Leading Expert Advice from Curro Online
Advice from the experts
Cartoon Network Africa

New Heroes Will Be Made with the Debut of Pokémon Horizons

A Brand-New Pokémon Series Premieres on Cartoon Network Africa Uncover the great mysteries of the Pokémon world in a new epic adventure as Cartoon Network Africa presents the premiere of the much-anticipated Pokémon Horizons! Season 1 is set to launch on Monday, 25th March at 17:30 CAT, and Pokémon ‘Trainers’ and fans across Africa can catch a new episode every weekday at the same time. In this captivating new series, fans will dive into the wide world of Pokémon, following the adventures of a young girl named Liko from the Paldea region. As Liko arrives at the Indigo Academy, she receives her first partner Pokémon, the adorable Sprigatito. Little does she know, an enigmatic group known as the Explorers is hot on her trail, determined to get their hands on the mysterious pendant necklace she received from her grandma. But fear not! Liko is not alone on this thrilling quest. Alongside her are the valiant Friede, the ever-electrifying Captain Pikachu, and the daring Rising Volt Tacklers, ready to offer protection aboard their high-flying airship. As the story unfolds, we meet Roy, a young boy with dreams of becoming a Pokémon Trainer. Unaware of the ancient secret hidden within the Poké Ball he carries, Roy joins Liko and the Rising Volt Tacklers on a legendary journey filled with twists, turns, and gripping Pokémon battles. Set sail for new horizons starting Monday, 25th March @ 17:30 CAT as Pokémon Horizons takes you on an unforgettable expedition. What discoveries await Liko, Roy, and the Rising Volt Tacklers? Tune in to Cartoon Network Africa and find out!

Parenting Hub

Cadbury is back with another fun-filled Easter adventure for Mzansi

Easter is a season of fun, togetherness, and giving. In true Cadbury style, Mzansi’s most generous chocolate, is once again encouraging you to embrace the magical tradition of hiding your favourite Easter treats with love. The Cadbury Easter range is choc-full of fun for the whole family (and all the choc-enthusiasts too)! Spoil loved ones with Cadbury’s wide range of delicious treats to make your Easter celebrations egg-stra special. Featuring the new Cadbury Dairy Milk Hot Cross Bun slab, with chunks of crunchy cinnamon and raisins to and the popular favourite Cadbury Dairy Milk Top Deck Bunnies slab. There are crunchy choc-filled Cadbury mini eggs, tasty Cadbury Creme Eggs, filled with a creamy fondant center, and a decadent new addition to the range, Cadbury Caramel Eggs with a golden gooey center, available in packs of 5 and 3 respectively so there’s more to share (with love) this Easter. Immerse yourself in an egg-citing Easter adventure when you join the Cadbury Hide Them With Love Mzansi* virtual experience. Celebrate the spirit of generosity by finding that perfect virtual hiding spot, across the country’s most iconic landmarks, to hide a special egg for a friend or loved one to find. Guided by Cadbury’s Easter Icon – Fluffy. Expect fun, mystery and the chance to win exciting rewards including vouchers from Uber Eats, Takealot, Superbalist, Flight Centre travel vouchers valued at R20,000.00, and airtime. Great surprises await simply visit cadbury.co.za and follow the simple steps. Step 1: choose your world:  explore a map of Mzansi, featuring four vibrant, magical worlds – Cape Town, Gauteng, Gqeberha and Durban. Each world has its own special appeal, find a spot that resonates with you and a special someone. Step 2: Hide your egg:  once you have picked your world, it’s time to hide your egg. Explore unique landmarks that catch your eye and let Fluffy guide you to the ideal one. Step 3: Send a clue: get creative and send a clever, heartfelt clue to guide friends and family to your hidden egg. You can also use clues Fluffy has already written and customsie these as you like. Step 4: Win and share: Hiders and finders both stand to win! The more eggs hidden and found the more chances to win! “The 360-degree digital playground was designed to bring the colourful splendour of our nation to life through an immersive experience that allows you to peek behind corners and switch into auto-pan mode to look around and find the perfect hiding spots. It’s the perfect way to celebrate the ritual of hiding Cadbury easter eggs with love this season,” says Lara Sidersky, Mondelez SA Category Lead for Chocolate. Mzansi’s chocolate lovers can follow the #CadburyMzansiHide conversation on www.cadbury.co.za or Instagram and Twitter @cadbury_sa and Facebook@CadburyDairyMilk Perfect for you to hide at home – the Cadbury Easter range is available at major e-tailers including Checkers Sixty60, Pick n Pay ASAP and SPAR2U and participating retailers near you. *T&Cs apply.

Parenting Hub

Babies R Us Premium Parenting Event is Back

Calling all new, seasoned, and soon-to-be moms and dads to join the Real Mama Club Events The annual Babies R Us Real Mama Club event series is back this year, bigger and with more events than ever. Calling on all moms and dads – whether you’re new to parenthood, a seasoned pro, or eagerly awaiting your bundle of joy – join Babies R Us at one of the eight nationwide events taking place from April to November. The event series provides an opportunity to discover the secrets to successfully navigating the journey of parenthood. Spanning across the Western Cape, Eastern Cape, KwaZulu Natal, and Gauteng, are set to be the highlight of your parenting journey. The lineup is packed with real insights to help you navigate both the highs and lows of parenthood. Everything from baby milestones to introducing solids, navigating relationships to car safety, postnatal depression, sex after birth and securing your baby’s financial future are combined with an entertaining morning full of spoils, a fabulous goodie bag, delicious lunch, stunning venues, and opportunities to engage with both baby and brand experts. Among many childcare experts some of the speakers will feature renowned professionals such as Kath Megaw, a Pediatric Dietitian and author of ‘Weaning Sense,’ Ayanda Mkhwanzani, a fund and investment specialist from Old Mutual; and Spicey Madlalose, one of South Africa’s leading experts in car seat safety and a product specialist for Joie. “Parenting is an adventure unlike any other, filled with countless challenges and endless moments of joy,” says Catherine Jacoby, Marketing Manager at Babies R Us. “They say it takes a village to raise a child, and these events are exactly that – a space for mothers to connect, learn, and grow together as part of the Real Mama Club community.” She adds: “We’re once again providing a space for all mamas to connect with each other and gain solid advice on what to expect and how to overcome some of the challenges of parenting.” “This event series has grown over the last three years to become a much-anticipated calendar event annually,” she adds. “It’s for this reason we have increased the number of events and included other regions to give mamas the opportunity to meet new mama friends, share insights, get advice and enjoy a perfect day out.” What’s more, it’s not limited to mamas. We have seen many soon-to-be dads joining their partners at these events. “We also have baby care on hand so parents attending can be rest assured their little ones are taken care of by the Super Nannies team,” she adds. Tickets are on sale via the Babies R Us website at a cost of R250 and the ticket includes: a goodie bag packed with mom and baby essentials, an opportunity to engage with our baby and brand experts, a free lunch, and a chance at winning one of many exciting prizes. “We are including some of our most popular brands at the events with a full expo area where parents will have the opportunity to learn from over twenty brands including, Tommee Tippee, Joie, Bounce, Old Mutual, LOVA, Fisher Price and Pampers to name a few,” adds Jacoby. “We know parenting is hard, but it is incredibly rewarding. The aim of these events is to remind parents they are not alone and that we are here to support them through the reality of parenting,” she explains. “Babies R Us is more than just a baby retail store, we offer free antenatal care, wellness checks for mom and baby, a family wellness department and the best products at all stages of parenting, all curated by professional moms, the Real Mama club events are an extension of this.” “We’re looking forward to sharing our attendees’ parenting journey with our mama’s as we parent together,” she concludes. Event Calendar: April: Western Cape/Waterfront (5th April) May: Eastern Cape/PE (3rd May) June: Gauteng/Menlyn (7th June) July: Gauteng/Sandton (5th July) Aug: KZN/Gateway (2nd Aug) Sept: Gauteng/Hyde Park (6th Sept) Oct: Western Cape/Waterfront (4th October) Nov: KZN/Gateway (1st Nov)   For more information and tickets visit: https://www.babiesrus.co.za/mama-club or on social media @BabiesRUs_za #RealMamaClub

Cartoon Network Africa

CN MOVIES Each Day, A New Adventure

Experience some school holiday movie magic this month as we kick off with a series of films every weekday from 21 March! From Teen Titans Go! VS. Teen Titans to We Bare Bears: The Movie– where Grizz, Panda and Ice Bear catch the attention of the Department of Wildlife Control and have their world turned upside down, things are off to a rocky start. The second week of movie madness featuresRegular Show: The Movie and a Ben 10 quadruple-header: Ben 10 VS The Universe: The Movie, Ben 10 010, Ben 10: Ben Gen 10 and Ben 10 Alien X-tinction. The following Monday 1 April, it’s Pokémon time with Pokémon The Movie: I Choose You, before we wrap up with Adventure Time Distant Lands: Together Again and Adventure Time Distant Lands: Wizard City on 2 April.  Launch date: Thursday, 21 March @ 11:00 CAT ⏰ Tune in: Mondays – Fridays until 2 April @ 11:00 CAT

Educ8 SA

Educ8 SA – Curriculum Options

Educ8 SA has been around for 7 years now and has thousands of students…all learning on a fantastic platform.  The curriculum is easy to navigate, user-friendly and comes at an affordable price. We have a tried and tested curriculum that we are very proud of.  We believe that a good beginning never ends! And you can start any time with us.  What we offer learners: Start your Individualized Learning Program today! We offer 26 different subject components from Preschool to Gr. 12. If your kids are struggling and have learning Gaps? Not a problem for us, our program is remedial, and we will find and fix the missing learning gaps! Grade levels pre-school – Gr. 8: R450 per month GED: Grade 12 equivalent R500 per month General Education Development  American High School Diploma (Gr. 9 – 12): R1800 per month Our fees start at just R450. Let’s talk about our essential learning program. Our program is one of those programs that you log onto and learning is simple and easy to navigate. Kids can log on and complete work at any time and work  according to their pace. Making it easy to complete more than a grade level a year. Furthermore, our extra features… Parent Support:  Parents can log in anytime to view their child’s progress from the parent portal and see how their kids are doing and this helps with advising  which subjects to complete and which to focus on more. Student Support:  Our Student Managers are on duty from 8 am to 4 pm and are always available to help should a student contact them via their messenger for assistance. Please can you share some more information on the High School Options that you have available to students? When looking at our GED learning path. So once you finish your schooling from grade level 1 to grade 8, you will then be off to high school and this is when the GED comes in. It’s a high school Grade 12 equivalent Recognised by SAQA NQF 4 Self-paced R500 You can schedule exams once the pre-readiness testing has found students to be exam-ready Exams are written at any Boston College American high school diploma It is recognised at our universities, we just had 5 of our students accepted at different universities in South Africa. This program has been used by millions The online curriculum is taught by master teachers We offer year-round enrolment, so you can join any time Our curriculum covers all core subjects Our program allows students to graduate from an accredited online school And many more benefits… It is already March. Can students register at any time during the year? Yes you can register any time of the year and kids can work according to their own pace, so if they feel like completing more than one level a year, they can. We are ready for new registrations.

Cartoonito

MOVIE STAR HOLIDAYS Holiday Movie Magic

School’s out, and we’re celebrating with a great new movie every day from 21 March to 2 April! In Tom and Jerry: Snowman’s Land, Jerry and his nephew make a snow mouse that miraculously comes to life! On Friday, 22 March, hang out with Akissi: A Funny Little Brother and Scooby-Doo! Where Are You Now? On 23 March, Tom and Jerry are on a Spy Questand Scooby and the gang hang out with WWE stars in Scooby-Doo! WrestleMania Mystery on the 24th.  From Monday 25th, experience Tweety’s High-Flying Adventure; Scooby-Doo! The Mystery Begins; Tom and Jerry: Blast Off to Mars; Scooby-Doo! Curse of The Lake Monster; Tom and Jerry and The Wizard of Oz; Tom and Jerry: Snowman’s Land; Rabbids Invasion: Mission to Mars; Looney Tunes: Rabbits Run and Tom and Jerry: Robin Hood and His Merry Mouse. Launch date: Thursday, 21 March @ 09:40 CAT ⏰ Tune in: Every day until 2 April @ 09:40 CAT

Fanciful Faces Inc

Fanciful Faces Inc.: A Magical Wonderland for Your Celebrations!

Step into the enchanting world of Fanciful Faces Inc., where joy takes center stage, and every celebration becomes a canvas of laughter and delight. Known for their extraordinary entertainment services, this company is not just a party planner; it’s an architect of unforgettable moments and a creator of magical memories. A Kaleidoscope of Services  Imagine a world where face painting isn’t just an art form but a transformative experience. Fanciful Faces Inc. turns faces into living masterpieces, thanks to their skilled artists who are more like dream-weavers than painters. And when it comes to clowns, these jesters of joy are the heartbeat of any event, spreading infectious laughter and whimsy wherever they go. But the magic doesn’t stop there. Balloon sculpting turns ordinary balloons into intricate wonders, while jumping castles become portals to a gravity-defying kingdom of pure delight. It’s not just about services; it’s about crafting an experience that lingers long after the confetti settles. A Sprinkle of their Signature Spectaculars: Face Painting: Where smiles become masterpieces. Clowns: Masters of mirth and laughter engineers. Balloon Sculpting: Ordinary balloons transformed into extraordinary wonders. Jumping Castles: Bouncy kingdoms where gravity takes a backseat. Water Slides: Splashy aquatic adventures for sun-soaked celebrations. Magicians: Illusionists turning events into enchanting experiences. If you don’t find exactly what you’re looking for, feel free to reach out to Fanciful Faces Inc., and they’ll happily tailor the perfect entertainment for your event! A Symphony of Joy and Fun Picture the sound of children’s laughter harmonizing with the playful melodies of Fanciful Faces Inc.’s entertainers. Their events are not just about services; they’re an orchestrated symphony of joy. Each celebration becomes a crescendo of laughter, a dance of delight, and a parade of unforgettable moments. A Haven of Happiness for Every Child Beyond creating magical moments, Fanciful Faces Inc. is committed to fostering a haven of joy for every child. In their belief, childhood is a treasure trove of enchantment, and no child should miss out on the magic. With Fanciful Faces Inc., every celebration becomes a treasure hunt for joy. Looking to the Future As Fanciful Faces Inc. spreads joy today, the dream is to paint even larger canvases of happiness in the future. Envisioning more laughter, more celebrations, and more magical adventures on the horizon, Fanciful Faces Inc. goes beyond being a part of your celebration; it’s a dedicated partner in shaping a future where joy knows no bounds. With plans for community outreach and exciting collaborations on the horizon, fuelled by the unwavering desire to spread love and happiness far and wide. Closing Note – Choose the Canvas of Joy  In the grand tapestry of life, Fanciful Faces Inc. is the brushstroke that adds vibrancy, the burst of confetti that creates magic. Choosing them isn’t just about getting a service; it’s embracing an experience where every smile, every giggle, and every moment becomes a stroke on the canvas of joy. Choose Fanciful Faces Inc. – where every event is a masterpiece of merriment!

Parenting Hub

Dealing with Colds and Flu in the Warmer Months

We typically associate colds and flu with chilly weather, envisioning long winter nights snuggled up with a warm blanket and a hot cup of tea, nursing a runny nose or a scratchy throat. However, contrary to popular belief, these illnesses can strike at any time of the year, including the warmer months.1 Cepacol®, the brand known for its sore throat lozenges and hot medication, offers guidance on how to deal with colds and flu in the summer and spring months, ensuring you can continue to enjoy the sunshine even if you are under the weather. Why Colds and Flu Can Still Occur in Warmer Weather While it’s true that the viruses that cause colds and flu thrive in dry, cold conditions,2 scratchy throats, stuffy noses, and fevers can strike at any time of the year,1 even on a beautiful, sunny day. The Importance of Prevention The first step in dealing with colds and flu in warmer months is prevention. Regular hand washing is one of the most effective measures to prevent the spread of germs.3 In the summer months, when people are often on the move, carrying hand sanitiser can be a good substitute when soap and water are not readily available. Maintaining a healthy lifestyle is another key to preventing illness.4a This includes eating a balanced diet high in fruit and vegetables4b, exercising regularly4c, getting adequate sleep4d, taking steps to prevent infections (such as regular hand washing4e and vaccines4f), and minimising stress 4g. How to Treat Colds and Flu If you do catch a cold or the flu during the warmer months, treatment will be similar to what you would do during the winter. Rest5a and hydration5b are crucial, with the latter even more critical in warmer weather when your body may be losing more fluids through sweating. Over-the-counter medications can help alleviate symptoms such as congestion, sore throat, and fever.5c While your instinct may be to stay indoors, if your symptoms are mild and you’re feeling up to it, try to spend some time outside. Fresh air and sunshine can boost your mood and speed up your recovery. Vitamin D, obtained from sunlight, plays an essential role in immune function.6 How the Cepacol® Cough & Cold Range Can Provide Relief With various formulations available, such as lozenges, throat spray, medicated drinks, and syrup, Cepacol® makes it convenient for consumers to find the perfect solution for their needs. The Cepacol® Cough & Cold range includes a variety of products packed with multiple benefits: Cepacol® Cough & Cold Syrup7: Offers targeted relief for a persistent cough, congestion, and sore throat. Formulated with ivy leaf and pelargonium, it provides cough relief while combating cold and flu symptoms with their antibacterial and antiviral properties. The non-drowsy formulation is alcohol-free, making it safe to be taken from the age of six.   Cepacol® Plus Cough & Cold Syrup8: Specifically designed for night-time relief, this syrup addresses two troublesome symptoms: coughing and nasal congestion. It combines ivy leaf, pelargonium, and valerian extract, offering night-time cough relief. Cepacol® Throat Spray9: This throat spray combines ivy leaf, pelargonium, and menthol. It quickly numbs the throat, providing temporary pain and discomfort relief. Cepacol® understands the daily needs of individuals experiencing cold or flu symptoms, which is why they have developed these comprehensive solutions. With their range of products, there’s a Cepacol® option for everyone. So, if you’re dealing with colds and flu in the warmer months, rest assured that Cepacol® has you covered! Cepacol®‘s range of products is available at leading pharmacies and retailers nationwide. For more information, visit www.cepacol.co.za and join the conversation on Facebook.       2023082410307736   References:   Murphy R [Verywell Health]. Are Summer Colds Caused by Different Germs Than Winter Colds? Available from : https://www.verywellhealth.com/summer-cold-winter-cold-7556002. Last accessed August 2023. Horizon Health News. Why do viruses spread more in winter? Cold temps are key. Available from : https://www.horizonhealthnews.com/why-do-viruses-spread-more-in-winter-cold-temps-are-key/. Last accessed August 2023. Centers for Disease Control and Prevention. Show Me the Science – Why Wash Your Hands? Available from : https://www.cdc.gov/handwashing/why-handwashing.html. Last accessed August 2023. Harvard Health Publishing. How to boost your immune system. Available from : https://www.health.harvard.edu/staying-healthy/how-to-boost-your-immune-system. Last accessed August 2023. Hopkins Medicine. The Do’s and Don’ts of Easing Cold Symptoms. Available from : https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-dos-and-donts-of-easing-cold-symptoms. Last accessed August 2023. Aranow C. [National Institutes of Health]. Vitamin D and the immune system. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/. Last accessed August 2023. CEPACOL® Cough and colds syrups approved professional information, February 2022 CEPACOL® Plus cough and cold syrup approved professional information, February 2022 CEPACOL® Throat Spray approved professional information, February 2022

Mia Von Scha

Is there a superior parenting style?

There are many trends in parenting styles that change from decade to decade or even year to year – helicopter parenting, tiger parenting, respectful parenting, attachment parenting… So which one is best? Is there one that is better than others or does it depend on your personal preference? The jury is in on this one and research confirms over and over again that there is a style of parenting that comes up on top.  Parenting styles and trends can basically be divided into three broad categories – Permissive, Authoritative, and Authoritarian. I like to think of them as political systems within the home. Permissive is anarchy, Authoritative is democracy, and Authoritarian is dictatorship. Nobody is parenting in one style all the time – we tend to swing between different styles at different times of day (we all know which style comes out at around 5pm!) and we change depending on what we’re dealing with and how much we value compliance in that area. But most people have a predominant parenting style and that’s the one that matters. Permissive parents have (to a greater or lesser degree) no rules, no boundaries, no structure. The kids rule the roost and the parents find their way in amongst the chaos. Kids needs come first, parents’ needs come last.  Authoritarian parents are the “my way or the highway” parents. They have strict rules, which are punishable if broken; there is no discussion and no back chat. They run their home more like an army barracks where stepping out of line is simply unacceptable. Here adults come first and kids must fit in. Authoritative parents have the goldilocks balance. Here kids’ and parents’ needs are equal and are both considered before a decision is made. Everyone is involved in deciding the rules and structure of the home and agrees to abide by this out of respect for each other not out of fear of punishment – like the kind of boundaries we’d create with friends if we lived with a roommate. Expectations are realistic and interactions (even for transgressing a boundary) are kind, respectful and caring. No great prizes for guessing which parenting style leads to the best outcomes. Again and again, research into parenting styles shows that Authoritative parenting leads to increased prosocial behaviour, success, self worth and cooperation, and leads to decreased drug use, violence and behavioural problems.  Why? Because an Authoritative parent is primarily concerned with the relationship between themselves and their children. They are modelling acceptable ways of interacting with other human beings, of resolving conflict, of finding ways to get past disagreement. They are showing what it looks like to be respectful and kind and caring and authentic. They are not letting their kids walk all over them, but they are not bullying them into compliance either. They are seeing their children as whole, capable, decent human beings, and children always live up (or down) to our expectations of them. Would you like to live in an anarchistic society? Or under the rule of a dictator? Or would you rather opt for democracy? Your home is a microcosm of the world and helping to train your children to live in the greater society. Let your home and parenting style reflect what you would choose for yourself in the world.

Bonitas – innovation, life stages and quality care

TB – Serious but Curable

Tuberculosis (TB) is a serious public health issue in South Africa.  280 000 people fell ill with TB during 2022 and, of these, an estimated 54 200 died from the disease. South Africa is one of the 30 high burden TB countries, contributing 87% of the estimated cases worldwide.  According to the Department of Health, the main driver of TB infection is HIV, with around 48% of TB patients living with HIV. As a member of the United Nations, South Africa has committed to reducing new TB cases by 80% by 2030, compared with 2015 levels. Clinical data presented by the World Health Organization (WHO) indicates that our country is meeting some of its targets but there are still too many people falling ill and dying. ‘It is important to remember that TB is curable’, says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘However, we all need to be more aware of how contagious it is, the symptoms, the impact of the disease, the importance of getting medical attention and adhering to the treatment regimen.’ ‘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.  ‘We know that not everyone has access to private medical care but public healthcare facilities offer free testing and treatment.  If you test positive for TB, the Department of Health will provide the necessary medication. Crucial to overcoming this disease is to follow and complete the treatment regimen as advised by your healthcare giver.’ Some TB facts: 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 (a mixture of salvia and mucus) coughed up by someone with TB of the lungs. The organism (germ) 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.  How is TB contracted? The disease is passed on from one person to another. The germs spread into the air via microscopic droplets if an infected person sneezes, coughs or releases saliva. The incubation period is 6 weeks.  TB Symptoms  If you are concerned about your health or having been exposed, you must get tested urgently.   Symptoms of the TB include: Excessive coughing – a cough that has been present for more than two weeks and is productive, (a cough that has phlegm) Chest pains  Loss of appetite and weight Low grade fever Night sweats Chills Coughing up blood In children the symptoms may present as a cough for 2 weeks or more, loss of energy and appetite and quite often a mild fever. Who is most at risk of contracting TB? 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  Those with diabetes Residents of informal settlements Children under five The undernourished Alcoholics and smokers  Mineworkers  Prisoners Pregnant women Can you have TB and not be sick? TB can be ‘latent’, in other words it’s in your body but not active and therefore you not capable of spreading it. However, if your immune system becomes weak, the TB can become active and you become ill. Having HIV/AIDS is a key factor in the TB epidemic which is why it is so important that the people living with HIV are screened and treated.   How is TB diagnosed? Diagnosis of TB is quite complex since many symptoms can be quite similar to those of other common lung diseases. South Africa has moved towards more intensive and active methods of identifying cases, for example by screening all those attending primary health clinics.  TB testing and treatment is free. The Mantoux Tuberculin Skin Test (TST) and blood tests do not differentiate between latent and active TB which means a sputum sample needs to be taken or a chest X-ray.  Treating TB TB is definitely treatable. However, medication must be started as soon as possible, and it must be taken regularly – as per the instructions. Also important is to finish the course of medication. It takes six months for TB to be cured completely but, within 2 weeks of starting treatment, the person will no longer spread the disease.  Treatment must be completed. 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.  How can TB be prevented? People on TB medication must complete their treatment, this prevents the spread of TB Cover your mouth and nose when coughing or sneezing Wash hands with soap and water Immunise of all babies at a clinic within 1 year of birth Keep your body healthy by eating balanced meals and exercising Stop smoking  Keep your windows open in your home if living with someone with TB – fresh air blows the TB germs away and sunshine kills the TB germs. TB in the workplace If any employees display TB symptoms, they should stay home and limit contact with others as much as possible 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.

Nutripaeds

Breastfeeding While Pregnant

Congratulations, you’re pregnant… again. And whether this age gap was planned or not, you’d like to continue breastfeeding your baby / toddler through your pregnancy. Here’s what you need to know. In most cases, breastfeeding while pregnant is completely safe but it is also a very personal decision with many factors to account for. What suits one family may not suit another. During pregnancy, hormonal changes in the body can make breastfeeding a challenge. For one, you will most likely find that you are extremely tired or sick in the first trimester. This can make eating a healthy, balanced diet close to impossible. Your milk may taste different causing your older child to wean himself or you might find that your breasts and nipples become too sensitive to continue breastfeeding. Something else to consider is that by the time you reach your second trimester, your body will begin to switch things up a bit. Instead of producing the volumes of mature milk that your child is used to, you will go back to producing colostrum for your new baby. Some toddlers are happy to continue drinking even though they are now receiving colostrum while others will flatly refuse and self-wean because of the new taste and composition of this ‘milk’. Taking the drop in volume or lost interest into account, it is important at this stage that you begin to supplement your child’s diet with an alternative milk source. Your choice of milk will depend entirely on the age of your child. Cause for concern. A big concern when it comes to breastfeeding while pregnant is whether the nipple stimulation from your older child suckling will cause you to go into pre-term labour. There is much controversy around this. Nipple stimulation triggers your body’s production of oxytocin, which helps with milk letdown and also plays a role in the contractions you have during labor. But whether the amount of oxytocin released is enough to trigger labour or not, we do not actually know. This question is begging for a medical study and at this stage, there is none. However, preliminary data does suggest that breastfeeding and full term, healthy pregnancies are quite compatible. It is important to realise that during pregnancy, the amount of oxytocin released in response to nipple stimulation is somewhat less than when a woman is not pregnant. Secondly, the uterus during pregnancy is not completely at the beck and call of oxytocin during the 38 weeks of the ‘preterm’ period. Even high doses of Pitocin (labour inducing drugs) is unlikely to trigger labour unless the uterus is ready. As with any pregnancy, it is important that you are open and honest with your pregnancy care giver about your wishes to continue breastfeeding. There are most definitely cases where breastfeeding during pregnancy is not advised. In conclusion, when making the decision to continue breastfeeding, it is wise to take into consideration how breastfeeding will fit in with your needs for rest, adequate pregnancy weight gain and your overall sense of well-being. It is also of utmost importance that you pay attention to your diet, drink plenty of liquids and keep taking your prenatal vitamins.

South African Divorce Support Association

A bad marriage doesn’t have to be a bad divorce

Divorce is more often than not a dreaded life event. High emotions are involved creating conflicts which in turn interfere with the process of moving on. People find themselves stuck in a situation from which they initially wanted to move away from but the unpleasantness of dealing with a person they no longer get along with is remaining a painful present occurrence. I like to stress that if you are in a bad marriage, you don’t have to be in a bad divorce. On the contrary. A divorce, for most parties, is a solution to a life they no longer want to live together. So how do you divorce well when you no longer get along? Here are 5 principles to a good Divorce: Respect each other and agree to disagree. You are no longer getting along to a point that you want to divorce. Agree that whatever has caused your relationship to come to this point needs to be acknowledged. Mutual non aggression. Whether verbal or physical, rudeness or aggression is only a weak imitation of strength. Acknowledge that your situation is what it is. Fighting it or the other person is not going to change the circumstance, only the outcome. Ask yourself then if fighting is going to result in a better or worst outcome. Mutual non interference in each other’s lives. It is important to be at peace with the fact that you both now have separate lives. New places to live, possibly new friends and perhaps a new love interest. What your ex does is no longer of your business. Be interested in your life and all the exciting things that are waiting to happen. Win-Win. To end a bad marriage is to result in a happy separation. Making a divorce difficult to try and get back at each other for whatever hurt was caused will not result in anyone winning and most likely make the person creating most of the chaos more unhappy after than before. Amicable coexistence. Why live in constant hostility when you can live in peace? This is especially of value for divorcing parents whose hostility will affect their children. No matter what you do, you both exist at the same time and, especially as co-parents, are more likely to remain in each other’s lives. It’s your choice to make it a good or bad experience. Nadia Thonnard Founder SADSA | The South African Divorce Support Association

CRYOSAVE

Epigenetics and Motherhood

What does Epigenetics mean? Gene expression is the process of how often or when proteins are produced from the blueprint within your genes. While genetic changes can alter which protein is made, epigenetic changes affect gene expression to turn genes “on” and “off.” Since your environment and behaviour, such as diet and exercise, can result in epigenetic changes, it is easy to see the relationship between your genes and your behaviour and environment. The study of epigenetics looks at how actions and the environment can influence your genes. Unlike genetic changes, epigenetic changes are reversible and do not change DNA sequences, but they may affect how your body reads DNA sequences. How does epigenetics relate to Nature Vs Nurture? Epigenetics explains how early experiences can have permanent effects. The genes children inherit from their biological parents provide information that guides their development. For example, how tall they could eventually become or the kind of temperament they could have. How does epigenetics affect us before birth? Environmental factors may alter the epigenetic profile of a fetus during early life, specifically in the prenatal period, which may increase vulnerability to diseases later in life, such as obesity, cardiovascular, diabetes, etc. Donor Eggs Epigenetics and Birth Mother. Birth mothers using donor eggs have a significant impact on the development and future health of their babies. Since the baby’s DNA only comes from the egg donor and the sperm donor, many women using egg donation worry that they will not share any genetic information with their child. However, the switches that turn our genes on and off may play an even greater role in health and development. These switches are known as epigenetic controls. Abundant research has shown us that the prenatal uterine environment plays a crucial role in fetal brain development, childhood metabolism, immune health, and numerous other factors. Given our limited understanding of the processes that affect fetal development, what can a pregnant woman do to improve her prenatal environment? Following the common practice most women use during pregnancy might be the best approach in order to foster a healthy uterine environment for your baby, it is essential that you maintain a good weight, follow healthy diet habits, refrain from drinking alcohol, limit caffeine intake, and take prenatal vitamins. Stress management and maintaining stress-reducing activities during pregnancy are equally important for creating a healthy uterus for your baby. An emerging concept, fetal adaptation, explains how epigenetic regulation impacts development later on in development, in contrast to embryogenesis and implantation early on in development. Epigenetic modifications allow the fetal genotype to respond to a variety of developmental environmental factors. Even though early gestation is the most susceptible period for the fetus, environmental stimulation in late embryonic development, infancy, and early childhood can also have long-term health effects in later life. It has been shown that a high-fat diet supplemented in adulthood induced large-scale methylation changes in skeletal muscles, as did folic acid supplementation during the peri-pubertal period. All these studies suggest that plasticity of the human epigenome may also persist into adulthood and epigenetic mechanisms are involved in life-long adaptation. In conclusion: In contrast to conception, which begins when an egg cell meets a sperm cell, motherhood begins in the womb. The factors influencing childhood begin in the mother’s body long before she becomes pregnant. Your uterine environment will influence your baby’s development in various ways. When you begin taking care of yourself before you become pregnant, and continue doing so as your baby develops inside you, you’ll be able to pass on health benefits to your child, ensuring they have the best possible future.

Good Night Baby

“Sleep When Your Baby Sleeps” – Planning for Newborn Sleep Bliss

I am the mother of two beautiful boys and have experienced two polar opposite newborn phases; one pure undisturbed bliss (even with a three-year old running around) and the other where the wheels completely fell off around eight weeks postpartum. After my first, very wobbly experience, I am here to share how I fought for and set myself up for the most wonderful, enjoyable, relaxing and sleep-filled (yes, I really am using those words!) postpartum with my little Leo, our baby lion (named by my firstborn, Max). Both my babies were born into my arms at home, in births I had manifested and dreamed of. I won’t go into too much detail about what I did wrong when Max was brand new. But as a first-time mom, most of it was due to being uninformed, taking bad advice, not listening to my intuition and not giving myself, the most important part of the mother-baby dyad, the care, quiet and nurturing I needed to look after my tiny newborn. I have since learned that our babies and children feed directly from our nervous systems; they physically need us to regulate themselves. I knew that with Leo I had to plan very carefully and put the necessary support, boundaries and expectations from those around me in place very securely before he was born to allow myself the space and time I needed to be able to stay in a calm, happy, ventral vagal state while having a newborn in my arms and a three‑year-old to tend to as well. I knew that this would mean that my newborn would be calm and happy too, as he was feeding off my nervous system. So, for me, there were a few very important things I planned so I could rest and sleep once he was born: I made sure that my three-year-old would be looked after and his needs met by my parents during the day. I still did his bedtime every night, even the day Leo was born, which is a blessing one has when birthing at home. I made sure my fridge was stocked with all the right postpartum foods to help nourish me after birth and give me all the energy I needed to establish breastfeeding. A great book I read was The First Forty Days: The Essential Art of Nourishing the New Mother by Heng Ou with Amely Greeven and Marisa Belger. I followed a forty-day confinement/resting period after giving birth, where I stayed in my home for this special time. I didn’t leave my bedroom for the first seven days and slowly made my way into the rest of the house only when I felt I was ready. This tradition is followed in many cultures; however, in our own fast-paced Western culture, it has been largely overlooked. In my opinion, this is why so many mothers have difficult newborn phases filled with the social pressure to get back to normal life way too quickly. All they should be doing is looking after their baby while others care for them. Some of you reading this may be thinking, how the hell would I even do that? And that is why I said I had to ‘fight’ for my postpartum bliss. It doesn’t just happen, I promise you! I took a Chinese herb called Calm Shen and an incredible amino acid called L‑theanine, which I wish more mothers knew about. These aided me in restful sleep and calming the anxious mind, so I found it easy to drift back to sleep at night after feeding and to lay down for a nap with my baby and actually sleep. I made sure I lay down to rest and sleep whenever Leo was napping. Because I felt so calm, so held by those around me and so safe, I was actually able to nap with my teeny one in my arms and not just lay there wide eyed and wired, wondering if he would wake up the next time he stirred. I also became very comfortable with newborn active sleep patterns, where they are fast asleep but moving around and making noise like crazy (enter me sleeping with ear plugs day and night!). With Max, I used to jump up to rock and feed him the moment he moved, which meant that most of the time, I was actually waking him up and being the reason for his short naps and poor nighttime sleep. I went to bed super early. Now when I say early, I mean like 7:30 pm, latest 8:00 pm. My three-year-old goes to bed at 6:00 pm and sleeps through the night, so Leo and I would follow close after him. This meant I had 12 hours in which to get as much sleep as I could, taking the edge off feeling anxious about how much sleep I got. For most nights, this ended up being a good eight hours for me (obviously interrupted by feeding). BLISS! I used a Love to Dream swaddle, Sleepyhead pod, soft white noise and a Lulla Doll as a lovey from day one and made sure there was some light for our day naps and that nighttime was completely dark. For the first 16 weeks, I co-slept with Leo and had him next to me either in my arms or in a co-sleeper. I mastered the art of breastfeeding while side-laying, which meant I often fell asleep while feeding him. This was another way we had our long blissful naps during the day, always laying together. Something I used to dread with Max became something I truly miss now that Leo is eight months old and sleeping happily through the night in his own room. I seriously loved my postpartum journey, from my empowering one-hour-long unassisted homebirth in our beautiful new home by the sea in Cape St Francis (where the midwives arrived five minutes before he was born – but that’s a story for another day!) to my dreamy newborn cuddles and sleep-filled days and

Kip McGrath

It Takes a Village to Raise a Child

The origin of this proverb is unknown. Some believe that it is an African proverb; others believe that it originated from Native American tribes. Either way, we know that these communities have mastered the art of communal living and raising their children as a shared responsibility. Even in today’s individualistic world, it is almost impossible to raise children without the help of family members, friends, schools and professionals. Soon-to-be parents discover the value of their “village” when they attend antenatal classes and rely on this support after their child’s birth. As a child grows older, their teachers and school environment start to play a more important role in their development. Most mothers will remember countless times when her child started a sentence with, “But my teacher said…” The influence of the “village” can be comforting and overwhelming at the same time. It is reassuring to know that other parents experience the same frustrations or fears and that other children face the same challenges as yours. However, too many cooks spoil the broth! Sometimes, conflicting advice can leave a parent disheartened. Where should you begin when your child’s teacher and speech therapist have different views on what is best for your child? What should you do when the teacher tells you that she does not have time to implement the OT’s recommendations in the classroom? In a recent conversation with a psychologist, we came to the conclusion that most children need a “case manager” who can help to prioritise therapies and interventions when multiple interventions are needed. For example, a child on the autistic spectrum could need academic support, behaviour and speech therapy and occupational therapy for sensory stimulation. In reality, reading assessment reports, attending feedback meetings and deciding on the best course of action is ultimately the parents’ choice and responsibility. Prolonging the decision-making process hampers the success of intervention, especially when a problem is identified early. Parents should consider their budget and what could possibly be covered by their medical aid. Start with baby steps and avoid overwhelming your child with too many assessments and therapies. Ask your child’s teacher and therapist to communicate to get everyone on the same page. Simply put, don’t isolate yourself when making decisions about your child’s development. Rely on your village! Chrizelle Prinsloo is the owner of Kip McGrath Education Centres, Walmer.  She has a background in psychology and has taught in mainstream and special-needs schools both locally and abroad. Chrizelle is passionate about helping children gain confidence in their own abilities and about finding different ways to help them learn.

Glenoaks Remedial and Special Needs School

When to Push My Child and When to Step Back

Parental involvement in child development is a multifaceted endeavor that requires a delicate balance between providing support and fostering independence. Knowing when to push a child to excel and when to step back and allow them to navigate challenges independently is a critical aspect of effective parenting. In this article, we explore the factors to consider when making decisions about parental involvement in a child’s development. Recognizing Signs of Readiness One key factor in determining when to push a child is recognizing signs of readiness for challenge. These signs may manifest as curiosity, enthusiasm, or a desire to explore new opportunities. Observing cues from the child’s behavior and interests can provide valuable insights into their readiness to be pushed beyond their comfort zone. Understanding Individual Differences It’s essential to recognize that each child has unique learning styles, strengths, and preferences. What works for one child may not necessarily be effective for another. Tailoring parental involvement to accommodate these individual differences is crucial for promoting optimal development and fostering a positive learning experience. Setting Realistic Expectations While it’s essential to encourage children to strive for excellence, it’s equally important to set realistic expectations. Placing undue pressure on children to meet unrealistic standards can have detrimental effects on their self-esteem and overall well-being. Setting achievable goals that align with the child’s abilities and interests is key to fostering a healthy approach to learning and development. Encouraging Independence Fostering independence is essential for empowering children to take ownership of their learning and development. Encouraging children to take initiative, make decisions, and solve problems independently helps build confidence and resilience. Providing opportunities for children to explore their interests and pursue their passions autonomously nurtures a sense of self-efficacy and agency. Providing Support and Guidance While fostering independence, it’s essential for parents to provide support and guidance along the way. Offering encouragement, praise, and constructive feedback can help children navigate challenges with confidence. However, it’s equally important to strike a balance between offering assistance and allowing children the space to learn from their mistakes and grow. Recognizing Limits It’s crucial for parents to recognize when a child is feeling overwhelmed or stressed and adjust their level of involvement accordingly. Pushing a child too hard or too fast can lead to burnout and diminish their enjoyment of learning. Being attuned to the child’s emotional well-being and providing support to help them manage stress and anxiety is essential for promoting a positive learning environment. Seeking Professional Advice When unsure about the appropriate level of parental involvement, it’s important for parents to seek guidance from educators or child development experts. These professionals can offer valuable insights and recommendations based on their expertise and experience. Consulting with professionals can help parents make informed decisions that are in the best interest of their child’s development. In conclusion, knowing when to push a child and when to step back is a nuanced aspect of parenting that requires careful consideration and judgment. By recognizing signs of readiness, understanding individual differences, setting realistic expectations, fostering independence, providing support and guidance, recognizing limits, and seeking professional advice when needed, parents can effectively navigate the complexities of parental involvement in their child’s development. Maintaining a balanced approach that prioritizes the child’s well-being and autonomy is key to fostering a positive and nurturing learning environment.

Bill Corbett

How to Teach Kids to Care

I hear parents complain that their kids don’t appreciate what they have. So much is available to our kids today that it’s hard for them to imagine being without. Then when they push their parents for more, it triggers a feeling of resentment for the parents as they think about all they’ve done and provided for their kids so far. My own kids occasionally threw in the, “All my friends have an (insert anyone of these here: iPhone, TV, Xbox, Six Flags pass, etc.), why can’t I have one?” It’s common for them to think that every other child has what they want, even though it may not be true. Remain calm when they make these claims and stand firm in your position to not cave at their demands. Instead of reminding your children of all that you’ve bought or done for them, let their cries for more stuff be your reminder to get them involved in something that gives to others. From food banks, to pet adoption groups, to the Salvation Army and churches, all communities have opportunities for individuals, families and even children to volunteer in service to others. There is no better way to teach your children the act of giving then to do it right alongside them. Avoid dropping your kids off with an organization for them to volunteer, unless it’s an organization that is specific to youth participation. You are the primary and most important teacher for your children so roll your sleeves up and get in there with them to participate. I read a news story recently, featuring a 16-year-old boy in Rhode Island who started a project of providing brand new donated shoes to homeless children. In the four years it’s been running, he’s provided 16,000 pairs across 32 states. The article in People magazine included testimony from recipients of this giving organization’s gifts to families. And where did this admirable young man get the notion to start such a wonderful organization? His parents took him to a homeless shelter when he was five years old. When he realized that his light-up sneakers did not compare to the shoes worn by the homeless children, which were falling apart, that experience remained with him and influenced his actions as he approached the teen years. As the story supports, telling your children about those who are less fortunate than they are, may not be enough to matter. When I was a child, I remember my elders warning me about all the children that were starving in foreign countries, in hopes of getting me to eat my dinner. Providing an experience for your children in seeing and hearing from those less fortunate can make all the difference. One final thought on this matter of teaching children and teens to care. Suppose there are some things that you do want to provide for them. Instead of running out and making an instant purchase, consider a dollar-for-dollar matching initiative if they have the means to earn money. Or at the very least, put limitations on when and how long they can use the item. Delayed gratification is something more children need to experience to appreciate what they do and do not have.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 10 of your pregnancy

At week ten, you are officially a quarter of the way through your 40-week pregnancy with only a few more weeks left of trimester one. In your first trimester, you won’t look it but your body will have gone through many changes to accommodate your growing baby. This trimester its particularly important to keep taking prenatal vitamins containing folic acid as your babies spinal tube and organs develop. Your baby at week 10  Your little baby is now the size of a strawberry and is now referred to as a fetus and not an embryo.  She is growing rapidly inside you and is slowly started forming bones and ligaments, their little arms and legs are slowly becoming more functional and your baby’s jawbone is also started developing. Nerves are starting to form in their spine and her kidneys are starting to function. Your body at week 10  At week ten your baby bump may be starting to show, but it may be a few weeks before your family and friends notice or you decide to tell anyone. Because of your slowly growing baby belly, it may be a good idea to invest in your first few items of maternity wear, as pants that are too tight around your waist is an added discomfort that you shouldn’t have to deal with. You’ll still be managing a variety of pregnancy symptoms, from morning sickness to frequent urination. You may still be struggling with fatigue, but thankfully this pregnancy symptom should lessen in your second trimester. Things to keep in mind  Week ten (between week 10 and 12) is roughly the time that you would choose to have your baby genetically tested. Genetic testing isn’t required but it is a good option to consider so that parents-to-be are alerted to potential genetic disorders before birth. A genetic test is particularly important if you have hereditary genetic problems in your family, or if you and your partners are carriers for a particular disorder.

Junior Colleges

SCREEN TIME AND ITS’ EFFECT ON LANGUAGE DEVELOPMENT

Technology has become part of our daily life. Living in a time where everything is rushed and screen time opportunities are growing, children are exposed to screens for increased periods. What is the effect of increased periods of screen time on my child’s language development? According to recent research, screen time may have some positive effects if your child is exposed to screen time, as the World Health Organization (WHO) set out. Some positive impacts include expanding your child’s vocabulary, exposing them to cultural diversity, and keeping them occupied in a safe environment. However, suppose a child is exposed to screen time for long periods. In that case, it may negatively affect their language development as screen time may not encourage your little one to participate in a conversation actively. The WHO encourages parents not to expose their children to screen time between birth and two years and to limit screen time to less than 1 hour per day between the ages of three- and five years.  Recent studies have suggested that the adverse effects of screen time appear to outweigh the positive influences thereof. During the first three years of life, the brain experiences rapid growth due to neural plasticity. The first three years of life are crucial for language development; therefore, as the parent, you will be advised and encouraged to spend as much one-on-one time with your little one to expand their vocabulary and limit screen time as much as possible. In addition, remember to read a book daily; this will expand their vocabulary, increase sentence length, and create a love for books that will be important for later learning, and create time for you and your little one to spend together. Written by Michelle McDonald (Speech-Language Therapist)

South African Divorce Support Association

Parental Alienation

Parental Alienation is a term which has become synonym with acrimonious divorces and seems to become an increasing and concerning problem. Angry parents, through the power of manipulation and control, turn their child/ren against their other parent in a manner that it looks like it is the child/ren’s choice to cut all ties with that one parent. It is particularly destructive to the child/ren who are acting under total trust of the toxic parent and when, eventually, mature enough to start questioning why they are disconnected from that one parent, they will read into the manipulations of the “loved” parent at a cost of now possibly damaging that relationship too. There is no denying that some separations are particularly hurtful and hard to overcome, but nothing, apart for the obvious sexual abuse or criminal behaviour by a parent, accounts for a parent to set the children up as a means to gratify their hurt and anger. Some call it a criminal act, others children abuse and others a mental disorder. Regardless of the label it holds, the bottom line is, it is seriously hurting children and robbing them of a childhood in which they should have enjoyed a relationship with both their parents. The law seems to be powerless against this situation or ill manages it, which further tears down any chances for that family to heal. There is unfortunately presently no clear solution or remedy, but what is evident is that separating parents who find themselves overwhelmed with negative feelings need to prioritise their emotional state with the wellbeing of their children in mind. People overwhelmed by their feelings, who are left unsupported or ill-advised in this life changing transition will struggle to move forward and resort to hurtful behaviour. In some countries, like the USA, divorcing parents are mandated to take a parenting class prior to their divorce and have to Mediate before they choose to Litigate. It may not be the solution for all, as Parental Alienation is still thrive in the USA too, despite these measures, but understanding that this is, first and foremost, an emotional process which needs to be given necessary attention before the legal divorce is tackled. Also, the targeted parent needs to take responsibility for their role in the conflict and how they are feeding it. When at a loss it is understandable that being the recipient of such vile anger will trigger an equal aggressive reaction, but if anything needs to be learned from this cycle of conflict, is that no conflict ever get resolved by throwing more fuel onto the fire. Understanding the level and origin of anger of your ex is important to tone down the conflict and offer an alternative to save the children from a childhood which will permanently wound them.

Julie Kay Belly Way

Back and Pelvic Pathology in Pregnancy – the Need for Support

Back pain is a common ailment during pregnancy. As many as 50 to 90% of women suffer some form of back or pelvic girdle pathology or ailment because of pregnancy. Pelvic girdle pain (PGP) is defined as pain or discomfort experienced in the lumbar spine, abdomen, pelvis and thigh areas. PGP is highly common in pregnancy and includes sciatica, pubic symphysis pain and round and broad ligament pain. If back and pelvic injury or pain is not managed correctly and addressed during pregnancy it can persist long after birth and has the potential to carry on throughout life.  Often the symptoms progress and lead to structural and biomechanics changes in the spine and pelvic regions. The causes of perinatal back pain include weight gain, balance and postural changes, hormonal joint and ligament effects, weakened abdominal muscles and pre-existing spinal pathology. The increasing weight of the pelvic and abdominal areas places a large force on the spinal, sacral, pelvic and lower limb joints. This weight distribution shift-causes a change in the body’s centre of gravity and these joints need to compensate to achieve postural steadiness. The load placed on the spinal joints, muscles and ligaments can be damaging and pain and pathology may develop where it never did before. This force also exacerbates any existing pathology or previous injury sustained by the spine. Weight gain during pregnancy also negatively affects the optimum functioning of these joints placing them under further strain. During pregnancy balance is affected. The body’s centre of gravity is shifted due to the forward pull of the increasingly heavy abdomen. Adjustment of posture and limb orientation is needed to accommodate the changing weight distribution to achieve effective balance. The postural changes required to maintain balance can lead to a varied number of spinal ailments as the upper back tends to become rounded, the chin pokes forward and the lower back extends, pushing the abdomen out even further. Poor posture then weakens the muscles of the upper back and possibly causing thoracic, neck and shoulder pain, as well as headaches. The lower back may suffer the same result with pain in the lumbar, sacral and pelvic region, sciatica and neural and muscular strain. Weight gain, posture and balance changes can also lead to falling and mechanical injury to the spine. The pregnant body secretes hormones which prepare the body for the growing foetus as well as the impending delivery. Relaxin is a hormone secreted that softens the ligaments, tendons, cartilage, muscles and joints in the body which allow for the stretching of the pelvic joints and hips during delivery. Relaxin also relaxes the smooth muscle in the uterus to allow for growth and expansion. In turn it influences the entire body causing cartilage and ligaments to soften, muscles to relax and joints therefore become more prone to injury and pain. Joints in the spine and pelvis become increasingly vulnerable to injury and pain as their stability is further compromised due to this effect of relaxin. The hormonal effects of relaxin as well the weight of the abdominal and pelvic contents can lead to varied degrees of incontinence, constipation and haemorrhoids. Due to the expanding uterus and the growth of the abdominal and pelvic areas weakening of the abdominal muscles tends to occur as they need to stretch to accommodate this growth. The core abdominal muscles, which are responsible for support, strength and correct biomechanics are weakened too. This muscular structure becomes compromised during pregnancy which in turn can allow for injury and pain as their protective function has been diminished. Diastases recti, where the abdominal muscles separate from each other, may occur in severe conditions. Sciatica, pubic symphysis pain and diastase’s, facet joint pathology, sacroiliac joint dysfunction, muscular spasm, spinal disc and neural irritation are a few manifestations due to the above-mentioned factors. These need to be effectively managed to reduce discomfort during and after pregnancy as well as any long-term negative spinal and pelvic effects after birth. Treatment options include correcting poor biomechanics, exercise, muscle strengthening and release, joint mobilisations and infiltrations, postural adjustment, pain management modalities and support bracing. The goal is to provide support and structure to this vulnerable area, to reduce discomfort, pain and pathology and promote a healthy back in later life. The BellyUp maternity support brace is designed to alleviate the majority of the above-mentioned symptoms by providing support of the heavy abdomen, back and pelvis. The female body undergoes a vast amount of physical change during pregnancy and the back and pelvic areas are often left in a destabilised state due to the preparation for birth. Bracing allows for increased stability, support and function during a time when the female body requires it the most. Bracing with a product like the BellyUp will minimise injury and pathology caused by pregnancy, which in turn will reduce back and pelvic symptoms experienced by women later in life. Julie Klinkert (BSc Physio (WITS))

Meg Faure

Sensory Defensiveness

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

Toptots Head Office

How to encourage crawling

Crawling is an important milestone in your child’s development. Here are some suggestions to help encourage your child to start crawling when you can see he is eager to start getting moving. Don’t put any pressure on your child, he will get there when he is ready, but use these activities as a fun way of stimulating his movement systems and getting him prepared for crawling. Try and make sure that he gets lots of tummy time so that he can develop strong back and neck muscles which are essential for crawling. Try to make it fun by lying on your tummy in front of him and pulling faces at him/ singing to him/ moving his favourite car around in front of him etc.  When he is in sitting, place his toys slightly out of his reach so that he has to stretch to reach them. This will exercise his trunk muscles and develop his balance, both of which are necessary for crawling. Place him in a kneeling position on the floor i.e. on his hands and knees. Kneel over him and use your hands to rock his body gently backwards and forwards. This will help stimulate his balance reactions in the kneeling position. Put him on an old towel/ sheet/ blanket lying on his tummy. Take him for a ride around the lounge by pulling the towel/ sheet/ blanket slowly around on the floor. You can also try this in sitting, but go very slowly so that he doesn’t fall backwards and hit his head. This will activate his vestibular system which is the movement system of the body and may increase his desire to move and will also stimulate the balance centres of the brain. Give him some movement stimulation every day (through stimulating his vestibular system) by doing things like throwing him (gently) up in the air; twirling him around; bouncing him on your lap; holding him under his tummy and “flying” him around the room etc.  You can also give him a nice massage after his bath each night to increase his body awareness.

Jenna Richards

Tackling Engorgement While Breastfeeding

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

Aupair Exclusive

What To Expect When Expecting Multiples

Taking care of yourself during a multiple pregnancy starts with eating well – except that little research has been done on what that means for a mother carrying multiples. In the absence of any real science, it’s probably best to aim for healthy, balanced meals. You will need to drink plenty of fluid, ideally eight large glasses of water a day as a minimum. It’s worth bearing in mind that sugary snacks can give you highs and lows which may be unpleasant. Slow-burning foods such as whole grain breads and crackers, vegetables, beans, oats, brown rice and whole grain pasta will tend to keep your blood sugar more stable and may satisfy you for longer. You will need more protein, calcium, iron, folic acid and Vitamin B12 than in a singleton pregnancy, so make sure you have a varied diet. Try to eat little and often. Fresh foods are likely to give your body more of what it needs nutritionally than foods that have been processed. Taking a pregnancy supplement is also a good idea. How big will I get? Expectant mothers vary in size as in any pregnancy, but you can certainly expect to gain more weight than women carrying a singleton. In addition to the extra baby or babies, multiples mums carry extra placentas, amniotic fluid and maternal body fluid. As the babies grow, keeping physically comfortable can be a challenge. It’s probably best not to plan a huge amount of activity for the last few weeks of pregnancy – getting in and out of cars as well as negotiating seatbelts can become difficult, and you will probably be more tired with all the extra work your body is doing. It can help to swap tips with other pregnant mums (as well as share experiences and get a little sisterly support) Boring but important, pelvic floor exercises do minimise the risk of a prolapsed uterus later in life, as well as help your pelvic floor return to normal after the babies are born. To do them, tighten the muscles around your vagina and anus (it feels like stopping the flow of urine) and count to five before relaxing the muscles. Do this ten times, repeating the whole routine five times a day. It can help if you put a discreet note somewhere you’ll see it regularly (such as inside your purse) reminding you to do a set. No one need know… Gentle exercise during pregnancy can ease tension and help your muscle tone. Don’t do anything where balance is key as your centre of gravity will be changing as your belly grows. Low-impact sports like walking and swimming suit many people. Whatever you choose, start slowly and stop if you feel any cramping, pain or shortness of breath. Try to look after your emotional wellbeing as well as physical health. The extra hormones can sometimes make you feel emotional and overwhelmed. This is normal, even though it may surprise or upset you when it happens, especially if it isn’t how you usually react. If you feel stressed or anxious, talk to a health professional or family member. Preparing for the arrival of your twins, triplets or more! The prospect of birth can be such a daunting one that many parents find it hard to think beyond that miraculous and improbable event. Try to bear in mind that once your babies are here, you will be very busy. The time before they arrive is a great opportunity to research some of the practical issues ahead of you, reading up on everything from what happens in a multiple birth to twin/triplet sleep routines. Go out to teas in your area and meet other multiple parents. There is nothing like meeting other parents who already have young twins, triplets or more for finding out what you really need to know – such as which equipment you will need extra sets of. You may even be able to pick up some useful items second-hand. SAMBA has a fantastic second hand Facebook page, Moms of Multiples Resale JHB. Attend Expectant Parents seminar hosted by SAMBA. These seminars will prepare you for the birth of your multiples and give you tips on how to breastfeed, sleep routines, a dads perspective and more. Bonding All mothers respond to their babies in different ways, whether they have one baby or four. Some are immediately besotted with them, others initially indifferent. Both of these responses are normal. Some mothers worry that they will not be able to bond with more than one baby at a time – or that they will have a favourite. And some babies appear more loveable than others. However you feel at the beginning, your babies will grow on you. Try to make time to cuddle and get to know each of them individually. Bonding with higher multiples can be especially difficult as you have proportionately less time with each baby. Try roping in some help. Even if it is only once a week, ask a trusted family member or friend to take one or more babies out for a stroll in the pram while you have some special time with just one. Switch babies each time so they all get a turn. If you are separated from one or more babies – for example, if they are in neonatal care – you may find it hard to believe that the babies are really yours. This can make you feel a little detached, but try not to worry. When you start to look after the babies yourself it will begin to feel real. In the meantime, display photographs of the babies in your home and show photographs to friends. Common Symptoms Your body will go on an incredible journey as you nurture the babies developing in your uterus to the point where they can exist outside. Inevitably, there are aches, pains and discomforts along the way because of the sheer scale of the task you are accomplishing. If any symptoms worry you, talk

Junior Colleges

Is your child a bully?

Causes and possible solutions! As a parent, it is devastating news to learn from the schoolteacher or principal that your child is a bully. Thinking that your child could harm others is a painful thought. Children’s friendship skills are essential indicators of your child’s general mental health level. If your child participates in verbal or physical bullying, it could signify severe distress. Your child might be experiencing depression or anxiety and is struggling to regulate his emotions and behaviour.  Time to highlight a few examples of why a child may act unfriendly towards other children: He wants to fit in with the group that bullies a particular individual in the classroom. He is often bullied at home or school and tries to regain a sense of power by acting aggressively towards others. He wants to seek the attention of his class peers, teachers, or parents and feels he cannot get it any other way. He tends to be more assertive and impulsive than others. He is inclined to view the behaviour of others as hostile, even when it is not. He does not fully understand how his behaviour makes the other children feel (this is especially applicable to young children). Let’s have a look at valuable tips you can do as a parent to ensure your child harbors respectful relationships with others: Communicate  Be open and listen to what others have to say about your child’s behaviour and your own.  Set the example at home Parents must realise that their behaviour could influence their children, including how they speak to their children and spouses, and how they deal with anger and other challenging emotions. So make sure your homelife reflects the behaviour you would like your children to adopt. Put meaningful consequences in place. Punishment is only effective when it is meaningful and restricted. A privilege that is withheld for too long, for example, when you take away your child’s phone for cyber-bullying, loses its validity. Instill positive reinforcement and not negative reinforcement. Once your child has regained his privileges, you should explain the situation to him and allow for him to apologise. Monitor the situation Those surrounding him should always be on the lookout for problematic behaviour and praise him when he shows kindness towards others. Stay connected You should keep an open communication channel with your child, talk to him daily, and ask open-ended questions. Communication will place you in a better position to recognise signs of bullying. Children who share their news with their parents willingly feel comfortable speaking to them, which is an accomplishment. Therefore, you need to stay connected with your child in a supportive, non-judgmental manner. Connection is key to reducing aggressive behaviour in your child. However, if you are continuously working on your child’s friendship skills but the bullying continues, you should seek help. Your child might need a therapist’s help to work through underlying problems. 

CRYOSAVE

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

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

Good Night Baby

WHERE SHOULD YOUR BABY SLEEP?

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

Cartoonito

MUSH, MUSH AND THE MUSHABLES ‘M’ is for ‘Mushable’!

Growing up in a tiny village in the middle of a peaceful forest, Mush-Mush, Lilit and Chep explore and discover just how fun – and wild – life can be. Surrounded by a caring community of Mushables of all sizes, colours and ages, they get to know themselves better, learn to master their gifts and understand how to overcome their fears. Mush-Mush and the Mushables is a fun journey of self-discovery, exciting outdoor adventure and mush, mush more! In the first episode, the Mushlers lead Sushi-Mushi to believe that Pickled Swampost is Mushpot’s favourite dish – when he actually can’t stand it – and they must try to stop Sushi-Mushi from serving it to him!  Premiere: Monday, 11 March @ 16:20 CAT ⏰ Tune in: Mondays – Fridays @ 16:20 CAT Also available on DStv Catch Up

Bill Corbett

Do Your Kids Know How to Express Love and Compassion

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

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