BREASTFEEDING & COVID-19: BUSTING THE MYTHS

We’ve had an overload of fake news over the past pandemic months.  One of the most damaging falsehoods to emerge has been that COVID-19 + moms can transmit the virus through breastmilk to their little ones, and should stop breastfeeding.    Spokesperson for ADSA (The Association for Dietetics in South Africa), Andiswa Ngqaka, a registered dietitian says, “There are anecdotes from various countries indicating that this misinformation is causing moms to avoid breastfeeding during the pandemic. While some may see infant formula as a ‘safer alternative’ during this time, this is not the case. Breastmilk is the safest and most nutritious food for babies, and COVID-19 does not change that.” There is no evidence of COVID-19 transmission through breastmilk As the medical profession’s foremost experts in nutrition, registered dietitians are constantly keeping up to date with the latest scientific evidence. Worldwide, there is currently no evidence that breastfed babies have been infected by mothers who have tested positive to COVID-19. Andiswa explains, “The WHO cites one study where there was a detection of non-infectious COVID-19 viral RNA in breastmilk, and this is definitely not the same thing as finding viable and infective virus.  Therefore, there is unanimous agreement across international health organisations that moms can have complete peace of mind breastfeeding their children through the pandemic, even if they are COVID-19 + or suspect they might be infected.  The benefits of skin-to-skin contact with your baby and breastfeeding as normal are overwhelmingly immune-boosting and protective of your baby’s health.” Lisanne du Plessis, Associate Professor at Stellenbosch University and ADSA spokesperson, gives her top 5 tips for breastfeeding moms during the pandemic: Mothers should breastfeed on demand, whenever baby wants to breastfeed, day and night. Breastfeed exclusively for 6 months. Breastmilk provides all the food and water that babies need during this time. Breastmilk also protects babies against sickness or infection. Do not give any other food or liquids to babies, not even water, during the first 6 months of life. Even during very hot weather, breastmilk will satisfy babies’ thirst. Giving babies under 6 months anything other than breastmilk will cause them to suckle less, will reduce the amount of breastmilk that a mother produces and may make babies sick. Practice hygienic measures to protect moms and babies against COVID-19 and other harmful bacteria and viruses in our environments. Breastfeeding is food security for babies Breastfeeding from birth supports the healthy development of babies and plays an important role in prevention of all forms of childhood malnutrition including wasting, stunting, obesity and underweight and micronutrient deficiencies.  Breastmilk protects against many infections including COVID-19. At a time when many South African families are facing serious food shortages, breastmilk provides complete food security for babies under 6 months, and boosts nutrition and health for other young ones.  Breastfeeding saves on the food budget, making more money available to feed the family.  When it comes to food, you can’t get anything safer, more convenient and more economical than breastmilk. “It would make good sense to see a boost in breastfeeding across South Africa at this time,” says Lisanne. What precautions should a COVID-19 + mom take? The WHO provides the following breastfeeding guidelines if you suspect or know you have COVID-19:  Wash hands frequently with soap and water for at least 20 seconds or use alcohol-based hand rub and especially before touching the baby; Wear a medical mask during any contact with the baby, including while feeding; Sneeze or cough into a tissue. Then dispose of it immediately and wash hands for at least 20 seconds again; Routinely clean and disinfect surfaces that you have touched. It is vital that partners, family and friends support breastfeeding moms who may be COVID-19 infected.  They need to understand that there is no evidence that the virus is transmitted through breastmilk, and that by continuing breastfeeding, the mother is doing the best she can do to protect her baby from COVID-19. What should happen if you’re just too ill to breastfeed? Andiswa says, “If you’re too ill to breastfeed, try to express your milk for your baby and give it with a clean cup or spoon and cup. Expressing breastmilk is important to sustain your milk production so that you can carry on breastfeeding when you recover.  If you can’t express your breastmilk, you can consider donor human milk.  Wet nursing is another option if culturally acceptable to you.  Your last option would be to provide a breastmilk substitute. Reunite with your baby as soon as your recover. Get support if you need help re-lactating and bonding with your baby.” Get Messages for Mothers – M4M A global pandemic is certainly not the easiest time to be a new mom and the mom of young children.  Mothering babies and small children is often an isolating experience at the best of times, so now, with social distancing and staying-at-home, you may need to make some extra efforts to ensure you are well-supported at this critical parenting time. Grow Great, a campaign to prevent stunting by 2030, partnered with other NGOs Embrace, ilifa labantwana and the Perinatal Mental Health Project, to launch Messages4Mothers, a new digital platform to connect with South African moms during the pandemic. Messages for Mothers can be accessed at M4M or you can connect with Grow Great on social media @GrowGreatza on both Twitter and Facebook.  Grow Great Communications Specialist, Duduzile Mkhize says, “Some of the biggest concerns for mothers are around how they can safely continue to breastfeed their children while dealing with COVID-19.  Some mothers are essential workers and they worry about how they can continue to keep their families safe. Mothers of small children worry about taking them for immunisations as they fear clinics might not be safe. Pregnant mothers who have to go for checks ups also worry about this. COVID-19 lockdown has caused a lot of anxiety for many people, so many mothers ask questions about how to cope with anxiety and depression.” You’re not alone  On a daily basis,

Breastfeeding Week 8 – starting solids

Well done on continuing to breastfeed your baby!  By this stage many babies are becoming a little more efficient and may be taking less time to feed. This doesn’t mean your baby is taking less milk, just that he is getting bigger and stronger and you are becoming more confident and releasing your milk well. At this stage many babies also start to sleep longer at night if they are feeding regularly and well during the day. Feeding during the night is good for milk supply but it doesn’t mean your baby has to be up and about! Keep the lights low, keep the night time atmosphere and put your baby back down as soon as he has finished feeding. Most babies need to feed once or twice at night until they start on solid foods at around 6 months old. You may now also be feeling more confident about feeding your baby outside the home. Babies love to get out and see the world and it’s great for mum too. As your baby becomes more of an expert feeder you can be more relaxed about your feeding position so practice some ‘on the go’ feeding positions at home first to boost your confidence. Mothers all over the world are keen to breastfeed their babies, and the more that mums are seen feeding their babies out and about the more commonplace it will become again so get out there! As your baby grows, he will go through ‘growth spurts’ and this means that he will need you to produce more milk to meet his needs. Babies who are going through a growth spurt may appear to be hungry and unsatisfied with feeds. It can take a couple of days but allowing your baby to suckle more frequently and for longer is the best way to increase your supply again and take you both on to the next stage. Sometimes mums feel less confident in their body’s ability and might offer formula milk instead – be patient if you can and give your body a chance to ‘catch up’ with your baby. We know from research that low milk supply is one of the main reasons why mothers stop breastfeeding at this stage. Managing growth spurts when they happen is an important way to continue breastfeeding for longer. Having a supply of breast milk in the freezer for those times when your baby is having a growth spurt and you have been feeding all day, is a great way to satisfy your baby’s hunger and give you a chance to rest. If you are going back to work at 3 months it is important to think about your baby’s feeds now. By starting to express and store milk regularly once breastfeeding is established you give yourself more flexibility as you and your baby get used to the new routine. Introducing a bottle (even just once a day or every other day) to your baby by about 8 weeks means he is less likely to refuse to take it when you need him to. It’s a good idea to talk to your manager or colleagues before you go back and find out where you can go in private to express and store your milk while you are at work. In many countries, employers have a responsibility to make this provision so do look into this.  At around 6 months of age your baby may show signs of being ready for other foods as well as milk. Continue to offer your usual breastfeeds, or formula feeds if you are not breastfeeding, and introduce simple foods like fruits, vegetables and cereals first. Moving onto solids is an exciting time, a big step to take, and there is lots of good advice on introducing foods at the right time, and different approaches, either pureeing food or following baby-led weaning.  Philips AVENT products are available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za, www.loot.co.za and www.babiesafrica.com.  

Chicco Hairbrush & Comb and Chicco Nail Scissors

Baby grooming is not only essential for their looks, but also their health. Chicco imports the finest selection of baby grooming products from Italy – all of which have been vigorously tested in the Chicco Observatory Lab in Como, Italy, by top doctors, paediatricians, dentists, psychologists and even parents. One of the most common baby features is wispy, fine hair – a potential bed-head disaster. Keep their hair tangle-free with the Chicco Brush & Comb combo. A duo pack consisting of a soft-bristled hair brush, made from natural fibres with a non-slip handle and a round-edged comb, to be gentle, yet effective on babys soft scalp. Another great product that babies will need from newborn is a pair of nail scissors, perfectly sized for little hands. With rounded blades and a blade protector, they make cutting finger-nails easy and painless. Both products are available in either pink or blue and for sale at Baby City stores, www.Takealot.com , www.Loot.co.za , www.babanino.com and www.thekidzone.co.za

Only one-third of infants under six months are exclusively breastfed in South Africa

Breast milk is the best food for babies. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of an infant’s life, and continued breastfeeding with complementary foods for up to two years of age. Key findings in the most recent World Health Organisation report and South Africa Demographic and Health Survey showed that South Africa has one of the lowest breastfeeding rates in the world, with only 32% of women breastfeeding infants under the age of six months.  While exclusive breastfeeding in the first six months of a baby’s life has steadily increased in South Africa over the past decade, the country still has a long way to reach global targets, according to Health Minister Dr Zwelini Mkhize, who addressed the media and public during World Breastfeeding Awareness Week in 2019. Why not all mothers breastfeed  There are many contributing factors to these statistics. While breastfeeding is beneficial for both mothers and babies, many women in South Africa cannot, should not, or choose not to breastfeed. The reasons might include the following factors:  The mother needs to take certain medication that is incompatible with breastfeeding. The mother has an infectious disease. The mother needs to undergo a medical treatment that isn’t safe while she’s breastfeeding.  The baby is unable to breastfeed (galactosemia). The mother is dependent on illegal drugs. True low breast milk supply, which is usually the result of an underlying condition such as polycystic ovary syndrome, hypothyroidism, breast surgery, radiation treatment or insufficient glandular tissue. The mother needs to return to work. Although breastfeeding provides much more than just nutrition, for women who experience any of the above and cannot breastfeed exclusively, and where donor breast milk is not feasible, infant milk formula is considered an effective alternative. (A registered healthcare professional should always be consulted.)  Why we are what we eat (and drink) All humans have a microbiome, which is a population of trillions of microorganisms, also called microbiota or microbes², bustling inside and outside our bodies. Each person has an entirely unique network of microbiota determined by their DNA. We’re first exposed to microorganisms when we’re babies, during delivery in the birth canal and through breast milk.  In a healthy person, these microbiota live peacefully in large numbers in the small and large intestines (gut), and throughout the body.3 Microbes in our gut influence much more than just digestion: good intestinal bacteria play a crucial role in maintaining our immune systems and fighting off infections and disease.4 The composition of these microbes is shaped mainly by our diet. How goat milk compares with human milk  Breast milk is the best food for babies, but where breastfeeding is not possible, research shows that goat milk measures up well.  The Global Outlook & Forecast 2019–2024 on Goat Milk Powder by Arizton reported that, when comparing nutritional content between human breast milk, powdered goat milk and powdered cow milk, the goat milk is the best alternative to human breast milk. Breast milk contains a fatty acid called ß-palmitate, high levels of which can positively influence gut health, growth and comfort of infants. ß-palmitate is also found in high levels in goat milk-based formula. Human milk also contains an abundant supply and diverse array of oligosaccharides, which have significantly beneficial prebiotic properties for breastfed infants. (Prebiotics help to stimulate, grow and maintain beneficial gut bacteria.5) Oligosaccharides help to establish and maintain healthy intestines, support the immune system and protect against gastrointestinal infections.6  The milk of goats contains the highest amount of oligosaccharides amongst all of the domestic animals. Studies continue to show that oligosaccharides present in goat milk-based infant formula have strong prebiotic and anti-infection properties and may help protect against gastrointestinal infections to the infant7, and enhance immune function.8 Most types of milk contain both A1-type β-casein protein and A2-type β-casein protein. There is evidence that type A1 of β-casein may be more likely to cause digestive issues, inflammatory or allergic reactions, resulting in diarrhoea and abdominal cramping among infants.  Goat milk mostly contains type A2 β-casein, and therefore tends to be more easily digested by infants. It is the relatively low amount of A1 β-casein protein in goats’ milk that helps to form the softer curd in the stomach and makes it more digestible. Furthermore, while the fat content of goat milk is similar to that of cow milk, the fat globules are up to 75% smaller, and this may make them easier to digest. 9,10 For these reasons, goat milk powder solutions are growing in popularity among consumers all over the world.  World Breastfeeding Week is an opportunity to reflect on the challenges faced by mothers when it comes to feeding their babies. Many mothers feel judged and attacked on the subject of breastfeeding, from undergoing scrutiny when breastfeeding in public, to being made to feel ‘less than’ if they can’t or don’t breastfeed. It is vital to bring awareness of this cause to the public, educate about the contributing factors for why some women can’t breastfeed, and provide information on the best milk alternatives. For more information on the nutritional and lifestyle benefits of goat milk powder or to connect with nutritional consultant Megan Pentz-Kluyts RD (SA), send an email to [email protected].  

C-section questions, answered

One of the biggest decisions you’ll make about your baby’s birth is whether to have a vaginal birth or a Caesarean section, also known as a c-section. Neither method is objectively better than the other, some moms need to have c-sections for physical or health reasons, or decide that they would rather opt for a c-section for personal reasons. Focusing on the c-section, we’ll let you know what you can expect when having one and what the average recovery time is. When making this decision you should consult with your health practitioner, but it won’t hurt to know more about what is happening to your body during the process so that you can make the most informed decision for you and your baby. So what exactly is a c-section?  C-section is the surgical delivery of a baby. During the process you doctors will cut into your abdomen and your uterus and lift your baby out of this. As you are having a major surgery, you’ll typically have an epidural. This way you’re numb, but still awake so you can experience the magic of your baby’s birth. Both c-sections and vaginal births have their pros and cons. You’re likely to take longer to recover from a c-section birth and you’ll probably feel pain in the incision area for a few weeks. As it’s a surgery, there’s a risk of damage to surround organs, infection and excessive bleeding. Make sure to consult with professionals about what works best for you and your baby before making a choice. When is a c-section necessary?  Some moms elect to have c-sections before the time, whilst others may need to have an emergency c-section due to complications that arise during birth. If you are expecting twins, have high blood pressure, diabetes or have an infectious disease, such as HIV or genital herpes you’ll schedule your c-section ahead of time. Unplanned c-sections are necessary if your labour doesn’t start or stalls, if you become too exhausted or your baby goes into distress, if the umbilical cord slips into the birth canal before the baby (as there is a risk of the baby’s air supply being cut off) or if your uterus ruptures. How long will I take to recover from a c-section?  Don’t expect too much of yourself after having a c-section, you’ll typically spend around 3 to 4 days in hospital and take about 4 to 6 weeks recovery time at home before you start feeling normal again. Some moms experience muscle or incision pain for a few months following the c -section. 

Food security for children starts at the breast – support breastfeeding

South Africa has one of the lowest breastfeeding rates in the world. Not because women do not understand the importance of breastfeeding for their children but because women face a hostile environment to care for their children. This World Breastfeeding Week, observed from 01 to 07 August, the South African Civil Society for Women’s, Adolescents’ and Children’s Health (SACSoWACH) are focusing on creating an environment that enables and supports women to breastfeed successfully. Due to our current global crises, with the engulfing COVID-19 pandemic and the subsequent economic crash, women are bearing the brunt of job losses. Female-headed households, especially, are experiencing a financial shock,1 adding to the burden of finding food for their families and caring for their children. In South Africa, nearly one in two households are headed by women, skewing the need to provide unfairly on mothers. South Africa is known as ‘the fatherless nation’ as it has one of the highest numbers of absent fathers in the world. It is estimated that nine million children in South Africa grow up without fathers.2,3 In a recent media report, even our Springbok captain has had to call on men to support and eradicate the scourge of abuse and violence against women.4 Breastfeeding is excellent for infants and young children as a food source, for immunity and for neurocognitive development, and emotional self-regulation.5 “The first step to creating a supportive and safe environment for women and children is the essential provision of food for pregnant women and breastfeeding mothers. Safety and protection for moms, as the life-carrier and carer of children, is non-negotiable,” explains Dr Tshepo Motsepe, First Lady of South Africa, patron of the Coalition, passionate breastfeeding activist and humanitarian. The high rates of violence in South Africa cannot be ignored. Breastfeeding is associated with less violence in societies.5 Research also shows that 80% of rapists are the product of absent fathers.3 Young men who grow up without involved fathers are more likely to develop ‘hyper-masculine’ behaviours such as aggression and emotional instabilities. In contrast, young women are more likely to develop lower self-esteem and become victims of violence.3 Many hungry and stunted children live in fatherless homes1 where suicide is more likely in these individuals.3 “We need fathers and empowered men to step up and invest in the future of our society. Children are our future; the outcomes we want for tomorrow begins with what we do today. We call on all men to set an example and provide emotional and financial support, as far as possible, for the family and breastfeeding partners. This will help women to breastfeed exclusively and relieve them of the pressure to return to work too early,” explains Patrick Shivuri, Maternal and Child Health Programme Manager from Save the Children and a father himself. “Food security for infants and young children starts at the breast. Breastmilk is a living food; it protects against many infections that include COVID-19. If we want to protect children’s health, we need to protect and support their mothers,” adds Dr Chantell Witten, nutrition lead for SACSoWACH and lecturer at the University of the Free State. This has never been more relevant in a time when food is scarce and financial resources constrained. “Reducing Gender-Based Violence starts with protecting, promoting and supporting breastfeeding mothers at all cost. Paternal presence both emotionally and financially is a long-term investment for a healthy and less violent South Africa,” ends Precious Robinson, SACSOWACH chairperson and health advocate from Right to Care. In celebration of World Breastfeeding Week, SACSoWACH will host a breastfeeding dialogue on Thursday, 06 August 2020. The discussion will be live-streamed on their website; please visit www.sacsowach.org.za to find out more and sign up.

What you need to know about combination feeding

During the early days after the birth, parents are faced with many new decisions and experiences.  One of the most important decisions for parents is whether to breast or bottle-feed, and sometimes that is an option they cannot be in control of. For mums who choose to bottle feed because they want to, or because they find it difficult to breast feed, they are then faced with conflicting advice on how to prepare a bottle correctly. The World Health Organisation (WHO) is the ideal place to find the latest guidelines. Many mums, if they can, feel the best option is to combine breast and bottle-feeding. Some mums may decide to offer exclusively breast milk, by expressing, and then giving their partner, carer or grandparent the opportunity to feed baby by bottle; others may choose to combine breastfeeding with formula milk. How much at which stage? A baby can be bottle fed with expressed breast milk, milk formula or a combination of both. If milk formula feeding feels best for mum and baby, start with little and often, spacing out to fewer, bigger bottles as they develop and grow. There is no single answer as to how much milk formula baby will need, as it depends on their appetite. The general recommendation is to feed baby whenever they seem hungry, keeping an eye on wet nappies and weight gain to ensure they are taking on enough milk. How to make up a feed Warm milk is a breeding ground for bacteria, so milk formula should be made up freshly, as and when needed. Breast milk can be stored in the fridge for up to 24 hours or up to 6 months in a freezer. After feeding, always throw any remaining milk away. Never re-heat or re-use it. Combining bottle & breast Some mums may not be able to breastfeed exclusively, or choose to introduce a bottle for some feeds – especially when returning to work. When introducing milk formula, starting gradually gives mum’s body and baby time to adapt. Myth busting At first, bottle feeding may seem complicated, with many confusing messages.  With a bit of planning, the whole process can be stress-free and enjoyable for parents and babies. With bottle feeding, a routine can be established sooner than on-demand breastfeeding, as you can easily tell how much milk a baby is taking on. Although bottle feeding does need more time to sterilise bottles and prepare milk, the main benefit of bottle and combination feeding is that partners or carers can take turns with feeds, allowing for more bonding time with baby and to give mum a rest. Vital Baby’s NURTURE™ range comprises a range of breastfeeding accessories including an electric and manual breast pump, breast pads, sterilisers, breast milk storage bags and bottles.   Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com. 

5 Benefits of breastfeeding – for moms and babies

According to the Association for Dietetics in South Africa (ADSA) breastfeeding wherever and whenever a baby gets hungry is perfectly legal and deserves to be fully supported. In contrast, shaming moms into desperately breastfeeding their babies or expressing breastmilk in cold toilet cubicles and cramped cars in parking lots is not supportive of moms or their children.

Easy tomato soup with cheesy bread dippers

This comforting tomato soup can be made in less than 20 minutes and enjoyed by both you and your toddler. Don’t forget to make the cheesy bread dippers – sure to be the most fun part of the meal for your toddler! This meal is suitable for toddlers 12 months+. Makes four small and two adult servings. What you’ll need Ingredients for soup: 1 tablespoon olive oil 1/2 cup chopped onion 2 cloves garlic, minced 1 tin diced tomatoes 1 cup low-sodium vegetable broth / vegetable stock 1/2 teaspoon dried basil Pepper to taste (optional) 1/2 cup plain Greek yogurt Ingredients for cheesy bread dippers 4 slices of whole wheat bread 1 tablespoon butter or olive oil 1/2 cup shredded mozzarella cheese 2 teaspoons Italian spice mix How to make it: In a medium pot, heat olive oil over medium heat. Add the onion and garlic and cook until tender, roughly 4 minutes. Add in the tomatoes, broth, basil and pepper. Bring to a boil, then reduce heat and simmer for 10-15 minutes. Meanwhile, you can make the cheesy bread dippers. Heat the oven to a broil and line a baking sheet with tin foil. Butter or oil one side of the bread and place it (butter side up) on the baking sheet. Broil until golden brown. Remove from oven, carefully flip the bread over and sprinkle the non-cooked side with cheese and Italian spice mix. Place back under the broiler and heat until cheese is golden brown. Let cool and then cut into 2-inch strips. When soup is done, add in the yogurt and using a blender or hand immersion blender, blend the soup until smooth and creamy. Let cool slightly and then serve the soup with the cheesy bread dippers. Always check with your child’s doctor first if you have any questions about introducing new foods and textures. Launched on Mother’s Day 2006, Happy Family Organics is one of the largest and fastest growing organic food brands to offer a comprehensive line of nutritious foods for babies, toddlers, kids and their mothers. Constantly innovating, Happy Family strives to offer families the right nutrition for every stage of development, and is on a mission to change the trajectory of children’s health through nutrition.  Happy Family Organics products are available at all Baby City stores, Babies R Us, Wellness Warehouse, Selected Clicks, Selected Spars, Selected Pick N Pay stores, Selected Baby Boom, selected Dis-Chem and selected Medicare pharmacies, and online from Takealot.com, Babiesafrica.com and Faithful to Nature.

Tips for keeping coughs and colds away

Winter is an incredibly beautiful season. Apart from the inconvenience that the seasonal weather can bring, in a country where drinking water is often scarce, the rain is always welcome! Less welcome, however are the germs and nasties that creep into our homes. With people coughing and spluttering all around us during winter, it’s important to step up our own personal hygiene. This rings particularly true in the current circumstances we find ourselves in. With Covid-19 still very much a part of our daily lives, keeping germs at bay, is now more important than ever.  What can you do to prevent catching a cold or flu this winter?  Wash hands religiously With the number of people catching the flu virus at an all-time high, it’s important to keep the spread of germs to a minimum. Wash your hands regularly – particularly after a cough or sneeze, with warm, soapy water for at least 20 seconds. Also, keep hand sanitiser gel and wipes within easy reach if necessary. Vital Baby’s Hygiene Hand & Face Wipes (R35.00) are great to keep in the car, at home and in your handbag. They’re gentle enough to use on baby’s face, and effective at removing germs and dirt. Cough into elbows This is one that both adults and kids can adopt. Encourage coughing and sneezing into the elbow crease rather than hands. Sneezing into hands can spread germs even more as we use them to do so much. Make up a silly song If your child doesn’t like washing their hands for long, or with soap, make it fun. Make up a silly song or find one on the internet that encourages them to do it thoroughly. For example, make up words to the tune of ‘Row your boat’ such as: Wash, wash, wash your hands, make them nice and clean, scrub the germs and wash them off, dry them in between. Get rid of the snot Help to clear little noses using a nasal decongester. This handy little device helps to remove snot quickly, efficiently when they are sniffling and unable to do it themselves. Sterilise after use to make sure it remains hygienic. Stay active Staying active and taking regular exercise can also boost your immune system. Encourage your child to play outside, take them to a park, or head to an activity centre where they can tear around without worrying about the weather. Watch out for fevers If your child has caught a cold, keep an eye on their general health. Take their temperature regularly and their body temperature seems hotter than normal, offer the correct dosage of children’s paracetamol and ibuprofen to keep their temperature under control. Try to focus on fruit and veg We all know that eating a balanced diet packed full of fruit and veggies can give our immune system a boost. During the winter months, try to sneak even more into your child’s diet. If they reject it, hide them in their favourite meals or sauces. Get enough rest Ok, ok, so if you’re a parent, don’t laugh at this suggestion! We know that sleep might be something that you struggle to get enough of, but it really does affect wellbeing. If you think your child is coming down with something, cancel some plans and encourage them to get plenty of downtime. Take the idea on board for yourself too; switch off your phone and try to get an early night. Even an hour extra can really help with your own energy levels. We hope that you manage to stay healthy this winter! Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com. 

Keeping children safe from burn this winter

Winter is the time when children are most at risk to burns. Again, now, during Lockdown families are mostly at home and parents, grandparents and adults in the family will need to take special care of the children to prevent burns and other injuries. There is a lot hotter food and drink around and generally trying to stay warm with heaters and fires. All potential risks for burns in children. Young children can be burned very quickly, and this often happens when an adult is present, so it is important to be alert. Last year, the Red Cross War Memorial Children’s Hospital alone, treated 880 children for burns, the most common (715 children) was caused by hot liquids (such as hot water, drinks and food), followed by flames (55 cases), which are caused by fires. A further 57 children were treated for touching or coming into contact with very hot surfaces such as heaters and hotplates on stoves. “Most burn injuries can be avoided. Most of the burns happen in the home, specifically the kitchen. A first step to preventing burns is to make sure that the home environment is safe. Children are not always able to know when something is dangerous, so parents can start by checking every room in the house for possible burn risks to children. In the kitchen eg making sure that hanging kettle cords are properly secured and out of a child’s reach. Kettles are a major cause of hot water burns, which is traumatic and can be debilitating for the child.” said Yolande Baker, Executive Director of ChildSafe. Here are a few safety tips to keep ourselves and our children safe while staying warm during the winter season. Kitchen area  The family kitchen is a high risk area for child injuries, where hot drinks and food are prepared. Kettles need special attention and should be placed at the back of the counter, with kettle cords behind the kettle, close to the electricity socket. The kettle cord should not be left hanging over the edge of the counter top. Pulled kettle cords and fallen kettles with boiling water are the cause of up to 12 child burn admissions per month to Burns Unit. A Kettle Strap can be used to prevent pulled kettle cords. Also, we discourage holding a child while cooking. Instead, we urge you to rather move a high chair in the kitchen within reach or sight before you start or place them in a playpen. Then talk to your children so they know what is going on. It is a great way to spend time together. Matches and lighters are not toys; please place them out of children’s reach.  Most hot water burns occur when toddlers grab hot tea and coffee mugs, especially when sitting on mother’s lap, or when sitting at the table. To prevent hot water burns from tea/coffee mugs, parents should not drink hot liquids and hold a child on their laps at the same time. These injuries happen in a flash and should be anticipated to be prevented.  Test the temperature of food heated in microwave before feeding children. The stove and electrical hot plates are high risk areas – hands and little fingers are easily burnt if children are given access to stoves in use. Pots on the stove should have handles turned to the back at all times to prevent being pulled over.  Toasters are potentially dangerous, and should only be used by adults. Recently, a 12year old boy was burnt when he stuck a knife in a toaster to release bread. Put clothes irons out of reach after use – we cannot see when the iron is hot – rather shake the creases from your washing than use an iron. Never leave children unsupervised in the kitchen. Living room  Plugs should not be overloaded; heaters and open grate fires need to be guarded. Electrical burns and electrocution can occur whenever exposed wires and open plugs are accessible. To prevent electrical burns, electrical installations must follow legal guidelines. Illegal connections and exposed electricity wires can be hazardous. Bathroom Baby bath and buckets used for washing are also high risk for burns. Most toddlers enjoy bathing and may climb into the bath ahead of mother being ready for bath time. To prepare a bath, cold water should be poured into the bath first, and then hot water added to comfort level. The water temperature can be tested with an elbow to indicate safety of the water.  Children should never be left unsupervised in the bath, drowning can occur in shallow water. Teach children which taps are for hot water, and which for cold. The bath, baby bath tub and buckets should be emptied immediately after use. Outside The braai area is the most common at risk area for burns. After cooking is finished, the braai fire should be put out with water. Frequent burn injuries of the feet occur from ground-level fires, which are extinguished with sand, when coals remain hot but flames have died down – now children play in the area and run over the coals without recognizing the danger.  Also outside, storage of swimming pool chemicals, paraffin and paint thinners, all need lock-up space for safety. Petrol, paraffin and oil fires can be put out with sand, or a fire extinguisher. Teach your children to stop, drop and roll if their clothes have caught alight. Fireworks can be hazardous and should only be lighted in a designated controlled area under adult supervision. Finally, always use candles safely. We recommend using a recycled large glass, with dry sand and a household candle cut in half. Never leave candles burning when you go to bed, or leave the room. When there is a fire inside your home: Warn people inside the house to get out safely. Help people to get out and stay out of harm’s way. If there is a lot of smoke, crawl out below the smoke to escape the fire. Where possible,

The wonders of breast milk

We’ve been told it’s the most nutritious fluid on Earth. Some even refer to it as “liquid gold.” But what is it about breast milk that makes it so unique and special? We take a deeper look. The first 1000 days of your baby’s life, from the first day of your pregnancy up to two years of life, represent a critical period of growth and development. It gives us parents an opportunity to provide an environment that will help support life-long health. This includes the nutrition a baby receives during this period, which can have a resounding impact. The most complete form of nutrition for infants – breast milk – offers a range of benefits for health, growth, immunity, and development. The World Health Organization recommends breastfeeding exclusively for at least six months (and even up to two years and beyond) because of the long-lasting benefits of breastfeeding for both you and your baby. Many studies, whether focusing on the properties of the milk itself or its effects on babies’ short and long-term health, confirm the significance of these recommendations. Breast not only is the “best” for both you and baby, but it’s also the norm – it’s how our babies have been fed since the beginning of time. One of the most important decisions you can make during these first 1000 days of your baby’s life is to choose to breastfeed your baby. What exactly is in breastmilk? It’s a unique nutritional source that is easy to digest and provides the perfect balance of protein, fat, carbohydrates, and nutrients to promote the growth and development of your baby.  In the first few days after giving birth, the body produces a special kind of breastmilk known as “colostrum.” Thick and yellowish in colour, colostrum is very nutritious and is rich in antibodies that help baby fight off infections and bacteria. It also helps baby’s digestive tract develop, helping it prepare to digest breast milk. After a few days, mom’s breast milk comes through, which is runnier than colostrum, and whiter in colour.  Breastmilk contains hundreds of invaluable substances in human milk – probably more that have yet to be identified – including: Antibodies and white blood cells Probiotics (as many as 600 different species!) Hormones Growth factors Antibacterial properties Oligosaccharides (special carbohydrates that encourage the growth of friendly bacteria in the digestive system) Long chain polyunsaturated fatty acids (important for the development of their brain, eyes and nervous system) Cytokines (special proteins involved in cell communication and immune system formation) and many, many more. Breastfeeding not only provides your baby with tailored nutrition, but it’s available on demand, day or night, and it’s free of charge! The health benefits go well beyond convenience and cost, however, and will have a far-reaching impact on both you and your baby long after the breastfeeding journey has ended. Health benefits of breastfeeding for your baby Scientific research suggests a substantial number of potential health benefits from breastfeeding.  These benefits include: Decreased rates of sudden infant death syndrome in the first year of life (an effect that becomes even stronger when breastfeeding is exclusive). Lower post neonatal infant mortality rates (a reduction of approximately 21% in the U.S.). Decreased risk of baby developing eczema, asthma, and food allergies later in life. Slightly enhanced performance on tests of cognitive development. Lower incidence of infectious diseases, such as diarrhoea, pneumonia, ear infections, respiratory tract illness bacterial meningitis, urinary tract infection, bacteraemia, necrotizing enterocolitis, and late onset sepsis in preterm infants. Improved dental health with less risk of tooth decay. Reduction of the risk of obesity later in life when exclusively breastfed for at least 4 months. Decreased rates of type 1 and type 2 diabetes mellitus, lymphoma, leukaemia and Hodgkin disease in older children and adults. And if this wasn’t enough, breastfeeding also exposes your baby – through the milk you’re producing – to the varying tastes and flavour profiles of the foods you eat, which can influence food acceptance and preferences when they themselves begin to eat food, and throughout their lifetime as well. Are there any circumstances in which breast milk can be harmful to your baby? Yes, there are a few circumstances in which breast milk may pose a danger to a baby, but these are directly related to the health of the mother. If a mother is taking prescription medication, for example, the medication may affect the baby via the mom’s breast milk. Illegal drugs are extremely harmful to babies, and if a mom is taking them, they can be transmitted to baby via breast milk too. Certain health conditions in the mother may also make her breast milk unsuitable for her baby. These include: HIV / AIDS, active tuberculosis, certain cancers and chemotherapy. Regular colds, flus or minor health problems should not pose any risks. If you are taking medication, or have any serious health conditions, chat to your doctor about the possibility of breastfeeding to ensure the safety of your baby. Health benefits of breastfeeding for you Your baby isn’t the only one who benefits from breastfeeding. The health benefits for the mama (you!) are also significant and include: A unique and powerful physical and emotional connection between you and your baby – breastfeeding is the one parenting behaviour only the mother can do. A non-verbal communication and bond with your baby that only grows to support an ever more intimate and effortless mutual exchange, especially if you stay present while nursing with lots of touching, talking, singing, and eye contact. Stimulation of your body to produce antibodies in your milk which in turn helps your baby stay well or recover faster if sick. Help with your return to your pre-pregnancy weight by increasing your energy requirements, promoting the mobilization of fat stores, and quickens your uterus to contract to its pre-pregnancy size. Decreased risk of breast cancer and ovarian cancer. Possibly decreased risk of hip fractures and osteoporosis in the post-menopausal period. Delay the return of your menstrual

Chicco Warmy Plate

Chicco, global leaders in all things baby for over 62 years, continue to bring innovation and convenience to parenting. A full 360 degree approach to parenting, Chicco continues to provide quality products from Italy to all corners of the globe, including South Africa.

The truth about sterilising and hygiene

Health and hygiene are two issues all parents really care about and they’re top of our list too.  Let’s face it, caring for a baby and creating a hygienic environment can feel never-ending.  With the right equipment, some common sense and a routine, these tasks become second nature and you can feel confident that baby will be safe at home or when out and about. Cleaning & cleansing – regularly wiping surfaces and washing baby equipment is a great habit to get into once baby has arrived. In particular, make sure that any areas used to prepare bottles or food are clean. Sterilising – baby feeding equipment, breast pumps and soothers should all be sterilised until your baby is 12 months, as milk can harbour harmful bacteria which could make your little one sick.  There are many different sterilising options out there, from cold water, microwave and electric to new UV sterilisation, which can even clean soothers, teethers and small toys. It’s really important to sterilise baby’s feeding equipment to protect your baby’s developing immune system from potentially harmful bacteria.  To sterilise effectively, ensure that all bottles, teats and accessories are disassembled and washed thoroughly with warm soapy water and rinsed clean before sterilising.  Ensure you re-assemble items with clean hands or sterilised tongs if you can and always on a clean surface too. As a general rule, as soon as a steriliser is opened, the contents inside are no longer sterile. The Vital Baby Nurture 2 In 1 Combination Steriliser (R390.00) has been designed to give you ultimate convenience and peace of mind, killing 99.9% bacteria to keep your baby healthy and happy. This microwave and cold water steriliser combination offers total flexibility depending on your needs. It keeps contents sterile for a full 24 hours when the lid is kept closed. This is really useful, so you can always have a sterile bottle close to hand. You can choose to sterilise in either the microwave with only water using steam for a chemical free clean, or using the cold water method with sterilising solution added. The large capacity holds up to four wide neck bottles, teats, collars, caps and tongs. This steriliser is also suitable for standard neck bottles and accessories such as breast pumps and their components, soothers and teethers. It can be easily stored in the microwave when not in use and can be easily transported when travelling with baby. Sterilising time is just four minutes in the microwave (based on an 850W microwave). Changing time – always make sure baby is changed on a wipe-clean mat where possible and remember good hand hygiene. Wash hands thoroughly after each change and dispose of dirty nappies using secured nappy bags or a special nappy bin.  Germs – germs are all around and as baby grows he/she will want to chew most things! While exposure to germs can be a good thing (and is also completely inevitable!), you don’t want your baby to be exposed to the really harmful ones. Limit their exposure by maintaining a high standard of hygiene in the home.  Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com. 

Nattou Buddiez

Nattou is one of the softest, most luxurious plush labels in the world. Known for being as cuddly as it can get, their range of newborn toys are without a doubt, pure joy for any baby.

Make the most of mealtime with your tot

Meal times should be enjoyable, but when you’ve got a stubborn little one to feed, they can be stressful. For some parents, meal times may seem like a battlefield. Yes, it’s bound to get a bit (or a lot!) messy, especially when your tot starts feeding themselves. There may be tantrums over the type of food being served, and they may even resist your help in the feeding process. Don’t despair if this sounds all too familiar – there are lots of things you can do to bring the joy back to meal times.  Toddlers, in many ways, are like teenagers. They are learning to navigate their world, they are extremely inquisitive and they are trying to gain more control over some parts of their lives. The major difference is, unlike teens, toddlers have had zero control – up until now. Eating is the first thing they learn to control, and in many cases, they will try take advantage of the situation. And to be fair, who can blame them? They are learning to master their independence.  The key to mastering meal times is to give your tot an appropriate amount of control. It is your responsibility to prepare and serve them healthy, appropriate meals, but leave it up to them to decide how much they want to eat, and which parts of the meal they want to eat. Toddlers are notoriously picky eaters and may select one or two meals they love, and seemingly refuse to eat anything else. Many parents offer those same meals every day out of pure desperation to get their tot to eat. This, however, is not the answer to a healthy diet, and parents should not fall into this habit. Your tot won’t starve, and if given other foods, will rather become flexible with their eating habits than eat nothing at all.  Variety is key when it comes to getting your little one to eat. Try offer them a few different foods on their plate at each meal time. This doesn’t mean cooking various meals – simply add a few pieces of chopped fruit or veggies, or even some yoghurt to whatever food you have prepared. The more variety you can introduce, the better.  Don’t give up on a food first time round. If your child won’t try something, don’t force them to eat it, but introduce it again a few days later. Children can be slow to accept new flavours and textures, and studies have shown it can take up to 20 times before they’ll accept something new! As difficult as it may be, don’t negotiate with your tot. Offering them dessert as a reward for a few more bites is not sustainable, and may create an expectation of this happening after every meal.  Have family meals together as often as possible. Set a place at the table for your tot. It’s good for them to see their parents are siblings eating healthy meals together and enjoying the time together.  Your tot’s “crockery” and cutlery can go a long way in making meal times less messy. Vital Baby’s Power Suction Plate and Bowl are a game-changer!  With super suction power, the Vital Baby NOURISH™ power™ suction plate has been designed to help prevent tipping and spills.  It sticks to your baby’s highchair or a table with super suction power and has been proven to have the strongest suction pad available. Easy to use, simply place this baby plate on a table or highchair tray and twist for less mess and less stress at meal times! With powerful super suction, the Vital Baby NOURISH™ power™ suction bowl has been designed with scooped sides to help prevent tipping, spills and splats. This baby feeding bowl sticks to your baby’s highchair or your kitchen table and has been proven to have the strongest suction pad. Simply place it on a table or baby’s highchair tray, flip and twist for less mealtime mess and stress! Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com. 

Nattou Piu Piu Octopus

Nattou is one of the softest, most luxurious plush labels in the world. Known for being as cuddly as it can get, their range of newborn toys are without a doubt, pure joy for any baby.

How do I moisturise my baby’s skin?

Those early weeks with a new baby can be magical… and exhausting. You’re still working out how to hold a slippery baby while you wash their delicate skin, and you’re learning what they like and don’t like (clue: they’ll definitely let you know). You don’t need to use moisturiser at this stage, but as you start taking your baby out and about more, their skin is exposed to more toxins from the outside world and might start getting dry.

11 Common Car Seat Mistakes

Car crashes remain one of the leading cause of unintentional injury-related death among children under 14 in South Africa. No doubt, in part, because 4 out of 5 car seats are used incorrectly… And nearly a third of children ride in incorrect restraints for the size and age. Those are a whole lot of car seat mistakes!

Chicco Hipseat Baby Carrier

The Chicco Hip Seat is a sling that has a removable seat attached. Parents can wear their child comfortably and safely with the new Hipseat.

How to incorporate yoghurt into your child’s diet by Happy Family Organics

The yoghurt section in the grocery store seems to be expanding every year, and it’s no wonder why! Yoghurt is a versatile food that can be eaten as part of a meal or snack, and can be incorporated into many recipes from dips to dressings to desserts. Yoghurt contains protein, fat and carbohydrates, as well as the nutrients calcium, potassium, phosphorus and is often enriched with vitamin D.

Fertility Facts by Lamelle Research Laboratories

Male infertility refers to the inability of a male to achieve a pregnancy in a fertile female. In humans it accounts for 40-50% of infertility. This is commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fertility.

Infertility: Don’t wait until it’s too late!

Parenthood is undeniably one of the most universally desired goals in adulthood, and most people have life plans that include children. However, not all couples who want a pregnancy will achieve one spontaneously and a proportion will need to seek medical treatment to help resolve underlying fertility problems. It’s therefore understandable that infertility has been recognised as a public health issue worldwide by the World Health Organisation (WHO).  “Infertility is when you cannot get or stay pregnant after trying for at least a year and you are under the age of 35,” says Dr Sulaiman Heylen, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG). One in every four couples in developing countries is affected by infertility, while one in six couples worldwide experience some form of infertility problem at least once during their reproductive lifetime. The current prevalence of infertility lasting for at least 12 months is estimated to affect between 8 to 12% worldwide for women aged 20 to 44. In recent years, the number of couples seeking treatment for infertility has dramatically increased due to factors such as postponement of childbearing in women, development of newer and more successful techniques for infertility treatment, and increasing awareness of available services. This increasing participation in fertility treatment has also raised awareness and inspired investigation into the psychological ramifications of infertility. It can cause stress, depression and anxiety, which is why it is important to know that there are options available for treatment. Age is a key factor “Up to 50% of all patients who visit a fertility centre are 35 or older. We cannot stress enough how important it is for people not to wait too long when they consider having children. Young women need to be aware that there is a slow decline in fertility from their 20s until the age of 35, after which it starts to decrease rapidly until the age of 45,” says Dr Heylen. “It’s extremely important for couples to investigate fertility options and fertility preservation earlier in life, rather than leaving it too late. A woman who is not ready to have a child can choose to freeze her eggs to try to preserve her ability to have a child later,” says Dr Heylen.  It’s estimated that 20 to 30% of infertility cases are explained by physiological causes in men, 20 to 35% by physiological causes in women, and 25 to 40% of cases are because of a problem in both partners. In 10 to 20% no cause is found. Infertility is also associated with lifestyle factors such as smoking, body weight and stress. A woman’s age is one of the most important factors affecting whether she is able to conceive and give birth to a healthy child. This is due to several changes that are a natural part of ageing:  The number and quality of eggs (ovarian reserve) decreases naturally and progressively from the time a woman is born until the time she reaches menopause.  It is not only more difficult to get pregnant (conceive), but miscarriage and chromosomal abnormalities in the child (such as Down syndrome) are more common in older mothers. Fibroids, endometriosis, and tubal disease are more common and can affect fertility. Women who become pregnant at an older age have a higher risk of complications during the pregnancy, such as gestational diabetes and preeclampsia. The decrease in a man’s fertility appears to occur later in life than in a woman’s fertility. In their mid-to-late 40s, men experience changes in their sperm that can cause issues with fertility, and chromosomal or developmental problems with their children. Lifestyle and family history If you have any of the following risk factors, you may also consider seeking advice earlier: Family history (i.e., mother or sister) of early menopause (before age 51) History of cigarette smoking in either partner Previous ovarian surgery Exposure to chemotherapy or radiation to treat cancer in either partner Shortening in the time between periods Skipped or missed periods History of injury to the testicles Exposure to toxic chemicals (certain pesticides or solvents) Pregnancy is a complex process Pregnancy is the result of a process that has many steps. To get pregnant: A woman’s body must release an egg from one of her ovaries (ovulation). A man’s sperm must join with the egg along the way (fertilise). The fertilised egg must go through a fallopian tube toward the uterus. The fertilised egg must attach to the inside of the uterus (implantation). Infertility may result from a problem with any or several of these steps. For the pregnancy to continue to full term, the embryo must be healthy and the woman’s hormonal environment adequate for its development. When just one of these factors is impaired, infertility can result. Couples, dependent on the ages of the partners, are generally advised to seek medical help if they are unable to achieve pregnancy after a year of unprotected intercourse. The doctor will conduct a physical examination of both partners to determine their general state of health and to evaluate physical disorders that may be causing infertility. Usually both partners are interviewed about their sexual habits in order to determine whether intercourse is taking place properly for conception. If no cause can be determined at this point, more specific tests may be recommended. For women, these include an analysis of ovulation, x-ray of the fallopian tubes and uterus, and laparoscopy. For men, initial tests focus on semen analysis. “Based on the results of the specific tests, a treatment plan will be made which can include medication, surgery or assisted reproduction,” says Dr Heylen.  Treatment options Not all couples who desire a pregnancy will achieve one spontaneously and some will need medical help to resolve underlying fertility problems. It is now estimated that more than 9 million babies have been born worldwide since the first IVF baby was born in 1978. Most assisted reproductive technology (ART) treatments take place in women aged between 30 and 39. The most common fertilisation technique is ICSI

5 tips to distract baby in the car

Hands up if your boobs leak when you hear a crying baby? If your mind goes blank? You grit your teeth while trying to talk sweetly, over the loud screams? Your breath quickens, and little creatures feel like they are moving around under your clothes? While you try aimlessly to distract baby, whose eyes are probably closed anyway. (You can put your hands down now.)

Chicco Myamaki Baby Carrier

Myamaki, in addition, has been studied to guarantee the maximum comfort for parents thanks to the soft and padded shoulder and waist straps that ensure the correct distribution of the weight across parent’s back.

Baby and tot picky eater meal plan by Happy Family Organics

It seems we constantly hear about kids being picky eaters; it may feel like we are condemned to have a child who will eat nothing but chicken fingers and pizza. Is there anything you can do to raise an adventurous eater? Plenty actually, starting right now!

5 questions when buying a second hand car seat

We are buying a second hand car seat. But unlike last time and the abandoned (money) seat in the garage, I am not going in blind… I’ve been armed with questions from #CarseatFullstop and intend not to come home with a denim covered car seat of unknown origins.

Introducing solids: First foods and textures by Happy Family Organics

Starting solids is an exciting milestone and huge transition in your baby’s first year. When your baby seems ready (for most babies, at around six months), it’s important to let them lead the way with food. Allow them to decide how much and even whether they want to eat. Keep in mind that erratic eating patterns are perfectly normal. Just like you, your baby may be very hungry one day and less hungry the next. By being mindful of your baby’s hunger and fullness cues, you’ll both learn together.

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