Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

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

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

June 18, 2024

Coronary CT – detecting disease before it becomes life threatening

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

June 14, 2024

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

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

June 11, 2024

Championing the fight to prevent pneumonia

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

June 10, 2024

Tackling women’s health holistically

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

June 7, 2024

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

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

June 4, 2024

Advice from the experts

Tackling Engorgement While Breastfeeding

It is completely normal for your breasts to become full, heavy and even painful when your milk comes in, when you have missed a feed, or when you have a sudden increase in your supply. Generally, this will last no longer then 24 hours (with the exception of milk coming in), the areola should remain soft and your baby should be able to latch on without any hassle. True engorgement occurs when the duct system is not cleared adequately, causing an accumulation of fluid. Increased pressure in the milk ducts and glands produce breasts that feel firm, hard, tender and warm or even hot to touch. The skin may become translucent and the nipples may flatten and even get lost in the breast. Milk flow slows down and relief is not found easily. A mother can experience engorgement at any time during her breastfeeding journey whenever milk is not removed adequately. However, it is most common in the weeks immediately following birth. This is because feeding patterns are so irregular and your body has not yet adjusted to suite your baby’s needs. Consequences of Engorgement Engorgement can compromise your milk supply – remember that milk removal promotes milk production. Breast tissue allows milk storage for as long as 48 hours before the rate of milk production and secretion begins to decrease rapidly. Engorgement affects the letdown reflex – the flattened nipple of an engorged breast makes it difficult for your baby to get a good latch. This insufficient latch makes it almost impossible to stimulate the nipple adequately in order to promote letdown. Without the letdown reflex, your baby will not be able to remove milk from your breasts and the pressure in the milk ducts will increase even more. Cracked nipples – when a baby is trying but struggling to latch correctly, you are increasing your chances of getting sore, cracked nipples. Increased risk of infection – when things remain stagnant in the breast, bacteria has a chance to grow resulting in breast infections such as mastitis Permanent tissue damage – increased pressure in the breast for lengthy periods of time can cause cells in the breast to shrink and to eventually die off Relieving Engorgement Engorgement is very painful and it can be a little scary, but it certainly is no reason for one to stop breastfeeding. It is important to remember that it is a temporary situation and with proper treatment, it is usually resolved within 48 hours. Feed – every two hours or even sooner if baby desires. Place no time limits on feeding times. Continue to feed at least 8 times in 24 hours even after engorgement has resolved. Massage – gentle breast compression during feedings will help drain the breast more adequately Express – using a good quality electric breast pump express a little milk before each feed. This will help to soften the breast making it easier for baby to latch. Expressing between feeds may also be necessary depending on the stage of engorgement. Massaging and compressing the breast during pumping may increase the flow significantly. DO NOT express between feeds for longer than a period of 48 hours as this can lead to an increase in milk supply making it impossible to relieve engorgement. Ice – cold compress applied between feedings will help ease discomfort Rest – lying flat on your back with your feet elevated will gel to reduce swelling in the breasts Cabbage – Researchers suggest that phytoestrogens present in cabbage contribute to reducing swelling in tissues. Scour the inside of a chilled cabbage leaf with a fork and place inside your bra. Change your leaves with every feed. As soon as your baby or pumping provide relief, discontinue the use of cabbage as it can suppress milk production or even dry up your milk completely. Preventing Engorgement Ultimately, prevention is the best cure. here are a few key tips: Initiate breastfeeding within the first hour of life Ensure a correct latch and positioning to optimise milk extraction Become familiar with your baby’s feeding cues and feed on demand Do not limit time spent at the breast – allow your baby to drain one breast fully before moving over to the other side Listen for swallowing when your baby is nursing – this is a good indicator of milk removal Avoid the use of artificial nipples for at least 6 weeks post birth as this may cause nipple confusion Minimise interference with breast feeding If baby is not feeding well, be sure to express milk to maintain your supply until feeding is corrected Try not to miss feeds. Wean slowly. If the time has come for you to wean your baby off the breast, do it slowly and carefully

March 13, 2024

Sensory Defensiveness

Mary’s little boy was not doing anything by the book. He did not give her the usual two week honeymoon period after he was born. He just screamed from day1. He would not latch and within three weeks was being bottle fed, even though breastfeeding was so important to Mary. He cried all day every day – not colic hour – it was colic twelve hours! Then everyone said the crying would stop at 3 months, but it just got worse. By the time William was 6 months old, he had had every test under the sun. Mary was exhausted and was sick of the screaming – no one had said it would be so bad and she just felt like a useless mom. William suffers from what we call sensory defensiveness. He has an aversion to touch, even when it is nurturing. He recoils from smells and screams whenever a door bangs or a dog barks. By understanding what is at the root of his fussiness, his mom will have a much easier time managing his behaviour. We all have a specific threshold for sensory information, just as we have a pain threshold. If your baby’s threshold is high, he will be able to deal with a lot of sensory input and be happy and interactive without becoming over stimulated. However if your baby’s threshold is low, he will have a very low tolerance for sensory input. Soft and gentle touch may then seem threatening and painful. If all touch is threatening, being hugged, stroked and massage will not be pleasurable. Breastfeeding will be an intolerable event because it is fraught with tactile experiences, being skin to skin. Likewise if your baby has a low tolerance for sounds, he will stir very easily and wake at the slightest sound. Furthermore, a door banging or an unexpected dog bark will over stimulate your baby, causing him to cry. Being sensitive to smells is particularly overwhelming because the world is so full of odours and we battle to predict or control them. For a baby who is oversensitive to smells, an uncle who smokes or the smell of cooking in the kitchen may be totally unnerving. If you think your baby is an oversensitive baby, go to the checklist on this site to determine whether he suffers from sensory defensiveness. If your baby is sensory defensive, you should: Approach him with firm deep touch as opposed to light fluttery touch Schedule baby massage for the morning rather later in the day when he is already over stimulated Swaddle him for breast feeds to help him be calmer for feed times Not wear any perfume for the first year as he will probably be sensitive to it Wear your baby in a sling or pouch to calm him Play white noise or quiet lulling music to block out the effect of sudden loud sounds Speak to him before touching him so he is able to predict that your touch is coming If you suspect sensory defensiveness is at the route of your baby’s fussing, it is worth getting hold of an occupational therapist to determine whether he is sensory defensive and the extent to which the sensitivity will impact on his daily function. Being the parent of a sensory defensive baby is not easy and you may find he has a harder time settling than other babies. The support of a therapist will help you with ideas for daily life and keeping your baby happy.

March 13, 2024

Advantages of Umbilical Cord Blood over Bone-Marrow and Peripheral Blood Progenitors Transplants

Umbilical cord blood (UCB) is a very effective alternative source of blood-forming stem cells, especially for patients with blood cancers or disorders where there are matched donors that are not immediately available. Notwithstanding the fact that 50 million donors are registered in the USA bone marrow programs, many minority groups, will not be able to find a suitable, unrelated donor within a quick period to be able to save the life of the patient. In this respect, UCB has expanded transplant availability for many patients of racial and ethnic minorities across the world. Since the first UCB transplant in 1988, over 50 000 stem cell transplants are being performed annually worldwide, and that number is growing. Over half of the patients have been cured with this technique. In the USA only 30% of patients who need a stem cell transplant can find an appropriate donor within their family, while the rest must turn to public registries of bone marrow donors and donated cord blood units. For the past 4 decades, paediatric UCB transplants have been performed with high success rates both for blood-related diseases as well as metabolic storage diseases. The transplant of UCB has several advantages over bone marrow and blood stem cells. These include less stringent immune-matching (HLA-matching) criteria, the naïve state of cord blood stem cells which leads to a lower incidence of rejection, better stem cell growth potential, immediate availability of the cryopreserved stem cells, and a lower risk of relapse. Currently, even the transplant rate and success of donor UCB transplants in adults have improved. Although there are disadvantages to using donor UCBs, such as slower engraftment of certain cells and overall immune recovery, these two factors have been overcome by various techniques. Some of the techniques for donor UCBs include the improvement of recovery of certain types of blood cells that helps with immune recovery and engraftment, multiplying -, “homing” – and delivery of the stem cells, and the use of double cord blood units per transplant (1,2). Another way to improve the scope of application of UCB transplants in elderly and really sick patients is to have less intense treatments before transplants which allow for better engraftment after the transplant. In addition to the oncology applications, UCBs have also been used in the treatment of several nerve and heart disorders with varying degrees of success. These diseases, once approved, will hold great promise for the application of UCB transplants in the future. References: https://parentsguidecordblood.org/en/news/competing-strategies-expand-cord-blood-use-transplants https://parentsguidecordblood.org/en/faqs/how-are-cord-blood-stem-cells-different-other-sources-stem-cells https://www.lls.org/sites/default/files/file_assets/cordbloodstemcelltransplantation.pdf Malgieri A, Kantzari E, Patrizi MP, Gambardella S. Bone marrow and umbilical cord blood human mesenchymal stem cells: state of the art. Int J Clin Exp Med. 2010 Sep 7;3(4):248

March 12, 2024

Do Your Kids Know How to Express Love and Compassion

Here’s an exercise I learned from a 9-year-old girl little girl, my youngest daughter who today is 28 and expecting her first child. She revealed the exercise during one family meeting 19 years ago when it was her turn to facilitate. In our family meetings, everyone rotated through the facilitator role which created intense excitement for each of our three kids when it was their week to lead the group. On the night of Shauna’s turn to facilitate, she reminded me to turn the answering machine on so that no calls would interrupt our meeting. If we had today’s technology back then, I can guarantee that she would have collected everyone’s cell phones and placed them in another room so that no distractions took anyone away from this sacred, weekly event. After an opening poem was read or prayer was said, Shauna immediately passed out a few supplies to each person; a business-sized envelope, a small stack of slips of paper, and a bunch of crayons and markers. Along with those supplies, placed in front of her was a ball of yarn and a metal single hole puncher. She waited until she had everyone’s attention and then began by providing instructions. We were instructed to decorate our envelope in any way that we wanted, as long as we included our name. She came around to each of us and punched two holes in the flap of the envelope and then cut a foot-long piece of yarn from the ball she had. Back at her seat at the head of the table, she instructed us to tie each end of the piece of yarn to one of the two holes in the envelope flap, creating somewhat of a handle. Once everyone had a personally decorated envelope with a loop of colored yarn attached, she instructed us to use the slips of paper to write love notes to each person in the family and to place them into appropriate family member’s envelope. Near the end of the family meeting, she led us down the hall to hang our envelopes on our bedroom doorknobs, ready to accept more handwritten notes. Later that night, I was amazed when all three kids willingly went to their rooms when bedtime arrived. Later when I checked in on them, each of them was hidden under their blankets, busily writing by flashlight. And when my wife and I turned in for the night, we found our yarn-hung envelopes overflowing with notes written by the three children. We too ended up staying awake later than usual that night, reading the cutest love notes written in their child-like handwriting, relating all of the things they loved about us or things they were happy about. It brings tears to my eyes now as I remember all the things my kids related to me in those precious little notes. Somewhere in a box in my basement is a large manila envelope, holding some of those handwritten love notes that will be keepsakes for as long as I live. They contain the loving words of my precious children who today are trying to find their way in this world as adults. I pull those treasured notes out now and then to recall the words they wrote when they learned to express their love for their mother and I, and each other.

March 11, 2024

WHERE SHOULD YOUR BABY SLEEP?

Deciding where your baby should be sleeping is a very personal decision by you as a family. You know your family best! Even when assisting clients, this is a discussion as a team (us and the parents). Discuss the pros and cons of why you want to do it or why it might not be best for your family. I am here to tell you that your baby/toddler/child can sleep well no matter WHERE they sleep. Another thing to keep in mind is that when you decide where your baby sleeps, this is NOT a permanent choice. You can change your mind if your initial choice did not work out and change where your child sleeps as they grow up or your circumstances change. There are some important things to consider, though. We are here to give you some options and considerations: 1. CO-SLEEPING Co-sleeping is when you share a sleep space with your child and can be divided into what is known as bedsharing and room sharing: Bedsharing: This is when parents and babies sleep together in a bed, couch or chair. If you choose to bedshare, you need to do it safely. The reality, however, as new research shows, is that bedsharing with younger babies is associated with higher risk of SIDS. For newborns, the safest option is to use a co-sleeper. But once your baby can sit up at around five months, this is no longer a safe option, as the open sides of the co‑sleeper are quite low and your baby is top heavy. If your baby looks over the side of the co-sleeper, they can fall out. It’s also the reason why you should move your cot to a lower level at around the same time. Room sharing: This is when parents sleep in the same room as their babies but not in the same bed. The American Academy of Paediatrics (AAP) continues to recommend that parents room share with their baby for at least the first six months, preferably a year, because it is associated with lower rates of SIDS. You can influence each other’s sleep, however – white noise throughout the night can possibly assist with this. Babies need 11 to 12 hours of sleep per night, you don’t; so you will go to bed later than your baby. When you come in later, it could wake them. The same could happen if you go to the bathroom at night or if you wake up early. Babies are noisy sleepers and their general night noises could keep you out of sleep. Similarly, some baby cots are noisy and just your baby moving around, which they do, could wake you up. 2. OWN ROOM AND OWN COT Creating a safe and beautiful baby room is often one of the top things moms do while pregnant. If you have created a beautiful, safe baby room, it might just be time to use it! As mentioned before, you can influence each other’s sleep in a negative way when sharing a room. The reality, though, is that the move can often be worse for us as parents. HOW to do the move out of the room: Moving them one shot. Not wasting time and just having them settle can especially help when your baby is close to 12 months or already a toddler. Gradually moving the cot further away from you in the room and then out. This gives baby and parents time to adjust. First having baby sleep in their own room and cot for naps, and once you all get used to the idea, then also moving them to their own room at night. 3. SHARING A ROOM WITH A SIBLING We want your baby to be in your room or a separate space until they sleep through the night. This reduces the potential for your children to disturb each other at bedtime or wake each other at night. Many parents are worried about the kids waking each other throughout the night. We have found this to be a very unfounded fear, as children are pretty good at blocking out sounds. Some things that can help to create a comfortable shared sleeping environment: Block out curtains to help with bedtime and morning light. White noise placed between the cot and bed to minimise their sleeping sounds. Placing the cot and bed as far apart from each other as possible. There is no right or wrong choice when it comes to where your little one sleeps. Inevitably, you might use all the options at one point in your parenting journey. To BETTER sleep!

March 11, 2024

Pregnancy, your body and your baby – week 9 of your pregnancy

At week 9 of your pregnancy, you’re probably more aware than ever of your growing baby inside of you, as the first two months of pregnancy are now behind you. You may be dealing with a variety of different pregnancy symptoms as your baby slowly grows bigger. Your baby at week 9 At 9 weeks in, your baby is looking more human, with mini arms and legs developing, and the tail which was initially present is slowly disappearing. Your baby is now the size of a grape or a cherry and her facial features are also becoming more prominent. At week nine your baby is also becoming more active and beginning to move around. However, you won’t be able to see or feel this just yet – but it’ll be visible on ultrasound. If you’re struggling with painful breasts, a maternity or sports bra can offer you more support and help alleviate some of your uncomfortableness. When your body becomes more used to your pregnancy hormones, it’s likely that some of your pain may ease, but throughout your pregnancy, it’s a good idea to find clothes that you feel comfortable in. How you’re feeling at 9 weeks At nine weeks you may be feeling a variety of emotions, alongside the many other pregnancy symptoms, such as morning sickness, which peaks at around week 9. Your symptoms may be particularly difficult to deal with if you’re still keeping your pregnancy quiet from your colleges and friends, but if you are struggling emotionally open up to your partner or health care provider. Things to keep in mind At this point, it may be a good idea to chat to your doctor about possibly restructuring your exercise routine. It could be a good time to start incorporating prenatal yoga or pilates as these activities help you get ready for labour and childbirth. Staying active is also a great way to keep healthy during your pregnancy, but depending on what activities you did before getting pregnant, you may need to think about adjusting your training program.

March 8, 2024

Toddler Teeth

Teething is a painful experience not only for the young child but certainly for the parents who have to endure watching the agony and helping to provide relief. One feel so helpless trying to relieve their pain and having to endure those awful sleepless nights. They are many housewives remedies to see one through the “agony”. Some mothers suggest rubbing brandy or whiskey over the sore gums (just enough to not make the young child into an alcoholic!). Another alternative teething ring or a hard rusk to bite on. The good thing is that the stage passes by in due course. Like everything in child-rearing, everything depends on the parent from feeding, bathing, changing diapers, breaking wind and so on. And so it is with teeth as well. They are precious and need looking after. Baby teeth are not to be taken casually. They fulfil a vital function in growth and development of the child. Besides being used for eating and chewing and learning how to speak, they also are fundamentally important in maintaining space for the permanent teeth to erupt. Baby teeth are also prone to decay. It is very important to avoid having the child go to sleep with a milk bottle. This causes rampant decay known as “baby bottle syndrome”. Prevention is better than cure. It is the parents’ responsibility to look after these baby teeth from the moment they appear in the mouth. In the early stages of tooth eruption, they can be effectively cleaned by wiping them with a gauze swab. As more teeth come into the mouth with the growth of the child, they can then be introduced to a toothbrush. Monkey see monkey do. If the child watches the parents enjoy brushing their teeth, they will want to do the same. Toothbrushing can really be fun. Make it a game and sing some songs. Cultivate an appreciation for the preciousness of beautiful teeth from an early age. The are many children’s toothbrushes on the market and children’s toothpaste which are pleasantly flavoured. There is no particular preference in their choice. Rather it is the conscientiousness and motivation of the parent to ensure that the teeth are properly looked after from the very beginning. Dummy and thumb sucking may well affect the milk teeth by creating a widened space between the front teeth. I recall one of my teachers saying that it is inadvisable to stop a child from dummy or thumb sucking prematurely or forcibly. They are doing so because of an emotional need and will stop in due course. It is much easier to straighten teeth than to straighten the psyche. All too often one hears from adult patients how they were traumatised in the younger years by the dental treatment that they receive then. They remember a painful injection; a very difficult extraction; being forced into the dental chair against their will; unsympathetic dentist and parent. All of these scenarios are part of crisis management which could have been avoided had the child been taken to dentist timelessly before any problem had occurred. Dental caries is easily detectable and should be treated promptly. More importantly though, it can be prevented and avoided with a good home care by a responsible parent. It is believed that dental decay is an infection passed from parent to child. Therefore it is inadvisable to have the parent suck on the dummy before passing it on to the child. The first visit to the dentist should be at roundabout age 2 to 3 at which time all that is needed is the experience of the fun to ride up and down on the dental chair. It is disastrous for the parents to show fear of the dentist because that fear is contagious. The whole experience should be one of fun and excitement. Regular dental visits should become routine and hopefully the child will be able to bounce out of the chair and exclaim “look, no cavities”.

March 6, 2024

Exploring Delayed Clamping and Stem Cell Banking Synergies

The subject of delayed cord clamping (DCC) has been researched and discussed in numerous studies. The most important consideration at the time of the delivery is the health of the mother and baby. Delayed cord clamping has been shown to be beneficial to the baby and thus in the setting of cord blood banking, delayed clamping is an acceptable practice and is encouraged. Recent studies have shown that DCC show an increased amount of red blood cell stores in newborns and thus lessening the risk of iron deficiency anaemia later in the baby’s life. This is specifically important in preterm babies and those at risk of anaemia. In very preterm babies (22 weeks–28 weeks), DCC for 30 seconds, or more, has led to increased survival and a lowered risk for severe neurological injury. In further studies, DCC also showed an improvement in fine-motor and social skills in kids at four years of age in comparison to kids of the same age that had no cord clamping at birth. There is, however, a small risk of increased hyperbilirubinemia/jaundice (because of the additional red blood cells infused during DCC) in some infants after DCC. An estimated 50% of term and 80% of preterm infants develop jaundice. Delaying cord clamping for one minute or more resulted in only a 6%–21% decrease in the total volume of cord blood collected and a 9%–31% decrease in the pre-processed total nucleated cell. It is estimated that about 60% of DCC collections still meets the upper level for the number of total nucleated cells. However, a prolonged delay will allow the blood in the cord to clot, and the opportunity to collect the blood for stem cells will be lost; therefore, if clamping is delayed, it is recommended not to delay for more than two minutes. What major myths exist relating to the optimal clamping time? Myth: If you don’t do DCC, you are robbing the baby of 30% of its blood. Fact: When the umbilical cord is clamped soon after birth, the infant’s blood volume is the same as its volume in utero (in the womb). Myth: The longer you wait to clamp the cord, the more blood the baby gets. Fact: The continued transfusion of cord blood when delaying the clamping in normal birth is reliant on contractions of the uterus, the umbilical arteries close around 45 seconds after birth and the umbilical vein in 1–2 minutes. For c-sections, the blood volume in infants increases till 40 seconds and actually decreases thereafter. Myth: Delaying the clamping of the cord confirms the advantages observed by researchers. Fact: Factors affecting the transfusion of additional blood cells include the timing of cord clamping, gravity, the onset of respiration, uterine contractions and drugs affecting it, maternal blood pressure and birth asphyxia. Facts relating to COVID-19 and delayed cord clamping The use of delayed cord clamping during COVID-19: Most Gynaecological institutions have stated that these procedures should remain according to usual center practice, while following infection control precautions. They have stated that delayed umbilical cord clamping is extremely improbable to increase the risk of transmitting pathogens from an infected mother to the fetus; however, some institutions have selected to forbid this exercise in term infants, in whom the benefits are modest. This practice they believe will minimise newborn exposure to any virus in the immediate environment and reduce the chances that the newborn will require phototherapy for jaundice. Some institutes also prohibit skin-to-skin contact in these cases, although the Paediatric institutions have not advised against this. References Arthur, R. (2021). ‘We are on track for a watershed year for approvals of new regenerative medicine and advanced therapies’. Retrieved 10 November 2021, from https://www.biopharma-reporter.com/Article/2021/09/01/We-are-on-track-for-a-watershed-year-for-approvals-of-new-regenerative-medicine-and-advanced-therapies Ntege EH, et al. Advances in regenerative therapy: A review of the literature and future directions. Regen Ther. 2020 Jun; 14: 136–153.

March 5, 2024

World Hearing Day

World Hearing Day is an annual event organised by the World Health Organization (WHO). Held on 3 March, it’s a global campaign to raise awareness around the prevention of hearing loss and the importance of hearing health and ear care. To help create more awareness, Bonitas Medical Fund is offering free online hearing screening for all South Africans, over the age of 18. Hearing loss is an under-diagnosed medical condition that significantly impacts the physical and mental health of those who have any degree of hearing difficulty. Disabling hearing loss is often called the ‘invisible epidemic.’ It affects more than three million South Africans and over 1.5 billion people globally. With the theme ‘Changing mindsets: Let’s make ear and hearing care a reality for all!’ World Hearing Day emphasises the significance of early identification and interventions in preventing hearing loss. Hearing is vital in that it connects individuals to their surroundings, enabling communication, learning and social interaction. Yet millions of people, worldwide, face hearing challenges which can impact their quality of life. Free online hearing test ‘Last year we partnered with hearConnect and introduced a free online hearing screener for members on our website,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund. ‘Through this partnership we have extended this functionality and made it available to all South Africans.’ How it works The online, validated, speech-in-noise hearing test, uses the latest in audiological technology combined with the highest standards of clinical expertise. Go to https://www.bonitas.co.za/hearing-screening and, in just two minutes, you can test your hearing status. All you need is access to a computer or your mobile, headphones or earphones, a quiet area and then you’re all set to take the test. Post the test If the screening test indicates you are experiencing hearing loss, hearConnect is available to guide you through the next steps. Alternatively, make an appointment with an audiologist, consult your GP and/or visit the nearest clinic. What causes hearing loss? Hearing loss can come about as you age or as a result of loud noises, illnesses and disease, genetics and trauma (contact sport). Other factors, such as too much earwax, also reduce your ability to hear. Hearing loss repercussions One of the biggest concerns associated with hearing loss, when it is not treated properly, is the long-term impact it has on the quality of life. Prevention and early detection are important, after all, hearing is the foundation for speech and language development, as well as learning and communication. There are many challenges associated with hearing loss. These include language development that impacts our ability to read, write, spell and concentrate. It affects social skills resulting in isolation, depression, loneliness, cognitive impairment, unemployment and an increased risk of dementia. World Hearing Day underscores the need for accessible and affordable hearing care services and encourages everyone to prioritise their hearing health. ‘As a medical scheme we know that patients with untreated hearing loss experience more inpatient stays compared to those without hearing loss,’ says Callakoppen. ‘There is a 17% increased risk of emergency department visits, readmissions and rate of hospitalisation as well as longer hospital stays. ‘Our partnership with hearConnect includes a full audiology benefit management programme on selected plans for our members to ensure they maintain ear health. This includes a follow up with ongoing treatment steps if hearing loss is detected.’

March 1, 2024

Pregnancy, your body and your baby – week 8 of your pregnancy

It’s week 8 of your pregnancy and your baby is beginning to look more like a little human. You’ll probably be feeling many of the first-trimester pregnancy symptoms but you shouldn’t be showing just yet, so enjoy your flat figure while it lasts! Your body at week 8 Even if you don’t outwardly look pregnant, you’re definitely feeling it. Your first trimester brings morning sickness (not just in the morning!), tender breasts, fatigue, pregnancy cramps and a heightened sense of smell. Dealing with morning sickness and fatigue its important that you remember to stick to a healthy lifestyle. Eating well, exercising often and trying to make sure you get enough sleep. It’s important that you take prenatal vitamins during this time as well. Where your baby is at Your baby is now roughly the size of a bean or a raspberry. They are becoming more distinctly human, developing arms and legs. Their digestive system also develops around this time. If you get an ultrasound you may notice that your baby has a disproportionate body, with a large head – this is because the upper body develops faster than the lower. However, in 32 weeks time, your baby will be a normal-sized little-human. Things to remember Your first prenatal check-up around this time, where you may have blood tests and an early ultrasound to check your baby’s growth and heart rate. If you have lots of questions for your doctor it is a good idea to write them down, so you don’t forget when you arrive – especially if this is your first pregnancy. During the first trimester, you are at higher risk for a miscarriage. It is estimated that 1 in 8 women experience miscarriages, often before they realise they are pregnant. Signs of a miscarriage are cramping and pain in the lower back and abdomen, as well as light spotting to heavy bleeding. If you suspect miscarriage, it is important that you contact your doctor so that they can help you during this time.

March 1, 2024

Mushrooms are a Super Cool Superfood in 2024!

According to global trend analysts and pundits from the food industry, 2024 is going to be another great year for mushrooms! Whole Foods in the US each year puts out its predictions on what we will be eating, and those in the know say they’re pretty accurate year in and year out! According to Forbes, top of the 2024 Whole Foods list is “putting the ‘plant’ back in ‘plant-based’”. “With the rise of flexitarian and vegan diets, many meat-free alternatives have flooded the market,” explains the news magazine. “However, it seems consumers are not necessarily interested in animal alternatives made from a long list of products they do not understand, and would rather eat veggie burgers and other products made of vegetables and ingredients they can understand.” “Consumers are looking for healthier and more sustainable products,” agrees Adam Leman, lead fermentation scientist at the Good Food Institute in Washington, speaking on cultivated meat alternatives in the Hob Hill Gazette of August last year. “Mycoprotein (protein from fungus) requires far less caloric input to produce one calorie for human consumption as compared to animal protein. Additionally, it’s high in fibre, very low in fat and has no cholesterol.” The mycoprotein he speaks of is derived from mycelium, the root system of mushrooms, which contains all nine amino acids needed to form a complete protein. It can be grown quickly and is set to take the alt-meat category by storm. Culinary professionals from the US Specialty Food Association’s Trendspotter Panel are in full agreement with the fungi forecast, declaring that “Mushrooms are mushrooming! “Mushrooms for taste, mushrooms for texture, mushrooms for health benefits,” they add, saying that in the coming months “people will discover mushrooms in every food and beverage category” – think social media already going wild for mushroom coffee! Netherlands’ Innova Market Insights actually noted the significant rise in fungi consumption since 2018 to name mushrooms one of their most up-and-coming ingredients of ’24. Clearly it’s past time to start seeking out simpler plant-based products with fewer ingredients and additives, or take the leap straight to nature’s easiest meat substitute – the Big Brown mushroom, also known as a portabella. Light on the pocket, packed with nutrients, and always available in supermarkets, mushrooms can be treated just as you would a burger patty or a piece of steak. No stress or fuss, and always delicious. And even if you don’t want to make your mushrooms the centrepiece of every meal, they’re always happy to take on a side roll. In fact, the fungi side game is really strong, from Greek Mushroom & Potato Salad https://rebrand.ly/j2yjr05 to Mushroom Gravy https://rebrand.ly/cat3xw2 and Coconut Creamed Greens & Mushroom https://rebrand.ly/xo98dbx! Other trends set to impact the dinner table this year: Food as medicine. This is especially appealing among young people, whether for disease prevention or cure. See https://rebrand.ly/gv4ygyo for many of the reasons mushrooms are so good for you. Plant-based seafood. It’s been around for a while, but is expected to gain traction as new products come to market. Don’t worry, if fish flavours aren’t your thing, there’s always the fungi. Water conservation and stewardship of the plant are being taken ever more seriously by diners worldwide. Go to https://rebrand.ly/fgc25iq for mushrooms’ sustainability credentials. Global flavours. Buy local and use the spice aisle to travel with your tastebuds. According to Whole Foods, TikTok’s “Little Treat Culture” is about to move mainstream. It’s about creating little moments that bring a fizz of joy to your life, so that perfect (mushroom) mouthful is about to become everything! Feed your appetite for fresh mushroom dishes at https://bit.ly/31Tza3V.

February 28, 2024

Key facts about Cholera

South Africa had recorded at least 46 suspected cholera cases in the first month of 2024. According to the Minister of Health, three of these cases were due to cross-border travel. With these outbreaks making headline news, Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund has put together eight key facts about cholera. Researchers have estimated that each year there are around 1.3 to 4.0 million reported cases of cholera, resulting in between 21 000 to 143 000 deaths. However, general consensus is that this is under-estimated because of low reporting and limited laboratory services. What is Cholera? Cholera is an acute diarrhoea disease caused by the bacterium Vibrio cholerae. It can either be mild or without symptoms or severe and life-threatening if left untreated. Who is at risk? The highest at-risk populations are more often in underdeveloped countries where poor sanitation and inadequate hygiene practices contribute to its spread, especially in areas with limited access to clean water and proper sanitation facilities. Cholera can be endemic or epidemic. A cholera-endemic area is where confirmed cholera cases were detected but not brought in from somewhere else. A cholera outbreak/epidemic can occur in both endemic countries and in countries where cholera does not regularly occur. How is it spread? It is primarily spread through contaminated water and food. Ingesting water or food contaminated with faeces containing the bacterium can lead to infection. It is not likely that cholera is spread directly from one person to another. What are the symptoms? The symptoms of cholera typically include profuse watery diarrhoea, vomiting, and dehydration. In severe cases, rapid fluid loss can lead to electrolyte imbalances, muscle cramps and shock. Without prompt treatment, severe dehydration can be fatal within hours. How long before you show symptoms? It takes between 12 hours and 5 days for a person to show symptoms – which could include acute watery diarrhoea with severe dehydration. How serious is it? According to the World Health Organization (WHO) only around 25% of infected persons become symptomatic. Of these, 10 – 20% experience severe disease. How do you treat Cholera? Cholera can be effectively treated with rehydration therapy, which involves replacing lost fluids and electrolytes. This can be orally – in non-severe cases – or via intravenous fluids for more severe cases. Antibiotics may also be prescribed to shorten the duration of illness and reduce the severity of symptoms. Immediate treatment in an outbreak is essential which is not always the case in poverty -stricken areas. Can you prevent Cholera? Yes, you can, it involves improving sanitation and hygiene practices, ensuring access to clean water, and promoting proper food handling and preparation. Measures such as boiling, filtering or treating water with chlorine tablets can help reduce the risk of contamination. Additionally, practising good hand hygiene, especially before eating or preparing food, can help prevent the spread of the disease. A global strategy on cholera control was launched in 2017: ‘Ending cholera: a global roadmap to 2030’, had a target to reduce cholera deaths by 90% as well as timely access to healthcare services during outbreaks. Remember, your GP should be your first port of call for all your healthcare needs. Bonitas believes there needs to be coordination of care and encourages you to see your GP who can refer you to a specialist or auxiliary provider as and if the need arises.

February 28, 2024

Talking about HPV and cervical cancer

The theme for 2024 Cervical Cancer Awareness is, ‘Learn. Prevent. Screen.’ South Africa has a high rate of cervical cancer which has been attributed to the fact that not enough women are screened regularly. Screening can detect early changes in the cervix, which can be treated and may save your life. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, gives the low down on cervical cancer – caused by persistent infection with the Human Papillomavirus (HPV), why it is essential to screen for the virus and the development of a vaccine to help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘For this reason, we have expanded our preventative care benefits to include the HPV vaccine across all plans, to help prevent cervical cancers,’ says Dr Hadebe. ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years per lifetime’. Screening for HPV and cervical cancer Screening is also essential to mitigate the risk of developing cervical cancer. Screening aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: Pap test (Pap Smear) Cervical cancer is usually a slow-growing cancer that may not have immediate symptoms but can be found with regular pap smear tests (a procedure in which cells are scraped from the cervix and looked at under a microscope). The test looks for cell changes (pre-cancers) in the cervix that may progress to cancer if not treated. HPV test Looks for the virus, particularly HPV-16 and HPV-18 that cause 90% of cervical cancers. It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test can be done every 5 years. Signs and symptoms The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. Staging of cervical cancer Just like other cancers, cervical cancer is graded according to the severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one: It’s still in the original organ and is small. If it progresses it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasized to surrounding tissues and other lymph nodes. As cervical cancer develops, the following may occur: Abnormal bleeding, for example bleeding after sex Pelvic pain unrelated to the menstrual cycle Heavy or unusual discharge Increased urinary frequency Pain during urination ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’

February 26, 2024

Securing the Future: A Step-by-Step Guide to Joining CryoSave’s Family with Stem Cell Banking

In the ever-evolving landscape of medical advancements, securing the future health of your family has become more accessible than ever. CryoSave, a leading name in stem cell preservation, offers a comprehensive and streamlined process for parents looking to safeguard their child’s health through the preservation of umbilical cord blood and tissue. Let’s take a closer look at what happens when you decide to join CryoSave. Beginning the Journey: Registration Online: To initiate the process, prospective parents can register online through CryoSave’s user-friendly digital application form available on their website, www.cryosave.co.za. This straightforward step sets the foundation for the journey ahead. Delivery of Collection Kit: Once registered, arrangements are swiftly made to deliver the CryoSave collection kit to your doorstep. This kit contains everything necessary for the collection process, ensuring that you, your midwife, or doctor are well-equipped for the upcoming birth. Bringing the Kit to the Hospital: An essential reminder for expectant parents is to take the collection kit with them to the hospital when the time comes for the birth. This proactive step ensures a seamless transition to the collection process. The Collection Process: Risk-Free and Painless: One of the key benefits of CryoSave’s process is that the collection is entirely risk-free and painless for both the mother and the baby. This is a crucial aspect that prioritizes the well-being of all involved. Immediate Collection Post-Birth: After the birth, the collection is performed promptly by your doctor or midwife. A small section of the umbilical cord (approximately 20cm) and 150ml of blood are collected, securing valuable stem cells for future use. Ensuring Completion: Before concluding the collection process, it is vital to ensure that maternal blood samples are collected, all necessary documents are filled out, and everything is packed correctly. This meticulous attention to detail guarantees the integrity of the collected samples. After the Birth: Initiating Contact with CryoSave: With the collection completed, the next step is to contact CryoSave. A seamless communication process is established, marking the beginning of the post-collection phase. Specialized Courier Service: CryoSave takes care of logistics by sending a specialized courier to collect the kit. This courier is entrusted with the safe and timely transport of the samples to CryoSave’s state-of-the-art laboratory for processing and storage. Processing and Storage: Confirmation and Certificate: Once safely delivered to the CryoSave laboratory, parents receive a confirmatory email and certificate. This communication serves as tangible evidence that their baby’s stem cells are securely stored in a liquid nitrogen tank within CryoSave’s highly secured facility. Long-Term Cryo-Preservation: CryoSave South Africa commits to cryo-preserving your baby’s cord and tissue stem cells for a minimum of 20 years, offering peace of mind and a long-term investment in your family’s health and well-being. In the journey with CryoSave, each step is thoughtfully designed to prioritize the safety, comfort, and future health of your family. By seamlessly integrating cutting-edge technology with compassionate care, CryoSave stands as a reliable partner in securing the potential health benefits locked within your baby’s stem cells. For more information on our processes and facilities, visit the CryoSave website and feel free to contact us for an obligation free personalised quote.

February 20, 2024

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

By now you probably know that you’re pregnant, but some moms only find out during this week or later. Even if you haven’t started looking outwardly pregnant, there is a good chance you’re definitely feeling it, with the likes of fatigue and morning sickness. Your baby is going rapidly day-to-day, with continued brain and body development for the next 33 weeks. Where your body is at This week you’ll likely be feeling some or all of the symptoms generally experienced during the first trimester of pregnancy. It’s important throughout your pregnancy that you maintain a healthy lifestyle, even if doing so feels tough at times. Eating the correct foods and taking prenatal vitamins will ensure that your baby gets the correct nutrients from you. It is important to remember that during pregnancy your needs will change, so you should keep this in mind when tailoring your diet. Miscarriage and ectopic pregnancies are both serious complications that can happen during early pregnancy. Miscarriage is the spontaneous loss of the foetus before week 20, unfortunately, this is not reversible and is usually due to abnormal development. Ectopic pregnancy often shows around 7 weeks and is when the fertilised egg implants outside of the uterus. Unfortunately, neither complication can be reversed, and losing a baby early in pregnancy is likely to be very traumatic for the mom-to-be and family. It’s important that you seek medical and psychological support if you are struggling post ectopic pregnancy or miscarriage. What your baby is doing Your baby is now the size of a blueberry but is shaped more like a tadpole than a human, however, their tail is getting smaller and will soon disappear. At this point, your baby has continued to develop limbs, facial features, spinal cord and lungs, heart and kidney.

February 19, 2024

How to manage early pregnancy sickness

Affinity Health, a leading provider of high-quality health coverage, discusses ways to manage early morning sickness. Pregnancy is a beautiful and transformative journey for many women, but it often comes with its fair share of challenges. One of the most common early pregnancy symptoms is morning sickness, which can make those first few months challenging. “Early pregnancy sickness is a natural response to the hormonal changes occurring during pregnancy,” says Murray Hewlett, CEO of Affinity Health. “While it can be uncomfortable, it is usually a positive sign that the pregnancy is progressing as expected.” What is Morning Sickness? Morning sickness affects approximately 70-80% of pregnant women. While the name suggests that it occurs only in the morning, this condition can occur at any time or night. It typically begins around the sixth week of pregnancy and peaks between the ninth and 16th weeks. What Causes Morning Sickness? While the exact cause is not fully understood, hormonal changes, notably the surge in human chorionic gonadotropin (hCG), significantly trigger symptoms. Although every woman’s experience with morning sickness is unique, symptoms often include nausea, vomiting, loss of appetite, increased salivation, sensitivity to smells, fatigue and dehydration due to fluid loss from vomiting. 15 Ways to Manage Morning Sickness Affinity Health provides these 15 coping strategies and tips to help expecting mothers cope with the challenges of morning sickness: Dietary Adjustments Eating smaller, more frequent meals to avoid an empty stomach can help reduce nausea. Opt for bland, easy-to-digest foods like crackers, toast, or plain rice. Hydration Staying well-hydrated is crucial during pregnancy. Drinking fluids, such as water, herbal tea, or electrolyte-rich beverages, can help prevent dehydration. Rest and Stress Management Getting adequate rest is essential to manage fatigue and stress, which can exacerbate nausea. Relaxation techniques, such as deep breathing exercises or prenatal yoga, can be beneficial. Medication Sometimes, healthcare providers may recommend anti-nausea medications if dietary and lifestyle changes do not provide relief. Acupressure and Alternative Therapies Some women find relief through acupressure wristbands or alternative therapies like acupuncture. Prenatal Vitamins Taking prenatal vitamins as prescribed by a healthcare provider is essential to ensure the mother and baby receive crucial nutrients. Ginger and Lemon Ginger and lemon are known for their soothing properties. Sipping on ginger tea or adding a slice of lemon to your water can provide relief from nausea. Aromatherapy Certain scents, such as peppermint or lavender, can help alleviate nausea. Consider using essential oils or scented candles for relaxation. Stay Cool Avoid getting too hot, as heat can trigger nausea. Stay in well-ventilated areas and use fans or air conditioning when needed. Distraction You should consider activities that take your mind off nausea, such as reading a book, watching a movie, or listening to calming music. Support System Lean on your support system, whether it’s your partner, family, or friends. Their understanding and assistance can make a significant difference during this time. Avoid Trigger Foods Identify foods that tend to worsen your symptoms and avoid them. Sometimes, spicy, greasy, or highly seasoned foods can be triggers. Herbal Remedies Some herbal remedies, like peppermint, rooibos, or chamomile tea, may relieve nausea. Keep a Journal Keeping a journal to track when and what triggers your nausea can help you identify patterns and make necessary adjustments to your routine. Maintain Good Oral Hygiene Nausea can sometimes lead to bad breath or a metallic taste in your mouth. Regularly brushing your teeth and using mouthwash can help combat this. When to Seek Medical Help While morning sickness is generally considered a normal part of pregnancy, severe symptoms can lead to complications such as dehydration and weight loss. If you experience severe nausea and vomiting, consult your healthcare provider. They can provide guidance, recommend treatments, and ensure the health and well-being of both you and your developing baby.

February 16, 2024

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

Week 6 of your pregnancy At week 6 of your pregnancy you’ll most likely know that you’re pregnant now, although some mom’s realise as quickly as 3 weeks or as late as 12. Every week your body is changing to accommodate for your growing little one. Your body at 6 weeks 6 weeks in and you may be experiencing a range of pregnancy hormones. One of the most common and challenging first trimester pregnancy symptoms is morning sickness, although these waves of nausea can strike at any time. It is important to eat bland foods little and often. Even though this nausea may be uncomfortable to deal with, it’s nothing to worry about unless you can’t keep any food down throughout the day. Fatigue is another unpleasant aspect of pregnancy that you may have started experiencing in your first trimester. Napping often, letting others take over some of your chores and work, as well as keeping hydrated are ways in which you can help yourself. Your pregnancy fatigue may be worse during your first and third trimesters. Exercise and a healthy diet are also important (at this point and throughout your pregnancy) and you’ll probably be able to do most of the exercise you’re used to – just stay away from anything heated (such as heated yoga) or high risk. Your baby at 6 weeks Your baby is now the size of a pea, still tiny enough that you won’t be able to spot a tell-tale pregnancy bump. Your uterus has begun expanding to accommodate your new baby, and may have started pressing down on your bladder (que the frequent urge to use the bathroom). Inside you, your baby is starting to look more like a little human, and her eyes, nose, ears as well as limbs have started slowly forming. Liver, kidneys and lungs are also starting to take shape.

February 12, 2024

10 ways to manage your medical expenses

‘As you begin 2024 with a clean slate in terms of medical aid benefits, it’s a good time to look at ways to manage medical expenses,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund. Here are 10 tips to empower yourself in managing medical expenses. Designated Service Providers (DSPs) and networks Healthcare costs in South Africa are generally unregulated which means providers are free to charge any tariff. ‘Using DSPs and hospital networks means that favourable tariffs for members have been negotiated,’ explains Callakoppen. ‘Using networks also means you can reduce or eliminate co-payments.’ Tariffs and rates of payments The Scheme Rate is the amount a scheme will pay for specific treatments and procedures. However, 100% of the scheme rate doesn’t necessarily mean 100% of the account will be paid. Ask for a quote from your practitioner and/or hospital ahead of any procedure. If there is a major discrepancy, try and negotiate an adjusted fee. The value-add benefits Make use of the free wellness screening and testing offered by your medical aid. There has been an intensified drive to detect, prevent or manage various chronic conditions as well as vaccinate against potential diseases and conditions. ‘After completing an online wellness questionnaire or a wellness screening, you are able to access the ‘Benefit Booster’ providing access of up to R5 000 in additional funds to use for out-of-hospital expenses.’ The Bonitas ‘Be Better Benefit’ includes an annual wellness screening, per beneficiary, to check blood pressure, blood glucose, BMI and cholesterol. It’s about being on the right path to good health and wellness. Other benefits include Flu vaccines, HIV tests, lipograms, mammograms, prostate screening, pap smears, pneumococcal vaccines, whooping cough boosters, HPV vaccines, stool tests for colon cancer, dental fissure sealants, online hearing screenings and contraceptives. Ask your pharmacists Ask your pharmacists for over-the-counter medications for less serious illnesses. Pharmacists are able to provide sound medical advice about problems like rashes, colds or illnesses that are not severe. Also use generic medications where possible. A generic’s active ingredient or drug content is identical but is between 30% and 80% cheaper. Managed Care The prevalence of Non-Communicable Diseases (NCDs) has been increasing year-on-year, so have mental health issues, which is a risk factor for NCDs and vice versa. For this reason, it is important to make full use the Care programmes your medical aid offers. ‘At Bonitas we offer support for NCDs through a range of Care programmes including Audiology, HIV/AIDS, cancer, diabetes, mental health, back and neck, hip and knee replacements as well as hospital-at-home.’ Remember to pre-authorise Pre-authorisation is required for all hospital admissions, out-of-hospital screenings and procedures. Always ask if there are any co-payments or sub-limits that will apply and how to avoid these. For planned procedures, make sure you use a DSP or check whether the procedure can be in the doctor’s rooms or a day clinic. Be aware of consulting after hours Be careful about using after-hours consultations or emergency rooms unless it’s absolutely necessary. In a bona fide medical emergency, one has no choice and this usually results in admission to hospital. Manage your chronic medicine correctly The golden rule for chronic illness benefits is to try to use the medication on the scheme’s formulary and to obtain this from a specified pharmacy, either on the network or a DSP. PMBs Make sure you understand what is covered under Prescribed Minimum Benefits (PMBs) and to use a DSP to ensure that claims are paid from risk, not from your medical savings account. Gap Cover Gap Cover is designed to cover the difference or part of the difference between what the medical scheme pays and the service provider charges for in-hospital procedures/treatment and specified outpatient procedures. Ensuring you ‘work smarter’ with the benefits and medical expenses during the year, is a win-win situation for your health and pocket.

February 7, 2024

Unlocking the Potential: Cord Blood Stem Cell Therapy and the Spectrum of Treatable Diseases

Over the past three decades, the field of cord blood stem cell therapy has witnessed remarkable progress, with more than 40,000 successful transplants worldwide. These transplants have emerged as transformative treatments for various medical conditions, particularly blood disorders, inherited metabolic disorders, and immunodeficiency syndromes. As the therapeutic landscape continues to expand, cord blood stem cells have found applications in over 80 approved therapies, offering hope for patients facing a diverse range of diseases. Treatable Diseases and Therapies: Cord blood stem cell transplants have proven effective in treating a multitude of diseases, ranging from blood cancers to inherited metabolic disorders and bone marrow disorders. The following is a glimpse into the scope of treatable diseases and approved therapies: Blood Cancers: Acute Lymphoblastic Leukaemia (ALL) Acute Myeloid Leukaemia (AML) Chronic Myeloid Leukaemia (CML) Myelodysplastic Syndrome (MDS) Multiple Myeloma Hodgkin’s Lymphoma Non-Hodgkin’s Lymphoma Inherited Metabolic Disorders: Hurler Disease (MPS type IH) Osteopetrosis Adrenoleukodystrophy Krabbe Disease Bone Marrow Disorders: Aplastic Anaemia Unspecified Fanconi Anaemia Other Diseases: Blood Disorders Bone Marrow Failure Syndrome Immunodeficiencies Neuroblastoma Solid Tumours For a comprehensive list of current treatable diseases and therapies, interested readers can refer to the Parents’ Guide to Cord Blood and CryoSave’s dedicated page to these diseases. Ongoing Clinical Trials: The frontier of cord blood stem cell therapy extends beyond approved therapies, with ongoing clinical trials exploring the potential applications of these cells in various conditions. Some of the areas currently under investigation include: Acquired hearing loss Alzheimer’s disease Acute Ischemic Stroke Autism Spectrum Disorders Amyotropic Lateral Sclerosis Bronchopulmonary dysplasia Cartilage repair Critical limb ischemia Cerebral Palsy Congenital Diaphragmatic Hernia Congenital Heart Diseases Childhood Hearing Loss Corneal Epithelial Wounds Ulcerative Colitis / Inflammatory Bowel Disease Duchenne Muscular Dystrophy Diabetic Foot Ulcers Diabetes Mellitus (Type I & Type II) Encephalopathy (neonatal) Epidermolysis Bullosa Fertility Global development delay Graft versus host diseases Glaucoma Hypoplastic left heart syndrome HIV Hydrocephalus Ischemic Stroke (pre/peri-natal) Intraventricular haemorrhage Infant Lung Disease Idiopathic Dilated Cardiomyopathy In-Utero Brain Injury / Stroke Liver Cirrhosis Neurodegenerative Disorders Preterm Neonatal Complications Parkinson’s Disease Rheumatoid Arthritis Severe Hypoxic-ischemic Encephalopathy Systemic Lupus Erythematosus Spinal Cord Injury Skin-Wound / Burns Sweat Gland Diseases / Regeneration References Cairo MS, Rocha V, Gluckman E, et al. Alternative allogeneic donor sources for transplantation for childhood diseases: unrelated cord blood and haploidentical family donora. Biol Blood Marrow Transplant. 2008; 14:44-53. Cairo MS, Tarek N, Lee DA, et al. Cellular engineering and therapy in combination with cord blood allografting in pediatric recipients. Bone Marrow Transplant. 2016;51:27-33 Gluckman E, Ruggeri A, Rocha V, et al. for Eurocord, Netcord, World Marrow Donor Association and National Marrow Donor Program. Family-directed umbilical cord blood banking. Haematolgica. 2001; 96: 1700-1707. Mazonson P, Kane M, Colberg K, et al. Prevalence of medical conditions potentially amenable to cellular therapy among families privately storing umbilical cord blood. Matern Child Health J. 2016 (online). https://clinicaltrials.gov

February 6, 2024

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

Week five of your pregnancy is the week that many women find out that they are pregnant. You’ll notice the skipped period and your pregnancy test will come out positive, you’ll also start to notice some pregnancy symptoms if you hadn’t already. Your body at 5 weeks pregnant This week you’ll notice pregnancy symptoms, and this is just the beginning of a huge number of changes you’ll feel taking place in your body. At this point your pregnancy hormones will probably be affecting you, making you feel nauseous, your breasts tender. You could also be experiencing spotting and cramping, as well as frequent urination and cravings. The pregnancy hormone, human chorionic gonadotropin (hCG), is responsible for many of these changes, and this hormone is why your test shows up positive. Not only will your body physically change, but you’ll probably be dealing with mental changes as well. No only can your changing hormones cause your moods to fluctuate, but finding out you’re pregnant can also be an emotional experience. Remember any emotions are valid, even if you’re feeling overwhelmed and confused, as opposed to excited. If you’re struggling it’s important to reach out to those around you or seek professional help. Your baby at 5 weeks pregnant Your baby is now roughly the size of orange or apple seed and her tiny face is already starting to form, even though she looks more like a tadpole than a human. During this time your baby’s neural tube is developing – this will become their spine and brain – which is why folic acid is so important at this point. Folic acid taken daily reduces the risk of spinal tube defects. By 5 weeks your little one’s heart will have also started beating. If your pregnancy is healthy, you won’t be having an ultrasound before 8 or 9 weeks of pregnancy, so it’ll be a few more weeks before you get to see your baby.

February 5, 2024

Smile-Ready for School: Oral Health for Back-to-School Success

The start of a school year is always a nerve-wracking and exciting time for both kids and parents – whether your child is off to daycare or big kid school. Parents always want to make sure they set up their children for success and to show up as the best versions of themselves, and while this includes making sure your little one is fully kitted with the required uniform, stationery and lunchbox – sending your child back to school with a healthy and confident smile is also a vital part of that checklist. As you get ready to entrench your family into the school routine – making sure oral health is prioritised will be essential to ensuring they have a successful school year. As our little one’s teeth are developing, taking care of them is critical not only for preventing things like decay and gum disease, amongst other things, but healthy teeth and gums also contribute to overall well-being. Plaque buildup eventually leads to cavities, gingivitis or severe gum disease that puts teeth and gums at risk – and even other parts of the body. Developing good dental habits from a young age can help prevent dental problems in the future. In fact, good oral health habits can, in the long run, lead to saving on doctor/dentist visits and missed school days. Oral health must be prioritised as early as the age of 2 and should change as the teeth do. So, we challenge parents to take their children’s oral health seriously as they start new habits and routines. What’s also crucial is knowing which phase your child is in when it comes to brushing their teeth. We like to break this up into 4 phases, which entail the below: Phase 1: Dependent cleaning – prioritise as early as when your child has their first tooth. This is where mom or dad takes control of their child’s oral hygiene. Phase 2: Supported brushing – from two-and-a-half years old. Your child is beginning to show some independence and do things on their own, which includes wanting to brush their own teeth. It’s important to Use a pea-sized amount of kids toothpaste. Adult toothpaste might burn too much. Choose a soft, dense bristle kids toothbrush – adult toothbrushes are too large for a child’s small mouth. Start brushing all the tooth surfaces, doing large circles over the tooth and gums (about eight counts per tooth) Brush the chewing surfaces using a scrubbing method A plaque-disclosing tablet can show your child where to brush and where plaque is present. They can easily see the plaque and brush on these surfaces Parents should also brush after the child has brushed their teeth to ensure hard-to-reach areas are not missed. Phase 3: Supervised brushing – from nine years old. Regularly checking on them and motivating and supporting them with their oral health is encouraged. This not only lets them know that they are doing the right thing, which will keep them motivated to keep brushing every day, but it will give you the chance to spot any technique that needs to be fixed early on. Phase 4: Independent brushing – young adults. They’re responsible for brushing their teeth and looking after their oral health. This is when you know that your guidance has paid off, and they can keep up with the routine on their own. As parents, we are responsible for ensuring we give our children the best life and opportunities possible. Gifting them a healthy smile, which contributes to their confidence and overall well-being, is certainly one that cannot be overlooked. Written by: Richard Meyer, GM at Curaprox

February 2, 2024

The Importance of Storing Cord Blood Stem Cells for Future Health

The decision to bank your baby’s cord blood stem cells is a significant one, offering potential health benefits for both the child and their siblings. Understanding the intricacies of stem cell matching and the role these cells play in medical treatments is crucial for making an informed choice about storing this precious resource. Who Can Benefit? Your baby’s cord blood stem cells are a 100% match for themselves, ensuring a personalized and compatible source for potential future medical treatments. Siblings, on the other hand, may also benefit, but a crucial step is determining their compatibility through a process called tissue typing or HLA (Human Leukocyte Antigen) testing. This method reveals whether siblings can utilize each other’s stem cells for approved therapies. Biological siblings share a 25% chance of being a match, a statistic that highlights the importance of storing cord blood for each child in the family. Biological parents are considered a partial match, termed ‘haploidentical,’ emphasizing the need for alternative sources in certain situations. Importance of Matching in Transplants In cases where an individual cannot use their own stem cells due to an inherited condition, having cord blood from a matched sibling becomes invaluable. If the sibling did not inherit the same condition, their cord blood becomes a preferred source for stem cells in potential transplant scenarios. This emphasizes the critical role cord blood banking plays in securing a suitable match for transplantation, significantly increasing the chances of successful treatment. Comparing Match Chances Understanding the probabilities associated with different sources of stem cells is vital in appreciating the value of cord blood banking. The chances of being a suitable match for a transplant vary based on the source of stem cells: Autologous (Your own stem cells): 100% chance of a match. Syngeneic (Stem cells from identical twins): Each twin has a 100% chance of a match. Haploidentical (Stem cells from biological parents): A 50% chance of matching. Allogeneic (Stem cells from biological siblings): Each sibling has a 25% chance of matching. Banking your baby’s cord blood stem cells is an investment in their future health. The potential benefits extend beyond the individual, providing a lifeline for siblings who may require compatible stem cells for medical treatments. As the statistics show, the chances of finding a transplant match from unrelated donors are extremely low, making cord blood banking a proactive and strategic choice for families concerned about their long-term well-being. References Waller-Wise R. Umbilical cord blood: information for childbirth educators. J Perinat Educ. 2011 Winter;20(1):54-60. doi: 10.1891/1058-1243.20.1.54. PMID: 22211060; PMCID: PMC3209739.

February 2, 2024

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

This may be the week that you realise that you’re pregnant. Many women don’t notice so early-on, but if you’ve been trying for a while you may take a pregnancy test before when your next period was due. Your body at 4 weeks Although your body is changing, chances are you may not have noticed just yet – at the end of this week you’ll probably notice (or maybe earlier or later – depending on your menstrual cycle) that you’ve missed your period. This is one of the more obvious pregnancy signs, but your body is changing in other ways as well. When your fertilised egg implanted into your uterus you may have noticed some cramping and spotting. You may write -off other early pregnancy signs as pre-menstrual changes, however, there are some symptoms that are unique to having a baby. Such as nausea, spotting and cramping, and a raised body temperature. If you haven’t already, now is the time to quit any unhealthy habits, such as drinking alcohol and caffeine, and smoking. It’s also a good idea to take prenatal supplements if you haven’t started yet. If you’re feeling healthy and your pregnancy symptoms are all normal, you’ll only need to schedule an ultrasound at week 8. Your baby at 4 weeks Your baby is a tiny mass of cell inside you, roughly the size of a poppy seed, but just because it’s so small doesn’t mean lots isn’t happening. In the next few weeks, this tiny ball of cells will form the neural tube, which is the beginning of the brain and spine. At this point, the cells that are your baby are dividing up, becoming more defined. Three layers are developing – the ectoderm, the mesoderm, and the endoderm – and these will later develop to become your baby’s organs and tissues.

February 1, 2024

10 Reasons to choose cord stem cell banking for your baby

Stem cell storage is more than just a medical choice; it’s a step towards securing your family’s well-being. With the promise of potential treatments and the assurance of peace of mind, let’s explore ten vital reasons why storing your child’s stem cells is a decision worth considering. Reason #1: Collection at Birth – a once-in-a-lifetime opportunity: The collection of umbilical cord blood and tissue stem cells takes place shortly after birth. If not done at this time these precious cells are discarded as medical waste. It is the reason why collecting cord blood stem cells is particularly important because there is only one opportunity to collect them immediately after birth, unlike other types of stem cells. These stem cells have the ability to differentiate into various cell types and tissues; therefore, they can be used for treating various critical diseases. Reason #2: Potential Future Medical Treatments Umbilical cord blood-derived (UCB) stem cells can be used in the treatment of blood-related diseases. As for UCB stem cells, using the patient’s own stem cells called “autologous transplants”, are readily available when needed. Currently, several blood diseases are believed to be critical diseases and are immediately needed (unlike matching with a donor which can take months), every minute counts. Therefore, cord-blood banking is very important to be done and prepared for any future emergencies. One of the primary reasons to store your baby’s stem cells is the potential for them to be used in medical treatments. Stem cells might be used in the future to treat a range of diseases and conditions, should the need arise, such as cancer, diabetes, cerebral palsy, and more. By storing your baby’s stem cells now, you may be able to provide them access to life-saving treatments in the future. Reason #3: Low Risk There really isn’t much risk involved at all! The collection process is completely safe for both mother and child and involves only a few minutes shortly after birth for collection. Even delayed cord clamping can be done. Additionally, cryogenic storage is entirely secure and totally reliable; even in the event of a disaster, your baby’s stem cells will remain safe with us until needed. Reason #4: Inexpensive Options Although it may sound like an expensive option initially for many parents, having the ability to treat many life-threatening diseases in the future is truly priceless. As the number one cord blood bank in South Africa, our mission is to make stem cell storage more affordable for families and offer different plans and flexible payment options to suit your needs. Reason #5: Ensuring Your Child’s Future Cryopreserving and storing your baby’s stem cells is an asset for use in their future health and well-being. Nobody knows what might happen in the future, and should your child develop a life-threatening illness, then having access to their stem cells could save their life. In the past decades, the technology has advanced substantially and will continue to do so in the years ahead. By banking your baby’s stem cells now, you can ensure they have access to any new treatments or therapies that arise from further scientific research. Reason #6: Peace of Mind Knowing that your child’s stem cells are stored safely away can give parents peace of mind about their long-term health expectations. The stress associated with trying to find a suitable donor if needed down the line, as well as removing any concerns about matching or rejection issues for transplants from unrelated donors. Reason #7: Beneficial for the entire family Umbilical cord blood stem cells not only are used for the children themselves but also potentially used by the immediate family members. Parents have a 50% chance of a match and siblings have a 25% chance. Besides treating blood-related diseases, these stem cells from cord blood and cord tissue can also be used to treat the family member’s other degenerative diseases. Therefore, collecting and banking UCB-derived stem cells can provide peace of mind for you and your family in the future. Reason #8: The demand is growing Stem cells isolated from umbilical cord blood have been used to treat different kinds of diseases apart from blood-related diseases, including diabetes, strokes, nerve damage, muscular diseases, etc. It is believed that the stem cell umbilical cord blood market is growing by 16,% due to the increased awareness of cord blood stem cells’ potential in treating various medical conditions and also by the rising incidence of chronic diseases in the population. Reason #9: High processing standards in a state-of-the-art facility Safety is considered an important aspect of the umbilical cord blood and tissue stem cell banking process. At present, UCB- and UCT-derived stem cell collection and banking is of the highest standard with international accreditations and certifications. Therefore, you and your family can rest assured that once frozen, your stem cells can be stored for decades. Reason #10: Revolutionary innovations of umbilical cord blood transplantation The innovation of umbilical cord blood stem cells for therapeutic use has made significant progress since the 1980’s and more than 40,000 UCB transplants have been performed. Umbilical cord blood and tissue stem cells are now being studied as an alternative treatment for many diseases such as type 1 diabetes or type 2 diabetes, multiple sclerosis, and heart failure, to name but a few. Storing your baby’s stem cells poses many advantages for parents that wish to protect their child’s health long-term without breaking the bank. It offers potential medical treatments which could save lives down the line, but also offers peace of mind knowing that you have taken steps towards safeguarding your children’s health — no matter what happens in life. Our promise is that we will do our best to take good care of your future and provide you with the highest quality and most reliable service.

January 30, 2024

Ear infections: Why they are common in children

Affinity Health, a leading provider of high-quality health coverage, sheds light on the causes, symptoms, and preventive measures associated with paediatric ear infections. Ear infections, medically known as otitis media, are among the most common reasons children visit healthcare providers. These infections can occur in the middle ear, the space behind the eardrum, leading to various symptoms and complications. “Ear infections can be distressing for children and parents, but understanding the factors that contribute to their prevalence and taking preventive measures can help reduce the risk,” says Murray Hewlett, CEO of Affinity Health. “It’s important for parents and caregivers to recognise the symptoms of ear infections and seek medical attention when needed to ensure prompt and effective treatment.” Why Ear Infections are Common in Children The structure of a child’s Eustachian tubes, which connect the middle ear to the back of the throat, differs from that of adults. In children, these tubes are shorter, narrower, and more horizontal, making bacteria or viruses more likely to pass from the throat to the middle ear. This anatomical difference increases the susceptibility of children to ear infections. Other factors that make children more susceptible to ear infections include: Immature Immune Systems: Children’s immune systems are still developing, making them more vulnerable to infections, including those that can lead to ear infections. Their immune response may be less robust in fighting off bacteria and viruses. Exposure to Germs: Children are often in close contact with one another, especially in daycare centres, schools, and playgroups. This increased interaction can lead to a higher likelihood of exposure to germs that can cause ear infections. Frequent Upper Respiratory Infections: Upper respiratory illnesses like colds and sinusitis are frequently connected with ear infections. Children tend to experience these infections more often than adults, increasing the chances of ear infections as a secondary complication. Passive Smoke Exposure: Passive smoking has been related to an increased incidence of ear infections in children during pregnancy or after birth. Allergies: Children with allergies, particularly allergic rhinitis, may be more prone to ear infections. Allergic reactions can lead to inflammation in the nasal passages and Eustachian tubes, contributing to ear infections. Bottle Feeding and Pacifier Use: How a child is fed, whether bottle feeding or breastfeeding, can influence the risk of ear infections. Bottle-fed babies may be at a slightly higher risk, and prolonged pacifier use can also contribute to ear infections. 6 Common Symptoms of Ear Infections in Children While the symptoms of ear infections may vary from child to child, several common signs might suggest the presence of an ear infection. These signs include: Ear Pain: Ear infections often cause significant ear pain, leading to irritability and difficulty sleeping. Fever: A high fever is a common symptom of ear infections, mainly when the infection is bacterial. Fluid Drainage: In some cases, ear infections can cause fluid to drain from the ear. This fluid may be pus-like and have a foul odour. Hearing Problems: Ear infections can temporarily affect a child’s hearing, leading to difficulty understanding speech or responding to sounds. Irritability and Fussiness: Infants and young children with ear infections may become irritable and fussy and have difficulty feeding. Tugging at the Ear: Young children may tug or pull at their ears in response to ear pain. Prevention and Treatment Preventing ear infections in children can be challenging, but there are measures that parents and caregivers can take to reduce the risk: Breastfeeding: Breastfeeding for the first six months of life can help boost a child’s immune system and reduce the risk of ear infections. Avoiding Passive Smoke: Reducing exposure to passive smoke during pregnancy and after birth can lower the risk of ear infections. Vaccination: Staying current with recommended vaccinations can help prevent illnesses that may lead to ear infections. Good Hygiene Practices: Hand hygiene and encouraging children to cover their mouths and noses when coughing or sneezing can help limit germ spread. Limiting Pacifier Use: Reducing pacifier use after six months may help lower the risk of ear infections. Prompt Treatment: If a child develops symptoms of an ear infection, seek immediate medical attention. Bacterial infections may require antibiotics, while viral infections may resolve independently with supportive care.

January 30, 2024

Radiology’s pivotal role in the detection of lifestyle diseases

Data from the World Health Organization (WHO) indicates a notable increase in Non-Communicable Diseases (NCDs) such as cardiovascular and respiratory diseases, diabetes and cancers. These diseases are major contributors to global morbidity and mortality. In fact, three years ago, the Human Sciences Research Council (HSRC) and the Medical Council described the increase in NCDs as an ‘emerging epidemic’ and the ‘biggest threat to South Africa’s health’. NCDs, known as chronic or lifestyle diseases, are medical conditions that are not infectious and cannot be transmitted directly from person to person. They progress slowly, often lasting for a long duration. The main categories include cardiovascular diseases (such as heart disease and stroke), cancer and chronic respiratory diseases and diabetes. Other examples include obesity, mental health disorders and musculoskeletal conditions. Lifestyle diseases were more prevalent in higher income brackets but currently, they are wreaking havoc amongst all South Africans. The good news is that the damage resulting from unhealthy lifestyles can be stemmed. Dr Jean de Villiers from SCP Radiology says medical imaging techniques play a crucial role in the early diagnosis, management and monitoring of lifestyle diseases. ‘The rapid evolution of high-quality imaging techniques, using reduced radiation dose, has positioned radiology ideally for this role. This contributes significantly to the understanding and treatment of these conditions.’ Why ‘lifestyle’ disease’? The conditions are called lifestyle diseases because they result from long-term, habitual behaviours and lifestyle choices. The terminology implies that their prevention, control, and management are often a result of an individual’s actions, such as: Poor diet: Diets high in processed foods, saturated fats, trans fats, salt and sugar Physical inactivity: Lack of regular physical activity Tobacco use: This is a major contributor to cardiovascular diseases, respiratory diseases and certain types of cancer Environmental factors: Including air pollution, water pollution and other environmental toxins can contribute to the development of respiratory diseases and other health problems Occupational hazards: Certain workplace exposures to chemicals and other hazards can increase the risk of specific NCDs Genetics: A family history may result in a genetic predisposition to certain NCDs Age and gender: The risk of developing NCDs tends to increase with age. Some conditions, like osteoporosis and certain cancers, may be more prevalent in specific age groups or genders Metabolic factors Obesity, high blood pressure and high cholesterol levels can increase the risk of developing cardiovascular diseases and diabetes Psychosocial factors: Chronic stress can contribute to the development or exacerbation of various NCDs Mental Health Perhaps surprisingly, mental health can also result in chronic diseases. According to Harvard Medical School, poor mental health can negatively impact on physical health, leading to an increased risk of some conditions. Depression has been linked to a 67% increased risk of death from heart disease and a 50% increase in risk of death from cancer. Mainly because people with mental health conditions are less likely to receive the physical healthcare. Preventing NCDs usually involves lifestyle modifications: Adopting a healthy diet, engaging in regular physical activity, avoiding tobacco and excessive alcohol consumption and managing stress. Early detection, through regular health check-ups and screenings, is also crucial for effective management and prevention of associated complications. The role played by radiology Diagnostic imaging: Helps in the early detection and diagnosis of lifestyle diseases. ‘For most of these conditions, early identification and diagnosis are crucial. X-rays, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), mammography, and ultrasound are ideally suited to visualise relevant internal anatomical structures and identify relevant abnormalities early,’ says Dr de Villiers. Monitoring disease progression: Radiological techniques can monitor the progression of lifestyle diseases over time. This is important for diseases like diabetes, where complications can affect the kidneys, eyes and blood vessels. Treatment planning: Aids in treatment planning by providing detailed anatomical information. For example, before certain surgeries or interventional procedures, imaging guides the medical team to target the affected area and minimising damage to surrounding healthy tissue. Screening programs: These are essential for the early detection of certain lifestyle-related conditions. For instance, routine mammography and colonoscopy for the early detection of breast cancer and colorectal cancer, respectively. Similarly, there are currently National pilot projects running to detect early lung cancer in high-risk individuals using low-dose CT scans of the chest. Research and clinical trials: Radiology plays a key role in research studies and clinical trials aimed at understanding the mechanisms of lifestyle diseases. Advanced imaging techniques can be used to investigate the effects of lifestyle interventions and assess the effectiveness of treatment. Patient education: Radiological images can be used to educate patients about the nature and progression of their conditions. Being able to see the affected areas can help patients understand the importance of lifestyle modifications and treatment adherence. In summary, radiology is an integral component of the multidisciplinary approach to the detection and management of lifestyle diseases. It facilitates early detection, accurate diagnosis and effective management, ultimately contributing to improved patient outcomes and quality of life.

January 25, 2024

What are the costs of cord blood banking?

At CryoSave we understand that becoming a parent comes with financial strain. That is why we offer flexible pricing options, structured to your needs.” as this will give an indication that even though there is so much benefit, CryoSave makes it easier in terms of cost. Below is a breakdown and explanation of the costs of stem cell banking. The collection kit The collection kit includes everything your doctor/midwife will need for the collection. The collection kit is paid upfront when you sign up for stem cell banking. The reason this is paid upfront is to ensure that the kit can be couriered to you immediately to be available once the baby is born for the collection to take place and after completion the kit will be collected by a specialised courier. Processing the collected samples Once the samples (collection kit) are received by the CryoSave laboratory, the samples need to be processed. This means that the cord blood cells are separated. The cord blood and tissue are processed according to international standards. CryoSave is an internationally AABB (Association for the Advancement of Blood and Biotherapies) accredited facility. All cord blood samples are processed using internationally validated processing and cryopreservation protocols. The cord blood and tissue stem cells will be kept in a liquid nitrogen storage tank (between -196 and -150°C) at our secured facility for long-term storage. In addition to the above, blood is also drawn from the mother at birth. The vials for these tests are also included in the kit. These samples will then be analysed by pathologists for infectious markers. Stem cell banks must do quality checks on all samples and before freezing a representative sample is taken for quality testing. The number of blood-forming stem cells and the % viability of the cells present in each sample is measured. Other checks are done to determine the recovery of stem cells after processing. Stem cell banks must also test for microbiological infection in each sample. After successful storage, the parents are notified of the success of the cord blood and cord tissue processing and negative microbiology. Parents will also receive a certificate for both the cord blood and cord tissue for their records. If difficulties are encountered during delivery that might have affected the collection of the cord blood or tissue, the Laboratory Director or Medical Director will call the gynaecologist to ascertain the reason for the problematic delivery. They will also contact the parents to inform them and discuss the collection with them. If the sample is needed for an approved transplant, CryoSave offers parents free shipment of the samples to anywhere in the world where the transplant will take place. A sample will only be released if approval is provided by an approved transplant centre and after discussions and approval documentation has been signed by the transplant physician, the parents, and the cord blood bank. Storage After processing is complete the cord blood and tissue stem cells are cryopreserved and cryogenically stored in the vapour phase of cryogenic nitrogen freezing tanks at -196° C and maintained there until needed. When you consider all these costs; running any cord blood bank is rather expensive. This includes the cost of running the liquid nitrogen facility, maintenance of equipment, regulatory-, compliance- and operational costs (including staff salary expenses). The storage fees paid over 20-30 years, is a critical element of cost as this is to ensure that the stem cell bank you banked your baby’s stem cells with, can safely and securely store your samples for the required time to come. Storage fees should therefore be a non-negotiable cost when it comes to this process. Conclusion In addition, the search for donor stem cells can take months for a life-threatening disease and can cost anything between R600k – R1m. If you bank with a private cord blood bank, the stem cells are immediately available. Considering the above, the cost of R25 000 for the collection kit and processing fees, and storage fees less than R50 p/m should not seem expensive. Only the collection fee is paid upfront. Repayment terms are available. At CryoSave we understand that becoming a parent comes with financial strain. That is why we offer flexible pricing options, structured to your needs. Contact us today to get a personalized quote.

January 24, 2024

Back to School 2024 – Creating Healthy Lunch boxes

– It’s easier than you think – The 2024 school year has kicked off and parents are back to the challenge of the daily packing of nutritious and appealing lunch boxes. Time constraints, especially on weekday mornings, picky eating, getting the nutritional balance right and cost concerns are all hurdles that busy parents must grapple with. What goes into the lunch box, and what gets eaten during the school day are really important. Lunch, snacks and hydration make a significant impact on our kids’ energy levels and their abilities to concentrate and perform, both cognitively and physically throughout the school day. This year, Juicy Delicious and Rediscover Dairy have teamed up to provide inspiration and dietitian advice to make mastering school lunch boxes much easier. An important feature of school lunch boxes is the inclusion of vegetables and fruits every day. When South African children go back to school in January, it is still stone fruit season with its abundance of peaches, nectarines, and plums available throughout the entire first term. Firm, yet juicy yellow cling peaches, succulent plums and deliciously sweet nectarines are all excellent lunch box fruits because they travel well as whole fruits. They are refreshing on a hot school day, packed with fibre and immune-boosting vitamins C and A, and loved by children as much as any sweet treat. Of course, South African grown stone fruit also blend perfectly with dairy. A fresh peach milkshake or nectarine yoghurt smoothie makes for an ideal, nutrient-dense drink on-the-go. Maretha Vermaak, the registered dietitian at Rediscover Dairy says, “When it comes to nutritional balance, parents need to ensure that school lunch box foods are contributing to their child’s needs for protein, energy, healthy fats, vitamins and minerals. This is where dairy shines. Luckily, kids love dairy, so it is an ideal solution for picky eaters. Milk, cheese, maas and yoghurt offer a unique nutritional spectrum including high quality protein, energy and calcium. Dairy is also a vital source of vitamins such as A, B2, and B12, as well as potassium and zinc. So, you have an exceptional nutritional profile, as well as affordability and versatility. This ensures that you easily include dairy in the school lunch box so that your child is getting the recommended 2 to 3 servings of dairy every day.” Parents can elevate their school lunch box game by using child-friendly compartmentalised lunch boxes, such as the newly launched ADDIS Munch On The Go Bento Box which is proudly manufactured in South Africa. Ideally- sized, with an easy opening, kid-friendly clip, it includes a leak-free POD for a yoghurt, dip or sauce as well as a removable tray for carrot sticks or wholewheat crackers, or slices of nectarines. Fill the main section with a cheese sandwich or chicken, feta and veg wrap and pack a peach or plum, nuts or mini tomatoes in the smaller compartment. With neat, clearly defined sections, picky eaters can navigate their way around their lunch box without feeling overwhelmed and find something they like in every nook. Here are 6 tips to master lunch box prep: Plan ahead – Include lunch box prep in your weekly meal planning and shopping. Create a weekly list to focus on buying a variety of healthy, fresh lunch box foods. If you limit biscuits, sweets and crisps stored in your grocery cupboards then there’s less chance they will end up in the lunch box on a busy morning. Involve your kids – Consider your child’s food preferences and include your kids in the lunch box preparation process. Make it a fun and interactive experience. Daily dairy – You need to aim to include at least 2 to 3 servings of dairy in your child’s daily diet. Luckily there are many ways to include milk, cheese, yoghurt and maas in the school lunch box. You can freeze a small yoghurt or fruit juice to keep the lunch box cold. Always include fruits and vegetables – Each day prioritize fresh fruits and vegetables based on what is seasonally available which helps to meet daily energy, fibre, vitamin and mineral needs. Avoid unhealthy foods – Steer clear of fried, sugary, and high-salt foods to promote overall health and cultivate healthy eating choices from an early age. Choose healthy beverages – Include low-calorie, healthy, nutrient-rich beverages like milk, or water instead of fizzy drinks and sugary cordials. By incorporating these tips and keeping in mind the delightful combination of dairy and stone fruits, parents can ensure that their children start the year with lunch boxes that are nutritious and delicious, setting the stage for a successful school year. For more inspiration and recipes, follow @juicydelicioussa on Instagram or visit www.juicydelicious.co.za

January 24, 2024

UNDERSTANDING THE IMPORTANCE OF CONTRACEPTION

According to Affinity Health, a leading provider of high-quality health coverage, contraception is a fundamental aspect of reproductive health and family planning. What is Contraception? Contraception, often called birth control, encompasses a range of methods and practices designed to prevent unintended pregnancies. It allows individuals and couples to make informed choices about their reproductive futures, supporting their goals for family planning and personal health. Types of Contraception Methods Available and Possible Side Effects Various contraception methods are available to individuals for family planning and preventing unintended pregnancies. These methods include: Oral Contraceptives (Birth Control Pills) These prescription medications contain hormones to prevent pregnancy. There are combination pills (containing both oestrogen and progestin) and progestin-only pills. Possible side effects of oral contraceptives Nausea Breast tenderness Irregular bleeding or spotting Headaches Mood changes Weight changes Decreased libido (sexual desire) Changes in menstrual flow Injectable Contraceptives Injectable contraceptives often contain the hormone progestogen that stops your body from releasing eggs and thickens the mucus at the cervix, administered once every two or three months (depending on which injectable is chosen). Possible side effects of Contraceptive Injection Irregular menstrual bleeding or spotting Weight gain Mood changes Decreased bone density with long-term use (reversible after discontinuation) Intrauterine Devices (IUDs) These are small, T-shaped devices inserted into the uterus. There are hormonal and non-hormonal (copper) IUDs available. Possible side effects of IUDs Cramping or pain during insertion Irregular menstrual bleeding or spotting (may decrease over time) Expulsion (rare) Infection (rare) Perforation of the uterus (extremely rare) Implants A hormonal implant inserted under the arm’s skin can provide contraceptive protection for up to three years. Possible side effects of Implants Pain or bruising at the insertion site Irregular menstrual bleeding or spotting Headaches Mood changes Weight gain Changes in libido Emergency Contraception (Morning-After Pill) Emergency contraception, which is available without a prescription, can be used to prevent pregnancy following unprotected sex or contraceptive failure. Possible side effects of Emergency Contraception Nausea Vomiting Breast tenderness Fatigue Changes in menstrual cycle Sterilisation Surgical sterilisation methods for permanent contraception are available for both men (vasectomy) and women (tubal ligation). Possible side effects of Surgical Sterilisation Risk of surgical complications (infection, bleeding). Potential regret if future fertility is desired (reversal is not always possible or successful). Barrier Methods Condoms act as a physical barrier between sexual partners, preventing the exchange of bodily fluids, including semen and vaginal secretions, which can carry sperm and infectious microorganisms. A diaphragm is a barrier contraceptive inserted into the vagina before intercourse. Similar to a diaphragm, the cervical cap is a small silicone device that covers the cervix. The contraceptive vaginal ring is a hormonal method inserted into the vagina and replaced monthly. Possible side effects of Barrier Methods Allergic reactions to latex or spermicides (in some cases) Discomfort during sex Reduced spontaneity Natural Family Planning This method, also known as fertility awareness-based methods, involves tracking a woman’s menstrual cycle to identify fertile and infertile days. Possible Deterrents of Natural Family Planning Requires strict adherence to tracking and monitoring methods. Risk of unintended pregnancy if methods are not followed accurately. Contraceptive Patches These patches are worn on the skin and release hormones to prevent pregnancy. They are typically changed weekly. Possible side effects of contraceptive patches may include: Skin irritation at the patch site Nausea Breast tenderness Headaches Mood changes Changes in menstrual flow Spermicides These are chemical substances that are used to kill or immobilise sperm. However, their effectiveness can vary, and they are generally considered to be less reliable compared to other contraceptive methods. The typical-use effectiveness rate for spermicides is around 72% to 82%. This means that with typical use, 18 to 28 out of 100 women using spermicides for a year may become pregnant. Possible side effects of Spermicides Irritation and Allergic Reactions Increased Risk of Urinary Tract Infections “Choosing the right contraceptive method is a personal decision that depends on various factors, including your health, lifestyle, preferences, and relationship status,” says Murray Hewlett, CEO of Affinity Health. “Remember that there is no one-size-fits-all contraceptive method, and what works best for one person may not be suitable for another. Be proactive in discussing your options with a healthcare provider, and don’t hesitate to ask questions until you feel confident in your choice.” The Importance of Contraception Contraception, in its various forms, has far-reaching benefits, including: Empowering Individuals and Couples: Contraception gives individuals and couples the power to decide when, how, and if they want to start or expand their families. This autonomy allows for greater control over life goals, career aspirations, and personal well-being. Promoting Women’s Health: Contraception can help regulate menstrual cycles, alleviate symptoms of conditions like polycystic ovary syndrome (PCOS), and reduce the risk of certain reproductive cancers. Enhancing Maternal and Child Health: Family planning through contraception enables women to space their pregnancies and have healthier pregnancies and childbirth experiences. Spacing pregnancies at optimal intervals reduces the risk of maternal and infant mortality and supports the well-being of both mother and child. Preventing Unsafe Abortions: In regions with limited access to contraception, unsafe abortions are more common. Widespread use of contraception can help reduce the need for dangerous procedures, protecting the lives and health of individuals. Supporting Sustainable Population Growth: Contraception is crucial in managing population growth, particularly in regions with high birth rates. Stopping the Spread of Sexually Transmitted Infections (STIs): Some forms of contraception, such as condoms, offer dual protection by preventing both unintended pregnancies and the transmission of STIs.

January 23, 2024

New Mommy Tips

Caring for Baby The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Circumcision care Newborn circumcision is a surgery that removes the loose skin (foreskin) that covers the end of a baby boy’s penis. It may be done for various reasons and usually heals with 7-10 days. Follow the care instructions you were given by your baby’s doctor. Often times they will recommend that you use a small amount of petroleum jelly on the site at diaper changes to prevent irritation. Contact your baby’s doctor if you see blood or pus around the circumcision or if you smell an odour coming from the site. Myths about newborns The following are common myths about newborns: Myth: Don’t touch their “soft spots” – Truth: Known as the fontanels, these areas are a thick protective membrane, not your baby’s brain, so if you happen to touch them gently nothing bad will happen; as with all of your baby, handle that area with gentle loving care. Myth: Baby girls don’t have periods – Truth: Baby girls may have a “mini period” within the first few weeks of life which is the result of the stimulation of their uterus by Mom’s high estrogen levels. If you ever have questions about what’s happening with your baby, contact your doctor. Myth: Babies don’t get acne – Truth: Some newborns will develop acne due to circulating hormones from their mother between 2 weeks and 2 months of age; you don’t need acne creams, just cleanse the area gently. Myth: Babies have flat chests – Truth: Some babies may temporarily have swollen breasts due to their mothers circulating hormones; this can happen to boys and girls. Myth: Sneezing must mean my baby has a cold – Truth: Newborns have tiny noses and often have some congestion, so they may sneeze a lot at first; if they have thick, coloured mucus and are sneezing a lot then they may be developing a cold. Never hesitate to contact your doctor if you are worried about what’s going on with your baby. No question is ever “dumb” if you are worried. Bathing your newborn Your baby doesn’t need a full bath every day, only 3-4 times a week. When giving them a full bath make sure the water is warm, but not hot, by testing the temperature with your elbow – if it’s too hot for your elbow, it’s too hot for your baby. Use mild bath soap made specifically for babies – harsh soaps may dry and irritate their skin. Always keep one hand on the baby while they are in the bathwater. There are some parts of your baby that will need to be washed with mild soap every day, especially their face, chin, neck and bottom. Do not use soap on their belly button (navel) or on a circumcision until it’s healed. Make sure the room you are in to bathe your baby is warm and free of drafts. Every baby is different so don’t hesitate to talk with your baby’s doctor if you have any questions about caring for your newborn. Healthy skin for newborns You don’t need to use lotion or powder on your baby unless it’s been recommended by their doctor. Don’t use fabric softener or bleach on their clothes as these can irritate their skin. Use mild detergent to wash their clothes, making sure to wash new clothing before you put it on the baby. Be careful not to overdress your baby – if you are comfortable in a t-shirt and shorts, your baby will be fine in a t-shirt or short sleeved onesie and a diaper. Diaper care for your newborn Periodically check your baby’s diaper to see if it’s wet or soiled. Change their diaper whenever one becomes wet or soiled. When changing your baby’s diaper, wash their bottom with mild soap and warm water or use disposable baby wipes. Be sure to wash your hands each time you finish changing a diaper. Additional tips for care of newborn For mouth care, wipe you baby’s gums daily with a clean damp washcloth or an infant toothbrush. To prevent scratches, keep your baby’s finger and toenails cut short. Remember that newborns sleep a lot – usually between 16-18 hours a day. Make sure to schedule your baby’s first check-up as recommended by their doctor – it’s usually recommended between 2-4 weeks of age. Umbilical cord care Do not place the baby in bath water until after the umbilical cord stump has fallen off. Keep the umbilical cord stump clean and dry – if it becomes soiled you can clean it with a cotton ball, mild soap and water. Umbilical cord stumps usually fall off about 2-4 weeks after birth – contact your baby’s doctor if this doesn’t happen. If the umbilical cord stump turns red around the base, bleeds, develops coloured drainage or a bad odour contact your baby’s doctor right away since it could be a sign of an infection. Contact your baby’s doctor if you have any questions or concerns about your baby’s umbilical cord stump. Teething pain relief The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. To help soothe the pain from teething give your baby a teething ring, a wet washcloth cooled down in the refrigerator, or feed him/her cold foods such as applesauce or yogurt. You can also talk to your doctor about giving your baby acetaminophen (Tylenol) to ease the pain.

January 22, 2024

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