urge to organise and clean your house in preparation for your new baby. This is known as nesting and is an instinct shared with many other animals. Nesting may have you rearranging your household to make it more baby friendly and you may feel the need to limit social interactions. While this most commonly occurs when your delivery date is close, it can happen at any time during your pregnancy – or sometimes not at all.

October 7, 2024

Pregnancy, your body and your baby – week 36 of your pregnancy

Congratulations, you’ve almost made it to the last month of pregnancy. This last month you’ll likely feel both excitement and nervousness, and your belly may feel cumbersome as you go about your daily life. Your body at week 36 of pregnancy As your uterus takes up more space in your abdomen you’ll find it increasingly difficult to move with ease. This is also likely to be accompanied by an achy back and lower abdomen, leg cramps, Braxton Hicks contractions, constipation and difficulty sleeping. Your baby at week 36 of pregnancy Your baby is roughly the size of a large cabbage and is almost the weight they’ll be born at. Not only that, but they are gaining weight, looking more like the chubby baby you’ll meet at birth. Your little one’s kidney and liver are beginning to function normally, and they’ll also almost be ready to start breathing on their own. At this point your baby should have dropped lower into your pelvis, getting ready for the big day. Although this may allow you to breathe easier, it’ll put more pressure on your bladder. Things to keep in mind at week 36 Although your belly may be feeling cumbersome it’s still important that you remain active during this time (if you’re feeling up to it) – as little as 20 mins a day is likely to boost your energy levels and help ease some of your pregnancy symptoms. Exercise in the third trimester will have to be more carefully considered than before but it is possible. It’s a good idea to clear what you plan on doing with your doctor first, so that they can chat to you about any potential issues or give advice on what would be best. Walking, swim aerobics, yoga and pilates are all low impact ways to stay fit and healthy.

October 1, 2024

Nipping allergies in the bud

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

September 27, 2024

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

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

September 23, 2024

Advice from the experts

Banishing breakouts – a safer way to zap zits for teens

The only thing worse than a bad hair day, is a bad skin day. We all know how it goes; your teen has a hangout planned with new friends or a link up with a crush, and they wake up that morning with a glaring zit on their face. As parents, we are the ones trying to help them manage their despair and find solutions so that they can face the day with confidence. It’s a somewhat cruel twist of nature that just at the time when social life, identity and appearance are most top of mind for us as humans, we are also inundated with the hormones that puberty brings. The majority of teens battle with pimples, blackheads, whiteheads and in some cases, acne for years on end. While acne should be brought to a dermatologist’s attention, they are on their own when it comes to trying to keep garden variety pimples under control. Qualified pharmacist and aromatherapist, Dorcye Sher, the founder of Aromatic Apothecary developed the formula for her Zap-Zit range to help her children when they were in their teens. Her goal was to come up with a fast-acting natural product that would not dry out the skin or lead to scarring and more outbreaks. Unsightly pimples present three main challenges – a bacterial infection, an excess of oil from the skin’s own sebaceous glands, and inflammation which causes swelling and discoloration. Pimples engender such shame that in desperation to just get rid of them, too many teens squeeze pimples as soon as they see them. While this changes the look of the blemish, it’s not actually for the better. Doryce says, “Squeezing a pimple exacerbates the inflammation in the area and causes greater and potentially long-lasting skin damage than the pimple itself. Most importantly, squeezing a pimple risks spreading the infectious bacteria over a greater area of your skin and igniting a much worse outbreak. Zap the zit, don’t squeeze it.” The beauty of an aromatherapy formula for the treatment of pimples is that the blend of essential oils does more than any one ingredient. Do an internet search and you will find that Tea Tree oil is often recommended as a seemingly stand-alone pimple treatment because it does have significant anti-infectious properties. The trouble is that Tea Tree oil should not be applied neat to the skin. It is a safe ingredient in a blend, but undiluted tea tree oil can irritate, burn and cause skin inflammation. Some people even have a mild allergic reaction to it. The formula for Zap-Zit Mini Roll-on synthesizes three essential oils, anti-infectious Tea Tree, anti-inflammatory and calming Lavender and Bergamot, which is a natural, anti-microbial astringent that gently dries up excessive oil and can help to tighten pores. Bergamot is photosensitising so it is safer to only use it in minute amounts and in a balanced aromatherapy blend such as the Zap-Zit Mini Roll-on. Parents of teens care about avoiding pimples, and it helps to have a proven strategy to deal with them. We must be aware that many products that promise to get rid of pimples and achieve that proverbial advertising-perfect ‘clear and glowing skin’ can be harsh and drying. In the short term, this might well knock a pimple back, but there is a longer-term concern. Doryce says, “Temporarily drying out your face because you have a pimple doesn’t help, it just fuels endless cycles of outbreaks. Instead, we should take the view that a pimple is a sign that we need to be restoring balance to our skin. A pimple is toxins breaking out of our skin. It’s a message from our body, and our response should be to react holistically because we achieve that ‘clear and glowing’ skin we all aspire to more effectively and consistently through sensible self-care and the restoration of balance.” How can parents help their teens with their skin care? There are healthy lifestyle factors that support a clearer skin. Parents should encourage healthy eating and make healthy foods available including plenty of vegetables and healthy fat such as olive oil and nuts. Urge your teen to limit fast foods and snacks so that they reduce their intake of sugar, refined carbs and fats. Drinking plenty of plain water every day helps to flush out toxins. Exercising is also important, and parents can help teens make a habit of washing their sweaty faces with warm water straight after physical activity. Sufficient sleep is important for every bodily system, including the skin. Give your child a Zap-Zit Mini Roll-on to keep at their bedside so it can be easily applied to clean skin before they go to bed. Here’s Doryce’s recommended daily skin care routine for teens: The hygiene factor – There are plenty of teens who are scrupulous about twice-daily face washing and still get pimples or even acne. Hormones are at play, and of course, an outbreak is not a sign of poor hygiene. That doesn’t mean they can slip up. Morning and evening, teens need to be consistent about washing their faces with a good cleanser. Target the pimples not the face – Dry and apply Zap-Zit Mini Roll-on directly on any blemishes. You can repeat this, three or four times a day. Do not use fingers to apply the remedy. The applicator is anti-infectious, and fingers are not. If you are dealing with a whitehead or swelling under the skin, use the tip of the applicator to gently massage the swelling. Don’t forget to moisturise – Make sure the skin is nourished with a good moisturiser because deliberately drying out the skin only stimulates sebaceous glands and leads to more pimples. Skin should not feel tight after the skin care routine. The normal and balanced feel of skin is soft and flexible, yet not oily. Don’t touch your face – Help your teen be mindful of the connection between the face and hands. Often unconsciously, we touch our faces repeatedly during the day. This can be amplified

September 13, 2024

How to identify signs of hearing loss in babies

Affinity Health, a leading provider of high-quality health coverage, raises awareness about hearing loss in babies. Understanding Hearing Development in Babies Even before birth, babies develop their sense of hearing in the womb. By the time they are born, they can already recognise familiar voices and sounds. Babies refine their hearing abilities in the first few months of life. They should startle at loud noises, turn their heads toward sounds, and coo in response to voices. Most babies should be babbling and responding to their names by six months. “About 1 to 3 babies per 1,000 are born with hearing loss, making it one of the most common congenital conditions,” says Murray Hewlett, CEO of Affinity Health. “It’s crucial to screen newborns for hearing loss shortly after birth to ensure early detection and intervention.” Certain factors can increase the likelihood of hearing loss in babies, including a family history of hearing loss, maternal infections during pregnancy (such as rubella virus or cytomegalovirus), exposure to ototoxic medications, premature birth, low birth weight, and complications during delivery. Signs of Hearing Loss in Babies While every child develops at their own pace, sure signs may indicate a potential hearing problem. Here are some red flags to watch out for: Lack of Startle Response: Babies with normal hearing typically startle at sudden loud noises. If your baby doesn’t react to loud sounds like a door slamming or a dog barking, it could be a sign of hearing loss. Limited or No Babbling: Babbling is an essential milestone in language development. Babies with hearing loss may not babble as much or at all. Pay attention to whether your baby is making vowel sounds like “ah” or “ooh” and consonant sounds like “ba” or “ma”. Lack of Response to Voices: By three months, most babies should turn their heads or react when they hear familiar voices. If your baby doesn’t respond to your voice or seems indifferent to sounds, it’s worth investigating further. Delayed Speech and Language Development: Hearing loss can significantly impact speech and language development. Suppose your baby is not meeting developmental milestones related to language, such as cooing, babbling, or saying simple words by one year. In that case, it’s important to consider hearing as a possible factor. Difficulty Locating Sounds: By six months, babies should be able to turn their heads toward sounds. If your baby consistently struggles to locate the source of sounds or only responds when they see the speaker, it could indicate hearing impairment. Inconsolable Crying: While babies cry for various reasons, persistent crying without an apparent cause could indicate frustration due to difficulty hearing or understanding the world around them. What to Do If You Suspect Hearing Loss Don’t hesitate to take action if you notice these signs or have concerns about your baby’s hearing. Early intervention is crucial for minimising the impact of hearing loss on your child’s development. Here are the steps you can take: Schedule a Hearing Screening Your paediatrician can perform a hearing screening or refer you to a paediatric audiologist for further evaluation. Many hospitals offer newborn hearing screenings shortly after birth, but additional screenings may be necessary if there are concerns. Observe Your Baby’s Reactions Consider how your baby responds to sounds and voices in different environments. Keep a diary and write down any observations or concerns you can highlight to your baby’s paediatrician. Seek Early Intervention Services If hearing loss is confirmed, your baby may benefit from early intervention services, such as speech therapy or sign language instruction. These services support your child’s development and help them thrive despite hearing challenges. Educate Yourself Take the time to educate yourself about hearing loss in babies, available treatments, and resources for support. Knowledge is power and can help you effectively advocate for your child’s needs. Connect with Support Groups Reach out to support groups or online communities for parents of children with hearing loss. Connecting with parents who have had similar situations may provide helpful advice, encouragement, and emotional support. Technological Advances Fortunately, technological advances, such as hearing aids and cochlear implants, have revolutionised the treatment of hearing loss in babies. These devices can provide access to sound and help infants with hearing loss develop speech and language skills on par with their hearing peers. Let’s commit to raising awareness about the importance of early detection and intervention for hearing loss in babies. Remember, you are your baby’s best advocate. Trust your instincts, seek guidance from healthcare professionals, and embrace the journey of supporting your child’s hearing health every step of the way.

September 12, 2024

Parent’s late night worries proliferating Google searches: What are the top eight concerns?

As the world quiets down and little ones drift off to sleep, many parents find themselves in the glow of their screens, typing out their latest concerns and questions. The age of instant information has made it easy for parents to seek answers in the middle of the night. Kelly Eyre, Quality and Pedagogy Lead at Dibber International Preschools explores the top eight concerns keeping South African parents of children under six awake and offers insights and advice to ease those worries. Developmental Milestones Every parent wonders if their child is on track with their development. From the first words to taking those initial steps, concerns about whether a child is meeting milestones can be overwhelming. Parents often compare their children’s progress to others, which can fuel anxiety, especially when extended family or community members express concern. It’s crucial to remember that every child develops at their own pace, and there is a wide range of what is considered normal. However, if you’re concerned about your child’s development, it’s important to consult with professionals, including paediatricians, early childhood educators, and therapists. Teachers and managers of schools and early childhood centres can also provide valuable insights into your child’s progress and suggest activities to support their development at home. Health and Nutrition In South Africa, where access to healthcare can vary widely, parents may worry about whether their children are getting the right nutrients or are healthy. Concerns often centre around ensuring a balanced diet, understanding the importance of specific nutrients, and knowing how to handle common childhood illnesses like colds or fevers. South African parents may also face challenges related to food security and access to nutritious foods. It’s essential to offer a variety of foods and encourage healthy eating habits from an early age. Consulting with healthcare professionals, such as paediatricians and nutritionists, can provide reassurance and guidance. Understanding the local healthcare system and having access to emergency services or local clinics can also help parents manage health concerns more effectively. Education and Learning With the country’s diverse education system, parents often worry about giving their children a good start. Questions about the best early childhood education options, how to encourage a love of learning, and whether they’re doing enough at home are common. The country’s unique blend of public, private, and home-schooling options can make this decision even more complex. To support your child’s early education, consider engaging with teachers and school administrators to understand the curriculum and how you can complement learning at home. Creating a stimulating environment through educational toys, books, and interactive play can also nurture a love of learning. Remember, the goal is to foster a supportive learning environment that encourages curiosity and exploration, regardless of the formal schooling path chosen. Behavioural Issues Tantrums, picky eating, and bedtime struggles can cause sleepless nights for many parents. These common behavioural issues often lead parents to search for solutions and advice on managing these challenges without resorting to harsh discipline. Finding a balanced approach can be challenging in South Africa, where different cultural norms and parenting styles exist. Positive parenting techniques, such as using time-outs, setting clear boundaries, and offering choices, can help manage these behaviours. Understanding developmental stages and the reasons behind certain behaviours can also provide context and reduce frustration. Engaging with professionals, including paediatricians and child psychologists, can offer strategies tailored to your child’s needs. Additionally, teachers and caregivers can provide insights into your child’s behaviour in different settings and suggest consistent approaches across home and school environments. Safety Concerns In a country with diverse social and economic landscapes, safety is a top priority parents. Concerns often revolve around childproofing the home, road safety, and teaching children about stranger danger and personal safety. Given the country’s unique context, parents may also worry about neighbourhood safety, access to safe play areas, and emergency preparedness. To address these concerns, parents can take practical steps such as installing safety gates, securing hazardous items, and teaching children basic safety rules like not talking to strangers and understanding emergency contact information. Additionally, it’s beneficial to familiarize yourself with local safety resources and community support systems, including neighbourhood watches and emergency services. Schools and early childhood centres often have safety protocols in place, so engaging with teachers and administrators can also provide peace of mind and ensure consistent safety practices. Screen Time and Technology In our digital age, parents often worry about the impact of screen time on their young children. The prevalence of smartphones, tablets, and TVs has made it challenging to limit exposure, leading to concerns about the appropriate amount of screen time and its potential effects on development. South African parents may also face the challenge of balancing educational content with entertainment. Experts recommend that children under two years old should avoid screens altogether, and for older children, screen time should be limited to high-quality, educational content. Co-viewing programs with your child and discussing the content can enhance their understanding and learning experience. Encouraging other activities, such as outdoor play, reading, and creative arts, can provide a balanced approach to technology use. Schools and early childhood programs can also guide appropriate technology use, ensuring that it complements rather than dominates a child’s day. Socialisation and Friendships Parents frequently worry about their child’s social development, especially if they are shy or reserved. Common concerns include questions about making friends, attending playdates, and developing social skills. In South Africa’s culturally diverse context, parents may also consider how to expose their children to different languages and customs. Encouraging interaction with peers through playdates, preschool, and community events can help children develop social skills and build friendships. Participating in group activities, such as sports, dance, or cultural programs, can also foster social development and a sense of belonging. Parents can model positive social behaviour by demonstrating good manners, empathy, and effective communication. Additionally, teachers and early childhood educators can provide feedback on your child’s social interactions and suggest ways to support their development both in and out of the

September 12, 2024

Bring a bra – an uplifting initiative

1 in 27 South African women are at risk of breast cancer. This is an alarming statistic but, fortunately, with early detection and advanced treatment options now available, more women are surviving this disease. October is Breast Cancer Awareness month, a time to ramp up awareness and support women by encouraging and educating them about self-examination, annual clinical breast exams, and mammograms. ILoveBoobies, a well-known NGO, offers free clinical breast cancer screenings to women with limited access to health care and, as part of its awareness campaign has, once again called on women to support each other by donating their gently worn bras to women in need. The ‘collect a bra’ campaign, launched last year was a resounding success. According to Phillippa Brinkman of ILoveBoobies, the response was overwhelming. ‘As it was the first year of collecting gently-used or unwanted bras, we had no idea what to expect and, to be honest, we didn’t keep a tally of all the bras we received. All I know it that the collection boxes lined the walls of our offices as we organised and sorted them. We estimate we received in excess of 2 000 bras and are delighted to say that we have been able since then to donate a bra to every woman screened by ILoveBoobies, in the Western Cape.’ As an official mammography partner of ILoveBoobies, SCP Radiology installed bra collection boxes at all its mammography departments and encouraged patients, friends and fellow Capetonians, to donate bras of all styles and shapes. ‘Once again this year, we have collection boxes at nine of our branches and will be collecting bras until the end of October,’ explains Madelein de Wet, Clinical Operations Manager of SCP. SCP Radiology also assists patients, referred by ILoveBoobies, for either a mammogram or ultrasound. ‘We have provided imaging for women on an ongoing basis throughout the year and have also seen patients for six-month follow-up ultrasound scans,’ says de Wet. ‘We’re thrilled to be a partner with ILoveBoobies and to be able to make a meaningful difference in the lives of women who are not able to access quality healthcare easily.’ Pictured with the bra collection boxes are radiographers Anika de Vos (left) and Mikayla Perumal., who invite women to ‘bring a bra’ to any of the nine SCP branches. ILoveBoobies have additional bra collection points. For more information on the work the NGO does and how to donate a bra go to www.iloveboobies.org.za.

September 10, 2024

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

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

September 9, 2024

Mastering matric – SACAP’s guide for parents & teens

It’s that time of year when hundreds of thousands of South African matric students are facing down their final school exams. Devising a study plan and schedule and setting the scene to optimise exam preparation in weeks ahead is going to be foundational for matric success. For these digital natives though, there’s a tsunami of study tips and hacks flooding their digital platforms, and it’s important to rather turn to evidence-based advice from qualified experts. While their parents will no doubt instinctively draw on their own experience of writing matric exams, the reality is that the rapid digital transformation since then means that their teens will be navigating matric in a very different time. Both parents and students today need to tap into relevant evidence-based study advice because this is no time for experimenting with fads or trying to drag old solutions into the knowledge era. Debunking study myths, comparing study approaches based on statistics and understanding digital and AI study tools are some of the topics of conversation at the upcoming SACAP (South African College of Applied Psychology) webinar – Matric Mastery – A Guide for Students and Parents. The hour and a half session features three top SACAP experts who are leading the conversations of how parents and teens can go beyond surviving matric exam season to thrive. The SACAP webinar takes place from 10:00 – 11:30 on 14th September 2024, and registration is free to all South African parents and matric students. Jogini Packery, a qualified counselling psychologist and the Head of SACAP’s Johannesburg campus says, “A frequent misconception among parents is that more study time automatically equals better performance. While it’s natural to want your child to put in the effort, overemphasizing long hours of study without sufficient breaks can harm their performance. It’s important for parents and their matric students to be on the same page when it comes to planning matric exam time and navigating it as a team. This year’s webinar gives parents and matric students a unique opportunity to be on the same call with the experts, hearing the same advice and participating together in the Q&A. It sets the stage for mutual understanding and collaboration during the exam period which can help to define roles and expectations, to open up communications and avoid unnecessary tension and anxiety during an already stressful time.” The critical role of the parent of a Matric is one of support. It’s important for the student to take charge of their study plan and its implementation, but there’s so much that an informed parent can do to help. Jogini says, “Encourage your child to take regular breaks, get enough sleep, and maintain a healthy balance with activities they enjoy. Supporting their well-being holistically is key to their success during this critical time, and no one can play this role as well as a parent can.” Debunking study myths – has your child burned out before? Study practices like cramming and marathon study sessions often backfire, leading to fatigue, poor retention and the risk of anxiety in the exam room. On the other hand, a consistent, well-structured study routine promotes confidence, and is far more beneficial than last-minute panic. Jogini says, “In my experience, the most effective strategies for exam preparation involve a balanced approach that combines active learning techniques like practice tests, study groups and teaching others with adequate breaks, individual revision sessions and time for rest. Techniques such as the Pomodoro method can help students maintain focus and prevent burnout. It is also a way to stay goal-driven and externally motivated. “One common study myth that I often encounter is the belief that re-reading notes multiple times is the best way to absorb information. While re-reading can be helpful, it’s far more effective to engage in active recall which means testing yourself on the material or teaching it to someone else as this engages your senses to bring the work to life. This approach forces the brain to retrieve information, strengthening memory and understanding in a way that passive reading simply can’t match.” Do digital and AI study tools help or hinder? With so many different approaches to studying, it can be challenging for learners to know which methods are most effective. Educational Psychologist and SACAP lecturer, Juan-Pierre Moller will be taking the lead in the Mastering Matric webinar conversation on the topics of approaches to studying and using AI tutors to facilitate matric studies. He says, “Each unique individual should find the learning style that is connected to the most appealing domain of the multiple intelligences, to discover what is the most effective for them. There is no one-size-fits-all. However, studies recommend using a multimodal learning style to activate numerous brain regions at the same time. This will allow students to remember the most information over the long-term most effectively. Make it fun for you, make the work understandable for you and imagine how you can apply this in a real-life situation. Cognitive Learning Theory suggests that when learners are actively involved in their own learning, they retain more, so multimodal assignments are likely to create better results. Personally, I think that social media usage predisposes current adolescents to be comfortable using devices not just to socialise, but also to study. So, parents must make space for their kids learning differently from how they once approached their matric exams.” When it comes digital and AI study tools, Juan-Pierre will share a comprehensive list of what is currently available at the SACAP Matric Mastery webinar. He highlights the importance of using these tools as learning aids, not to do the work that needs to be done by the student. He says, “It’s important to learn from AI, rather than depending on it to apply the skill for you. We know that parents are concerned about AI’s impact on children and teens, but few of them have a detailed understanding of AI. So, parents need to get a grasp on the way their children use these

September 9, 2024

Five ways to boost your baby’s brain development during pregnancy

Pregnancy is an exciting journey, and there are simple yet effective ways to support your baby’s brain development even before they arrive. Kelly Eyre, Quality and Pedagogy Lead at Dibber International Preschools, looks at how you can nurture your little one’s growth in a natural and enjoyable way. “First and foremost, paying attention to your diet can make a big difference. Eating a balanced diet with plenty of leafy greens, whole grains, lean proteins, and fresh fruits supports both your health and your baby’s brain development. Incorporate Omega-3-rich foods like fish, nuts, and seeds into your meals, and enjoy nutritious offerings like spinach and eggs. Staying hydrated by drinking plenty of water is also essential, so try to avoid excessive caffeine and processed foods. “Staying active is another wonderful way to support your baby’s growth. Regular, moderate exercise, such as walking or swimming, can enhance brain development. Many South African communities offer local exercise classes for expectant mothers, making it easier to stay fit and connected. Just be sure to consult your healthcare provider to choose activities that are safe and appropriate for you. “Your baby can start hearing sounds from around 25 weeks, so talking and singing to them can be incredibly beneficial. Share stories about your day, sing traditional South African lullabies, or simply chat about what’s happening around you. This not only helps build an early bond but also stimulates your baby’s auditory development. “Managing stress is crucial, as high stress levels can impact your baby’s development. Finding ways to relax, whether through meditation, deep breathing, or spending time in nature, can make a big difference. Enjoy the stunning landscapes or spend time with loved ones to create a peaceful environment for both you and your baby. “Finally, attending regular prenatal check-ups is vital for monitoring your health and your baby’s growth. These visits provide an opportunity for you to discuss any concerns and get personalised advice from your healthcare provider. They can guide you on the best ways to support your baby’s development and ensure everything is on track. “By integrating these practices into your daily life, you’re giving your baby a strong start and creating a nurturing environment even before their first breath. Embrace this special time and enjoy the journey of preparing for your little one’s arrival.”

September 4, 2024

Understanding the Differences between Hearing Loss and Auditory Processing in Children

Hearing loss and auditory processing issues are two distinct conditions affecting children’s ability to understand and interpret sounds in their environment. While they may share some similarities, such as difficulty with speech and language development, they require different approaches to diagnosis, intervention, and management. Hearing Loss vs. Auditory Processing Disorder Hearing loss refers to a reduced ability to hear sounds and can range from mild to profound. This can be caused by various factors, including: Genetics Conditions that occur in utero Infections Exposure to loud noises Structural abnormalities in the ear Children with hearing loss may have difficulty detecting soft sounds, understanding speech, and localising where sounds are coming from. On the other hand, auditory processing disorder (APD) involves difficulty processing and interpreting auditory information in parts of the auditory system in or after the ear, despite having normal hearing sensitivity. Children with APD may struggle with tasks such as following directions, understanding speech in noisy environments, and discriminating between similar sounds. Challenges and Implications Both hearing loss and APD can impact a child’s language development, academic performance, social interactions, and overall quality of life. Without appropriate intervention, these challenges can persist into adulthood and affect various aspects of functioning. Diagnosis Diagnosing hearing loss typically involves a comprehensive diagnostic hearing test, which includes tests to assess hearing sensitivity and the type and degree of hearing loss. In contrast, diagnosing APD is more complex. Audiologists use a test battery that isolates certain skills, such as being able to separate or join sounds, being able to identify rhythm and pitch sequences, being able to associate sounds with their meanings, and being able to fill in missing information when sound is incomplete or distorted, to mention a few. Early Intervention and Management: Early intervention is crucial for children with hearing loss or APD to maximise their potential for speech and language development. For children with hearing loss, intervention may include hearing aids, cochlear implants, auditory-verbal therapy, or sign language instruction, depending on the degree and type of hearing loss. For children with APD, intervention focuses on improving auditory processing skills and compensating for deficits. This may involve auditory training exercises and auditory processing therapy with an audiologist, environmental modifications to reduce background noise, and strategies to improve listening comprehension and academic performance. Sometimes, help may extend to speech-language therapy or occupational therapy to help with skills that have been impacted by the underlying auditory processing challenges. Whether It’s Hearing Loss or APD, We Can Help While hearing loss and auditory processing disorders present unique challenges, early detection, diagnosis, and intervention are key to minimising the impact on children’s development and functioning. At NB Hearing and Balance, our team of professional audiologists can help children with hearing-related difficulties thrive and reach their full potential by implementing appropriate support and management strategies for parents, educators, and other healthcare professionals. Contact any of our Cape Town offices, conveniently located in Sea Point, Durbanville, Hout Bay, Wynberg, and Noordhoek (Fish Hoek area) on 021 203 4327.

September 3, 2024

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

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

September 2, 2024

What’s the deal with toxins in tampons and menstrual pads?

For the past two years, everyone’s been talking about PFAS (otherwise known as forever chemicals) in menstrual pads and now suddenly, there’s lots of talk about metals, like lead and arsenic, in tampons. Researchers evaluated levels of 16 metals (arsenic, barium, calcium, cadmium, cobalt, chromium, copper, iron, manganese, mercury, nickel, lead, selenium, strontium, vanadium, and zinc) in 30 tampons from 14 different brands. The metal concentrations varied by where the tampons were purchased (US vs. EU/UK), organic vs. non-organic, and store- vs. name-brand. However, they found that metals were present in all types of tampons; no category had consistently lower concentrations of all or most metals. Lead concentrations were higher in non-organic tampons but arsenic was higher in organic tampons. “Although toxic metals are ubiquitous and we are exposed to low levels at any given time, our study clearly shows that metals are also present in menstrual products, and that women might be at higher risk for exposure using these products,” said study co-author Kathrin Schilling, assistant professor at Columbia University Mailman School of Public Health. It’s too early to say what effect these toxins found in our menstrual products have on women’s health, since not much research has been done in this regard. Truth be told, we’re surrounded by toxins in every part of our life, from the personal hygiene products we use, including our makeup, to the implements we cook with (did you know non-stick frying pans contain forever chemicals, PFAS) to the food we eat and so much more. At Blushproof® we love following Dr Mindy Peltz who gives wonderful advice on how to detoxify our environment and our bodies. Perhaps these toxins found in the menstrual products we’ve been using aren’t bad for us (time and research will tell), but why risk it? At Blushproof® we’ve spent lots of time and effort carefully choosing our fabric suppliers to ensure that only the best fabric is used for the making of our pad that we sew into the panty. The fabric manufacturer has committed to producing fabric that is safe for you and the environment. They use no heavy metals, latex, BPA, PFOS or PFOA in their products and their manufacturing process reduces their carbon footprint and chemical waste. Blushproof® period panties are safe to use and the bamboo fabric ones are naturally thermoregulating, hypoallergenic and super comfy. There’s also no product to insert, which means much more vaginal comfort. Many of our customers state that their menstrual paid has reduced since using our period panties. Plus, less single-use disposable products in landfills also means less toxins leaching back into the earth! Again, as we said, why even risk it? Make the switch so that you can period in comfort and without worrying about being exposed to additional toxins. Start your journey to a better menstrual cycle. https://blushproof.co.za/collections/period-panties

September 2, 2024

Strokes in children and adults under 45

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

August 21, 2024

Pregnancy, your body and your baby – week 31 of your pregnancy

Your baby is getting bigger and plumper – looking more like the chubby baby you’ll expect to meet. You may be feeling a dip in your energy levels, thanks to a sore body and a less-than-ideal night’s sleep. Your body at week 31 Your breasts and belly are growing, preparing your body for birth and beyond. Your baby’s kicks may be uncomfortable (yet still a comforting reminder that everything is going well in there) and you may find yourself constantly feeling tired. A good night’s sleep may be harder to come by, so it’s important that you eat healthily and exercise as this can help your energy levels. Other common pregnancy symptoms are aching and swollen feet, a sore back, constipation, stretch marks and feeling bloated. Your baby at week 31 Your baby is now roughly the size of a coconut and their bones are slowly hardening. Their skull is soft and made up of unfused bone, so that delivery is easier and brain growth can easily be accommodated. Your little one will be moving around quite a bit at this point, and you may even start to notice some patterns in their movement. However, if you notice a sudden change or stillness in their movements, it’s important to call your doctor quickly as there may be an issue. Things to keep in mind at week 31 As your belly grows, you may find sleeping harder as it becomes more difficult to find a good position to lie in. It is recommended that you sleep on your side. In particular the left side is preferable as this allows optimal blood from the inferior vena cava and takes pressure off your organs. However, don’t worry if you lie on your right as well, whatever makes you feel most at ease. You may feel more comfortable with your knees bent and a pillow tucked between them, and you could pop a pillow under your tummy for added comfort.

August 21, 2024

The Impact of Screen Time on Children’s Physical Development

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

August 16, 2024

The lowdown on diabetes in children and teenagers

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

August 15, 2024

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

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

August 14, 2024

How Tissue Salts Can Help During Pregnancy

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

August 12, 2024

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

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

August 7, 2024

Nighttime tricks to help your child sleep when sick

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

August 7, 2024

Quick tips for a safe pool

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

August 6, 2024

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

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

August 5, 2024

Breastfeeding Awareness

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

August 2, 2024

ADVANCING EQUITY – BREASTFEEDING SUPPORT FOR ALL

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

August 2, 2024

Paediatric sleep problems: dealing with sleep crutches

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

August 2, 2024

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

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

August 1, 2024

Radiology’s role in monitoring the silent disease – osteoporosis

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

July 29, 2024

Simplifying Your Child’s Nutrition

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

July 23, 2024

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

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

July 23, 2024

Prevent child drownings with these practical tips for pool safety

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

July 17, 2024

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

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

July 16, 2024

Ensuring Your Baby’s Safety with Safety 1st

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

July 12, 2024

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