Expert Advice from Bonitas Medical Fund
Bonitas – innovation, life stages and quality care

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.

Bonitas – innovation, life stages and quality care

Getting to grips with flu

Few common illnesses are more unpleasant than the flu. The aches, pains, chills, fever and cough are bad enough. Add the other potential symptoms including runny nose, vomiting, diarrhoea, fatigue or sore throat and you’ll want the illness to be over as soon as possible. Or try to prevent it. Annually, flu kills around 11 500 people in South Africa and 20 000 are hospitalised. ‘The seasons are changing and with it comes the ‘flu virus,’ says Dr Themba Hadebe, Bonitas Medical Fund’s Clinical Executive. ‘Now is the time to take precautions against catching flu, including having a flu vaccine, which is recommended by the World Health Organization (WHO).’ Why a Flu vaccine? Although the flu vaccine will not eliminate your risk of developing flu, it helps reduce your chances of severe infection. What are Flu pandemics? These occur when a new flu virus emerges that is significantly different from circulating seasonal strains, causing widespread illness worldwide. Best known examples are the: 1918 Spanish flu, 1957 Asian flu, 1968 Hong Kong flu and the 2009 H1N1 pandemic. The 1918 Spanish flu pandemic was the most severe, it is estimated to have been responsible for the deaths of 50-100 million people. What is Flu? Flu is a contagious respiratory illness caused by the influenza viruses. It can cause mild to severe illness and can lead to hospitalisation and even death, especially in high-risk groups such as young children, the elderly, pregnant women and people with underlying health conditions. What is the current Flu strain in South Africa? There are four types of flu viruses: A, B, C and D. Most seasonal outbreaks of flu in humans are as a result of the A and B viruses. The most commonly reported influenza viruses for 2024 are type A(H1N1) and type B. What are the most common Flu symptoms in 2024? These may include the following:  Fever of 38˚C or higher Aching muscles, especially in your back, arms and legs Chills and sweats Why do I need a Flu shot every year? ‘All viruses mutate – meaning the genetic material of the cell changes – but not at the same rate. Some mutate very quickly, including the flu virus. Which is why we get a new flu vaccine every year,’ says Dr Hadebe.  Other preventive measures include frequent handwashing, covering your mouth and nose when you cough and sneeze, avoiding close contact with sick individuals and staying home when ill. Will the flu shot give me Flu? A flu shot cannot cause flu. Flu vaccines are currently made either with flu vaccine viruses that have been ‘inactivated’ and are not infectious or with no flu vaccine viruses at all. Some side effects may occur like redness, tenderness and swelling where the shot was given but this is mild and will only last a few days. These are infinitely preferable to a bad case of flu.  Who should get a Flu vaccine? Annual flu vaccines are recommended for everyone six months and older, especially for those at higher risk of complications. The vaccine helps your immune system fight off the virus by producing antibodies which is why it’s best to vaccinate in April or May, before the start of flu season. Flu vaccinations are available at most pharmacies and the costs are generally covered by medical schemes. Anyone in the high-risk groups including: Healthcare workers  Individuals over 65 years  Individuals with chronic diseases – or comorbidities – for example: Cardiac disease, diabetes, asthma, kidney diseases (due to poorer baseline immunity)  Pregnant women  People with a BMI over 40 People who are immune compromised Who should NOT have the Flu vaccine?  Those allergic to eggs or egg proteins as the vaccine manufacturing process involves the use of chicken eggs  Infants under 6 months of age  Individuals who may have had a severe reaction to a flu vaccine in the past Individuals who may be suffering from flu symptoms already  How is flu transmitted? It spreads mainly through respiratory droplets when an infected person coughs, sneezes or talks. It can also spread by touching surfaces contaminated with the virus and then touching your mouth, nose, or eyes. What are the complications of Flu? Flu can lead to various complications, such as pneumonia, bronchitis, sinus infections, ear infections and worsening of chronic medical conditions like asthma or heart disease. Complications are more common in high-risk groups. ‘Flu viruses spread very quickly from person to person’, says Dr Hadebe.  ‘Even if the flu vaccine is not 100% effective, it will reduce your risk of getting flu, and, if you do get it, it will be a great deal milder’.  

Bonitas – innovation, life stages and quality care

The lowdown on diabetes in children and teenagers

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

Bonitas – innovation, life stages and quality care

Safe cribs and playpens to use when travelling

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. Make sure the mesh is less than 1/4 inch in size so it’s smaller than the buttons on your baby’s clothing. Make sure the mesh is in good repair without any tears, holes or loose threads that your baby can get caught on. Make sure the mesh is fully attached to the top rail and bottom of the bed so there are no holes for the baby to get caught in. Make sure there are no bare, missing or loose staples or nails. When in doubt throw it out – don’t use cribs or bedding that might pose a risk to your baby. It’s your job to keep them safe! Fire safety for home with newborn 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. Check your smoke detectors and carbon monoxide detectors to make sure they have fresh batteries and are in working order – install them in your home if you don’t have them already. Check your fire extinguishers to make sure they are in working order – purchase them if you don’t have one on each floor of your home already. Make sure clothing and bedding meet fire safety standards – information on their fire safety rating should be on labels and tags. Insist that your home be smoke free to prevent your baby’s exposure to second-hand smoke and also as a fire prevention measure since cigarettes are a common cause of home fires. Review or update your fire escape plan to include your new baby – review the plan with everyone in the household. For more information on fire safety visit websites like the U.S. Consumer Product Safety Commission (CPSC). Fire safety prevention in home with newborn 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. Do a fire safety walk-through of your entire house, check for burnable substances near heat sources, frayed or damaged electrical cords, matches or lighters within reach of children and other situations that may be a fire hazard. Never leave space heaters of any type unattended and turn them off while you are asleep. Never store flammable liquids like paint thinner, charcoal lighter fluid or gasoline in the house and always keep them a safe distance from heat sources. Check all mattresses, bedding and sleep apparel for your baby to make sure they meet fire safety requirements – this information should be on the product label. Early warning of a fire is key to keeping your family safe, so make sure your smoke detectors and fire extinguishers meet local codes and are in working order. Be prepared and have a fire escape plan that is understood by and has been practiced by the entire household, it could save lives in a fire emergency. For more information on fire safety visit websites like the U.S. Consumer Product Safety Commission (CPSC). Newborn safety tips 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. Never leave your baby alone for even a minute unless they are in a secure place like a crib or playpen. Make sure you follow safe sleep recommendations when putting your baby to bed. When in the car always use a safety approved rear-facing car seat that is specifically made for newborns. Never ever leave your baby alone in a car – be especially careful during warm or cold weather. Always use safety approved car seats, cribs and toys – if they are hand-me-downs or you are buying them used, choose items that still have a safety tag attached and check to make sure they haven’t been recalled. To prevent burns never carry hot liquids or food while you are holding your baby. Pet safety and newborns 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. If you have a dog, know that certain breeds may require extra caution with a newborn – German Shepherds, Rottweilers and Pit Bulls account for more than 50% of fatal dog bites. Always closely supervise infants when in the presence of dogs even if they are not one of the above breeds – they may experience jealousy and have other unexpected reactions to a new member of the household. Keep in mind that some pet reptiles can carry infections, like Salmonella, so keep turtles, snakes and lizards away from children under 5 years of age to prevent the spread of infections. Small pets like rodents should be kept away from newborns and infants to prevent bites or the spread of Salmonella and other possible infections. Other issues: Make sure your pet is healthy – take them to the veterinarian for a check-up and any needed vaccinations before the baby is born. Keep your pet’s nails trimmed. For cats and dogs especially, you may need to work to prepare them for the new member of the family – for example, invite friends with babies over if your pets aren’t used to children – supervise their interactions as they learn about these new additions to their world. New situations can be stressful to pets so be patient and understanding with them as they adjust to the changes in their life – scolding and punishment will only add to their stress. There are many things you can do to ensure a smooth transition, so contact your local Humane Society or other animal-focused organization for additional suggestions on preparing your pets for the arrival of your new baby. Newborns and sun exposure The following information is to be used as a guide to and at the discretion of

Bonitas – innovation, life stages and quality care

Don’t let the flu catch you – be informed and prepared

As autumn approaches, so does the flu season. Influenza, also known as ‘flu’, is an acute respiratory illness caused by an infection of the respiratory tract with the flu virus. There are four types of flu viruses: A, B, C and D. Most seasonal outbreaks of flu are as a result of the A and B viruses. Respiratory infections, including flu, can pose serious health risks, especially for vulnerable groups such as young children, the elderly and those with chronic conditions. That’s why Bonitas Medical Fund has created the Respiratory Illness Hub – a go-to resource for all South Africans, addressing everything related to your respiratory health, including flu.  From prevention and symptoms to treatment and support, you’ll find all the information you need to take control of your respiratory wellbeing. To find out more, visit www.bonitas.co.za/Respiratory-Hub Let’s face it, flu is extremely unpleasant. Symptoms develop anywhere from 1 to 4 days after infection and last up to a week. Then there is usually a sudden onset of fever, muscle pains, body aches, a dry cough, sore throat, runny nose, headache and feeling tired or unwell. In severe cases, flu can lead to serious complications requiring hospitalisation, with pneumonia being the most common. Annually in South Africa, around 40 000 people are hospitalised due to flu, and the virus is linked to approximately 11 500 deaths per year. ‘The flu viruses are typically in circulation just before the winter months, so the best time to get a flu shot is in early April,’ says Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas Medical Fund.  How is flu spread? The virus is spread from person to person, through inhaling of infected respiratory droplets from sneezing, coughing or talking. You can also be infected by touching objects or surfaces that the flu virus is on and then touching your mouth, eyes or nose. Will the flu vaccine prevent flu? Think of the flu shot as preventive care: While the vaccine won’t always prevent you or your family from getting the flu, it can prevent severe and secondary illnesses related to the flu. Why a flu shot every year? All viruses mutate – meaning the genetic material of the cell changes – but not at the same rate. Some mutate very quickly, including the flu virus. The formula for each year’s vaccine is tailored to the specific type of flu that is circulating. Currently, there are subtype A(H1N1) and A(H3N2) influenza viruses. ‘Which is why we recommend an annual flu vaccine’ says Dr Hadebe.  2025 flu symptoms: Will the flu shot give me flu? No! Flu vaccines are currently made either with flu vaccine viruses that have been ‘inactivated’ and are not infectious or with no flu vaccine viruses at all. Some side effects may occur like redness, tenderness and swelling where the vaccine was given but this is mild and will only last a few days. These are infinitely preferable to a bad case of flu.  Who should get a flu vaccine? Everyone should get a flu vaccine but particularly those at higher risk including:  Who should NOT have the flu vaccine?  What about children – when should I take my child to see a doctor for their symptoms?  Reach out to your paediatrician, doctor or clinic within 24 hours of your child displaying flu symptoms, if your child:  In general, it’s a good idea to be seen by a medical professional if your child has a fever that has lasted more than 3 days and/or appears dehydrated. Go to the emergency room immediately if your child: How do I keep my child healthy during flu season?  The first and best action you can take to keep you and your family safe and healthy during flu season is annual flu vaccines. Dr Hadebe recommends everyone has a flu shot*. He says children can be vaccinated from 6 months of age but recommends you speak to your healthcare worker about when to start vaccinating against flu.    How can I prevent spreading the flu?  There are several ways you can reduce the risk of spreading flu if you are ill: Dr Hadebe says, ‘Flu can lead to various complications, such as pneumonia, bronchitis, sinus infections, ear infections and worsening of chronic medical conditions like asthma or heart disease. Complications are more common in high-risk groups.’  ‘Flu viruses spread very quickly from person to person’, he says. ‘Even if the flu vaccine is not 100% effective, it will reduce your risk of getting flu, and if you do get it, it will be a great deal milder.’  Remember your GP should always be your first port of call *All Bonitas beneficiaries qualify for 1 flu vaccine per year. *Elderly members, aged 65 years and over, qualify for 1 pneumococcal vaccine every 5 years.

Bonitas – innovation, life stages and quality care

Shining the spotlight on TB

Worldwide, TB has returned to being the world’s leading causes of death from a single infectious agent. This followed three years in which it was replaced by Covid-19. It is also the leading killer of people with HIV/AIDS and a major cause of deaths related to antimicrobial (in TB’s case antibiotic resistance.) Each year, we recognise World TB Day on March 24. This annual event commemorates the day, in 1882, when Dr. Robert Koch announced his discovery of Mycobacterium tuberculosis, the bacillus (bacteria) that causes tuberculosis (TB). What is TB?  It’s a disease that mainly affects the lungs but can also be found in any other body organ. It is caused by an organism (germ) called Mycobacterium tuberculosis which is found in the sputum coughed up by someone with TB of the lungs. It usually destroys the soft tissue of the lungs, resulting in difficulty breathing and blood can be coughed up in severe cases. If untreated, TB can cause death. World stats About a quarter of the global population is estimated to have been infected with TB, 5 -10% display symptoms and develop the disease.  Yes, it’s curable ‘It is important to remember that TB is curable, says Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas Medical Fund. ‘However, we all need to be more aware of how contagious it is, the symptoms, the importance of getting medical attention and sticking to the treatment programme.’    Where is the highest incidence of TB? TB is the leading cause of death, from a single infectious agent, with over 25% of these occurring in the African region. Multi-drug-resistant strains, which do not respond to first-line antibiotics, continue to emerge, putting at risk public health strategies which aim to reduce incidence and mortality. Tackling TB head on The South African National Strategic Plan (NSP) aims to control the spread of TB, with an ambitious goal of zero new TB infections and deaths by 2032. Clinical data from the World Health Organization (WHO) indicates that there are still too many people falling ill and dying. ‘TB also has a big impact on the economy, not only in terms of healthcare expenses but lost productivity due to absenteeism and the direct and indirect costs to business,’ says Dr Hadebe. ‘We know that not everyone has access to private medical care but public healthcare facilities offer free testing and treatment. The most effective testing method is a sputum sample or a chest x-ray.  How is TB contracted? The disease is passed on from one person to another as germs spread into the air via microscopic droplets if an infected person sneezes, coughs or releases saliva. The incubation period is 6 weeks. Stop it before it starts  TB preventive therapy (TPT) is a course of medication that reduces the risk of developing TB disease. It’s a critical public health measure in South Africa, where TB and HIV are prevalent.  How does TPT work?  TPT eliminates the TB bacteria before they can damage organs and cause illness but is only effective if given when there is no active TB disease.  Can you have TB and not be sick? Yes, TB can be ‘latent’ – it’s in your body but not active. This means you can’t spread it but, if your immune system becomes weak, (for example with HIV/AIDS), TB can become active.  What are the symptoms? It is important to note that TB is particularly difficult to diagnose in children but the symptoms can present as a cough for two weeks or more, loss of energy and appetite and quite often a mild fever.  Who is most at risk? People living with HIV/AIDS, living in the same house as someone who has had or has TB, anyone who has had active TB in the last two years, pregnant women, children under five, iabetics, people in informal settlements, undernourished people, alcoholics, smokers, mineworkers and prisoners  Treating TB Medication must be started as soon as possible and be taken regularly. It takes six months for TB to be cured completely but, within two weeks of starting treatment, you are no longer contagious. If treatment is missed, the risk of a drug-resistant strain of TB is possible, which is difficult to treat and requires a longer treatment period. Multidrug-resistant TB (MDR-TB) remains a public health crisis and a health security threat. Only about two in five people with drug resistant TB accessed treatment in 2023. What can you do? TB in the workplace If any employees or co-workers display TB symptoms, they should stay home and limit contact with others until the results from a TB test are known. Once a person has been on TB treatment for 2 weeks, they are no longer infectious and can continue to work. Dr Hadebe says, ‘If you are concerned about your health or have been exposed to TB, you must get tested urgently.’

Advice from the experts
Blushproof®

Blushproof® Q & A

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

NB Hearing & Balance

Important Questions to Ask Your Child’s Audiologist

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

Bonitas – innovation, life stages and quality care

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

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

Doug Berry

Does your child suffer from low self-esteem?

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

OneAid

10 Essential Tips To Prevent Poisoning In Your Home

I was recently prescribed some analgesics for a small day procedure. That afternoon, when I got home, I placed the packet of meds on my dresser and later found my daughter sitting on the floor inspecting the packet. My heart stopped! This careless mistake could have had devastating consequences. Unfortunately poisoning data in South Africa is lacking. One study dating back to 2012 found that the most common cause of accidental poisoning in SA children is pesticides. However, the list of potential poisons throughout our homes is extensive; here are just a few more obvious ones: Medications Household cleaners and disinfectants Cosmetics and toiletries Insect and rodent repellants Weed killers and other outdoor chemicals Swimming pool chemicals Flea and tick shampoos and other products for pets I have put together a list of some useful tips to prevent accidental poisoning at home. Some of them may seem fairly obvious but as I have recently experienced it is easy to forget. Keep all potential household and other hazards in their original containers. DO NOT transfer into coke bottles or Tupperware’s. Make sure seals of potential hazards are tight and secure before locking away. Please note that child resistant packaging of medications is NOT childproof. Keep potential hazards locked away in the highest cupboard with a childproof lock. The cupboard should even be high for you, as little minds can get quite creative with boxes and stools and climb up onto countertops. Keep potential hazards out of reach of children when in use and never leave bottles or buckets unattended. Never call medicine sweets/candy. This is a common mistake parents make in order to get their kids to take medicine when sick. This could lead to a child one day consuming an entire bottle of ‘sweets’. Never leave your handbag lying around and be extra cautious when you have visitors over as many people keep painkillers in their bags. Alcohol is often overlooked and is very dangerous to your little ones if consumed in excess. Keep alcohol out of reach of children especially when hosting parties. Any kind of battery can be dangerous if leaking or ingested. Keep remote controls and other battery containing devices away from children. If you are unsure about whether or not a household item is hazardous, assume it is and keep it locked away. Things that seem harmless are most often extremely dangerous. Most importantly TEACH your children about the dangers! It may be a good idea to identify what potential hazards you have in your home. Do a check of every room in the house including your garage and make sure your home is safe. RESOURCES Balme, K., Roberts, J.C., Glasstone, M., Curling, L. & Mann, M.D. (2012) The changing trends of childhood poisoning at a tertiarychildren’s hospital in South Africa. South African Medical Journal. [Online] 102 (3), pp. 142-146. Available from: http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742012000300023&lng=en&tlng=en [Accessed 8 August 2018]. Veale, D.J.H., Wium, C.A. & Müller, G.J. (2012) Toxicovigilance I: A survey of acute poisoning in South Africa based on Tygerberg Poison Information Centre data. South African Medical Journal. [Online] 103 (5), pp. 293-297. Available from: http://www.samj.org.za/index.php/samj/article/view/6647/5054 [Accessed 8 August 2018].

OneAid

A Bump To The Head: When Should You Worry?

I have attended to many children in the ER who have taken a tumble. In the US, falls account for around half the injury-related ER visits in children under 5 years of age. Most of these falls involve furniture such as changing mats, high chairs, baby walkers and beds. Parents are almost always concerned about head injuries. Majority of head injuries from a fall are usually minor. Children under one who fall are more likely to sustain head injuries regardless of the height from which they fall. Whereas older children are more prone to extremity fractures. This is because an infant’s head is much larger than the rest of their body. As a child grows, their head mass becomes more proportional and they develop upper body strength, which enables them to brace falls with their arms or legs. WHEN TO SEE A DOCTOR  If your child is awake, alert and behaving normally after a bump to the head with no other signs and symptoms then he or she will most likely be fine and you don’t have to rush to hospital right away. It’s a good idea to observe your child for 1-2 days afterwards, since symptoms of a brain injury may present late. Seek Medical Attention: For any bump to the head in an infant; If your child has lost consciousness, even if brief; If your child has any signs and symptoms of a concussion (see below); If your child is inconsolable; If your child is vomiting; If your child is difficult to wake; If your child has a seizure; and/or If you suspect a broken bone. If your child has had a bad fall and you suspect a neck injury DO NOT move your child. Call an ambulance right away! Always trust your gut. If you are unsure rather head straight to your nearest emergency room. CONCUSSION A concussion is a brain injury caused by a blow to the head. The signs and symptoms may be vague and may even take a few days to develop. It’s important to know that not all concussions cause a loss of consciousness. Concussions can be more difficult to diagnose in children, as they are not as vocal about their symptoms. Children older than 2 years will show more behavioural symptoms. Signs & symptoms will therefore depend on age and include but are not limited to: Irritable and fussy; Unusually sleepy; Crying more than usual; Change in appetite; Nausea and/or vomiting; Lack of interest in play; Headache; Confusion; Child is unsteady on his or her feet; Sensitivity to light and noise; Blurred or double vision; Dizziness; Unusual speech e.g.: slow or slurred; Poor concentration and memory; and/or Problems with co-ordination. DIAGNOSING A CONCUSSION  The doctor will do a thorough evaluation. A CT scan and MRI cannot diagnose a concussion. A CT scan will however, most likely be ordered to exclude a brain bleed or skull fracture depending on the mechanism of injury and presenting symptoms. The majority of falls in children are caused by modifiable factors and are therefore preventable. It’s impossible to bubble wrap our kids and we shouldn’t have to. Falls and tumbles can teach our children valuable lessons, but we can spend time baby proofing our homes and being more cautious to prevent serious injury. Remember to always buckle your baby in their high chair and never leave him or her unattended on a changing mat, not even for a second – it takes seconds for an accident to happen. RESOURCES Burrows, P. et al. (2015) Head injury from falls in children younger than 6 years of age. Arch Dis Child, [online] 100 (11), pp. 1032-1037. Available from: https://0-www-ncbi-nlm-nih-gov.innopac.wits.ac.za/pmc/articles/PMC4680174/ [Accessed 3 October 2018]. CDC (2017) Traumatic Brain Injury & Concussion [online]. Available from: https://www.cdc.gov/traumaticbraininjury/symptoms.html [Accessed 3 october 2018]. Chaudhary, S. et al. (2018) Pediatric falls ages 0–4: understanding demographics, mechanisms, and injury severities. Inj Epidemiol, [online] 5 (suppl 1). Available from: https://0-www-ncbi-nlm-nih-gov.innopac.wits.ac.za/pmc/articles/PMC5893510/ [Accessed 3 October 2018]. Kendrick, D. et al. (2015) Risk and Protective Factors for Falls From Furniture in Young Children Multicenter Case-Control Study. JAMA Pediatr, [online] 169 (2), pp. 145-153. Available from: https://jamanetwork.com/journals/jamapediatrics/fullarticle/1939058 [Accessed 3 October 2018]. Samuel, N. et al. (2015) Falls in young children with minor head injury: A prospective analysis of injury mechanisms. Brain Injury, [online] 29 (7-8), pp. 946-950. Available from: https://0-www-tandfonline-com.innopac.wits.ac.za/doi/full/10.3109/02699052.2015.1017005 [Accessed 3 October 2018].

Doug Berry

Managing Stress As A Teen

How do we define stress? Simply put, it’s an emotion… but it’s one of the most damaging and harmful ones we experience if it’s left unchecked! If it’s not addressed, it can affect not only your mental, but your physical health too. Many adults are of the opinion that teens don’t really know what true stress is. They are wrong! Stress is an emotion that can be experienced by new-born babies, toddlers and human beings of all ages. The things that make us stress may differ, but that doesn’t make it any less real. So, what makes you stress? Some of the most common factors that teens report as influencing their stress levels are: Parental expectation: “Did you do well in the test? Are you trying your hardest? I don’t like what you’re wearing. I don’t like how you’re behaving; did you make 1st team? I thought you were a leader…” Peer pressure: (the old favourite), Ask her out, smoke this, drink that, take one of these, sneak out, study later… From yourself: I’m too fat, I’m too skinny, I don’t dress properly, I don’t get enough respect, I don’t go out enough, I don’t study hard enough… Good stress vs bad stress. It’s important to remember that even though stress is uncomfortable, it’s not always bad. Stress can help us deal with tough situations. A lot of stress changes our bodies quickly and helps us react to an emergency. A little stress keeps us alert and helps us work harder. Unfortunately, a lot of stress is going to make doing these things harder. So, the key is to find a balance between enough and too much. Stress is a survival tool. When we are stressed, our brain triggers a hormone release and sends something called Cortisol running through our system. This helpful little guy prepares our body to react to stressors, such as physical danger. Normally, you’d run from danger or fight it, using up that juice in your system. Unfortunately, when we stress ourselves out so much as a result of perceived challenges, we are filling our body with cortisol and often don’t use it to power our behaviour. So what happens? You have this emotional supercharge running through your veins and brain, with nowhere to go, just hanging around causing harm, premature grey hairs and messing with your other hormones. Manage that stress. Learn to understand your stress, where it comes from and how to relieve it or avoid it. Ask yourself if there are people or situations in your life that are just not worth the stress and see if you can avoid them. If you can’t, learn to manage their impact on you. Speak to your parents about what motivates you and what stresses you to the point of collapse. If that doesn’t work, take the unknown out of the equation and show them how much work you are doing or can do in a given day. Let them know that you’re already trying your best and need their support instead of pressure. Go for a run, lift a weight, eat properly and sleep better! Know that it’s up to you to change the circumstances that cause you to stress, because once you’ve got that figured out, you can chill.

Mia Von Scha

Raising Emotionally Intelligent Kids…

Did you know that in the languages of Sweden, Norway and Finland, where they experience long snow-filled winters, there are as many as 180 snow and ice related words. That’s a lot of ways to talk about something we just call, well, snow and ice. Imagine how differently snow would appear to you if you had so many ways to describe it rather than just cold, wet and white!   Now think about how much richer your child’s emotional life would be if they could describe what they were feeling with more words than just happy, sad and mad. ​ The thing is, the labels that we apply to our emotions do more than just help us to communicate with others what is going on in our internal world. They also help us to understand how to process and cope with what is going on and assist us in directing our behavior appropriately.For example… If you are just “sad”, then you might have only two options… cry and/or wait it out. But if you differentiate sadness into loneliness, boredom, grief, tiredness, melancholy, nostalgia, heartbrokeness or disappointment, then you suddenly have a few more options. You can phone a friend to alleviate loneliness; you can hop onto Pinterest for some craft ideas if you’re bored; you can take a nap if you’re tired; or adjust your expectations if you’re disappointed.Our emotions are the language of the unconscious mind and are there to help us to live more authentic, fulfilled lives by directing our attention to things that need to be addressed, by changing our physiology for survival, and by drawing our attention to the things that bring us joy so that we can do more of them. The more in tune we are with these messages, the more likely we are to live a rich, meaningful existence.Think of this as a relationship between yourself and this other aspect of your mind. The relationship is going to be a fairly shallow one if you only know a few words of the other partner’s language!So the main key to helping children to develop emotional intelligence is to develop their emotional vocabulary.  Happy, sad and mad are fine when you’re three, but not when you’re 13 or 23 (or even 53!).  Get out that dictionary. Start by making a long list of all the feeling words you can find. Keep adding to this as you discover more. Turn these into a daily emotional tracking chart that the whole family can use. Play emotional charades by placing all your newly learned words into a hat and each family member picking one and acting it out to see if the others can guess the feeling. Load a thesaurus onto your phone and every time you want to describe how you feel find another 5 ways of saying that which would more accurately describe your state. Read to your kids and discuss how the characters are feeling. Engage your children in emotional discussions. Really really listen to what they are saying and see if you can find the perfect word to sum it all up. Consider making up your own words if the perfect word doesn’t exist yet. Adding “hangry” to our vocabularies to describe the irritation that comes when you haven’t eaten enough has helped us to take the right action in the situation (i.e. instead of punishing the child that is lashing out, we give them a snack!). Language helps us to process our world, to interact with others and to express our needs and desires. Emotional language assists us in understanding ourselves, having empathy for others, directing our behavior appropriately, and managing our internal state. Transform snow into a damp, piercing and ghostly environment where you are engulfed by its icy transparency… and transform your child’s emotional world into as colourful a landscape. Emotionally intelligent kids need a vocabulary that is rich enough to express the depth of their internal world.

OneAid

Common First Aid Myths

I am often surprised by how some of my patients manage their injuries before they come to the emergency room. I think my own mother is also guilty of practising some really strange methods whilst I was growing up. Over the years, medical advice and management has evolved. What may have made sense years ago is now out of date and has been replaced with more sound research and often logic. Here are just a few of the first aid practices and myths that I have seen over the years.

Bonitas – innovation, life stages and quality care

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

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

Mia Von Scha

HOW TO ENCOURAGE A GROWTH MINDSET IN CHILDREN

Have you heard of a growth mindset? It’s become somewhat of a buzzword lately and that’s because it really does make a difference to a child’s ability to learn something and their confidence in trying new things. A fixed mindset is one in which we say things like: “I can’t do that” or “I am not good at something”. It’s the belief that our abilities are fixed – that we are either clever or not, either sporty or not. The growth mindset is the opposite. With a growth mindset we acknowledge that we can always improve with a bit of effort. We understand that our brains are not fixed, but constantly changing; that our abilities are not just genetic but influenced by what we do. We see that it is possible for all people to learn new things, even though it may be more of a challenge for some. Why does this matter? Well, with a fixed mindset a child is less likely to try new things, and more likely to give up when something gets difficult – which can seriously limit their options in life. It also leads to misidentification and self-handicapping – protecting themselves from failure by either not investing their self-esteem or identity into something difficult, or having a good excuse ready for falling short. So here are ten tips for maintaining and encouraging a growth mindset: Expose your children to information on how the brain changes and learns. Teach them that intelligence grows like a muscle and it needs challenge in order to get the right exercise. Don’t praise cleverness – praise effort. Focus on a child’s hard work rather than on the outcome of that work or on fixed measurements like IQ. Encourage failure. Praise children for giving something a go and for having the courage to face challenges. Let them celebrate their failures as a sign of being brave enough to try. Show them how failure leads to growth. Avoid superhero worship. Focus on everyday people who do amazing things through hard work and struggle. Tell them stories of your own doubts and challenges and how you made it through. Teach them to say, “How can I?” instead of “I can’t”. Using a question opens up creative thinking and stops the brain from giving up on the problem. Teach them to add “…yet” to the end of things they can’t do. For example, “I can’t do maths… yet”. This helps them to focus on what they still need to do to master something rather than on their current inability. Give them examples of others who have failed and succeeded e.g. basketball players missing more goals than they hit. Give them examples of where they have failed and succeeded e.g. struggling with a new computer game that they now play effortlessly. 10. Acknowledge their frustration when they are doing something difficult without jumping in and doing things for them. Everything is difficult at first. Our kids often don’t get good role models of this because they see us doing things that we’ve done for years and years and of course these things look easy. Then they try to do these same things and struggle. We need to remind them that we also struggled once. In fact, everyone struggles to some degree with a new task. But with practice and a dedication to continue, everything gets easier. We were all born with the ability to learn and grow – not just some people.

Kath Megaw

HEALTHY MEAL IDEAS FOR CHILDREN

Healthy eating is an important lesson you can teach your children. The example you set is the best way to help your kids make smart food choices and to develop a positive relationship with food. A healthy, balanced diet is not just good for kid’s bodies, it’s good for their brains, too. The right foods can improve brain function, memory, and concentration. Like the body, the brain absorbs nutrients from the foods we eat, and these 10 “superfoods”  can help children boost their brainpower. Fatty fish, such as salmon, is a good source of omega-3 fatty acids that are needed for brain growth and function. Getting enough of these fatty acids can help kids improve their mental skills. TRY: Make salmon sandwiches (on whole wheat bread) instead of tuna for a healthy alternative. Eggs are a great source of protein, and their yolks have choline, an important nutrient for memory development. TRY: A homemade breakfast wrap, loaded with veggies for a quick and healthy breakfast before school. Kids love peanut butter, and that’s a good thing since this healthy snack is packed with vitamin E, an antioxidant that protects nerve membranes. It also has thiamin, which is good for the brain, and glucose which gives energy. TRY: Peanut butter makes a great dip for fruits such as bananas, and for veggies such as celery. Whole grains such as breads and cereals provide glucose, an energy source the brain needs. Whole grains also contain B vitamins, which are good for the nervous system. TRY: Add whole grains to most meals by switching to whole grain breads, wraps, and crackers. Oats and oatmeal are excellent sources of energy and brain “fuel.” Oats are packed with fiber to help keep kids feeling full so they don’t snack on junk food. They are also an excellent source of vitamins E, B complex, and zinc to help kids’ brains work their best. TRY: Oatmeal can be a base for almost any topping such as apples, bananas, blueberries or even almonds. Berries can help improve memory and are packed with vitamin C and other antioxidants. Seeds from berries also contain omega-3 fats that help with brain function. Look for strawberries, cherries, blueberries, and blackberries – the more intense the colour of the berry, the more nutrition it has. TRY: Berries can be used in smoothies or just as they are for healthy snacks or desserts. Bean, beans, good for the heart… so the saying goes. They are also good for kid’s brains since they have energy from protein, complex carbohydrates, fiber, and vitamins and minerals. They can keep energy levels high. Kidney and pinto beans are good choices as they contain more omega-3 fatty acids that other bean varieties, which are important for brain growth and function. TRY: Add beans as a salad topper, as filler for lettuce wraps, or even add them to spaghetti for a more nutritious meal. Vegetables with rich, deep colour are an excellent source of antioxidants to keep the brain cells healthy. Some veggies to include in your child’s diet are tomatoes, sweet potatoes, pumpkin, carrots, or spinach. It’s easy to sneak veggies into spaghetti sauces or soups. TRY: Replace potato or corn chips in your child’s lunch with baked sweet potato wedges or easy-to-snack-on veggies such as sugar snap peas or baby carrots. B vitamins are necessary for growth of brain tissue, neurotransmitters, and enzymes, and dairy products are a good source for these nutrients. Low fat milk or yogurt is great sources of protein and carbohydrates foe the brain. Dairy is also an excellent source of vitamin D, which children and teens need in greater amounts than adults. TRY: Low-fat cheese sticks make a great to-go snack and are a good source of calcium. Lean beef or meat alternatives are excellent sources of iron, which helps kids maintain energy and focus in school. Beef is also a good source of zinc, which aids memory. Vegetarian kids can get their iron from black bean and soy burgers. Beans have what is called nonheme iron, which needs vitamin C to be absorbed so have them eat their veggie burgers or beans with good sources of vitamin C such as peppers or orange juice. TRY: Grilled lean-meat kabobs or grilled black bean burgers make a tasty and healthy alternative to regular hamburgers and hotdogs for your next braai!

Kath Megaw

Healthy Eating Habits for Children

Healthy eating is an important lesson you can teach your children. The example you set is the best way to help your kids make smart food choices and to develop a positive relationship with food. A healthy, balanced diet is not just good for kid’s bodies, it’s good for their brains, too. The right foods can improve brain function, memory, and concentration. Like the body, the brain absorbs nutrients from the foods we eat, and these 10 “superfoods”  can help children boost their brainpower. Fatty fish, such as salmon, is a good source of omega-3 fatty acids that are needed for brain growth and function. Getting enough of these fatty acids can help kids improve their mental skills. Make salmon sandwiches (on whole wheat bread) instead of tuna for a healthy alternative. Eggs are a great source of protein, and their yolks have choline, an important nutrient for memory development. Try a homemade breakfast wrap, loaded with veggies for a quick and healthy breakfast before school. Kids love peanut butter, and that’s a good thing since this healthy snack is packed with vitamin E, an antioxidant that protects nerve membranes. It also has thiamin, which is good for the brain, and glucose which gives energy. Peanut butter makes a great dip for fruits such as bananas, and for veggies such as celery. Whole grains such as breads and cereals provide glucose, an energy source the brain needs. Whole grains also contain B vitamins, which are good for the nervous system. Add whole grains to most meals by switching to whole grain breads, wraps, and crackers. Oats and oatmeal are excellent sources of energy and brain “fuel.” Oats are packed with fiber to help keep kids feeling full so they don’t snack on junk food. They are also an excellent source of vitamins E, B complex, and zinc to help kids’ brains work their best. Oatmeal can be a base for almost any topping such as apples, bananas, blueberries or even almonds. Berries can help improve memory and are packed with vitamin C and other antioxidants. Seeds from berries also contain omega-3 fats that help with brain function. Look for strawberries, cherries, blueberries, and blackberries – the more intense the color of the berry, the more nutrition it has. Berries can be used in smoothies or just as they are for healthy snacks or desserts. Bean, beans, good for the heart… so the saying goes. They are also good for kid’s brains since they have energy from protein, complex carbohydrates, fiber, and vitamins and minerals. They can keep energy levels high. Kidney and pinto beans are good choices as they contain more omega-3 fatty acids that other bean varieties, which are important for brain growth and function. Add beans as a salad topper, as filler for lettuce wraps, or even add them to spaghetti for a more nutritious meal. Vegetables with rich, deep color are an excellent source of antioxidants to keep the brain cells healthy. Some veggies to include in your child’s diet are tomatoes, sweet potatoes, pumpkin, carrots, or spinach. It’s easy to sneak veggies into spaghetti sauces or soups. Replace potato or corn chips in your child’s lunch with baked sweet potato wedges or easy-to-snack-on veggies such as sugar snap peas or baby carrots. B vitamins are necessary for growth of brain tissue, neurotransmitters, and enzymes, and dairy products are a good source for these nutrients. Low fat milk or yogurt is great sources of protein and carbohydrates foe the brain. Dairy is also an excellent source of vitamin D, which children and teens need in greater amounts than adults. Low-fat cheese sticks make a great to-go snack and are a good source of calcium. Lean beef or meat alternatives are excellent sources of iron, which helps kids maintain energy and focus in school. Beef is also a good source of zinc, which aids memory. Vegetarian kids can get their iron from black bean and soy burgers. Beans have what is called nonheme iron, which needs vitamin C to be absorbed so have them eat their veggie burgers or beans with good sources of vitamin C such as peppers or orange juice. Grilled lean-meat kabobs or grilled black bean burgers make a tasty and healthy alternative to regular hamburgers and hotdogs for your next braai!  

Bonitas – innovation, life stages and quality care

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

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

Parenting Hub

Yes, men can get breast cancer

Dr Salomine Theron, a radiologist at the SCP Radiology and Dr Lizanne Langenhoven, who specialises in the treatment of breast cancer, talk about breast cancer in men, how prevalent it is as well as the radiology behind the diagnosis, treatment and surveillance for recurrence.  ‘It may come as a surprise that men can develop breast cancer,’ says Dr Langenhoven. ‘In fact, about 1% of all breast cancer cases are diagnosed in men. Unfortunately, men often present with more advanced disease, because they are not aware that they can develop breast cancer in the first place.’ Dr Theron says radiology plays a pivotal role in the diagnosis and treatment of breast cancer in both men and women. However, there is a difference in terms of radiology’s initial role in screening for breast cancer. ‘In women over 40, we recommend an annual mammography,’ she says. ‘In other words, looking for cancers which are asymptomatic. So even if there are no changes to your breast visibly or a lump, we still screen for anything that may develop into breast cancer or has already.  ‘In men, that is not standard practice’ Here radiology is diagnostic and the referral is as a result of a lump in the breast, under the arm, there’s puckering or nipple pain. The mammogram differs too. It is a single mammogram image of each breast so that a comparison can be made.  In men, it will also include breast ultrasound and evaluation of the lymph nodes under the armpit.  Dr Theron says, ‘the imaging of a lump may also be incidental. For example, when we do any form of CT imaging on the chest in a male, even when creating images of the lungs, we always look at the soft tissue in the breast area. If we see an asymmetric nodule with an irregular shape (almost like a star) we alert the patient’s healthcare provider, even though that wasn’t the reason for the CT scan’.  Is a breast lump always in men always cancer? ‘No,’ says Dr Langenhoven, ‘About 50% of males develop small lumps in each of their breasts during puberty, usually behind the nipples which can be tender. This is called gynecomastia – colloquially a ‘stony’ and it’s perfectly normal. It usually goes away as they finish puberty.  ‘Breast cancer, on the other hand, usually presents as a firm nodule in one breast that is not tender. There are some men who present with inflammatory breast cancer, where the breast is red, swollen and tender. This is however, a rare but aggressive type of invasive breast cancer in which cancer cells block lymph vessels in the skin.’ She says, ‘the first message is one of awareness.  Men can develop breast cancer.  And that they should see their GP if they become aware of a lump in their breasts which feels firm and asymmetrical or if the breast becomes red, swollen and tender.’ The second message is one of precaution Women and men can inherit the harmful BRCA1 or BRCA2 gene mutation that belong to a class of genes, known as tumour suppressors and have an increased risk of breast cancer.  Dr Langenhoven says, ‘I have a patient in my practice who presented with a hard lump on his left breast. Because he was aware of his family’s history of breast cancer, he went to his GP for an examination. A mammogram and biopsy confirmed the diagnosis of breast cancer.  She says men with these genes should always be assessed by a genetic counsellor. In addition, should you have a family member diagnosed with male breast cancer, prostate cancer below the age of fifty or ovarian cancer (women), you should seek the opinion of a genetic counsellor to discuss the possible genetic risk and the option of genetic testing. Prevention is better than cure.’ The role of radiology in diagnosis ‘A suspicious lump or mass can only be definitively diagnosed by a biopsy,’ says Dr Theron. She explains that there are three biopsy options: Ultrasound guided core biopsies, where a sample of tissue or blood is taken for testing by a pathologist and a marker is left in the lesion or lump where the sample was taken A fine needle aspiration (FNA) is a procedure to obtain a sample of cells from your body for testing by a cytologist for cancer cells usually of a lymph node or occasionally of a breast mass A vacuum-assisted biopsy can produce slightly larger samples of tissues which is sent to the pathology lab If there is no lump visible on ultrasound, only suspicious calcification on the mammogram, stereotactic guided vacuum biopsy will be done. Put simply, a mammogram will help us find the abnormality to biopsy If the lump is very small or has a cystic component, an ultrasound guided vacuum assisted biopsy will be performed Radiology at every stage of cancer care ‘Radiology is integral to breast cancer management beyond diagnosis, providing critical information that guides clinical decisions at every stage of care,’ says Dr Theron. ‘This includes staging of the disease, it allows for precise treatment planning, guiding surgical procedures, effective monitoring of treatment responses, early detection of recurrence, all of which are essential for improving patient outcomes.’ Male breast cancer treatment Men with breast cancer are treated exactly as their female counterparts. Based on the type of breast cancer and the extent (stage), treatment options include chemotherapy, hormone withdrawal therapy, targeted therapies, immunotherapy, surgery and radiotherapy.  ‘Even though only one in a hundred diagnosed cases of breast cancer is men,’ says Dr Theron, ‘we still urge men and of course women to check themselves regularly and to see a doctor if they feel or see any changes in their breasts.’  Early detection can save your life.

Parenting Hub

Help to remove barriers this October for breast cancer survivors

There’s something so gratifying, almost magical, about the way mushrooms fruit from mycelium to food heroes in mere weeks. And it’s true too for the immense love and support expressed by South Africans to breast cancer survivors through the Power of Pink campaign, which annually affirms that we are all stronger together! Each October, during Breast Cancer Awareness Month, Pick n Pay stores collaborate with the South African Mushroom Farmers’ Association (SAMFA) – and the public, of course – to offer hope and dignity to underprivileged breast cancer survivors in need of reconstructive breast prostheses by raising funds for Reach for Recovery’s (R4R) Ditto Project. This non-profit uses the proceeds from the yearly Power of Pink campaign – R1 from each pink punnet of mushrooms sold during October at PnP stores – to buy individually fitted and colour co-ordinated silicone breast moulds for women who have undergone a life-saving mastectomy but cannot afford breast reconstruction. This is just one of the services offered by R4R, which is run entirely by volunteers who themselves are breast cancer survivors. “It’s important for breast cancer survivors to share their journey to remind each other that there is hope, that breast cancer is not a death sentence,” explains Nirri Moethilalh, Chairperson of R4R’s Durban branch. In 2024, this lively band of survivors supported and visited over 6300 breast cancer patients in state hospitals, handing out more than 2882 care bags filled with information and support items, all funded by the Power of Pink campaign. But most notably, 868 state patients who had mastectomies and no medical aid, have been fitted with prostheses at no cost to them through the Ditto Project. These silicone forms sell for more than R3500 per mould on the open market but are procured by R4R at an average price of R881 per unit. “We have done more than we thought we could, but we can see how much we still have to do because there are thousands of women in dire circumstances and in desperate need of our support,” notes Stephné Jacobs, R4R National Chairperson. “The experience of witnessing the impact of the Ditto Project, which has been making waves in South Africa since 2011, has been incredible,” she adds. “We are elated at the ongoing support of the Power of Pink campaign so that many more under-served South African breast cancer survivors can be reached.” This is a sentiment mirrored by SAMFA Chairperson, Ross Richardson. “We are once again encouraged by the work of R4R and the willingness of ordinary South Africans to uplift those among us who don’t have many resources. We thank, in advance, each individual who picks up a pink punnet of mushrooms in October and adds it to their shopping cart. We thank you for your participation and solidarity, for standing alongside breast cancer survivors, and for being stronger together.” Fresh mushrooms have been linked to lower breast cancer risk for some time. The Beckman Institute at the City of Hope Cancer Center, California, in 2010 indicated that eating 10g of mushrooms per day – that’s just one button mushroom – more than halved the risk of developing breast cancer. More recently, a 2021 systematic review and meta-analysis of observational studies published in the peer-reviewed ScienceDirect, stated that, “Higher mushroom consumption was associated with lower risk of total cancer. Higher mushroom consumption was also associated with lower risk of breast cancer.” This October we ask you to be inspired by the work of R4R, who are in turn inspired by the words of author Emily Maroutian: “If you want to know where to find your contribution to the world, look at your wounds. When you learn how to heal them, teach others.” Pink punnets of fresh mushrooms will be on shelf all Pick n Pay stores throughout the month of October. Please buy generously, for your health and for the Power of Pink.

Bonitas – innovation, life stages and quality care

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

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

Parenting Hub

Reimagine play – how a plush toy can help your child with anxiety

Globally anxiety among children is increasing and is a common concern among parents. With today’s fast-paced world and exposure to new challenges, one surprisingly effective simple tool proven to help alleviate a child’s anxiety is the use of plush toys. This is according to Glenn Ambrose, Country Manager for ZURU who says that these soft, comforting companions offer more than just a cuddly presence—they can serve as powerful tools to help children manage their emotions. The World Health Organisation reports that globally, one in seven 10-19-year-olds experiences a mental disorder, accounting for 13% of the global burden of disease in this age group. Depression, anxiety and behavioural disorders are among the leading causes of illness and disability among adolescents, suicide being the fourth leading cause of death among 15–29-year-olds. The rates of stress, fear and loneliness are much higher and they keep growing. Comforting science Research published in the Journal of Child Psychology and Psychiatry found that 40% of children use transitional objects, like plush toys, as a coping mechanism during stressful situations providing a tangible source of comfort that can help reduce feelings of anxiety and improve emotional regulation. A study conducted from 2016 to 2019 at The Centers for Disease Control and Prevention reported that approximately 6 million children aged 3-17 had ADHD, 5.8 million had anxiety, 5.5 million had behaviour problems and 2.7 million had depression. According to experts, weighted plush toys can help ease these stresses and anxieties. It comes as no surprise then that 70% of young children develop connections to toys or blankets. “Weighted plush toys can help with anxiety as the gentle pressure provided by the heaviness of these toys offers a calming effect, similar to the sensation of being hugged or swaddled,” says Ambrose. “This pressure has been reported to promote relaxation and feelings of anxiety or stress.” He continues: “These weighted toys can assist in regulating sensory experiences, providing a calming effect that soothes the nervous system. In addition, these ‘toys’ have the added benefit to aid in better sleep by triggering deep touch pressure.’ The benefits of plushies Plush toys can serve as more than just temporary distractions. It has been reported that plush toys can form part of a child’s routing, which provides them with a sense of predictability. This is particularly helpful if a child is facing life changes like dealing with family transitions like divorce or starting a new school. When a child hugs their plush toy, they experience the same sensation as hugging a parent, these hugs release dopamine and serotonin which in turn releases oxytocin, the hormone associated with bonding and stress relief. These self-soothing techniques provide a physiological response that aids in a child feeling calmer and more secure. Encouraging the use of a plush toy as a comforting tool is a simple yet effective strategy. While parents should seek the advice of a professional in cases of severe anxiety, these plush toys can be an invaluable part of a broader approach. Try the New Hug-a-Lumps ZURU has launched Hug-a-Lumps with eight adorable characters weighing 1.5 kilograms each with a super soft velour plush. These giant plushies give kids and adults alike, an emotional connection of a plush with the calming effect of a big hug. “The Hug-a-Lumps weighted plush stimulates stress and anxiety while stimulating relaxation, provides emotional support, reduces cortisol with an increase in dopamine and aids in focus and concentration,” says Ambrose. “Hug-a-Lumps can be a powerful ally in helping children navigate the complexities of their emotions.” “By providing comfort, a sense of security, and a safe outlet for expressing worries, the Hug-a-Lumps companions can play a crucial role in reducing anxiety and fostering emotional resilience,” he explains. “As parents, recognising the value of such simple tools in our children’s emotional toolkit is key to helping them grow into well-adjusted, confident individuals.”  Hug-a-Lumps are available at leading toy retailers at a RSP of R649 for more information visit: www.zuru.com. 

Bonitas – innovation, life stages and quality care

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

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

Bonitas – innovation, life stages and quality care

Nipping allergies in the bud

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

Bill Corbett

FOUR THINGS TO DO WITH AN EXPLOSIVE AND ANGRY CHILD OR TEEN

Before I go any further on this topic, it’s always a good idea to seek professional help with a child or teen who frequently becomes explosive and angry when told no. Keep in mind that this column is not a substitute for psychotherapy or family counselling. The advice that I offer is supplemental parent coaching that can help in many situations. The subject of today’s article is a common issue that many parents bring to me in my parent coaching practice. Generally, the child is usually anywhere from 7 to 14 years of age and often explodes at the smallest of problems, especially when they are told they can’t have or do something. The child is also likely to take out their anger on the parent or a sibling. So while you’re waiting for the appointment with your therapist regarding this problem, here are four things you can do immediately. Help them find their place in the family.  A large majority of these children tend to be first born. For many years, they enjoyed being in the family ‘spotlight’ and getting all of their parents’ love and attention. But as other children joined the family, they lost their place and don’t like it. By getting angry with limits and boundaries, they found a new and inappropriate way to fit in by becoming vocal and angry. Help them regain their position as the oldest child by seeking their help, their advice, and their assistance. Find purposeful ways for them to be in charge of activities that helps with the other children, such as reading to them, teaching, or mentoring. Allow them to have a few more privileges than the others so they will feel special and valuable to you. Stop doing too much for your child.  The triggers that cause the explosive episodes are sometimes over the parent trying to get the child to wake up in the morning, dressing them, controlling laundry, or getting them out of the house in the morning. If you’re trying to control the outcome of everything, stop. Some parents struggle with turning some responsibilities over to their children and many children or teens don’t like being controlled. Acknowledge good behaviour more often.  It’s unfortunate that it’s normal for many parents to point out when their children aren’t doing what they should, more often than pointing out when they ARE doing something good. Make it your mission to make a bigger deal of when your children are behaving or doing as you’d like them to do. Spend more time with the explosive child.  His behaviour may be his way of telling you that he doesn’t feel loved by, or important enough to, you. Schedule a date with each of your children (especially the explosive child) every week, even if it means for just a few minutes. Avoid taking him or her out to buy them something. The date should be about the experience of being together, not showering them with material things. Finally, when the anger comes out, don’t give it value by trying to stop it or by fighting back. Remain calm, stay quiet, and be ready to listen.

Bonitas – innovation, life stages and quality care

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

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

PowerPlastics Pool Covers

Safety and sustainability from a single pool cover – the PowerPlastics Solid Safety ticks all the boxes

The PowerPlastics Solid Safety Cover is the leading child safety pool cover in South Africa, favoured for its tamperproof design, overall aesthetics and its ability to create a more sustainable pool.  The PVC cover is supported by batons that rest on the coping and the tension is created with ratchets, providing a complete barrier over the pool. The upside to the water being sealed off to the natural elements is that the cover also saves water, electricity and chemicals.  Parts of South Africa are experiencing water shortages due to either drought or struggling infrastructure, so the need to save water is critical. A solid safety cover gives 98% water savings. And because the water is kept cleaner, the amount of chemicals and filtration needed is reduced. This could have a huge impact on alleviating load shedding if every pool was filtered less. Add these savings up month by month, coupled with safety benefits, and you will find yourself getting a lot more out of your pool – child safety as well as sustainability and a reduced carbon footprint from one pool cover, putting your mind at ease on multiple levels. This is what makes safety covers stand out when compared to other safety methods like nets and fences which still leave the water exposed to the natural elements.  PowerPlastics Pool Covers first designed the PowerPlastics Solid Safety Cover, which has gone on to become the bestselling cover to prevent drownings. The cover tolerates 220kg and can be semi-automated to allow for single-person use. There is no substitute for adult supervision but by using the PowerPlastics Solid Safety Cover as one ‘layer of safety’, you will achieve further peace of mind as well as rescuing your household budgets.  Learn more and get an instant quote on the PowerPlastics Pool Covers online store. www.powerplastics.co.za There are safety covers, and then there are safety covers. Know what you are buying. Understand compliance. Remember this is your child or pet’s life on the line here so it is perfectly OK to ask the difficult questions. A solid safety cover may seem like an easy enough cover to copy but a poor understanding of materials, installation methods and cover upkeep, coupled with lack of experience, all have a direct impact on your cover’s efficiency and longevity. When efficiency relates to lives, it can’t be more critical. If you have any reservations about a pool safety supplier, trust your instinct and go with a brand like PowerPlastics Pool Covers that has been covering pools for decades, not weeks. The questions get a lot harder after a tragedy has occurred in your pool and you are found to be non compliant with SANS 10134. The finer details of safety compliance There has been wide industry collaboration and years of research that has gone into laying out the pool safety guidelines and, in South Africa, the function is addressed by the SABS, forming part of the national building standards, specifically SANS 10134. The cover specs you need to know / the technical questions you should be asking the pool cover supplier to ensure your compliance are: Are there any gaps or openings that allow unsupervised entry? If yes, can I fit a ball of 9cm x 14cm x 30cm through the gap? (this being the size of a child’s head or torso). Can the device bear weights of up to 220 kg? (static load test). Opening test – is the cover sufficiently anchored to prevent a child gaining access to the pool water? Does rain or sprinkler water drain off so the cover is dry within 10 minutes, with no pools forming on top of the cover?

RediscoverDairy

The power of dairy nutrition for active teenagers

Making sure that children get the right nutrition daily to support their healthy growth, development, and active lifestyles can be a concern for parents. This is amplified when our children participate seriously in sports, which increases the intensity and frequency of athletic demands on their bodies. Whether your child is just starting out in school sports or is showing promise as a future star, understanding sports nutrition is crucial to their performance, recovery, and overall health. The basics of sports nutrition for active kids   Registered Dietitian, Rosey Lombard says, “A balanced diet is foundational to sports nutrition. However, when it comes to children who are playing sports regularly, there are several important overlays that include focused nutrition that supports performance during training and competition, as well as post-sports recovery and long-term health.”  A well-rounded diet for active children includes: Carbohydrates – the primary energy source for the brain and muscles during sports. Carbohydrates could be a source of dietary fibre, and are essential for gut health. Foods like bread, rice, potatoes, fruit and vegetables provide the energy needed to prepare for and power through high-energy activities. Proteins – the building blocks necessary for muscle development, growth and repair. A varied diet that includes milk, yoghurt, cheese, chicken, fish, eggs and legumes. This typically meets a child’s daily protein needs without the need for additional supplements. Fats – vital for smooth functioning of body cells and providing concentrated energy. Healthy fats from sources like avocado, peanut butter, olive oil, and nuts can help boost the energy (kJ) content of meals without adding too much volume. Vitamins and minerals – richly found in colourful fruits and vegetables to support all systems in the body. While vitamins help support the immune system and promote overall health, minerals such as potassium and magnesium are essential for muscle function. The role of dairy in sports nutrition and recovery “Dairy products play a significant role in the diet of young athletes, says Maretha Vermaak Registered Dietitian at Rediscover Dairy, “They provide high-quality protein, which is crucial for improving performance and aiding recovery after exercise. Research shows that as little as 500 ml of milk or flavoured milk after high-intensity training has all the right ingredients to help replace, repair and grow muscle tissue that broke down during exercise. Having a recovery drink that is nutrient-rich such as milk within an hour after a workout helps your body to maintain energy levels and limits tissue breakdown, making it possible to train just as hard the next day. In addition to protein, dairy provides carbohydrates for energy; potassium, sodium, and magnesium to replace electrolytes lost through sweating, and fluid to prevent dehydration. Dairy is particularly high in calcium, a mineral that is essential to build and maintain strong bones and support muscle function.” Examples of ideal post-exercise dairy-based snacks include: Milk or flavoured milk Yoghurt or drinking yoghurt Fruit smoothies made with yoghurt and milk Cereal with milk or yoghurt Cheese sandwiches Baked potatoes with cottage cheese Tailoring nutrition to your child’s needs Every child is different, and their nutritional needs vary depending on factors such as age, intensity of activity, and personal preferences. Parents should focus on providing sufficient kilojoules to provide energy for daily functions, growth, sports performance, and recovery. Rosey advises, “One way to ensure that your child receives enough energy is by adding healthy fats to meals and snacks. Examples of this would be to add peanut butter to a smoothie or avocado to a cheese sandwich or a handful of nuts to their lunchbox. Fats contain more than double the energy per gram compared to carbohydrates or proteins, making them a dense source of calories.” Pre-training fuel and hydration – Before training, it’s crucial to fuel your child with a carbohydrate-based snack. This could be a quick smoothie, yoghurt with fruit, cereal with milk, or peanut butter and jam toast. Hydration is equally important—encourage your child to drink water or milk throughout the day to maintain optimal hydration levels. Recovery after training – After training, the goal is to replenish the energy expended and support muscle recovery. Within the first hour post exercise, ensure that your child is getting a snack that contains both carbohydrates and some protein. A good example of this would be a flavoured milk,  yoghurt with fruit, or a cheese and honey sandwich. If your child doesn’t feel like eating, a smoothie or milkshake can be a good alternative to kickstart the recovery process. Rosey concludes, “For parents, sports nutrition for their kids need not be complicated, especially if you already have a strong foundation of daily balanced meals. Then it is just a matter of being aware of sufficiently meeting energy needs before sports and focusing on protein-rich snacks for recovery after sports. There’s a wide range of choice of how parents can meet the nutritional needs of their budding athletes, and luckily many dairy products are amongst kids’ favourite foods.” For more information on the benefits of dairy and sports nutrition for children, visit https://www.rediscoverdairy.co.za/sport-nutrition/  For dairy ideas and recipes join the Rediscover Dairy Facebook page: www.facebook.com/RediscoverDAIRY

Bonitas – innovation, life stages and quality care

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

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

Parenting Hub

Can pacifiers harm your baby’s teeth?

Affinity Health, a leading provider of high-quality health coverage, explores how pacifiers can affect your little one’s smile and how to minimise any negative oral health impacts. Pacifiers, often known as soothers or dummies, can be a lifesaver for parents trying to soothe a fussy baby. But, as with anything, there’s a time and place for them, especially when you start thinking about your baby’s oral health and the development of their deciduous teeth (milk teeth) and permanent teeth. The Pacifier: A Parent’s Best Friend Pacifiers have been around for ages, and there’s a good reason for that. They tap into a baby’s natural sucking reflex, which can be incredibly calming. They’ve been known to help babies fall asleep, reduce crying, and even offer some benefits, like reducing the risk of SIDS (Sudden Infant Death Syndrome) in infants. “The modern pacifier, as we know it today, began to take shape in the late 1800s,” says Murray Hewlett, CEO of Affinity Health. “Over the years, inventors and designers began experimenting with safer, more hygienic materials like rubber, which was gaining popularity thanks to its durability and softness, making it ideal for an infant’s delicate mouth.” The Potential Pitfalls for Pearly White  As babies grow and their teeth start to come in, parents might wonder if pacifiers can cause dental issues. The answer isn’t straightforward – it depends on a few factors, such as how often a baby uses a pacifier and for how long. Bite Problems Extended pacifier use can lead to problems like an open bite, where the front teeth don’t meet when the mouth is closed, or a crossbite, where the upper teeth bite inside the lower teeth. These issues arise from the constant pressure the pacifier exerts on the teeth and jaw. Tooth Misalignment Just like with an open bite, prolonged sucking can lead to the front teeth being pushed out of alignment, leading to what’s often called “pacifier teeth”. Changes in the Roof of the Mouth The sucking action can also affect the roof of the mouth, potentially leading to its abnormal development. Not All Doom and Gloom Before you toss all the pacifiers in the rubbish, it’s crucial to note that these potential issues typically stem from long-term use, especially beyond the age of two or three. Many children use pacifiers without any long-term effects on their teeth, particularly if they stop using them early. Guidelines for Healthy Pacifier Use To keep the pacifier from becoming a problem for your child’s dental health, consider these tips: Timing: Introduce a pacifier after breastfeeding is well-established, usually around three to four weeks of age, to avoid nipple confusion. Moderation: Use pacifiers for soothing purposes only, and try not to let your child have one in their mouth all day long. Weaning Off: Start to wean your child off the pacifier between six and 12 months old, and aim to stop its use altogether by the age of two or three. Hygiene: To prevent tooth decay, keep pacifiers clean and free of sugary substances. Don’t Dip: Avoid dipping the pacifier in sweet liquids like honey or syrup, which can lead to cavities. Orthodontic Pacifiers: Consider using orthodontic pacifiers designed to reduce the risk of dental problems. The Weaning Process: Tips and Tricks Weaning your child off a pacifier can be challenging but not impossible. Here are a few strategies to make the transition smoother: Gradual Reduction: Start by limiting pacifier use to specific times, like naps or bedtime. Comfort Alternatives: Offer other forms of comfort, such as a favourite stuffed animal or blanket. Positive Reinforcement: Praise your child for not using the pacifier and offer small rewards for pacifier-free time. The Pacifier Fairy: Some parents succeed with a “pacifier fairy” who takes the pacifier away in exchange for a small gift. When to Seek Professional Advice If you’re concerned about your child’s teeth or the impact of pacifier use, it’s always best to consult a paediatric dentist. They can offer personalised advice and help you develop a plan to ensure your child’s oral health is proper.

Parenting Hub

Banishing breakouts – a safer way to zap zits for teens

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

Parenting Hub

How to identify signs of hearing loss in babies

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

DIBBER SA

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

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

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