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THE LATEST NEWS TO HELP YOU with your journey

The Importance of Breastfeeding and How to Prepare

Breastfeeding offers significant health benefits for both mother and child. It provides essential nutrients and antibodies that boost the baby’s immune system and reduce the risk of infections. For mothers, breastfeeding promotes faster postpartum recovery, reduces the risk of certain cancers, and strengthens the bond with their newborn. However, despite these advantages, many new mothers find breastfeeding challenging due to factors such as latch difficulties, inadequate milk supply, or discomfort. Seeking support from lactation consultants, joining breastfeeding support groups, and receiving encouragement from healthcare providers can greatly enhance the breastfeeding experience and overcome these challenges effectively. Preparing for Breastfeeding To prepare for breastfeeding, women should: Attend a Breastfeeding Class: Seek out classes conducted by certified lactation experts to gain knowledge and confidence. Create a Breastfeeding Plan: Include steps to take immediately after birth, sources of support, and strategies for special needs situations. Benefits of Breastfeeding Breastfeeding protects babies from major illnesses such as diarrhoea and pneumonia, common causes of infant mortality in South Africa. It also promotes better development and educational outcomes. For mothers, breastfeeding aids in uterine contraction and reduces postpartum blood loss. Common Breastfeeding Challenges New mothers may encounter various breastfeeding challenges, including: Structural Issues: Tongue or lip problems in the baby. Sore Nipples: Extreme nipple pain is not normal and should be addressed. Latching Difficulties: Immediate action and expert advice are crucial for correcting latching issues. Low Milk Supply: Support and guidance from a lactation specialist can help increase milk production. Addressing Breastfeeding Problems For latching problems, it’s essential to identify and resolve issues promptly. Mothers should understand that while some nipple tenderness is normal, persistent pain is not. Skin-to-skin contact immediately after birth is critical, as separation can cause anxiety in babies. Involving Dads in Breastfeeding Fathers can support breastfeeding by attending classes and assisting with baby care tasks such as tummy time, burping, diaper changes, and helping the mother relax with small gestures like making tea or running a bath. Respecting Individual Choices While breastfeeding has many health benefits, it’s important to recognise that feeding choices vary. Some mothers may choose not to breastfeed for various reasons, and they should not feel ashamed or guilty. The priority is a feeding plan that works best for both mother and baby. Tips for Continuing Breastfeeding After Returning to Work Returning to work can disrupt a breastfeeding routine. Here are some tips for a smooth transition: Delay Pumping: Avoid pumping breast milk before the first six weeks, as this time is needed for your body to regulate milk production. Calculate Milk Needs: Most women produce about 900ml of breast milk daily. Determine your baby’s feeding frequency and calculate the amount of milk to pump accordingly. Introduce Bottles Later: Introduce bottles a couple of weeks before returning to work. Coordinate with Employer: Discuss your need to pump at work to manage full breasts. Understand Milk Storage: Be aware that while frozen milk loses some protective properties, it remains preferable to formula. Breastfeed on Demand: Nurse on demand during weekends and plan for increased nighttime nursing. By preparing ahead and addressing potential challenges, mothers can have a more positive and successful breastfeeding experience.

July 1, 2024

5 Types of Birth Defects: Causes, Symptoms and Treatment

Affinity Health, a leading provider of high-quality health coverage, explores different birth defects, their causes, symptoms, and available treatments. “Having a baby is a momentous occasion filled with hope and joy. However, for some families, this journey may come with unexpected challenges in the form of birth defects,” says Murray Hewlett, CEO of Affinity Health. “Birth defects affect about 3-6% of newborns globally. This translates to millions of babies born each year with congenital anomalies. As we observe World Birth Defects Day on 3 March, raising awareness about birth defects is important. It’s important to remember that every baby is unique, and even if a birth defect is present, with proper care and support, many children can lead happy and fulfilling lives.” What Are Birth Defects? Birth defects are structural or functional abnormalities present at birth that can affect a baby’s overall health, development, or physical appearance. These conditions may range from mild to severe and involve various body parts, including the heart, brain, spine, limbs, or internal organs. While some birth defects may be detected during pregnancy through prenatal screening tests, others may only become apparent after birth. Understanding the Causes While the exact cause of many birth defects remains unknown, some common factors may increase the risk: Genetic Factors: Certain genetic mutations or hereditary disorders passed down from parents may raise the risk of birth abnormalities. These may include chromosomal anomalies like Down syndrome or single-gene illnesses like cystic fibrosis. Environmental Exposures: Exposure to harmful substances during pregnancy, such as drugs, alcohol, tobacco smoke, pesticides, or certain medications, can increase the risk of birth defects. Expectant mothers should avoid these substances and maintain a healthy lifestyle during pregnancy. Maternal Health Conditions: Maternal health conditions like diabetes, obesity, or infections during pregnancy can also contribute to the development of birth defects. Proper management of these conditions and prenatal care can help reduce the risk. Nutritional Factors: Inadequate intake of essential nutrients like folic acid during pregnancy has been linked to an increased risk of neural tube defects, such as spina bifida. Taking prenatal vitamins and following a balanced diet can help prevent deficiencies. Advanced Maternal Age: Women who conceive at an older age may have a higher risk of having a baby with certain birth defects, such as Down syndrome. Prenatal screening tests can help assess the risk and provide information for informed decision-making. 5 Types of Birth Defects #1 Heart Defects Some babies are born with congenital heart defects that affect the structure of the heart and its ability to pump blood effectively. Symptoms can range from moderate to life-threatening. Medication, surgery, and other procedures to enhance heart function are all possible treatment options. #2 Neural Tube Defects Sometimes, when a baby’s brain and spinal cord are forming in the early days of pregnancy, they don’t close up like they should. This can cause conditions like spina bifida or anencephaly. Babies with these problems might have trouble moving, learning, or growing like other children. Finding these issues earlier is essential so doctors can help manage them. #3 Cleft Lip and Palate Cleft lip and palate are common birth defects when a baby’s lip or the roof of their mouth doesn’t close up. This can leave a space called a cleft, which might make it hard for the baby to eat or talk. Doctors can rectify the lip and palate with surgery. Sometimes, children might need extra help with speech therapy or dental care. #4 Down Syndrome Down syndrome is a condition that some babies are born with because they have an extra chromosome. This can cause them to look a bit different and learn things a little differently. Children with Down syndrome might need extra support with things like school and healthcare, but with early help, they can do lots of amazing things and reach their full potential. #5 Clubfoot Clubfoot is a congenital condition in which one or both feet are twisted out of shape or position. It can affect mobility and may require treatment with braces, casting, or surgery to correct the alignment of the foot. With early intervention, most children with clubfoot can achieve normal function and mobility. Seeking Support and Treatment If you suspect that your baby may have a birth defect, it’s crucial to seek medical evaluation and support as soon as possible. Your healthcare provider can conduct diagnostic tests, such as ultrasounds, genetic screenings, or imaging studies, to assess the nature and severity of the defect. Early intervention services, including medical treatments, therapies, and support programmes, can help manage symptoms and improve outcomes.

June 20, 2024

Tips to help your baby to sleep

Sleep deprivation is a common phenomenon in parents with newborns. Sleep is the one factor that keeps you sane, alert and calm throughout the day. Lack of sleep has a negative influence on your physical, emotional, and social well-being. Fatigued babies are also affected in the same way and are often too tired to learn the necessary positive coping mechanisms needed to deal with stress. Understanding the Fourth Trimester: The fourth trimester is the 12-week period immediately after you have had your baby. The human new-born is very immature when compared to any other new-born in the animal kingdom. It is a time of great physical and emotional change as your baby adjusts to being outside the womb, and you adjust to your new life as a parent. New-borns only truly “become babies” after about 3 months. It is thus very important, during the fourth trimester, to help babies make a gentle adjustment to their new world outside the womb. The sleep environment for your new-born baby should mimic the womb environment. In other words, your environment for your new born should promote a sense of calmness, quiet, and can also mimic the rhythmic movement of the foetus in utero without too many bright lights and distractions. This can make a huge difference to how the baby sleeps, feels, and reacts to everyday events and stimuli. The nurtureOne™ nesting cushion was designed and developed to meet these needs. The nurtureOne™ nesting cushion assists with a snug position for sleeping (like the experience they have in utero) which also encourages calm and relaxation. The following tips may be useful to help your baby sleep well: Sleep Cycles: Understanding your new born sleep cycle can assist you in having a clearer appreciation of their behaviour. During the light sleep cycle, your baby will tend to wake easily from noise, while during the deep sleep cycle they will sleep heavily. Be aware of babies’ sleep cycles; 45-50 minutes from drowsy to light and into deep sleep. The period of deep sleep is vital for the recuperation of their bodies and their growth and development. By providing the necessary boundaries like the nurtureOne™ nesting cushion does, this can keep your baby contained and secure, and therefore optimise their sleep cycles and help link the cycles during night time. Boundaries: Creating boundaries for your new-born gives them a sense of security similar to the womb environment. The nurtureOne™ nesting cushion creates such boundaries (mimicking the fourth trimester). Swaddling can also meet these needs. However, muscle development occurs through movement and so it is recommended to swaddle with this in mind. Some babies prefer not to be swaddled while others want to be. If your baby needs to be swaddled, swaddle them in a stretchy cotton blanket before you put them down to sleep. This will keep them snug and contained and prevent them from waking due to their body’s own jerking movements when falling into the deep sleep cycle. When swaddling, consider bringing your baby’s hands together ensuring they can self-soothe by sucking on their fingers (this is also the beginning of eye-hand coordination). If your baby does not want to be swaddled (as not all babies do), then a weighted soother will assist. nurtureOne™ has a hypo-allergic, odourless weighted soother which will encourage your baby to settle and drift off to sleep. Consistency: Keep your baby’s sleep environment or space consistent. In this regard, the nurtureOne™ nest can become the most conducive tool. The cushion stays consistent, whether they are at a day-care facility or at home, or anywhere on an outing. Self-Regulation: Encourage self-regulating sleep by offering a sleep soother. This will limit separation anxiety from the mother or primary caregiver, which occurs usually between 4 and 6 months. The sleep soother in turn encourages independent sleep whether co-sleeping or sleeping in their crib. Examples of sleep soothers include a dummy/pacifier, blanket, or even a nurtureOne™ nesting cushion as it becomes part of the sleep routine. If your baby needs more assistance with self-regulation and calming, then a nurtureOne™ weighted soother can be beneficial. Feeding & Sleep Preparation: Make sure your baby is not hungry before they go to sleep. Also, ensure that their nappy does not need changing. In other words, ensure their basic needs are met. It is recommended that the environment where your baby sleeps is dark (use block-out curtains). Keep any other form of stimulation away from your baby’s sleep environment (such as a mobile over the sleeping area – rather have this over the changing table). Ensure that your baby is not too hot or too cold. Bath and Massage: At night, bath your baby close to bedtime and massage their whole body with soothing baby oil. The heat of the bath and the deep pressure of the massage have a calming effect on babies and make them drowsy, which will help them to fall asleep quicker. Movement: During your baby’s wake cycles make sure that they get enough movement. Activities like going for a walk in the pram or in a kangaroo pouch or sling, and communicating with them while in the upright position. Remember to support your baby’s head if it still appears slightly floppy. Holding your baby while humming softly and rocking them rhythmically will encourage sleep (mimicking the fourth trimester). If you are putting your baby down, remember to put their bottom down first, then their head, otherwise they may wake from an innate reflex. This is part of the calming reflex and mimics the movement your baby experienced in utero. Try the above while using the nurtureOne™ nest – put your baby to sleep in the nest and then put them down when asleep, bottom first. All transfers to the crib or bed become easier as your baby remains asleep in the nurtureOne™ nest while transferring them! Sleep Routine: Try to establish a sleep routine for your baby from early on. This will prevent an overload of stimulation which can affect your baby’s sleep. Introducing a sleep association such as the nurtureOne™ nesting cushion assists with establishing

June 13, 2024

Babies on the Brain after SA’s Baby Boom Month

During the birthing season, South African storks are on overtime duty due to the high number of babies being born. With South Africa having a collective ‘baby brain’, Lee Hancox, Head of Channel and Segment Marketing at Sanlam, shares some of the biggest financial planning considerations to factor in pre-, during- and post pregnancy. She says, “It’s pivotal to have a holistic plan upfront that you draw up in consultation with your partner, employer, medical aid provider and financial adviser. Preparing for some of the biggest costs is a major factor in ensuring peace of mind, now and later. We outline some of the expenses to consider, but naturally, the exact amounts will vary depending on whether you’re opting for public or private services, your medical aid option, as well as the specific providers you use.” Before Conception: Medical Aid Preparation: Secure adequate medical aid coverage well in advance to account for pregnancy-related expenses. Be sure to consider potential waiting periods (medical aid and gap cover often only ‘kick in’ for pregnancy after 12 months) and coverage limitations. Allocate funds for medical consultations and prenatal supplements like folate. Everyone has a different pregnancy journey, and you may need to budget for various fertility treatment options, from ovarian stimulation medications and intrauterine insemination (up to R10 000) to in vitro fertilisation (IVF). IVF can cost anything up to R100 000 per cycle including R90 000 for the procedure and medication, with an additional R10 000 based on how many embryos you have to freeze (approximately R1 500 per straw. To be safe, budget up to R100 000 for IVF. During Pregnancy: First trimester: In the first trimester, women often underestimate the significant impact pregnancy can have on both their physical and emotional well-being. During your initial doctor’s visit, expect a series of tests to monitor your health and the baby’s growth. These tests may not be covered by medical aid and can incur substantial costs (up to R2 500 or more), encompass evaluations for blood pressure, blood glucose, German measles, and your first sonar scan. Checklist: Find a gynaecologist whom you feel comfortable with and ensure their services are competitively priced. Make sure they’re aligned with your preferred birth plan – some obstetricians are more specialised in C-sections than natural birth, for example. Antenatal consultations, depending on the provider, may range up to R2 500 for essential appointments, with intermittent ones potentially costing up to R850 – or more. Familiarise yourself with your medical aid’s maternity benefits. Begin saving for significant expenses such as prams and baby cots, which can range from R500 to R10 000 each. Consider exploring second-hand options for potential savings. The second-hand ‘mom’ marketplace is massive and worth tapping into. Your doctor may recommend starting additional supplements like omega-3, calcium, and multivitamins during this trimester. Specific pregnancy-designed products can cost up to R350 for a month’s supply. In addition, it’s crucial to conduct thorough research on maternity benefits and hospital/gynaecologist options. Some maternity wards offer hospital tours, allowing parents to assess facilities and inquire about specific policies. Questions regarding the presence of birth partners during delivery or overnight stays for assistance should be addressed. Understanding hospital rules and legal requirements, such as the necessity of a baby car seat before leaving with your newborn, is essential. Furthermore, signing up for baby programs offered by medical aids, hospitals, and stores can provide valuable resources and discounts. Additionally, it’s advisable not to stock up excessively on baby essentials before the baby arrives, considering potential sensitivities and the need for adjustments. Second Trimester: As you start hopefully getting over the morning sickness stage, use your extra energy to get your affairs in order. Review your long-term financial plans including updating your will, revisiting your estate planning and appointing a guardian, adjusting your life cover, and establishing education funds. In this trimester, you can also opt for additional test for foetal anomalies like Down’s Syndrome. These often fall outside medical aid limits and can cost up to R2 400. Checklist Chat with your HR manager to ensure you fully understand your maternity benefits. Prepare to claim for UIF. Depending on your company’s policy, you can expect to receive only a portion of your gross salary for a maximum of four months (there are agencies that can help with the admin for your UIF). Start staggering your baby purchases. Ask close ‘parent’ friends which items they found essential and try to stick to these. Third Trimester: Now’s the time to start to budget for maternity leave, living expenses, and final baby preparations, including attending antenatal classes and finalising birth plans. Checklist: Understand medical aid coverage for hospital stays and any potential out-of-pocket expenses for upgraded amenities, such as a private room. Consider attending antenatal classes to learn important information and make new ‘parent-to-be’ friends. Find a certified doula you feel comfortable with and trust, if you want a non-clinical birth companion to be by your side, during the birth and in the weeks leading up to and after it. This can cost R3 000 or more. Book your birth with your desired hospital and start filling in all the requisite paperwork. Just before birth: It’s wonderful to have a birth plan, but remember to account for curveballs, like your baby’s health and the potential need to switch to a C-section. Make sure your birth team know your desired birth plan but have budget set aside for ‘curveballs’. For example, a vaginal birth in a private hospital will cost about R20 000, while a caesarean costs R25 000 and an emergency caesarean, potentially more. This is very important when specialists charge above medical aid rates. Speak to your obstetrician and make sure you know the rates upfront, and whether he or she offers any discounts if you do not have gap cover, for example. Prepare financially for additional costs, like an extended hospital stay and extra care for your baby if he or she has jaundice, for example. Pack your baby bag and keep it simple!

June 11, 2024

How do you know if adoption is for you?

People consider adoption for a myriad of reasons, but, like with any parenting endeavour, it can feel daunting to even consider taking on the responsibility that comes with it. How do you know if adoption is the right choice for you? While many discussions around adoption focus on why someone could or should choose this route to become a parent in contrast to biological options, Beverley Beukes, who is a social worker, adoptive parent and the MD of Oasis Haven, a registered Child and Youth Care Centre in Johannesburg, says that there are other helpful self-assessments that potential adoptive parents should be doing to understand if it is the right fit for them. Emotional skills While many different types of people with diverse backgrounds and personalities have adopted successfully, there are some character traits that have strengthened their adoption experience. Beukes says that, as unexpected as it may be, having a sense of humour is one of the most valuable tools in an adoptive parent’s hands. “The ability to laugh at oneself, at the world, and at a child’s antics is a great boost in facing challenges. This doesn’t mean that all adoptive parents are great humourists, but parents who don’t take every little thing too seriously and who are able to laugh along the way find that laughter is often the best medicine and a sense of humour is a survival tool,” she explains. Linked to this is the ability to accept and express emotions. This helps parents with children who have been adopted navigate their own parenting journey in a healthy way – with all its ups and downs – and model good emotional health for their children. Part of this includes being secure in themselves. Successful adoptive parents hold a continuously firm belief that they are the right parent for their child, and they can continue investing in and committing to their child, even when there isn’t always reciprocation from them. Resilience Other resilience skills are also immensely helpful for parents who adopt, such as being able to maintain a sense of perspective so that momentary challenges don’t skew their entire perspective; being able to tolerate unknowns and changes; and flexibility. “Flexibility is an important quality. Adoptive parents must be able to make mistakes, adjustments, and allowances – this is as much an adjustment for them as it is for their child. They need to acknowledge when something isn’t working and to try a different approach,” says Simone Oketch, social worker at Oasis Haven. Being a good communicator and problem solver will go a long way to cultivate this flexibility. Parents will also need to prioritise a sense of family. “Successful adoptive parents see the family as a team that works together. When problems arise, they concentrate on the family as a unit, rather than on one specific member. They view the child in their total environment, knowing the child is influenced by many factors, including school, neighbourhood, friends, and past experiences,” explains Beukes. It may feel overwhelming to look at all of these characteristics and feel like there are areas where you don’t measure up, but remember that parenting is a journey (one that often starts even before you have a child living in your home) and everyone has the capacity to grow in all of these capabilities. Beukes and Oketch co-authored a guide called Strengthening Families in a South African Context, sponsored by Ambassadors for Good, which provides an overview of foster care, adoption and family preservation, as well as guidance for statutory and adoption social workers on supporting families. For more information, visit www.oasishaven.org.

May 31, 2024

Preventive Measures and Managing Fever and Pain in Babies

As parents, every day brings its own set of adventures, from tackling common colds to soothing post-vaccination grumbles. With the right knowledge and tools at your disposal, you can navigate pain and fever in babies with confidence. Prevention Is Better Than Cure The saying, “Prevention is better than cure” rings especially true when it comes to safeguarding our little ones from potential health risks. By proactively embracing preventive measures, we can set the foundation for a healthier future. Let’s delve into three key practices that not only act as protective shields but also promote overall wellness for our babies. Vaccination Schedules Immunity acts as the body’s shield against diseases. Since a baby’s immune system isn’t fully developed right from birth, they’re more susceptible to infections and can fall seriously ill.1aVaccines serve as trainers for this system, teaching it to fend off harmful invaders.1b By vaccinating, you’re essentially giving your baby’s natural defences a helpful boost. Hygiene Practices Maintaining a clean environment for your baby can thwart the spread of infectious agents. Regular handwashing, especially before handling your baby, is vital.2 Also, ensuring that anyone who interacts with your baby practices good hygiene can minimise the risk of infections. Safe Sleep Practices Ensuring that your baby sleeps in a safe environment can prevent many health complications. This includes placing the baby on their back to sleep,3a using a firm sleep surface like a mattress in a safety-approved crib3b, and avoiding soft bedding, toys, and crib bumpers3c. Combating Pain and Fever during Vaccinations While vaccinations are essential for preventing serious diseases, they can occasionally result in mild side effects like fever or pain at the injection site. Here’s how to manage these symptoms: Cool Compress: A cool, damp cloth can be applied to the injection site to reduce pain and swelling.4a Apply for 10 minutes, three times a day. Panado®: Always choose a pain and fever medication that is suitable for your child’s age and weight and measure the dose accurately.4b Hydration: Ensure your child drinks enough fluids to prevent dehydration.4c Clothing: Dress your baby in light clothing if they have a fever, ensuring they don’t overheat. Keep their room at a comfortable temperature.4d Fever Trends and Duration It can be worrying to see your baby spike even a mild fever. So, when is a fever a cause for concern? Temperature Reading A fever is a body temperature that is raised higher than the normal temperature of about 37° C.5a After accurately measuring your baby’s temperature with a thermometer, use the ranges below to help put your child’s level of fever into perspective: 37.8° – 39° C: Low grade fever5b 39 – 40° C: Mild fever5c Over 40° C: High fever5d Over 41.1° C: Very high fever5e Over 42.3° C: Dangerous fever5f In most cases, low grade fevers in older babies can be treated at home. However, if your baby is under three months old and has a temperature of 38° C or higher,6a or if they are between three to six months old and register a temperature of 39° C or above,6b it’s a cause for concern. It’s also alarming if the fever persists for more than five days.6c Always trust your instincts as a parent; if you feel something isn’t right or are concerned about your baby’s well-being, it’s crucial to seek medical advice. Panado®’s Paediatric Range of Products Panado® contains paracetamol, which boasts over 150 years of clinical experience.7 It’s fast-acting8 and gentle on sensitive tummies.9 Panado® paediatric range of products includes Panado® Paediatric Syrup, Strawberry,10 Panado® Paediatric Syrup, Peppermint Alcohol and Sugar-Free,11 Panado® Paediatric Syrup, Peppermint 5 ml Sachets12, Panado® Infant Drops13 and recently launched Panado® Grape flavour which is colourant-free, tartrazine-free, alcohol-free, and sugar-free.14 Parents trust15 Panado® for the power to fight their little one’s pain and provide fast16 relief when needed most. Panado® products are available at Baby City, Pick n Pay, Checkers, including Hypers, Shoprite, Clicks, Dis-Chem, and Independent Pharmacies. For more information, visit visit https://panado.co.za/ and join the conversations on Facebook. 2023083110309095 References: Centers for disease control and prevention. Making the vaccine decision: Addressing common concerns. Available from: https://www.cdc.gov/vaccines/parents/why-vaccinate/vaccine-decision.html. Last accessed August 2023. Global hygiene council. Protecting babies from infection. Available from: https://www.hygienecouncil.org/resources/protecting-babies-from-infection/. Last accessed August 2023. Centers for disease control and prevention. Helping babies sleep safely. Available from: https://www.cdc.gov/reproductivehealth/features/baby-safe-sleep/index.html. Last accessed August 2023. Immunization action coalition [Immunize.org]. After the shots…what to do if your child has discomfort. Available from: https://www.immunize.org/catg.d/p4015.pdf. Last accessed August 2023. Seattle Children’s Hospital Research Foundation. Fever (0-12 Months). Available from: https://www.seattlechildrens.org/conditions/a-z/fever-0-12-months/. Last accessed August 2023. National childbirth trust. What to do if your child has a temperature or a fever. Available from: https://www.nct.org.uk/baby-toddler/your-babys-health/common-illnesses/what-do-if-your-child-has-temperature-or-fever. Last accessed August 2023. 150 years of paracetamol. GP Pharma Update Mar/Apr 2019 Moller PL, Sindet-Pedersen S, Petersen CT, et al. Onset of acetaminophen analgesia: Comparison of oral and intravenous routes after third molar surgery. Br J Anaesth 2005;94(5):642-8. doi:10.1093/bja/aei109. Available from: https://pubmed.ncbi.nlm.nih.gov/15790675/. Last accessed August 2023. Goodman & Gilman’s.The pharmacological basis of therapeutics, 13th ed. Acetaminophen. p696 Panado® Paediatric Strawberry Syrup approved package insert, March 2002. Panado® Paediatric Syrup Alcohol and Sugar-Free professional information, May 2022. Panado® Paediatric Syrup professional information, May 2022. Panado® Infant Drops (Drops) approved professional information, August 1990. Panado ® Paediatric Alcohol Free – Grape Flavour. Approved package insert. October 2022. Circana, MT, November 2023 MAT. Wilcock A, Twycross R. Therapeutic reviews: Acetaminophen (Paracetamol). Journal of Pain and Symptom Management, 2013;46(5):747-755

May 27, 2024

Safeguarding the Future: Child Protection Week and Your Child’s Future Health

Every year, Child Protection Week serves as a powerful reminder of our collective responsibility to ensure the safety and well-being of South Africa’s children. Held from the last Sunday in May to the first week of June, this national campaign raises awareness about the threats children face and empowers communities to act. This year’s theme, while yet to be announced, will undoubtedly focus on creating a nurturing environment where children can thrive. As parents, this week takes on a deeply personal meaning. We are the primary guardians of our children’s safety and well-being, not just in the present, but also for their future health. While Child Protection Week focuses on immediate threats, it is also an opportunity to consider the long-term health of our children. One way to do this is by banking their stem cells at birth with a reputable cord blood bank like CryoSave South Africa. Stem cells are the body’s master cells, holding the remarkable potential to develop into a variety of specialized cell types. These cells have the power to revolutionize medicine, offering potential treatments for a wide range of diseases including leukemia, lymphoma, genetic disorders, and even some autoimmune diseases. While medical advancements are ongoing, the umbilical cord blood and tissue collected at birth are a rich source of stem cells. By storing these stem cells with a cord blood bank, parents are making a proactive investment in their child’s future health. CryoSave South Africa, a leading cord blood bank in South Africa, provides a safe and secure option for this vital biobanking. Here’s how CryoSave South Africa aligns with the spirit of Child Protection Week: Investing in the Future: Just as Child Protection Week advocates for safeguarding children’s futures, storing stem cells offers a potential health shield for your child. These stem cells may be a valuable resource for future medical treatments, offering hope for a healthier tomorrow. Building a Legacy of Care: The decision to bank cord blood is a testament to a parent’s commitment to their child’s well-being. It is adynamic step that demonstrates a willingness to explore all avenues to ensure a healthier future for their offspring. Promoting Family Health: Stem cells from a sibling can also be a potential match for a child needing a transplant. Storing cord blood with CryoSave South Africa can benefit not only the child whose stem cells are banked, but also their siblings. During childbirth, the umbilical cord and placenta are rich sources of stem cells. These stem cells have the potential to develop into various cell types, offering possibilities for future regenerative medicine. CryoSave South Africa utilizes a state-of-the-art processing and cryopreservation technique to safely store these stem cells for potential future use. While Child Protection Week focuses on immediate dangers, it also serves as a springboard for conversations about long-term well-being. CryoSave South Africa offers expecting parents comprehensive information sessions and consultations to guide them through the decision-making process. Understanding the potential benefits and limitations of cord blood banking allows parents to make an informed choice for their child’s future health. Child Protection Week is a crucial reminder of our collective responsibility to safeguard South Africa’s children. As parents, this extends beyond immediate threats to encompass their long-term health. By exploring options like cord blood banking with CryoSave South Africa, we can invest in a future filled with hope and the potential for a healthier life for our children. Remember, while Child Protection Week focuses on present dangers, CryoSave offers a chance to protect your child’s health far into the future. Visit CryoSave for more information on stem cell banking: https://cryosave.co.za/

May 21, 2024

Pippie Kruger: A Courageous Stem Cell Success Story

Isabella “Pippie” Kruger was made famous when, as a 2 and a half-year-old burn victim from Limpopo, she received a revolutionary skin transplant operation. Pippie was severely burned when a bottle of gel firelighter exploded while her father was lighting a braai on New Year’s Eve. She suffered 80% full thickness third-degree burns. She was given a 3% chance of survival by her doctors. The skin graft was grown from her own cells in a laboratory in the United States, because the technology was not available in South Africa. It was the first time the procedure was performed in Africa. However, 5 heart attacks, 5 strokes, kidney failure, lung collapses, sepsis and almost 60 operations later, she survived. The medical director, Dr Barrett at Genzyme-Sanofi, a pharmaceutical company owns the rights to the technology known as Epicel. Epicel produces skin for people with extensive burn wounds by extracting stem cells from small patches of patients’ healthy skin. They are placed on a layer of inactive mice cells and fed with special proteins that allow them to grow into thin layers of skin that can cover burns. Epicel is indicated for adult and pediatric patients who have deep dermal or full-thickness burns comprising a total body surface area greater than or equal to 30%. The skin was cultured in America and sent to Johannesburg on a 21-hour flight and working with plastic surgeon Ridwan Mia to ensure that it was transplanted to Pippie within three hours of arriving in South Africa. The Epicel procedure is a costly procedure and luckily the Kruger family managed to raise more than R700 000 for the Epicel procedure through a trust fund that was started by a friend. With the help of Facebook and almost 10 000 followers, this was accomplished. Pippie’s story has been told in 71 newspapers across the world and by many global radio and television stations. Pippie, now 15, is no stranger to the operating table. Since the disastrous burns accident she suffered as toddler, the young girl has been through a gamut of surgeries, and recently she had her 62nd operation. Link to article: https://cryosave.co.za/2022/05/06/pippie-kruger-a-courageous-stem-cell-success-story/

May 17, 2024

SURVIVING BABY’S FIRST COLD AND FLU SEASON – A Parent’s Guide

Ah, the joys of welcoming a new bundle of joy into your life! As any seasoned parent will tell you, along with the adorable coos and cuddles come some not-so-adorable worries, especially when you’re gearing up for your baby’s first cold and flu season. While we can’t put your little one in a bubble (though, honestly, who wouldn’t want to?), we can arm you with some tips and tricks to help you both survive and thrive during those chilly months. So, let’s dive into this survival guide for Baby’s First Cold and Flu Season! Understanding the Risks First, let’s talk about why your baby is more susceptible to germs. Newborns, especially those under six months, come into this world with an immune system that’s still learning the ropes. That makes them prime targets for those pesky cold and flu bugs. But don’t worry; we’ve got your back! Symptoms in Babies Your baby won’t be able to tell you they’re feeling under the weather, so, you’ll have to rely on other signs like a fever, runny or stuffy nose, sneezing, coughing, congestion, crankiness, and changes in their eating habits or sleep schedule.1a While most baby colds and flu cases are like a minor speed bump (colds typically only last seven to 10 days),1b some viruses can turn into the Grand Canyon of problems, escalating into more serious illnesses.1c The key is to keep a watchful eye and act fast if things start to get dicey. Preventative Measures Now that you’re up to speed on the symptoms, let’s move on to how you can play superhero in your baby’s defence against germs. Vaccinations: Superheroes need their trusty sidekicks, and for your baby, that means vaccinations. Keep your baby up-to-date with those recommended shots to reduce the risk of nasty viruses.2a Limit Exposure: Keep your baby away from germs as much as possible – and that means avoiding people who are sick. If friends or family are feeling a bit off, kindly ask them to postpone their visit until they’re feeling better.2b Hand Hygiene: The power of clean hands is immense! Make sure everyone in your household practices good hand hygiene, especially before handling your little one, preparing their meals or feeding them.2c Regular Cleaning: It’s time to clean house! Disinfect touched surfaces like doorknobs, light switches, and baby’s toys. Opt for baby-friendly, non-toxic cleaning products – no toxic chemicals allowed in this hero’s headquarters!2d Breastfeeding: If you can swing it, breastfeeding is like giving your baby a superhero cape. Breast milk is packed with antibodies that can help your baby ward off infections.3 If you’re on Team Formula, make sure you’re sterilising those bottles and gear properly. Always follow the manufacturer’s instructions for formula preparation and storage. Baby’s Sleeping Position: This one’s non-negotiable, folks. Always put your baby to sleep on their back – and this applies to both day napping and night-time sleeping.4a Lots of research from all over the world shows that putting your baby to sleep on their back at the beginning of each nap or bedtime, day or night, really cuts down the risk of sudden infant death syndrome (SIDS).4b Consider having a crib or bassinet in your room for the first few months so that you can keep an eye on your little bundle of joy. Avoid Smoking: Smoking is a big villain in this story. Inhaling second-hand and third-hand smoke poses serious risks, particularly for babies. Passive exposure to smoke significantly heightens the chances of tots facing respiratory infections and other nasties. It can mess with their breathing, heart rate, and growth, making them more susceptible to sudden unexpected death in infancy (SUDI).5a Babies exposed to second-hand smoke are more likely to have a laundry list of health issues, including asthma, bronchiolitis, bronchitis, childhood cancers (yikes!), croup, ear infections, meningococcal disease (think meningitis and septicaemia), pneumonia and tonsillitis.5b Plus, those chemicals from second-hand and third-hand smoke can mess with a child’s developing brain, and trust us, baby brains are like sponges!5c Kids who already have lung or health problems are at an even higher risk from this smoke shindig.5d Oh, and one last thing – if babies live in a smoking household, their chances of picking up the smoking habit as teens double.5e That’s not cool because it can mess with their adult health too. So, keep the lair smoke-free! How Panado® – The Ultimate Chill-Beating Pain Fighter – Can Help Panado® is trusted6 by South African families to offer relief of pain and fever associated with headaches, toothache and colds and flu. The range for adults is conveniently available in tablet, capsule or effervescent form to suit individual preferences. The effervescent format is innovative and ready to work immediately.6 & 7 For kids and babies, parents trust8 Panado® to be gentle on little tummies9 but tough on pain and fever this, winter. The paediatric range includes peppermint flavoured syrup in convenient 5 ml sachets, strawberry flavoured syrup, peppermint flavoured alcohol and sugar-free syrup, recently launched grape flavoured colourant-free, tartrazine-free, alcohol-free, and sugar-free syrup and peppermint flavoured infant drops with a dosage dropper. Always administer using a medicine measure or a syringe. Do not exceed the recommended dose. Dosage details can be found at https://panado.co.za/dosage-calculator/ and are calculated according to your child’s age and weight. Final Words While it might feel like you’re fighting an epic battle, remember that you’ve got the tools and knowledge to be the superhero your baby needs. Every baby is unique, and your parental instincts are your trusty sidekick. If you ever feel uncertain or worried about your baby’s health, don’t hesitate to seek guidance from your paediatrician. With a healthy, hygienic environment, a little immune system boost, some good old-fashioned parenting love and the power of Panado®, you’ll sail through your baby’s first winter season with flying colours. Stay strong, superhero parents! Embrace the Winter Warrior within with the Adcock Ingram Range, featuring Panado®, Cepacol®, Compral®, and ViralGuard™, available from Pick n Pay, Checkers including Hypers, Shoprite, Clicks,

May 2, 2024

Sleepless Nights: Understanding and Addressing Pain and Fever in Children

There’s no “right” moment for pain and fever to strike. Yet, when they jolt your child awake in the wee hours, the challenge often feels magnified. Understanding the symptoms of pain and fever and knowing how to address them can make the experience less daunting for everyone involved. Why Do Children Experience Fever? Fever in children is defined as a temperature of 37.8°C or higher.1a It’s essential to understand that a fever is not an illness. Instead, it’s like the body’s alarm system, indicating that it’s actively confronting an illness or infection.1b This natural response serves a crucial purpose; it kickstarts the immune system, mobilising it to fend off invaders. In essence, when the body’s temperature rises, it’s creating an environment that’s less hospitable to germs.1c However, as beneficial as this might be internally, it’s not always a comfortable experience for our young ones. The elevated temperatures can lead to feelings of unease, discomfort, and restlessness, which can be concerning for parents and caregivers.1d Why Do Children Experience Pain? Pain in children can stem from multiple causes. Some of the straightforward causes include the usual bumps and scrapes that come with active play2a or the common headaches that might stem from a long day2b. There are also those tummy troubles which can range from a simple upset stomach to more severe aches2c. Various infectious illnesses can also be culprits, such as ear infections, strep throat, pesky stomach bugs, skin infections, and even pneumonia2d. Don’t forget the short-lived but often sharp pain that accompanies immunisations2e, and for our littlest ones, the discomfort of teething 2f. How Pain and Fever Can Impact Your Child’s Sleep We all know that a child’s sleep is crucial for their physical growth, mental development, and overall well-being.3 However, when they’re unwell, their sleep can get disrupted. The goal is about reducing your kiddo’s distress and increasing their comfort so they can get a better night’s sleep. How to Help Your Child If pain or fever is bothering your child, it’s crucial to address it promptly and appropriately. Here are a few ways to provide relief: Fluids: Keep the juice and water coming! A fever can lead to dehydration, so make sure they’re drinking often and staying hydrated.4a Bathing: A tepid bath can do wonders to cool a feverish child down. Just remember, cold water or rubbing alcohol are no-nos. They can be harmful!4b Dress Code: Think summer vibes. Toss out the heavy PJs and let them wear something breezy and light.4c Snuggle Essentials: If they’re feeling a bit chilly, drape them with a light sheet. It’s all about keeping them cozy!4d The Power of Panado®: Always choose a pain and fever medication that is suitable for your child’s age and weight and measure the dose accurately: Always check the label or call your paediatrician for the correct dosage for your child.4e Dosage details for the Panado® range of products can be found at https://panado.co.za/dosage-calculator/ and are calculated according to your child’s age and weight. A fever should naturally break on its own in one to three days, but you will want to seek out your paediatrician if your child’s fever persists.4f Turn to the Power of Panado® Paediatric Range of Products Panado® contains paracetamol, which boasts over 150 years of clinical experience.5 It’s fast-acting6 and gentle on sensitive tummies.7 Panado® paediatric range of products includes Panado® Paediatric Syrup, Strawberry,8 Panado® Paediatric Syrup, Peppermint Alcohol and Sugar-Free,9 Panado® Paediatric Syrup, Peppermint 5 ml Sachets10, Panado® Infant Drops11 and recently launched Panado® Grape flavour which colourant-free, tartrazine-free, alcohol-free, and sugar-free.13 Parents trust12 Panado® for the power to fight their little one’s pain and provide fast6 relief when needed most. Panado® products are available at Baby City, Pick n Pay, Checkers, including Hypers, Shoprite, Clicks, Dis-Chem, and Independent Pharmacies. For more information, visit visit https://panado.co.za/ and join the conversations on Facebook. 2023083110309095 References: University of Rochester Medical Center. Fever in children. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=P02512. Last accessed August 2023. UPMC Health Beat. Types of pain in children and how to treat it. Available from: https://share.upmc.com/2017/02/pain-in-children/. Last accessed August 2023. Johns Hopkins All Children’s Hospital. The importance of sleep for kids. Available from: https://www.hopkinsallchildrens.org/ACH-News/General-News/The-importance-of-sleep-for-kids. Last accessed August 2023. Children’s Health. What to do when your child has a fever. Available from: https://www.childrens.com/health-wellness/what-to-do-when-your-child-has-a-fever. Last accessed August 2023. 150 years of paracetamol. GP Pharma Update Mar/Apr 2019 Moller PL, Sindet-Pedersen S, Petersen CT, et al. Onset of acetaminophen analgesia: Comparison of oral and intravenous routes after third molar surgery. Br J Anaesth 2005;94(5):642-8. doi:10.1093/bja/aei109. Available from: https://pubmed.ncbi.nlm.nih.gov/15790675/. Last accessed August 2023. Goodman & Gilman’s.The pharmacological basis of therapeutics, 13th ed. Acetaminophen. p696 Panado® Paediatric Strawberry Syrup approved package insert, March 2002. Panado® Paediatric Syrup Alcohol and Sugar-Free professional information, May 2022. Panado® Paediatric Syrup professional information, May 2022. Panado® Infant Drops (Drops) approved professional information, August 1990. Circana, MT, October 2023 MAT. Panado ® Paediatric Alcohol Free – Grape Flavour. Approved package insert. October 2022.

April 11, 2024

Children and nutrition

Adequate baby and child nutrition is imperative in order to achieve appropriate growth & development, build defence against infections and to decrease the overall incidence of life-threatening disease in childhood. Approximate energy, protein, iron, and folate requirements during childhood Age Energy kJ/day Protein g/day Iron mg/day Folate mcg/day 0-6 months 2700 13 6 65 7-12 months 3500 14 10 80 1-3 years 5500 23 10 150 4-8 years 7000 30 10 200 9-13 years 10000 45 18 300 (Adapted from the National Academy of Sciences- USA) Baby nutrition (0-6 months) During the first 6 months of life most nutrient requirements are met by exclusive breastfeeding. Babies should thereafter be weaned onto solid foods such as vegetable feeds and cereals. It is important to view weaning as both a nutritional and developmental experience as babies explore various tastes and textures. Breastmilk is advantageous because it contains several active enzymes, hormones, and growth factors. Breastmilk also has antibacterial and antiviral properties. Research has also shown that breastfeeding can delay the onset of allergy. The Baby Friendly Hospital Initiative (BFHI) was launched in 1991 by the World Health Organization to support breastfeeding mothers. Infant and toddler nutrition (1-3 years) This age group requires a good balance between breastfeeding and complementary feeds. It is recommended to start with a few teaspoons of nutrient dense food prepared hygienically. It is important to track the weight of the child during this crucial period of weaning. Food fortification is another implementation that helps prevent iron deficiency and nutritional anaemia. Child and teenager nutrition (5-12 years) Eating habits developed during this stage of development sets the scene for the approach to food well into adulthood. Encouraging three healthy meals a day is recommended but appetite may decrease during this phase which may worry parents. However, the incidence of childhood obesity is on the rise in South Africa which can put children and teenagers at significant risk for chronic conditions such as type 2 diabetes and hypertension. Malnutrition Malnutrition may present as an abnormally high or low body mass, poor growth, failure to thrive, swelling of soft tissue (oedema) and recurrent infections due to a compromised immune system. Inappropriate intake of energy and protein may lead to malnutrition. Furthermore, certain micronutrient deficiencies may lead to unique signs & symptoms, such as Vitamin A deficiency or iron deficiency. Protein energy malnutrition (PEM) This type of malnutrition depends on how long protein and energy has been insufficient for the child. Other factors that impact the severity of PEM include age of the child and other associated vitamin, mineral and trace element deficiencies. It is vital to keep track of a child’s weight for height which can be a useful indicator of protein and energy intake. Vitamin A deficiency Vitamin A is found in milk, egg yolk, fish oils, some vegetables and fruits. The diets of children with Vitamin A deficiency are often deficient in other nutrients. A deficiency in Vitamin A can cause dry eyes, night blindness and an increase in the severity of serious infections. Research has shown that Vitamin A supplementation during complicated measles decreases the duration of complications. If Vitamin A deficiency is suspected, a dose of Vitamin A should be given immediately. Vitamin A should be made easily available for children at local clinics and hospitals. Diets rich in Vitamin A containing foods should be encouraged such as green leafy vegetables, pumpkin, squash and carrots. Vitamin B complex deficiency Vitamin B complex can protect against disease and is essential for metabolic processes. Some signs of Vitamin B complex deficiency include dermatitis, diarrhoea, dementia, mood instability and anaemia. Good food sources of B vitamins include, meat (especially liver), seafood, poultry, eggs, dairy products, legumes, leafy greens and seeds. Vitamin C deficiency Vitamin C facilitates the absorption of iron. Interestingly, cow’s milk is low in Vitamin C and breastmilk is rich in Vitamin C. Other sources of Vitamin C are citrus fruits, broccoli, berries, melons, potatoes, papaya, guava and tomatoes. Vitamin C deficiency results in poor collagen, poor wound healing, bleeding and haemorrhage. Iron deficiency This can occur commonly in especially the first year of life because milk is low in iron. Iron deficiency can lead to a poor immune system causing an increase in infections, gastrointestinal symptoms, impaired effective absorption of food and vitamins, impaired thermoregulation, fatigue, and impaired cognitive function. Zinc deficiency Zinc is a trace element which aids in metabolic processes and immunity. It also helps maintain epithelial integrity and growth. Zinc deficiency is associated with growth faltering, low birth weight babies and skin lesions. Zinc supplementation is widely available for those children who may require it. Prevention of nutritional disorders Good health education as early as during and after pregnancy, at clinics and schools is critical. The use of Road to health booklets, growth and weight charts should be easily accessible in order to prevent malnutrition. “My plate” is one tool accessible on www.myplate.gov. This resource will allow children to explore food ideas and serves as a visual reminder to make healthy food choices. Conclusion My hope is for all children to grow up healthily while cultivating a positive attitude towards food. Food is vital fuel providing energy that can allow our children to thrive if chosen appropriately and in the correct portion sizes. The caregiver is the most important individual in a child’s life. You can make it easier for your kids to choose healthy options by keeping fruits and vegetables on hand and nutrient-dense foods easily available in the home. Sit down as a family and indulge in nutritious, wholesome meals together. A balanced diet is a balanced body. Dr Candice Shah Specialist Paediatrician Netcare- N1 City Hospital, Cape Town

April 3, 2024

WHAT YOU NEED TO KNOW ABOUT BREASTFEEDING AND RETURNING TO WORK

Returning to work need not be cause for anxiety or a reason to abandon breastfeeding. Carefully managed you can make the transition seamlessly. Here are 4 tips to make breastfeeding whilst going back to work easier: Consider when you are going back to work The age of your baby when you return to work will determine the urgency with which you need to pursue getting her to take to bottles. If you know you are returning to work before your baby is 6 months old, you will need to prioritize establishing bottle-feeding. The reason is that milk is the priority food under 6 months of age and your baby will not be deriving much (if any) nutrition from solids at this stage. Expecting your baby to go all day without a feed is not realistic so you need to work on establishing the bottle – preferably with expressed breast milk If you are returning to work between 6 and 8 months, your baby should still have a mid morning and mid afternoon feed so it is preferable to have them on a bottle for these two feeds. That said, priorities are changing and you can be more flexible – not giving these feeds or using a sippy cup. If you are returning to work from 8 months on, it is not essential to get your baby onto a bottle as your little one only has the need for either a mid afternoon or mid morning milk feed (other than the waking feed and bedtime – which you will be there for anyway). So rather skip the bottle stage altogether and move towards a cup or sippy cup. Expressing successfully The best advice you will probably get if you are returning to work when your baby is young is to invest in a good quality electric breast pump. Take it with you to work. At around the time of your baby’s feed, go to a quiet space, put your feet up if you can and express. Once you have expressed, refrigerate the milk or place it in a cooler box until you get home. Understand your baby’s sensory personality Some babies alternate between bottle and breast-feeding as easily as can be. While others resist bottles and give their moms a tough time when they return to work – even going on a starvation diet for the hours when mom is at work and feeding all night. The reason babies respond differently to the transition to bottles, is related to their sensory personality. Some babies are more sensory sensitive than others and battle with change. If your baby is more sensory sensitive, she may find the novel texture of the teat and the new flavor of the milk a real problem to tolerate. Slow to warm up and sensitive babies in particular find the transition a challenge. For these babies, you do need to plan ahead and work at exposing them to bottle feeds ahead of time. It is worth determining your baby’s sensory personality as this will help you be more empathetic and plan ahead to ensure a smoother route. When your baby won’t take the bottle If your baby refuses the bottle and yet needs the feeds while you are away, you will need to keep persisting. In the month leading up to your return to work, try to get her to have 1 bottlefeed a week and closer to D-day, one feed a day from bottle until she accepts it. To do this – offer expressed breastmilk – this is best for her and is a taste she is used to, so she is more likely to take to it. Then choose a feed when she is rested and not fractious – eg mid morning feed. The ask someone else to give it to her, not you. Try a few different teats until you find one she likes. Good luck with your journey back to work. It can be tough but often the trauma is more for mom than for baby, so take heart.

March 28, 2024

Play Is Learning

I’m always touting the importance of allowing your kids time to just be – not proving their worth through academics or sports or any other activity designed to agree with our adult agendas. But have you ever noticed what it is that kids get up to when left to their own devices? That’s right, they play! And while adults have come to see play as an idle waste of time, it is in fact the most important state for true learning. You see, when they’re imagining that their bed is a pirate ship and the inside of the toilet roll is a telescope, they’re going beyond the boundaries of their current reality through imagination. And it is this exact process that we use as adults to understand the meaning of abstract concepts like language or mathematics. We need to be able to see these abstractions playing out in our minds, imagining what they symbolise; and if we’re unable to go beyond the formula on the page, we will never conceive of the truths that they represent. Also, in that state of play children are relaxed and trying out new skills, social behaviours and ideas in a safe space. The minute we come in with our rules and regulations and conditioning, we abort that safe feeling and send them into “fight or flight” mode, biologically hampering learning by sending blood away from the prefrontal cortex (or higher thinking centre) and into the hindbrain (where all our survival reflexes reside). 95% of what we remember has to do with our state and only 5% with formal learning – which is why we can remember how much we hated our 2nd grade teacher and how terrible she made us feel, but we can’t remember anything about the lessons in her class. All true learning happens in a relaxed state of play (even as adults, our ability to perform well is best done in what athletes call “the zone” or spiritual masters call “eternal presence” – the state of complete relaxation and total absorption into the activity at hand). All the highly intelligent and great contributors to our knowledge and society – the Einstein’s and Edison’s – were daydreamers as children. As Einstein himself said, “Imagination is more important than knowledge. Knowledge is limited. Imagination encircles the world.” If we, as parents and educators, can embrace play and imagination in everyday life, whether at the dinner table or in the classroom, we will allow our children to develop without limitations into the powerful beings they were meant to become.

March 28, 2024

HOW TO KEEP A RECORD OF YOUR BREASTFEEDING

Keeping a record of your breastfeeding may seem a little time consuming. Not only do you need to feed your baby, but then document the entire process as well! However, there is huge merit to the art of keeping a successful breastfeeding log book. Believe it or not, a record of your feeds holds many, helpful secrets for you. The most important one being you will be able to track your little one’s over all health progression. Within this article, we will highlight what metrics you should be keeping track of, and how they will benefit you and your baby in the long run. Read on below now and get acquainted with the art of keeping a record of your breastfeeding and unlock the secrets it holds for you today. Why You Need To Record Your Breastfeeding As a parent, any information you can keep on your child’s development is pure gold. This is where a breastfeeding log book comes in incredibly handy. Within its pages you will be able to document vital statistics of your baby’s feeding habits. These will help you recognize any problems, should they arise, as you will be familiar with your child’s eating habits. Furthermore, a breastfeeding record wont only help you, but others who may eventually become responsible for your child as well. When you eventually return to work, this log book will be able to provide either your nanny or day care centre with crucial information on your baby’s eating habits. They will know roughly when to feed your little one, how much to feed them and knowing how many times they should change your child throughout the day. Criteria To Document In Your Breastfeed Record Here are the top five criteria you should be keeping track of when you begin to record your breastfeeding patterns: #1: How Often Your Child Feeds Keeping a record of feeding frequency helps you in two areas: you will know how often your baby feeds throughout the day. You will also be able to start creating a feeding schedule off of this data. Knowing how much your baby feeds will give you a good indication as to how much milk you will need to have available. Your body is a wonderful thing. During your breastfeeding journey, it should produce the exact right amounts of milk for your little one to feed comfortably. However, keeping a breastfeeding log book will help you understand how much milk you should express and store for times you may not be around to feed your baby. **Top Tip: remember, your breast milk can be frozen without compromising its nutritional value. It can then be used at a later stage. Another wonderful thing about keeping track of feeding habits is that you will begin to be able to build a feeding schedule. You will know exactly when your little one begins to get niggly and be able to swiftly go into feeding mode! Having a schedule will also help you plan your own life. You will be able to schedule event and outings around that precious tie with your baby. As mentioned above, you will also be able to provide other care takers with useful information on when your child should be fed throughout the day. #2: How Long Your Baby Feeds For Knowing how long your little one feeds for is another snippet of useful information. It will help you establish how many minutes need to set aside per feed. You will also be able to track how many minutes is spent on either breast. Once again, this will help you establish an accurate feeding schedule. It will also help you familiarise yourself with how long you should be pumping each breast when you begin to express your milk when going back to the office. #3: When Nature Calls In your feeding log book, you should also track how many soiled nappies your baby produces throughout the day. This is incredible information to have because should your child become ill, and either produce too many or too few soiled nappies, you will be able to pick up on it immediately. Monitor both the wet nappies, as well as the dirty ones. This will allow you to keep track of your child’s digestive health on an ongoing basis. #4: The Weigh In Make a note to also keep track of your baby’s weight within your feeding records. The general rule of thumb stipulates that within the first two week’s of your baby’s life, they should be weighed every five days. Between two weeks to six months, you should weigh your baby once a month. Don’t weigh your baby at home. Rather, take him or her to your doctor and get accurate results! Keeping track of your baby’s weight gain (or loss) will allow you to monitor their growth. Should their weight fluctuate dramatically from one month to the next, you will be able to notice it instantly, and seek the correct help going forward. #5: How Do You Feel Another important metric to take note of is how you feel post feeding. Particularly, monitor how each of your breasts feel after this time. Should one feel particularly full, you will know you need to express that one after each feed. In the same right, should both still feel full, you will know to express both. By doing this, you will also be able to keep track of what feels normal and what doesn’t for you. Should your breasts begin to feel different, keep track of these changes and consult your doctor about them. How To Keep A Record Of Your Breastfeeding Cycles Documenting your breastfeeds sounds simple enough. And truth be told, it is. As such, there is no reason you should be tracking your breastfeeding cycles. You can keep track of your feeds in the following ways: Write them into a note book Make digital notes on your phone Keep a record in a feeding log book We find it

March 26, 2024

How To Handle Nap Time

If you want to easily handle nap time, there are a few easy tips to look out for with your little one. All parents struggle to find their feet with each child’s nap schedule – as no two babies are alike. However, there are a few tips to follow to help you figure out the perfect nap time pattern for your baby. Read on below now for more! Nap Time Tip #1: Look For Signs Whilst yawning is a tell-tale sign that your baby is ready for some shut eye, there are a few other great habits your little one may show to indicate their sleepiness. The top three signs that your baby is ready to nap are: Rubbing their eyes Crying Fussiness Nap Time Tip #2: Do Not Wake Your Little One When your baby falls asleep, ensure that they continue to do so. Do not wake your baby from their nap. Even if they have fallen asleep in the car, simply carry the whole car seat – with baby inside – into your home, setting them safely on the floor. Nap Time Tip #3: Look After Yourself Many moms will try squeeze in a few chores whilst their baby is down. However, you need to look after you during this time. Having a baby can be tough on your sleep as a parent. So when your little one has a nap, do the same. Try get some rest and relaxation in and recoup yourself. Nap Time Tip #4: Set Up A Routine Children love routine and this is no different during nap time. Set your child a schedule and try to practice these tips too: Use your baby’s crib for day nap time and their night’s rest. This way they will begin to associate their crib with sleep. Try to avoid scheduling a nap time for the late afternoon as this may affect their evening sleeping routine. Have the same nap routine in place for every day, this will help your child familiarize themselves with it.

March 25, 2024

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!

March 21, 2024

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

March 21, 2024

“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

March 18, 2024

Sensory Defensiveness

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

March 13, 2024

Tackling Engorgement While Breastfeeding

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

March 13, 2024

WHERE SHOULD YOUR BABY SLEEP?

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

March 11, 2024

Breastfeeding: the most common challenges and how to deal with them

Breastfeeding can be a beautiful and special time between you and your baby. It can however, come with some challenges. In fact, statistics show that up to 60% of mothers do not breastfeed for as long as they intended to due to challenges faced. Below are some of the most common breastfeeding challenges or difficulties and how you can deal with them to ensure that you and your little one have a pleasant breastfeeding experience. Pain or discomfort Pain experienced when breastfeeding can be caused by nipple tenderness, bleeding, blistering and/or cracked nipples. How to deal with pain: Breastfeeding should not be painful. Please consult a lactation consultant to assist you. It is important to ensure that your baby is latching correctly and find a breastfeeding position that supports an optimal latch. Make use of nipple cream (chat to your Dr or pharmacist about a recommended brand) or use a small amount of your own breastmilk to soothe your nipples. Use breast pads to protect your nipples from chaffing on your bra or clothing. Engorgement Engorgement can be very uncomfortable and occurs when breast milk has not been adequately removed, resulting in hard and sore breasts. How to deal with engorgement: Pump and/or nurse your baby frequently (between 8-12 times a day). Ensure that your baby is latched on correctly so that he/she can empty your breasts. A poor latch can also result in engorged breasts. Take warm showers or apply a warmed cloth to your breasts to encourage milk flow. Breast massage My baby’s not latching There are a number of reasons your baby may not be able to achieve a sufficient latch. These include poor coordination, prematurity, discomfort and/or mom having flat or inverted nipples. How to deal with a poor latch: See a lactation consultant! Lactation consultants are trained to identify and solve breastfeeding challenges. Try out different breastfeeding positions. There is no one size fits all – try various holds to establish which suits you and your baby best. Support your baby’s neck, shoulders, and hips with your hands. Consider the use of a nipple shield if you have flat nipples – these can be a short term solution to assist your baby to latch. It is advised to consult a Lactation consultant before purchasing a nipple shield. Not having enough breastmilk Breastmilk supply is initially low while your body adjusts your hormones to trigger breastmilk production. This usually takes 2-4 days, after which your milk supply should increase to provide the optimal amount of breastmilk for your baby. There are various things that can negatively affect milk supply, and these vary between women. How to deal with not having enough milk Feed your baby on demand. This should range from every 2 to 3 hours (can be more), day and night. Stick to this range if you are expressing too. It is important that your breasts receive this stimulation, either from your baby feeding, hand expressing or a pump. Try and get as much rest as possible (easier said than done with a newborn). Eat well and frequently as well as drink plenty of water throughout the day and night. If you have friends and/or family around, ask for assistance with chores so that you are able to focus on breastfeeding. If you are hand expressing and still have a low supply, consider purchasing or renting a breast pump. These pumps are effective in mimicking what your baby does at the breast as well as stimulating milk production. Skin-to-skin; research indicates that skin-to-skin assists with increasing breastmilk production. If your milk supply remains low or diminishes, consult your Doctor and/or a Lactation Consultant. Leaking breasts This is a common occurrence in the initial stages of breastfeeding, however, usually subsides after 5-6 weeks. How to cope with leaking breasts Wear nursing pads inside your bra in the day and night Feed your baby or express frequently (every 2-3 hours). Producing too much milk Once your milk supply is fully established, you may find that you have more milk than your baby needs, resulting in coughing, spluttering or vomiting after a feed. How to cope: Express a small amount of milk before a feed. This ensures the initial let down is not too strong for your baby. A reclined (lean-back) feeding position allows your baby to control the flow rate of milk from your breast as gravity is minimised. Take your time and allow your baby to rest after a feed. If he/she has taken in too much milk, moving a lot or too quickly can cause her to vomit. Above, are only some challenges that new mothers may face when breastfeeding. It is important to not “suffer in silence” but rather to seek the assistance of a lactation consultant. Luckily there are plenty of lactation consultants around that will be happy to assist you and your baby.

March 7, 2024

Don’t get “nap trapped”

More and more in recent times have I been hearing the word ‘nap trapped’. Nap trapped is when parents feel ‘trapped’ at home because their little one can sleep well only in the cot or in a specific area for naps. This can even mean that because of the timing of naps, moms don’t want to join friends, go to classes or join groups. There is an added level to being nap trapped, as it could also mean that your baby can sleep only on you or next to you. I KNOW I was nap trapped with my babies. For such a long time, my children were sleeping horribly, and once I found something that worked, I was so petrified that if I changed something they would go back to the horrible sleeping. We could never go out for dinner, because my little ones had to sleep at home. Outings during the day or during holiday caused me so much anxiety in the end that I did not want to do anything outside the house as it just made me stress. One holiday in Cape Town (by this time, my kids were already four and two years old), we had some friends over for an early afternoon braai. I had finally stopped breast feeding, so I could drink some wine again (of course, after not drinking for years, one glass was enough). We had a fantastic time; their kids were a similar age than ours and all were enjoying themselves. Because the sun goes down later in summer in the Cape, with a shock, at 20:00, I realised that my kids were not even close to getting into bed (they had a very strict 19:00 bedtime). And there they were, running around, swimming, playing and having a great time… I had never even given them the opportunity before… And I was fine, they were fine. I was actually the only one who realised what time it was. Because they normally slept really well, they could cope really well with one night of going to bed later. And that is the reality most of the time. Even the most social couple I have helped had something on three times a week over bedtime (that is really social, I can’t remember ever being that social, even before kids!). AND even for that social couple, it was still the exception. For four out of seven nights, they were at home, could follow the bedtime routine and make sure that their baby got proper sleep. Don’t try to create your life according to the exception and also don’t be afraid of the exception. Most of the time, you will be at home, and when you are at home, make sure that your baby gets the best sleep that they can. So that when those exceptions happen (they have a short nap or skip the nap or go to bed later), they will be ready and deal with it and will be fine. There are, of course, some additional things that you can try for naps or bedtime when you do go out for dinner to at least hope you have a good time: Try to relax. In the end, if you are going to be anxious, your baby will feel it and this can make the whole situation much worse. This might mean that you need to plan a bit. This might mean that you need to allow other people to help when they offer. Or, this might just mean that you need to know that whatever you do for those couple of hours will not alter everything that you have done before. If your little one can sleep in the car, well, use it. If you are traveling during time that falls over the nap time, extend the drive a little if you have to (I know petrol is expensive!) to just ensure your baby gets a bit of sleep before you get to your activity. If your little one can sleep in a stroller, use it! Even if it is a short nap, it is better than nothing. Try using a portable white noise machine or white noise app in the stroller as well as closing it and moving it around to see if this helps to get your little one to sleep in the stroller. Some babies sleep great in a stroller when they are small, but might not sleep so well anymore as they get bigger. BUT, then, they might get into it again. If you go to a braai/dinner at someone else’s house, ask them if they have an extra cot or take your camp cot with. Do a short bedtime routine as you would at home. Instead of bathing, you can just wipe your baby’s face and feet with a warm cloth. They will survive one night of not bathing. Try to put them down even if it means helping a bit to get them there. BUT, if they don’t sleep after 10 to 20 minutes, call it. Take them with you to friends and try to enjoy yourself. You can take turns holding the baby with your partner and friends. It is one night. Too many times, I have heard moms say that they want a baby that can sleep anywhere. These moms would say things like: “I can remember falling asleep under the table at weddings!” My response: First, how many weddings do you attend? Second, sleeping anywhere has a lot to do with your baby’s personality and age, but most importantly, lastly, why create rules for the exception? By Jolandi Becker – MD of Good Night

March 5, 2024

The New Great Tasting Grape Flavour, Panado®’s Latest Paediatric Range Addition

Panado® has expanded their paediatric range with a new Grape flavour syrup,1 designed to help relieve pain and fever in children.1 As a trusted2 name in South Africa, Panado® knows that parents want convenient and great tasting products for their children. That’s why our new Grape flavour is colourant-free, tartrazine-free, alcohol-free, and sugar-free1, ensuring that your child gets the pain and fever relief they need. Providing comfort to little ones who are feeling unwell can be a daunting task for parents, particularly when children are not able to effectively communicate their discomfort. Panado® is trusted2 by South African families for providing relief of pain and fever1 in babies, toddlers, and children, but it is also convenient and great tasting. This makes it a go-to choice for parents who want a reliable solution that is easy to administer and appealing for their little ones to take. Fever is one of the most frequently cited reasons parents or caregivers seek medical help for their children. It is often a source of concern for parents and health care practitioners, who believe it may be linked to a greater risk of seizures (fits).3a A fever is defined as a body temperature of more than 38 °C in children.3b Our syrup contains paracetamol, an option for treating pain and fever in children,4 and caters to diverse tastes and preferences while being gentle on little tummies5. But we didn’t stop there. We know that getting children to take medicine can be a challenge, which is why we’ve made sure that our grape flavour is also taste-bud friendly and easy to take. With its clear syrup, there’s no need to worry about messy clothes or unsightly stains. Plus, the grape flavour is sure to make medicine time more appealing to kids. Dosage details for the Panado® range of products can be found at https://panado.co.za/dosage-calculator/ and are calculated according to your child’s age and weight. Add in your child’s age and weight, and our calculator will automatically calculate how much Panado® you should give your child, and which product is best suited for your child. So, next time you find yourself in the middle of a parenting rollercoaster with pain and fever, remember to reach for Panado® Paediatric Syrup – Grape Flavour – the clear choice for parents and kids alike! Parents trust2 Panado® for the power to fight their little one’s pain and provide fast6 relief when needed most. Panado® products are available at Baby City, Pick n Pay, Checkers, including Hypers, Shoprite, Clicks, Dis-Chem, and Independent Pharmacies. For more information, visit visit https://panado.co.za/ and join the conversations on Facebook. 2023032710267635 References: Panado ® Paediatric Alcohol Free – Grape Flavour. Approved package insert. October 2022. Circana, MT, October 2023 MAT. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Fever in children: Overview. 2013 Dec 18 [Updated 2019 Jun 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279455/. Last accessed February 2023. de Martino M, Chiarugi A. Recent Advances in Pediatric Use of Oral Paracetamol in Fever and Pain Management. Pain Ther. 2015 Dec;4(2):149-68. doi: 10.1007/s40122-015-0040-z. Epub 2015 Oct 30. PMID: 26518691; PMCID: PMC4676765. Available from: https://pubmed.ncbi.nlm.nih.gov/26518691/. Last accessed February 2023. Bannwarth B. Gastrointestinal safety of paracetamol: is there any cause for concern? Expert Opin Drug Saf. 2004 Jul;3(4):269-72. doi: 10.1517/14740338.3.4.269. PMID: 15268644. Available from: https://pubmed.ncbi.nlm.nih.gov/15268644/#. Last accessed February 2023. Wilcock A, Twycross R. Therapeutic reviews: Acetaminophen (Paracetamol). Journal of Pain and Symptom Management, 2013;46(5):747-755.

February 1, 2024

10 Reasons to choose cord stem cell banking for your baby

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

January 30, 2024

New Mommy Tips

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

January 22, 2024

UNDERSTANDING TEMPER TANTRUMS AND HOW TO DEAL WITH THEM

Affinity Health, a leading provider of high-quality health coverage, explores the underlying causes of temper tantrums in children and offers strategies for managing and defusing these challenging situations. “Temper tantrums are a common and challenging aspect of childhood development that can leave parents, caregivers, and even bystanders feeling anxious and overwhelmed,” says Murray Hewlett, CEO of Affinity Health. “The neuroscience behind tantrums reveals that meltdowns happen due to the ongoing development of children’s brains. They still need to acquire the coping mechanisms to manage intense emotions effectively. The good news is that most kids will grow out of temper tantrums as they learn to express themselves better.” Understanding Temper Tantrums Toddlers possess various skills, yet temper control isn’t typically one of them. Temper tantrums are intense, emotional outbursts that often occur in young children, often between the ages of one and four. These outbursts can take various forms, from crying and screaming to kicking, hitting, and even breath-holding. While temper tantrums can be distressing for children and adults, they are a normal part of child development and communication. Common Causes of Temper Tantrums While every child’s tantrum trigger is different, a few common causes for meltdowns may include the following: Frustration: Children often lack the language skills to express their needs and frustrations adequately. When they encounter obstacles or cannot communicate their needs, frustration can lead to tantrums. Seeking Attention: Some children may use tantrums to gain attention from parents or caregivers. Negative attention, such as scolding or reprimanding, can be just as rewarding for them as positive attention. Fatigue and Hunger: Tiredness and hunger can exacerbate emotions and lead to increased irritability in children, making them more prone to tantrums. Transitions and Changes: Changing routines, from playtime to mealtime or leaving a favourite place, can be challenging for young children and may trigger tantrums. Overstimulation: Excessive sensory input, such as noise, bright lights, or crowded spaces, can overwhelm children, making them more likely to have tantrums. Independence and Autonomy: As children strive for independence, they may become frustrated when their desires conflict with parental limits or expectations. Emotional Regulation: Young children are still learning to regulate their emotions, and tantrums can be a way for them to release pent-up frustration, anger, or sadness. How to Deal with Temper Tantrums Dealing with temper tantrums requires patience, empathy, and practical strategies. Here are some steps and tips for managing and diffusing temper tantrums: Stay Calm: Parents and caregivers must remain calm during tantrums. Losing your temper can escalate the situation. Ensure Safety: Ensure the child’s safety and the safety of others during the tantrum. Remove any potential hazards or objects that could cause harm. Provide comfort and reassurance without giving in to the child’s demands. Let them know you understand their feelings. Use Distraction: Sometimes, redirecting a child’s attention to a different activity or object can help defuse the tantrum. Set Limits: Establishing clear and consistent limits and boundaries for behaviour is essential. Be firm but loving in enforcing these limits. Offer Choices: Giving children choices within reasonable limits can help them feel a sense of control. For example, you might say, “You can choose between these two snacks,” or “Which of these two t-shirts do you want to wear today?”. Time-Outs: Sometimes, a brief time-out in a safe and quiet space can help a child calm down. You should explain the reason for the time-out and use it as a moment for reflection rather than punishment. Teach Emotion Regulation: As children grow, help them understand and manage their emotions by teaching them techniques like deep breathing or using words to express feelings. Positive Reinforcement: Praise and reward positive behaviour to reinforce good choices and encourage cooperation. Seek Professional Help: If temper tantrums are frequent, severe, or interfere with daily life, consider consulting a healthcare provider or child psychologist for guidance.

January 10, 2024

Raising a Vegan Baby: Tips and Ideas for Nutritional Success

Vegan-based diets are becoming more popular, especially in South Africa, where more than 100 000 vegan mothers gave birth in 2020. But can you raise a healthy vegan baby? The answer is yes if you take care of their nutritional needs for growth and development. A vegan diet for babies must be well-planned and balanced, and you should seek support from a registered dietitian with experience in pediatrics. Gestation: If you are a vegan mum, you should ensure that you eat a well-balanced diet and increase your intake of certain nutrients during pregnancy. Your daily nutrient requirements increase considerably when you are expecting. You need more iron, folic acid, B12 and other B vitamins, vitamins A, C and D, plus extra protein, and calcium. Some nutrients, like selenium and iodine, can be passed on through your breast milk, but it may be worth seeking professional advice from a registered dietitian to ensure that your diet contains enough for you and your baby. Typical adult vegan diets tend to be low in fat and high in fibre, which is not suitable for growing children, who need a lot more energy and nutrients from food to meet their nutritional requirements for normal growth and development. Vegan diets are naturally high in fibre and too much fibre can fill little tummies quickly, curbing appetite and stopping them from eating enough to get adequate nutrients. Breastfeeding is best for vegan babies, and you should try to breast feed as long as you can and continue to supplement solid feeds with breast milk. Vital Baby helps to ensure both parents can get involved with the baby’s nourishment with the daily use of a manual or electric Nurture Flexcone breast pump which helps you to save and store breastmilk for feeds when you can’t be there and for topping up breastmilk at mealtimes. Occasionally, newborn infants may need a little help during feeding. The Vital Baby Feed Assist bottle enables you to gently squeeze the base of the silicon squeeze bottle to encourage milk flow through the teat and to assist with the latch. Anti-colic valves help to reduce air intake. If for some reason you are unable to breastfeed, you can use plant-based baby formula instead in either powder, concentrate or liquid form. Make sure you choose a formula that is fortified with vitamin B12, vitamin D, iron, calcium, and other essential nutrients for your baby. The Vital Baby Nurture Milk Formula Dispenser has been specially designed so that the revolving lid can click accurately into position above each compartment, and the wide, easy-pour spout makes it simple to dispense the milk formula into the bottle, avoiding spillages. Starting solids Parents can begin feeding their babies a vegan diet when they start eating solids, usually around six months of age. Your baby can enjoy fruit and vegetable purées, enriched with a variety of vegan protein, calcium, and good fat sources. These include lentils, mashed beans, quinoa, tofu, tahini, yeast extract, finely milled nuts and seeds and fortified soya products like milk or plain soya yoghurt. Most plant-based yogurts contain live active cultures, so your baby can get the same gut health benefits of probiotics from non-dairy alternatives. Beans, chickpeas, lentils, nut butters, whole meal bread and rice and fortified breakfast cereals are all good iron sources for your baby. And adding vitamin C-rich food (e.g., oranges, strawberries, cabbage, pepper, and pineapple) will help with iron absorption. It is not advised to feed your child low-protein vegan milk alternatives like almond, coconut, or rice milk as they will fill up their tiny tummies without providing much nutrition. Critical nutrients for your vegan baby’s diet: Protein: pulses (beans, lentils, peas), nuts (almonds, walnuts), seeds (sunflower seeds) and tofu. Iron: beans (kidney beans), pulses (lentils), peas (green peas), green leafy vegetables (spinach), nut butters (peanut butter), tofu (firm tofu). They should have an iron-rich serving at every meal. Vitamin B12: fermented yeast products (nutritional yeast), fortified foods (soya milk) or supplements. Iodine: Moms may need to supplement when baby is over 2 years old or use iodized salt sparingly. Calcium: beans (navy beans), pulses (chickpeas), sesame seeds (tahini), dark green leafy vegetables (kale), white bread (whole wheat bread), plant-based milk (almond milk). Vitamin D: exposure to sunlight, fortified foods (margarine) or supplements. Selenium: Brazil nuts (just one or two per day is enough), sunflower seeds (roasted sunflower seeds), mushrooms (shiitake mushrooms) or supplements. Omega 3: chia seeds (ground chia seeds), hemp seeds (hemp hearts), tofu (silken tofu), linseed (flaxseed oil), rape seed oil (canola oil), hazelnuts (roasted hazelnuts), pecans (raw pecans) and walnuts (chopped walnuts). Vitamin B2: wheat germ (toasted wheat germ), almond butter (smooth almond butter), avocado (ripe avocado) and mushrooms (portobello mushrooms). The NOURISH Prep and Wean from Vital Baby provide inspired ideas for food combinations and nutrition packed meals home cooked in your own kitchen. Steam, cook, and blend healthy homemade meals quickly for your little one with three modes – sterilise, steam cook and blend – perfect for batch cooking and feeding later. With five blending modes you can tailor consistency of food to your child’s stage of weaning – from smooth purees to chunkier textures while its 2-tier steaming system allows you to cook multiple foods with different cooking times all at once. It is suitable for use with fruit, vegetables, meat, and fish. Ideas for your 9+ month Vegan Baby Blend fresh or frozen fruit (e.g., banana, mango, berries) with plain soya yoghurt and a dash of maple syrup. Mash a ripe avocado and a ripe banana together with a fork until smooth. Spread on whole wheat toast or crackers. Sprinkle with some cinnamon or nutmeg for extra flavour. Mash a ripe banana with a fork and stir in chia seeds and plant-based milk. Refrigerate overnight or for at least an hour until thickened. Serve with fresh fruit or nuts on top. Cook some quinoa in water or apple juice until fluffy. Stir in some grated apple, raisins, and cinnamon.

December 21, 2023

Preventing the unthinkable

Sunshine, watermelon and flip flops… summer holidays are around the corner! If you’re a parent you’re probably planning activities to keep your little ones occupied, or maybe pulling together your holiday travel plans. Whilst you are ticking off your packing list and racing to get your shopping done, be sure to take a moment and consider how you will keep your children safe around water this summer holiday. Drowning happens quickly and silently and can devastate a family in a matter of minutes. More than 700 children under the age of 15 years old die from drowning every year in South Africa, but even non-fatal incidents in which a child is rescued can leave a family dealing with long term social and health consequences. Recent evidence from Australia suggests that an infant’s risk of drowning triples as they reach one year of age. In South Africa, we know that children under 5 years old have the highest drowning rates compared to other age groups, but rates remain high in older children as well. Young children tend to drown in water in and around the home, while older children drown in larger, open bodies of water. Whilst these numbers are sobering, it is important to remember that most drowning incidents are preventable. Here are some tips for keeping your children safe around water this summer. 1- Layers of barriers Many drowning incidents in very young children are unwitnessed, meaning that no-one is around at the time that the child enters the water. Young children often fall into water unintentionally while playing nearby or fetching toys that they may have been playing with earlier. One of the most effective ways to prevent drowning in young children is to ensure that there are barriers preventing them gaining access to water around the home. This means ensuring that pools are fenced off or have a safety cover that meets local safety standards, even better if you have both. Having a cover or fence alone is not enough – it must be used correctly! This means replacing the cover completely when a pool is not in use or ensuring that a gate is closed and not easily opened by children. It’s important to remember that hot tubs, paddling pools, blow-up pools, and portable above ground pools all present a drowning risk and should be protected appropriately or emptied when not in use. Pools aren’t the only area of risk around your home either – small ponds, reservoirs or storage tanks should also be protected by a barrier preventing access. 2 – Designated supervision So many drowning stories start with “I thought he/she was watching”. Counter intuitively, drowning incidents can happen easily in a crowd because they are silent and not signaled by splashing as many people think. Consider the large family braai where everyone is chatting around the pool and kids are splashing and laughing. Everyone is there but no-one is watching. Designating an adult to supervise children enjoying any water is essential. A supervisor should be an adult, not an older sibling, who is sober, not distracted by their phone or a book and within arm’s reach should something go wrong. As a parent it’s so easy to fall into the trap of thinking that nothing bad ever happens, so I’ll just step away to take that phone call or take the pot of the stove. Supervision is about someone being able to respond appropriately in the tiny percentage of times that things go wrong, not the majority of times where it’s just another day of summer fun. Forget about the “dad bod” or “mummy tummy” – get your cozi on and enjoy the water with your kids. 3- Learn CPR and know your emergency number Knowing what to do in an emergency can make the difference between a tragedy and a close call. CPR is simple to learn and, if performed early, can save a life and reduce the chances of long-term neurological damage in a drowning incident. Calling 112 from any cell phone in South Africa will reach a call centre who will route you to the closest emergency service. 4 – Swim between the flags When heading to the beach, make sure to swim only where and when lifeguards are on duty. Lifeguards do not replace adult supervision of children, but swimming between the red and yellow beach flags ensures that you are in the safest location on any given beach. 5- Be mindful of unfamiliar homes and holiday locations Even the most diligent, water smart parents can get caught out while travelling. It’s important to consider water safety when visiting family who might have older children or no children, or while staying in hotels and guesthouses that are unfamiliar and exciting to explore. When you’ve arrived at your holiday location, take a slow walk around the property, and consider it from the perspective of your children – where is the water? Where are the access points? How can you prevent access? If you’re visiting an unfamiliar beach, dam or river, speak to locals or lifeguards to find out where the safe swimming spots are. 6- Watch out for lilos and pool floats That flamingo pool float is super fun but be very cautious using it on any large open bodies of water or rivers. Floaties get caught by the wind and currents very easily and can quickly take a child (or adult!) out of their depth. 7- Teach your children survival swimming skills Summer holiday preparation happens year-round and enrolling your children in a survival swimming or learn-to-swim programme can help them learn the essential skills of safe entry and exit and what to do when they fall in. Speak to them about water safety from a young age to ensure that safety becomes engrained in their behaviour. 8 -Teach your children to become Watersmart Lifesaving SA has launched a free online e-learning WaterSmart hub, making water safety content accessible to all South Africans. The hub includes animated videos

December 19, 2023

It’s the most wonderful time of the year!

The festive season is upon us. Shops are full of Christmas cheer and wherever you go, Christmas music fills the air. Do you have a favourite Christmas song? There are some obvious recurring hits out there that come around every single year, like a merry-go-round. Yes, I’m talking about Michael Bublé, Boney M, Mariah Carey. You know the drill! That’s because, music has a huge role to play in our celebrations. It gets us moving, it creates a mood, and it builds memories. Music gets us moving Play some music, turn up the volume, and what happens? We get a feeling that we want to move! Whether it’s tapping our fingers on the steering wheel of the car, swaying slightly, or tapping our foot, the instinct is there. That’s even more true for children. They haven’t built up a sense of awareness of others, so they move like no-one’s watching. Dancing, jiggling their bottoms, clapping their hands, bopping their heads up and down, you name it! Music helps us to celebrate special seasons and events because it gets us moving. Music creates a mood Music also stimulates our emotions. It has the ability to make us feel happy, sad, soulful, joyful, excited, scared etc. If you want to test this, watch a scary movie and turn off the soundtrack. Suddenly the movie isn’t quite as scary! Getting up and moving, stimulates the oxygen supply to our brains and also triggers the release of endorphins. This contributes to us feeling positive about the music we’re experiencing. Music builds memories What is it about music and memory that’s so powerful? The details of our lives pass us by every day, with very little embedding into our long term memories. It’s unlikely that we’ll remember what we ate for dinner 2 weeks ago or a passing interaction with a person years ago. But, when we hear a familiar song, the memories come flooding back. Music doesn’t just help us to remember details, it connects with our emotions. We remember how a particular memory made us feel, and that’s really powerful. Music helps us to celebrate special times because it embeds details into our brains, and like a search engine, helps us to retrieve those memories at a much later stage, with the music acting as a trigger. Switch off the screen, turn on the music! With all of this in mind, let’s be intentional in the way that we use music over this festive season. Let’s harness all that music offers knowing that it’ll get us moving, help to create a happy mood and embed some wonderful memories into our brains. Let’s switch off screens and use music and auditory resources to encourage our children to listen and look out at the world around them. Musical resources With that in mind, we have some wonderful, uniquely SOUTH AFRICAN musical stories for your little people to enjoy. These are accessible on your favourite streaming platform (Apple music, Spotify etc.) and are a great alternative to screens. Just go onto the platform for search for “Wriggle and Rhyme”. There are 4 different albums available. Wishing you a safe and happy festive season, and a wonderful 2024! For more info about the W&R musical stories and online resources, have a look at www.wriggleandrhyme.co.za/our-music Find us on Facebook and Instagram @wrigglerhyme #wrigglerhyme

December 14, 2023

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