10 WAYS TO CARE FOR YOUR MENTAL HEALTH DURING PREGNANCY

Affinity Health, a leading provider of high-quality health cover, explores ten ways to care for your mental health during pregnancy. While pregnancy is a time of excitement and anticipation, it is common for women to experience a range of emotions, including anxiety, mood swings, and even depression. “Hormonal shifts, such as the surge of progesterone, oestrogen, and human chorionic gonadotropin (hCG), can significantly impact a woman’s mood,” explains Murray Hewlett, CEO of Affinity Health. “In addition to hormonal influences, the physical changes associated with pregnancy, such as nausea, vomiting, backache, and alterations in body image, can induce stress and affect emotional well-being. Furthermore, sleep disruptions and the significant life changes accompanying pregnancy can further contribute to emotional upheaval.” Acknowledging the complexity of these factors and their potential impact on mental health during pregnancy is essential. By prioritising mental well-being alongside physical care, women can nurture a positive and supportive environment for themselves and their growing baby. How To Prioritise Your Mental Health During Pregnancy   Educate Yourself   Hormonal fluctuations can trigger mood swings and emotional instability, and understanding these changes can provide reassurance that what you’re experiencing is normal. Read reliable books, attend prenatal classes, and consult your healthcare provider to learn about pregnancy’s psychological aspects. Talk About Your Feelings Communication is critical during this period. Talk openly about your feelings with your partner, friends, family, or healthcare provider. Sharing your experiences can help you process your emotions and reduce feelings of isolation. Stay Active Endorphins, which are natural mood boosters, are released during exercise. Regular physical activity can help manage stress and anxiety, enhance sleep, and boost energy levels throughout pregnancy. Gentle workouts such as walking, swimming, or pregnancy yoga are ideal. Before beginning any fitness routine, always consult with your healthcare physician. Healthy Eating What you eat can significantly impact your mood and energy levels. A healthy diet of fruits, vegetables, lean proteins, and whole grains will help your mental health. Avoid excessive caffeine and processed foods, which can increase anxiety levels and mood swings. Practice Mindfulness and Meditation Mindfulness and meditation techniques can help reduce stress and anxiety throughout pregnancy by focusing on the present moment. Deep breathing, progressive muscular relaxation, and guided imagery are all options. Consider taking a prenatal meditation class or using meditation apps to help you during your pregnancy. Prioritise Rest and Sleep Fatigue can exacerbate emotional instability. Prioritise rest and make sure you’re getting enough sleep. If you’re having trouble sleeping, discuss it with your healthcare provider. Simple strategies like limiting screen time before bed, maintaining a regular sleep schedule, and creating a calm, dark sleep environment can help. Establish a Support Network  Surrounding yourself with a support network can make a significant difference. Whether it’s family, friends, healthcare providers, or a support group of other expecting mothers, having people to lean on can provide emotional stability and reassurance. Seek Professional Help  If your emotional distress is persistent, affecting your daily life or causing you to have thoughts of harming yourself or others, it’s essential to seek professional help immediately. Therapists and counsellors are trained to help you navigate these challenges. In some cases, medication may be recommended. Limit Information Overload While it’s good to be informed, the sheer amount of information available can be overwhelming and anxiety-inducing. Limit your consumption of pregnancy-related information to trusted sources and avoid excessive searching and reading, particularly of scary or negative stories. Self-care Rituals Taking time to nurture yourself can boost your mood and overall well-being. Engage in activities you enjoy, pamper yourself, and practice self-care rituals. These include reading a book, taking a warm bath, listening to music, or spending time in nature.  Conclusion Pregnancy is a remarkable journey, filled with moments of joy, anticipation, and inevitable challenges. By consciously caring for your mental health during this time, you’re nurturing yourself and creating a healthy environment for your growing baby. Remember, it’s okay to ask for help and prioritise your well-being. Your mental health matters – for both you and your baby. About Affinity Health Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

October 20, 2023

Beating heatstroke

Bonitas Medical Fund offers some advice about heatstroke. What the symptoms are, how to avoid it and what to do if someone, child or adult, develops heatstroke.

October 20, 2023

Does what you eat in pregnancy matter?

There’s nothing quite like pregnancy to focus your attention on your health and well-being.  Most moms-to-be naturally have questions and concerns about their nutrition so that they meet the needs of their growing baby.  Of course, you also want to maintain a strong and healthy body that is well-prepared for birth and the rigours of new motherhood. Healthy eating during your pregnancy helps to ensure a healthy pregnancy weight and helps your baby develop normally and have a birth weight of at least 2.5 kilogrammes.  Pregnancy is not the time to be experimenting with diet fads or taking ‘nutrition advice’ from non-experts. Rediscover Dairy dietitian, Maretha Vermaak says, “For your baby to be born healthy, growth and development need to happen on quite a strict schedule during each of the trimesters and therefore these timeframes are called ‘critical periods’. If certain nutrients are in short supply during these critical periods, development or growth may be disrupted. Having a healthy, nutrient-dense diet even before you fall pregnant will give you and your baby a good start.” No, you don’t need to ‘eat for two’ This adage is often interpreted as eating double, but your energy needs during pregnancy actually increase very little.  In the first trimester you have no increased energy needs.  In the second trimester, you need approximately 1470 extra kilojoules, and in the third trimester, that increases to only 1890 extra kilojoules.  However, kilojoule counting is not an exact science, and it’s too hard to accurately maintain on a daily basis.  Maretha says, “It can be helpful instead to monitor your weight gain and increase or decrease your energy intake relative to that.  However, the best approach is to focus on your nutrient intake, understanding the role of nutrients in a healthy pregnancy and making sure that the nutritional quality of your food is good.” Nourishing nutrients you need From conception to birth, your baby’s cells will divide rapidly, highlighting the importance of having the right fuel to support these processes.   Here are six ‘star’ nutrients to focus on: ●     Protein – During pregnancy your protein needs increase by 50% to support the development of your growing baby’s body. However, most people exceed the daily recommendation for protein (0.8g/kg/day) and so increasing your protein intake is not likely to be necessary.  What you can do is focus on the quality of the protein you consume.  Choose a variety of animal and plant-based proteins and opt for minimally-processed foods.  Some examples of good protein choices include milk and other dairy products such as maas, yoghurt and cheese; fatty fish such as sardines, pilchards or cooked seafood; meat and poultry, eggs, legumes, nuts and seeds. ●     Folate – This is a B-vitamin that is critical for DNA synthesis and cell division. Not having enough folate can lead to neural tube defects in your growing baby.  This nutrient is so important that all women of childbearing age are advised to consume it in adequate amounts. Foods rich in folate include dark-green leafy vegetables, fruits and grains as well as nuts, legumes, seafood, eggs, dairy products, meat and poultry. ●     Iron – Additional iron is important for mom, because during pregnancy blood volume increases, which means that there are more red blood cells with each needing iron to function. Additional iron is also stored by your baby, especially in the final weeks of gestation. Many women enter their pregnancies with low iron stores and so the risk for iron deficiency anaemia increases as the pregnancy progresses. Good sources of iron are red meat and eggs. Eating vegetables and fruit high in vitamin C together with iron-rich foods will improve the absorption of iron Tip: As milk and dairy inhibit the absorption of iron, it is best to have iron-rich foods (or a supplement) during the day rather than with breakfast, which usually contains milk or dairy products. ●     Zinc – This is an important mineral for cell division and immune function, but women generally do not get enough of this nutrient every day. Animal foods such as meat, seafood and dairy products, and also plant-based foods such as legumes, nuts and seeds are good sources of zinc. ●     Omega-3 fatty acids – Brain and eye development rely on adequate levels of omega-3 fatty acids. Protein-rich foods such as fatty fish, nuts and seeds are good sources of omega 3 fats too. ●     Calcium – Pregnancy boosts your body’s ability to absorb and store calcium. Consuming about 1200 mg of calcium a day during pregnancy calcium is important not only for forming your baby’s bones and teeth but also for maintaining your own bone health. Milk and dairy products such as maas, yoghurt and cheese are great sources of calcium that is easily absorbed by the body. Three to four servings of dairy a day are recommended to help you reach your required calcium intake. Fish usually eaten with their bones, such as tinned sardines, can also be a valuable source of calcium. One extra micronutrient One nutrient that we have not touched on is iodine which plays a role in the production of thyroid hormones. Thyroid hormones impact on maternal energy metabolism and support the growth and development of the baby in the first trimester. In addition, it is a vital nutrient for proper brain development, potentially affecting neurocognitive outcomes of children later in their lives. During pregnancy, thyroid hormone production increases by 50%, which means you need to make iodine-rich foods part of your diet. In South Africa, many people meet their iodine needs by using iodised salt. However, as eating a lot of salt is generally not recommended, especially for those with high blood pressure, it is best not to rely on iodised salt as your only source of iodine. Milk and dairy products can contribute greatly to iodine intake. What else may be missing? Fibre! A high-fibre diet not only offers many health benefits, but it can also help to reduce constipation during pregnancy. Many women experience constipation during

October 19, 2023

Tips for Breastfeeding Success!

After the birth – Keeping your baby with you after the birth will promote a feeling of closeness and a strong hormonal response that is linked with breastfeeding success. In many cases, it is even possible to have your baby with you immediately after a caesarean birth

October 17, 2023

Breastfeeding tips

Symptoms you may experience when not breastfeeding 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. Your breasts may become sore, engorged or swollen and firm to touch. You may develop a slight fever. Your breasts may leak a significant amount of milk. You may have some uterine bleeding during this time. If you have any concerns or questions about the symptoms you experience during this time contact your doctor for more information. Care for your breasts when not breastfeeding 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. Try ice packs on your breast for 15-20 minutes at a time. If ice doesn’t help, try using a warm washcloth on your breasts. Wear a well-fitting bra that is not too tight. Let your baby nurse at your breasts for a few minutes at a time. Ask your doctor about methods to help release a small amount of milk from your breasts, which may relieve some of the discomfort. Contact your doctor if you have any questions or concerns or you develop chills, or a fever and your breasts are still uncomfortable and swollen after 1-2 days. Benefits of breastfeeding 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. Breastfeeding is a skill and can take time to learn; don’t get discouraged if it’s not easy for you at first.  Breastfeeding educators are available and can be helpful in overcoming some of the hurdles. Choosing to breastfeed your child provides many benefits for both you and your baby. Some of these include: Decreased likelihood of baby getting sick from infectious diseases or having an ear infection Decreased risk of breast and ovarian cancer for the mother Aids in faster weight loss for the mother Decreased postpartum bleeding Facilitates in mother-baby bonding Free and environmentally friendly Decreased risk of obesity for the child Breastfeeding is still possible after breast surgeries, piercings and tattoos; talk to your doctor about any concerns you may have How to breastfeed 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. Some simple tips on how to breastfeed: Find a position that is comfortable for both you and the baby; use pillows to support your arms and prop your feet up Feed your baby whenever they seem hungry or show any of the hunger signs- moving head towards your chest, pulling hands near mouth or sucking noises Newborns need to eat at least every 2 to 3 hours; if your baby has been sleeping for 3 to 4 hours, wake them to nurse Wait to introduce a bottle or pacifier until your baby is 2 to 4 weeks old to avoid nipple confusion. Waiting much longer can create problems getting your baby to accept something other than the breast. Keeping your breasts healthy 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. Keeping your breasts healthy during breastfeeding is important.  Here are some things to watch for: Sore nipples are normal at first; use moist warm compresses, nipple creams made for breastfeeding or a bit of fresh breast milk See your doctor if soreness continues or increases, you have a swollen or red breast or if you are running a fever

October 13, 2023

Understanding Your Breastfeeding Rights in the Workplace

As a new Mother, nothing will be more important to you than the well-being of your newborn infant, as your instinct ignites the powerful force of motherhood within you to protect and nurture your baby. A newborn requires exclusive breastfeeding for the first six months of its life for optimal growth and development and continued breastfeeding, combined with solid foods, for two years or longer. Working mothers returning to jobs and careers following their maternity leave period will face the challenges of juggling work and home responsibilities. Unfortunately, according to a 2021 survey, the number one reason why new mothers stop breastfeeding their newborn infants is due to having to return to work. While South Africa has legal rights in place for breastfeeding mothers in the workplace, there are challenges new mothers may face in trying to exercise these rights. According to a survey done in 2021 by the South African Breastfeeding Association, only 20% of companies have dedicated breastfeeding rooms in the workplace. According to South Africa’s Basic Conditions of Employment Act, the legal rights of breastfeeding Mothers in the workplace in South Africa are: Breastfeeding mothers are legally entitled to two 30-minute breaks per day for breastfeeding or expressing milk if their infants are younger than 6 months. Breastfeeding breaks are paid time. Employers should provide a clean and private area for breastfeeding or expressing milk, as well as a facility for storing the milk. Breastfeeding mothers should not be discriminated against or harassed for choosing to breastfeed or express milk at work. However, the challenges that breastfeeding mothers may face in trying to exercise these rights are: The Code of Good Practice does not specify whether the breastfeeding breaks are in addition to or part of the normal breaks, such as lunch or tea breaks. The Code of Good Practice does not require employers to give breastfeeding mothers a suitable space for expressing or storing their milk, nor does it specify the minimum standards for such a space. The Code does not impose any penalties for employers who fail to comply with its provisions, nor does it provide any remedies for breastfeeding mothers who are denied their rights. According to BioMedCentral, the survey conducted in March 2021 involved 1000 working mothers across South Africa who had given birth in the past two years. It found that only 20% of companies have dedicated breastfeeding rooms for working mothers, and 40% of mothers had to use public spaces such as toilets, storerooms, or their cars to breastfeed or express milk. The survey also revealed that 60% of mothers felt unsupported by their employers and colleagues when it came to breastfeeding, and that 30% of mothers had stopped breastfeeding before six months due to work-related challenges, highlighting the need for more awareness and action from employers, policymakers, and society to create a more enabling environment for breastfeeding mothers in the workplace. Some employers may be unaware of or unwilling to accommodate the needs of breastfeeding mothers and may create a hostile or unsupportive work environment for them: “My employer did not provide any space for me to pump, so I had to use the bathroom. It was dirty, noisy, and uncomfortable. I felt like I had no privacy or dignity. I often got mastitis and low milk supply. I hated every minute of it,” says Maria, who is a cashier. Some co-workers may be ignorant or insensitive to the benefits and challenges of breastfeeding and may make negative comments or jokes about it. Luckily this was not the case for Fatima, a machine operator in a factory where there are mostly men. “They were very sympathetic to my breastfeeding. They helped me find a quiet corner where I could pump, and they covered for me when I took breaks. They never made any jokes or remarks. They treated me like a normal coworker.” Certain breastfeeding mothers may feel embarrassed or uncomfortable about breastfeeding or expressing milk at work and may face social stigma or pressure from their workplace, families or communities. Ashley, a nurse, had to quit her job because her employer refused to accommodate her breastfeeding needs. “They said it was too disruptive and costly. They threatened to fire me if I kept asking for breaks and space. I felt discriminated against and harassed. I wish I had more legal protection.” Marketing manager Jessica had a more understanding employer. “I was lucky enough to have a supportive boss who let me use his office to pump whenever I needed. He also made sure that no one disturbed me or made any rude comments. He even bought me a mini fridge to store my milk in. I felt valued and respected as a working mother.” At Vital Baby we care about parenting and bring you tips on how to navigate your work-life balance and make breastfeeding work for you so you can give your child the best start in life, wherever you may find yourself. It is important to: – Know your rights. Be prepared to negotiate with your employer for more flexible work arrangements, such as flexible hours, part-time work or extended maternity leave. Plan ahead. Before you return to work, discuss your needs with your employer and colleagues about your breastfeeding needs. Discuss a suitable space for breastfeeding or expressing milk at work. If it is impossible, express extra milk and store it in the freezer so your baby can still benefit. Electric and manual breast pumps are small and non-disruptive. The Vital Baby Flexcone Electric Breast Pump Gift Set R2199.99 makes the perfect maternity gift set from the office and includes everything a new mother needs to maintain breastfeeding; it includes the Vital Baby electric breast pump, a breast like feeding bottle, slow flow teat, silicone breast cup, a manual conversion kit so it works during load shedding, bottle stand, charge cable and plug adapter, six ultra comfort breast pads, 30 easy-pour breastmilk storage bags and 2 protect and care silicone nipple shields. The Vital Baby Manual Breast Pump Gift

October 10, 2023

DEALING WITH KIDS AND PREGNANCY

Dealing with pregnancy can be tricky on its own, but when you have a toddler or young kids to look after things can become more difficult. If this is your second pregnancy, you may be struggling with morning sickness, fatigue and a tired achy body and still having to look after another young child.  You’re probably wondering how to manage, so we’ve put together some useful tips to help you the second time around. Be patient with them and yourself It’s important that you’re patient with your child. Initially, they may not understand the pregnancy which can make them act out in confusion. Getting them involved and feeling like a big sibling can help them to feel excited about the new addition to the family. That being said you should also be patient with yourself. You may be feeling unwell due to your pregnancy, and with looking after another child you may find things falling by the wayside. It’s likely that only you will notice these things, so don’t be too hard on yourself. Playtime for you and them  You might not always be feeling up to playtime with your little one, so this is a good time to encourage them to play independently. This way you free up a little bit more time for yourself while keeping them entertained. As your pregnancy progresses, play in ways that you can manage. Instead of running around, focus on board games, drawing and puzzles. Allowing a little bit of screen time (even together) is another way you can easily entertain your kids. Help and schedules Don’t be afraid to ask for help. If you have a partner, they are the obvious person to lend a hand, but if you are by yourself, either reach out to close family or consider getting paid help for part of the day.  Another way to find some time for yourself is to nap when your toddler naps. Syncing up your sleep schedules may mean that you find yourself a little bit more rest time for when you’re feeling tired or nauseous. 

October 6, 2023

The best products for healthy babies and children

Babies and children require seemingly few products to stay healthy, but as they age, most parents realise that there are some essentials that do not only boost and improve their child’s health, but also makes the parents’ lives easier. While requirements vary from family to family, there are a few basics that are considered beneficial for young ones. Here are a few products we recommend: Health care products Every household needs quick and easy access to a first aid kit or health care kit. When you need it, it’s usually to attend to an immediate problem, meaning there’s no time to search around. First-time parents sometimes aren’t sure what exactly they’ll need for baby’s first aid kit, which is why it’s will be handy if you have a pre-packed kit filled with the basics. We recommend the Safety First Healthcare Kit (R289.99), an 11-piece kit containing all the basics you’ll need for baby’s basic health needs. From a nasal aspirator, to a digital thermometer, medicine dropper and soft grip toothbrush, this handy kit covers all the basics. Grooming products Babies might not need much grooming to start off with, but as soon as they’re a little bit older you’ll need to look into nail clippers, hairbrushes, and other basic grooming items. Like with a health care kit, it might be difficult for first-time parents to know exactly which items to buy. The Safety First Essential Grooming Kit (R229.95) is a handy 10-piece kit containing all the good quality basics you’ll need, such as a comb, hairbrush, nail clippers, nail files and more. Breast pump Breastfeeding moms know that there comes a time – be it when you return to work, or when you need to pop out – that a good quality breast pump becomes a lifesaver. Whether you pump because you can’t physically be with your baby to breastfeed, or whether it’s to allow dad and other family members to help out with feeding, many women find pumping easy and convenient – with the right pump, of course. Medela Harmony Essentials Pack (R999.95) combines everything moms need for breast milk pumping in one breast pump set. It comes complete with a silicone teat, four milk storage bags to store and freeze your milk, and four ultra-thin nursing pads: everything you need to express and store your breast milk and feed it to your baby. This single manual breast pump is perfect for moms who want to try out pumping, moms who express occasionally and need a lightweight travel companion, or moms who want a handy backup to their electric pump. Quality bottles On the days that you’re pumping, you’ll need some quality bottles with which to store your baby’s milk. It’s important to choose a brand that makes use of materials safe for baby, that’s convenient and durable. Medela Milk Storage Bottles 2-Pack (R339.99) are free from Bisphenol (BPA) for your baby’s health, dishwasher and microwave safe for your convenience and ideal for expressing, storing, freezing, and feeding breastmilk. A good quality multivitamin Let’s face it – most parents struggle to get their children to eat vegetables, and picky eaters often end up lacking many of the essential nutrients needed for healthy growth. This is where multivitamins come in. A good quality supplement contributes to the normal function of the immune systems and the normal function of many other systems in the body contributing to general wellbeing. We recommend: NutriPure Kids Multi-Vitamin Complete (R126.95) which is specially formulated in a tasty, soft, and chewy gummy, making taking vitamins fun and easy for children aged three and older. Each NutriPure Multi-Vitamin Complete gummy contains 11 essential vitamins and minerals: Vitamin D, B6, B12, C, Biotin, Pantothenic Acid and Niacin to help metabolize carbohydrates, fats, and proteins. An effective probiotic Probiotics are an essential supplement for all ages. A balanced intestinal micro-flora is highly important in keeping the body in healthy working order and is a key element in overall well-being. Plus, it helps us to better metabolize all the healthy nutrients we consume in foods. We recommend: NutriPure Kids Pro-Biotics (R139.95), which is formulated with Bifidobacterium infantis and Lactobacillus rhamnosus, two scientifically tested bacteria strains. Each NutriPure bear contains one billion live cultures to help your child boost his daily culture intake.

October 4, 2023

7 WAYS TO SOOTH YOUR BABY’S UPSET TUMMY

Affinity Health, a leading provider of high-quality health cover, explores seven ways to soothe your baby’s upset tummy. One of the most common concerns for new parents revolves around their baby’s digestion. Tummy upsets can lead to prolonged crying, sleepless nights, and considerable distress for both baby and parent. Understanding Your Baby’s Delicate Tummy A baby’s digestive system is still in its developmental stage, making it susceptible to upsets. Even simple factors like a new food, or trapped air can disrupt their tiny tummies. While crying is a natural way for babies to communicate discomfort, understanding and addressing the root cause is pivotal for lasting relief. Common Causes Of Upset Tummies In Babies Upset tummies in babies can stem from a variety of causes. Common culprits include: Colic, often characterised by prolonged crying sessions with an unknown cause. Gas, which can accumulate when babies swallow air during crying, feeding, or sucking on pacifiers. Gastroesophageal reflux, where stomach contents return to the oesophagus, leading to frequent spitting up. Intolerance or allergies to specific proteins in formula or breast milk. Lastly, infections in the digestive system, such as viral gastroenteritis. 7 Ways to Alleviate Tummy Troubles While persistent stomach issues should prompt a visit to a paediatrician for a proper diagnosis and care, if your baby experiences occasional tummy upsets, try these at-home solutions: Gentle massage: Gently massaging the baby’s stomach in a clockwise motion can help release trapped gas and soothe cramps. Using a soft touch and ensuring your hands are warm can make this technique even more effective. Warm bath: A warm bath can relax your baby’s muscles, aiding in the expulsion of gas and easing discomfort. Always test the water’s temperature with your elbow or wrist to ensure it’s suitable for your baby’s delicate skin.  Bicycle legs: Lay your baby on their back and gently move their legs in a cycling motion. This exercise can help release trapped gas and stimulate bowel movement. Burping: Ensure you burp your baby after every feeding session. Holding your baby upright and gently patting their back can help release any trapped air swallowed during feeding. Probiotic drops: Certain probiotics are designed specifically for infants to promote a healthier gut flora, which can potentially alleviate symptoms of colic and gas. However, always consult with a paediatrician before introducing any new supplements. Check your diet: For breastfeeding mothers, what you consume can impact your baby’s digestion. It might be helpful to monitor and adjust your diet, eliminating potential irritants like dairy or caffeine, to see if it makes a difference  Use a pacifier: Sucking on a pacifier can help relax and soothe a distressed baby. However, if breastfeeding, ensure it doesn’t interfere with your baby’s feeding routine.

October 4, 2023

Paracetamol Use During Pregnancy: What You Need to Know

Even the most trouble-free pregnancy has its share of aches and pains1. The good news is that some of these discomforts will go away as your pregnancy progresses, while others can be easily relieved with the power of Panado®. During pregnancy, your body undergoes a complete transformation as your baby grows.  Your centre of gravity decides to play musical chairs, your organs rearrange to make room for your growing baby, and increased weight puts pressure on your joints and muscles.1a  The circulatory system, too, faces stress during pregnancy, possibly leading to soft tissue pain due to fluid retention.1b Nerve pain enters the scene, often due to nerve compression from weight gain or uterine pressure.1c  The sciatic nerve tends to be impacted, especially in later pregnancy and sometimes post-delivery.1d In the first trimester, shifting hormones and blood volume can trigger headaches.  Overall a headache can often be exacerbated by fatigue, stress and eyestrain.2 Additionally, as your body readies itself for childbirth by loosening ligaments, it becomes more prone to strains, resulting in leg aches and back pain.3 As unpleasant as they may be, most of these aches and pains are normal during pregnancy.  Medications During Pregnancy When it comes to taking medications during pregnancy, it’s crucial to be aware of the potential impacts on your developing baby.  The journey from the moment of conception to birth is an intricate process, and substances you consume can sometimes cross the placenta, affecting your baby’s growth and well-being.4a The use of certain medications during pregnancy has been associated with lower birth weights, meaning that the baby may be born smaller than expected. Premature birth, where the baby arrives before the full term, is another possible outcome due to the influence of certain medications.4b To ensure the healthiest outcome for both you and your baby, it’s recommended to discuss any medications, supplements, or treatments with your health care provider before using them during pregnancy. They can provide guidance tailored to your specific situation, taking into account the potential benefits and risks.  Remember, staying informed and seeking professional advice can greatly contribute to a smoother and healthier pregnancy journey.4c The Power of Panado® Panado® contains paracetamol, which boasts over 150 years of clinical experience5, and the first choice of painkiller if you’re pregnant.6  Paracetamol offers reliable relief for mild to moderate pain, encompassing headaches, toothaches, sore throats, general aches, and rheumatic discomfort.7a Additionally, it aids in alleviating flu symptoms and feverishness.7b Clinical studies show paracetamol is not only the choice for pregnancy, but also for those who are sensitive or allergic to aspirin.8a  How Panado® Can Help Panado® offers a wide variety of pain and fever solutions to meet the needs of people at all stages of life. From infants and children, to teenagers, adults, pregnant women, and seniors, trust Panado® to provide reliable relief. Panado® is conveniently available in tablet9, capsule10 or effervescent11 form to suit individual preference, and offers fast pain relief. Panado® Tablets provide relief from pain and fever. For those seeking an alternative, Panado® Capsules offer a convenient option: the capsule shells are designed to be smoother and more slippery, making them easier to swallow – especially beneficial for individuals who struggle with tablet consumption. The tasteless and odourless nature of the capsules caters to those who find tablets’ taste or aftertaste bothersome. In cases where swallowing tablets or capsules poses a challenge, Panado® Effervescent formulation serves as a convenient solution. Make pain and fever care easy by shopping for Panado® products from available from Baby City, Pick n Pay, Checkers including Hypers, Shoprite, Clicks, Dis-Chem and Independent Pharmacies. For more information, visit https://panado.co.za/ and join the conversations on Facebook.        2023091310311916 References: Healthline. What body aches can you expect during pregnancy? Available from: https://www.healthline.com/health/pregnancy/body-aches-pregnancy. Last accessed September 2023. Stanford Medicine Children’s Health. Headaches in early pregnancy. Available from: https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-early-pregnancy-134-3. Last accessed September 2023. MedlinePlus. Aches and pains during pregnancy.  Available from: https://medlineplus.gov/ency/patientinstructions/000580.htm. Last accessed September 2023. BetterHealth. Pregnancy – medication, drugs and alcohol. Available from:  https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-medication-drugs-and-alcohol. Last accessed September 2023. 150 years of paracetamol. GP Pharma Update Mar/Apr 2019. Bumps. Paracetamol. Available from: https://www.medicinesinpregnancy.org/. Last accessed September 2023. Cambridge University Hospitals. Pain relief during pregnancy and after birth. Available from: https://www.cuh.nhs.uk/patient-information/pain-relief-during-pregnancy-and-after-birth/. Last accessed September 2023.  Australasian Society of Clinical Immunology and Allergy (ASCIA). Allergic reactions to aspirin and other pain killers. Available from: https://www.allergy.org.au/patients/drug-allergy/allergic-reactions-to-aspirin-and-other-pain-killers. Last accessed September 2023. Panado® Capsules approved package insert, August 1984.  Panado® Tablets approved professional information, July 2016.  Panado® Effervescent (Tablet) approved professional information, July 2016. 

October 4, 2023

Neonatal jaundice, what is it and what happens if my baby is born with it?

Jaundice is a yellow discolouration of a baby’s eyes and skin and is fairly common in newborn babies. Although it may be alarming to you to see your newborn baby with a slightly yellowish tint, thankfully, most cases of jaundice are considered normal and will go away on their own. You may be wondering why your baby may be born with this condition, or what treatments are available if your little-one has jaundice – read on, we outline the causes and common treatments thereof.  Why would my baby have neonatal jaundice?  Babies are born with neonatal jaundice when they have excess levels of unconjugated bilirubin in their blood. Bilirubin is a yellowy substance which comes from the breakdown of red blood cells, however, baby’s livers sometimes can’t break this substance down fast enough, giving their eyes and skin a yellow tint.  When your baby is born they will be checked for jaundice, as high levels of bilirubin can lead to more serious problems. A baby is more likely to get neonatal jaundice if they are born premature, have a different blood type to their mother or are being breastfed. Babies who are breastfed can develop jaundice if they don’t get enough breastmilk, due to trouble feeding.  What happens if my baby has neonatal jaundice? If your baby has jaundice, this will typically be seen in the second or third day of being born.  Sometimes jaundice will go away on its own and other times it will need to be treated. If your baby is struggling to breastfeed it’s important that he be breastfed more often, or even receive formula as a supplement during this time.  Phototherapy (light therapy)  can also be used to help your baby. Light can turn the bilirubin into a form that can easily pass out the body. If the jaundice is very bad, your baby may receive a blood transfusion which will quickly lower bilirubin levels. 

September 22, 2023

How to Develop Early Maths Skills (Number Concept)

Learning to count from one to ten, and later to a hundred, is an important milestone in early math development.  However, it is equally important for young children to learn to understand the “how many-ness” or the value that every number represents. Teachers and therapists refer to this important school readiness skill as number concept.  Grade R’s typically count to a hundred, but few truly understand the quantities that different numbers describe. In other words, many children freeze when you ask: “If you have six balls and your friend has eight balls, who has more?” Children who don’t understand the value of numbers will naturally not be able to conjure up a mental image of two sets of objects (in this case, a set of six balls and a set of eight balls) and then compare the sets against each other to determine which one of the two is bigger or smaller. And, as a result, they won’t be able to add and subtract with understanding.  It’s important to play games with your child on three levels if you want him to develop a clear understanding of the value of different numbers. Firstly, use body movements to demonstrate numbers. Secondly, provide many opportunities for him to use his hands to handle and count off certain numbers of objects. And thirdly, make sure to include games that encourage your child to visualize different numbers of objects in his mind’s eye.  You can, for instance, teach a three-year old to do the following: To include body movements, ask him to move (e.g. clap, jump or twirl) one, two or three times. To incorporate the handling of objects using his hands, you can ask him to hand you one, two or three of something whenever the opportunity pops up. To involve the mind’s eye, you can place a pile of single Lego blocks, 2-block-towers and 3-block-towers in a bag and then take turns with your child to use your sense of touch to find one of each number without looking. Then arrange your towers from one to three.  Games should naturally become more challenging as a child grows older.  However, the basic prerequisite for success remains unchanged throughout the first seven years: the more concrete (hands-on and tangible) the experience, the easier it is to learn. Children progress from concrete functioning to abstract reasoning as they enter primary school. Children function on a concrete level up to Grade R (where they still need to touch and handle tangible objects to discover and understand ideas about those objects) before moving on to being able to fully grasp unseen ideas on an abstract level in Grade 1.  Most importantly, they need time and playful practice or else they won’t grow into being comfortable in the world of representations and symbols. It’s crucial for every Grade R learner to reach the point (by the end of the year) where he or she is able to picture an image in the mind’s eye of a number line. After throwing two dice, he should be able to name the number shown on any one of them at first glance (without counting), before shifting his attention to the second dice to “count on”. In other words, if the dice landed on three and four, he could look at one and say, three”, before pointing to each of the dots on the second dice as he counts on: “four – five – six – seven … it’s seven!” (Alternatively, he could choose to start with four, and then continue with “five – six – seven” on the second dice.) He should be able to arrange the numbers 1 to 10 in order, with each of them in its proper place, based on the value that it represents. When you point to any number from 1 to 9 on the number line, he should be able to name the number that is “one bigger” or “one smaller”. As he enters Grade 1, he can learn to do this without looking. What can I expect from my child at every age along the way? Toddlers discover the meaning of “one and many” during the second year of life. Two-year olds usually learn to rote count to three and you can teach them to hand you either one or two toys. Three-year olds can be expected to count to five and they understand the concepts of one, two and three well enough to be able to hand you that many of an object.  Well-developing four-year olds can be expected to rote count to 10 and count off any number of objects from 1 to 5. Most five-year olds can count to 20 and have a real understanding of numbers up to 10. Finally, a six-year old should be able to count to 100 (also in tens), count off any number of objects between 1 and 20 and arrange the numbers from 1 to 10 in order to build a number line.  Learning to work with numbers is much like learning to speak a special kind of language. Learning the language of mathematics is largely about getting better at understanding the properties of numbers and recognizing relationships and patterns ever more quickly.  Naturally, acquiring these skills takes time simply because learning a new language always involves building new brain wiring. Ultimately, you want your child to reach a point where navigating around in the world of numbers will become second nature to him – like a golfer’s swing. Any kind of math play is better than none, but if you want your child to benefit optimally, you’ll need to play as many age-appropriate games as possible at home from toddler stage, and repeat them often. This article is written by: The Practica Programme is a comprehensive research- and play-based home programme.  This unique system has stood the test of time since 1993, and it comprises of a wooden box with specialized apparatus, parents’ guides, an advisory service and educational newsletters.  From birth to 23 months of age, parents choose from a balanced selection of more than 1000 activities to develop the 14 fundamental skills age-appropriately. For children between 2 and 7 years, the 50 school readiness skills are divided into 6 groups and tackled systematically, year by year, with 10- to 20-minute games that can be adapted to a child’s level of functioning. 

September 20, 2023

Preventing Dog Bites in Children

Every 3 days a child is treated for serious dog bites. In 2020, 107 children were treated for dog bites and these children were between the ages of 5 and 12 years. During this month of April ChildSafe is encouraging all parents and dog owners to be aware of the risks involved with dog bites and to learn about ways they can protect children and their families from dog bite incidents.  “Dog bites often happen during everyday activities among children and seniors,” says Yolande Baker, Executive Director, ChildSafe. “Certain situations can be more conducive to the risk of a dog bite. Protect your family and yourself by being familiar with preventive measures that will minimize the risk of a dog bite.”  How can you protect your family Be cautious around strange dogs. Treat your own dog with respect. Because children are the most common victims of dog bites, parents and caregivers should: NEVER leave a baby or small child alone with a dog. Be alert for potentially dangerous situations. Teach children – including toddlers – to be careful around pets. Children must learn not to approach strange dogs or try to pet dogs through fences. Teach children to ask permission from the dog’s owner before petting the dog. What’s a dog owner to do? Carefully select your pet. Puppies should not be obtained on impulse. Make sure your pet is socialized as a young puppy, so it feels at ease around people and other animals. Do not put your dog in a position where it feels threatened or teased. Be calm. Always talk in a quiet voice or whisper, no shouting.  Train your dog. Basic commands help dogs understand what is expected of them and help build a bond of trust between pets and people. Walk and exercise your dog regularly to keep it healthy and provide mental stimulation. Avoid highly excitable games like wrestling or tug of war. Use a leash in public to ensure you can control your dog. Keep your dog healthy. Have your dog vaccinated against rabies and other preventable infectious diseases. Parasite control and other health care are important because how your dog feels affect how it behaves. If you have a fenced yard, make sure your gates are secure. Neuter your pet. Approximately 92% of fatal dog attacks involved male dogs, 94 percent of which were not neutered.  Dog bite emergencies If you are bitten, here is a checklist of things you should do: If the dog’s owner is present, request proof of rabies vaccination, and get the owner’s name and contact information. Clean the bite wound with soap and water as soon as possible. Consult your doctor immediately or go to the emergency room if it is after office hours. Contact the dog’s veterinarian to check vaccination records. For more information on prevention of dog bites, call ChildSafe at 021 685 5208 or please visit www.childsafe.org.za

September 20, 2023

Preventing Electrical Burns

Young children can be burnt very quickly, and this often happens when an adult is present, so it is important to be alert. An electrical burn happens when a child touches or comes into contact with an electric current. The current passes through the child’s body and can damage organs and tissues. Damage can be mild or severe – and it can even cause death. Last year, the Red Cross War Memorial Children’s Hospital alone, treated 880 children for burns, the most common (733 children) was caused by hot liquids (such as hot water, drinks and food). A large number of the cases were treated for electrical burns. During the period between January and February in 2020 there were 5 cases treated for electrical burns. In 2021, this number has doubled to 10 cases.  “Recently, we have been seeing far more electrical injuries than usual. This may be related to children spending more time at home due to the COVID-19 Pandemic. These injuries often involve the hands, resulting in severe injuries with permanent loss of function. Care givers need to remain vigilant at all times”, said Gary Dos Passos, Head of Burns Unit, Red Cross War Memorial Children’s Hospital. “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. Electric shocks from appliances and electrical outlets and cords can burn the skin and cause tissue and nerve damage”, said Yolande Baker, Executive Director of ChildSafe. Electricity can cause different types of skin burns, depending on which skin layers are affected. The terms doctors use to describe different types of burns are:  Superficial – A superficial burn affects only the top layer of the skin. The skin is red, dry, and painful. When you press on the burn, it turns white.  Partial-thickness – A partial-thickness burn affects the top 2 layers of the skin. The skin is red and can leak fluid or form blisters.  Full-thickness – A full-thickness burn affects all the layers of the skin. The burn does not usually hurt, because the burned skin cannot feel anything. The skin can be white, grey, or black.  Here are a few safety tips for parents and caregivers to keep all children safe from electrical burns. ALWAYS:  Cover unused electrical outlets with safety covers. Unplug electrical cords that are not in use, keeping electrical cords, power plugs and electrical equipment away from children. Keep electrical appliances away from sinks and bathtubs. Turn off electrical equipment that is not being used. Teach children to stay away from electrical sub-stations, electrical wires ate ground level and electrical fencing. NEVER: Overload power points or run electrical wires under carpets. Use unsafe or illegal electrical connections. Allow children to play with power points or electrical equipment. Repair faulty plugs and frayed cords immediately. For more information on injury prevention, call ChildSafe at 021 685 5208 or please visit www.childsafe.org.za

September 19, 2023

REFLUX IN INFANTS: UNDERSTANDING THE CAUSES, SYMPTOMS, AND TREATMENT OPTIONS

Affinity Health, a leading provider of high-quality health cover, delves into what reflux in infants is, why and when it happens, how common it is, its symptoms, and the various treatment options available. Navigating the journey of parenthood is filled with moments of joy and, sometimes, concerns about your infant’s health. One such concern that often arises in a baby’s first year is infant reflux. This common yet distressing occurrence can leave new parents anxious. Understanding Infant Reflux Infant reflux, also known as gastroesophageal reflux (GER), occurs when a baby’s stomach contents come back up into the oesophagus and, sometimes, out of the mouth or nose as vomit. This happens because the muscle between the oesophagus and the stomach (lower oesophagal sphincter) is not yet fully mature, allowing stomach contents to flow back up quickly. When Does Reflux Occur? Infant reflux typically begins within the first month after birth, often peaking at four months of age. Most infants outgrow reflux by the time they reach 12 to 18 months of age. As the muscles in the oesophagus and stomach develop and become stronger, they can better prevent the backflow of stomach contents. When a baby starts sitting up and eating solid foods, reflux symptoms tend to decrease or disappear altogether. The Prevalence of Infant Reflux Approximately 50% to 70% of infants experience some degree of reflux during their first few months. While it can be distressing for both the baby and parents, it’s essential to remember that reflux is a normal part of development for many infants and that only a small percentage of infants with reflux experience severe or persistent symptoms that may require medical intervention. Symptoms of Infant Reflux While the most common symptom of infant reflux is spitting up, other signs include: Frequent or recurrent vomiting Refusal to eat or difficulty eating Crying and irritability during or after feedings Arching the back during or after feedings Weight loss or poor weight gain Choking or gagging Diagnosing Infant Reflux               If your baby is showing reflux symptoms, your healthcare provider will likely start with a physical exam and questions about the baby’s eating habits and symptoms. In some cases, further testing might be necessary, including lab tests, ultrasound, or a procedure called a pH probe to monitor the acid levels in the baby’s oesophagus. Treatment Options for Infant Reflux Most babies with reflux do not need treatment, as they are “happy spitters” and continue to feed well and gain weight. However, for more severe cases, several treatment options can alleviate the symptoms: Feeding changes: Adjusting the way your baby is fed can be helpful. Smaller, more frequent feedings can reduce the amount of food in the stomach and minimise reflux. For bottle-fed infants, switching to a different type of formula, such as a hypoallergenic or thickened one, may be recommended. Positioning: Keeping your baby upright during and after feedings can help prevent reflux. Holding your baby upright against your shoulder or using an inclined infant seat can reduce the likelihood of stomach contents flowing back into the oesophagus. Burping: Burping your baby frequently during and after feedings can help release air from the stomach and reduce the likelihood of reflux. Gently patting or rubbing your baby’s back in an upright position can facilitate burping. Elevating the crib or bassinet: Placing the head of your baby’s crib or bassinet on an incline (using a wedge or raising the legs) can help keep the upper body elevated during sleep, reducing the occurrence of reflux during the night. Trial of hypoallergenic diet: If your baby shows signs of possible food allergies or intolerances, your doctor may recommend a trial of eliminating certain foods from your diet (if breastfeeding) or switching to a hypoallergenic formula. Allergies or intolerances to specific proteins in breast milk or formula can contribute to reflux symptoms. Medication: In cases where lifestyle modifications are insufficient, your doctor may prescribe age-appropriate medications to manage reflux symptoms. Surgery: In rare and severe cases of reflux that doesn’t respond to other treatments, surgical intervention may be considered. Surgical procedures, such as fundoplication, aim to strengthen the lower oesophageal sphincter and prevent stomach acid from refluxing into the oesophagus. Navigating Through Infant Reflux While infant reflux can be a cause for concern, understanding its causes, symptoms, and treatments can empower parents to manage the situation effectively. Remember that most babies outgrow reflux as they age, often a regular part of their development. However, if you are ever in doubt or your baby’s symptoms are severe, seek advice from a healthcare professional who can guide you through this phase of your baby’s growth.

September 18, 2023

Why should I breastfeed my baby, and what if this is not an option?

Breastfeeding is important to your baby’s health and is the safest and healthiest thing that you can feed your little one. It is recommended by the American Academy of Pediatrics (AAP) you should feed your baby exclusively with breastmilk for the first six months. Unfortunately, some moms can’t breastfeed due to medical or health reasons. Read on if you want to know the benefits of breastfeeding, or if you can’t breastfeed your baby, here are some healthy alternatives. What are the benefits of breastfeeding?  Breastfeeding is the perfect way to get all the nutrients needed to your baby, as well as being a special bonding experience between mom and child. Breast milk is optimally suited to babies providing all the right nutrients, vitamins and minerals, being easily digestible and helping protect your baby by providing important antibodies. Baby’s who are breastfed have less ear infections, issues with diarrhea and respiratory issues. Benefits of breastfeeding include lowering your baby’s chance of getting infections and breastmilk can also help lower instances of asthma and eczema, and is thought to lower the risk of diabetes as well. Not only is breastfeeding good for your baby, but it’s also good for you. It helps your bond with your baby as your body releases the hormone oxytocin, which helps your uterus reduce to its pre-pregnancy size as well as lowers stress levels. And it’s an added bonus is that breast milk is cost effective and easily available. The only thing lacking from breast milk is vitamin D, and you can supplement this to your little one from birth. What are alternatives if I can’t breastfeed? Sadly some moms aren’t able to breastfeed their babies due to not having enough breastmilk supply, being on medication that could damage their baby’s health and, infectious diseases such as HIV. Although it’s hard not to be able to breastfeed, remember this won’t stop you bonding with or providing nutrients for your baby. The best alternative to your own breast milk is donated breast milk. However, if you are struggling to find adequate supply you can make use of baby formulas. In South Africa, the South African Breastmilk Reserve and Milk Matters supports breastfeeding moms through the provision of donated milk.  SABR focuses on helping premature babies under the age of 14 days, and Milk Matters supports babies in neonatal intensive care units (NICUs) in the Western Cape.

September 15, 2023

Medicating to help with sleep – Babies & Children

As sleep consultants we come across many instances of parents medicating their children to aid sleep. Parents are often faced with this decision, desperate for the entire family to get some much-needed sleep. There are special medical cases where medication may be needed and will be prescribed by your doctor, but for the most part healthy sleep routines and habits are NOT something that should be achieved by medicating. Sleep is essentially a learned behaviour that we can teach our babies and children. What does normal sleep look like? It is important to understand what normal sleep looks like for babies and children as it gives us a better indication of what to expect and why they wake so often, even after they are no longer feeding at night. We all sleep in cycles. We move through stages of light sleep (also referred to as Rapid Eye Movement or REM) and deep sleep. For a baby, sleep cycles are around 45 minutes and it gradually gets longer as they get older. They therefore naturally have a lot more REM sleep than we do. An adult has a sleep cycle that lasts up to 1.5 hours in length. During the newborn phase babies wake in the night for nutritional purposes. Between the age of 4 – 5 months, babies can usually manage one longer sleep period at night and the need to feed gradually reduces. Unfortunately, the night waking’s do not always end when the need to feed does. Even though sleep is a natural process and is a necessity to our wellbeing, linking sleep cycles and sleeping through the night is an essential skill that babies need to be taught. Some babies manage to do so naturally, but more often they need some help to get there. Children require 11 to 12 hours of sleep a night, with age-appropriate naps during the day. There are endless health and wellness benefits of getting the sleep we need. Growing children are at a disadvantage if they do not sleep well. It has a direct influence on their health, mood, weight, concentration, stamina and learning. What influences sleep? We need to look at sleep holistically and not in isolation. Sleep is a complex function as there are so many influencing factors in our daily life. NutritionWhen Nutrition Can Influence Sleep – Good Night (goodnightbaby.co.za) EnvironmentSetting the stage for a good night’s sleep – Good Night (goodnightbaby.co.za) RoutineYour 7- to 11-month-old baby’s sleep routine – Good Night (goodnightbaby.co.za) Sleep associationsUnderstanding the sleep training Process – Good Night (goodnightbaby.co.za) Stimulation IllnessMy great sleeper is sick – Now what? – Good Night (goodnightbaby.co.za) Trying to ‘cure’ sleepless nights by looking at sleep in isolation is treating the symptoms and not the cause. By – Dr Carla Jardine – Paediatrician All parents (including Paediatricians!) have struggled through sleepless nights with their kids. Trying to get your child to sleep through the night is one of the most exhausting phases of parenting. Many parents are tempted to try medication after endless sleep deprived nights. Unfortunately, this is never a real solution. These medications may provide a brief sense of relief when your child drifts off to sleep more easily at bedtime, but prolonged use can cause side effects and do not address the core problem…only a good routine with healthy sleep habits and sleep associations can encourage children to sleep through the night! The Common Culprits Melatonin: This is a natural hormone that is produced by the pineal gland in the brain. It controls our circadian rhythm-the natural sleep-wake cycle in our brain. When it is dark, melatonin increases, and the effect is that you feel progressively more sleepy. When it is light, melatonin decreases with the opposite effect. Some insomniacs have been found to have naturally low levels of melatonin. There are also instances when the circadian rhythm (and melatonin secretion) become disturbed, such as in shift workers, long haul flights (jet lag) and in people living in countries with extremes of either daylight hours or night hours. In these instances, a melatonin supplement is appropriate. Melatonin is a synthetic hormone and has side effects such as: headache, feelings of depression, daytime sleepiness, dizziness, stomach cramps and irritability. Melatonin has not been approved for use in children but there are certain instances where it can been used “off-label”. This is mainly in children who have ADHD or Autism. In these conditions there is often a disturbance in the sleep-wake cycle and melatonin has been of benefit. Anti-Histamines: These are medications that decrease the levels of histamine in the body. They are usually used to treat allergic conditions. The first generation of anti-histamines were found to be very sedating as a side effect. This resulted in these drugs being marketed as over the counter sleep aides. This is not however the appropriate use of these drugs, and they also have many side effects: dry mouth, drowsiness, dizziness, nausea and vomiting, restlessness, headaches, moodiness, blurred vision and confusion. Codeine: This is usually the ingredient in pain medication that causes sedation. Codeine is a weak opioid. It can be a useful pain medication and is also sometimes used in cough mixtures as it also causes cough suppression. Some of the side effects of codeine are: lightheadedness, dizziness, nausea and vomiting, shortness of breath, sedation, allergic reactions, constipation, abdominal pain or rashes. All of these common “sleep aides” have many side effects and their long term use is ill advised. Some are not tested in children at all and others should not be given to children under 2 years of age. The safest thing to do is to use medications only as prescribed by a doctor and not to improvise their use according to their sedative properties. If in doubt, always get your doctors advice! How do you teach your child to sleep? Just as we help our children master the skills of walking, talking, using manners, sharing, brushing teeth,  we can teach them how to sleep well by putting down good

September 14, 2023

5 SYMPTOMS OF SEPARATION ANXIETY IN BABIES

Affinity Health, a leading provider of high-quality health cover, discusses separation anxiety in babies, the triggers and causes, and the five symptoms to look out for. It also provides helpful tips for parents on easing separation anxiety in their little ones. “Separation anxiety is a natural milestone in a baby’s journey of attachment and growth”, says Murray Hewlett, CEO of Affinity Health. “By understanding their needs, providing reassurance, and fostering a nurturing environment, parents can guide their tots through this phase with love and understanding”. What is Separation Anxiety? Separation anxiety in babies refers to the distress and unease experienced by infants when separated from their primary caregiver, usually a parent. It typically begins around six to seven months old, peaking between 10 to 18 months, and gradually subsides as the child ages and develops a stronger sense of security. Triggers for separation anxiety can vary from child to child, but everyday situations include the following. Leaving your baby with a new caregiver. Starting daycare. Moving Home. The loss of a parent or caregiver. Changes in routines that disrupt their sense of familiarity. It is important to note that separation anxiety is a normal response and does not indicate any underlying issues or problems with the child or caregiver. Factors that Contribute to the Development of Separation Anxiety in Babies The following are several factors that contribute to the development of separation anxiety in babies. Cognitive Development: As infants grow, they develop object permanence, which is the understanding that objects or people continue to exist even when out of sight. This newfound awareness can lead to anxiety when the primary caregiver is absent. Attachment: Strong emotional bonds between infants and their caregivers are formed during the early months of life. When the caregiver is absent, the baby may experience separation anxiety due to their attachment and reliance on them for comfort and security. Sensitivity: Some infants may have a naturally more sensitive temperament, making them more prone to experiencing separation anxiety. Environmental Factors: Significant life changes, like moving to a new home or the birth of a sibling, can disrupt the baby’s sense of security and trigger separation anxiety. Parental Anxiety: Babies are highly attuned to their parent’s emotions. If a parent feels anxious or uneasy about leaving their child, it can be transmitted to the baby, exacerbating their anxiety. Five Common Signs of Separation Anxiety in Babies Identifying the symptoms of separation anxiety can help parents better understand their baby’s needs and provide appropriate support. Here are five common signs to look out for. Clinging Behaviour: Infants with separation anxiety may become clingier and more reluctant to be separated from their caregiver, even for brief periods. Crying and Distress: Babies experiencing separation anxiety may cry excessively and become inconsolable when their caregiver is out of sight or leaves the room. Fear of Strangers: Infants may display fear or wariness when approached by unfamiliar people, seeking comfort and reassurance from their primary caregiver. Sleep Problems: Separation anxiety can disrupt a baby’s sleep patterns, causing difficulty falling asleep or waking up frequently at night. Regression: Some babies may exhibit signs of regression, such as reverting to previously outgrown behaviours, like thumb-sucking or bedwetting. Tips for Parents To help parents ease their baby’s separation anxiety, Affinity Health provides the following tips. Start by leaving your baby with a familiar caregiver for short periods and gradually increase the duration of separation over time. Establish a consistent daily routine that includes predictable times for separation and reunions. This helps the baby develop a sense of security and predictability. Babies can pick up on their parent’s emotions. Remaining calm, reassuring, and positive when leaving or returning can help alleviate their anxiety. Provide a special toy or blanket that carries the familiar scent of the caregiver. This transitional object can provide comfort and security when the caregiver is absent. Practice short separations while staying within sight. For example, you can leave the room for a few moments and then return, gradually increasing the distance and time apart. Transparency is critical when easing separation anxiety in your little one. Instead of sneaking away, honesty is the best approach. Take a moment to say goodbye, reassuring your baby that you’ll be back soon. When you return, greet your child with a warm smile and a loving hug. Engage your baby in fun and interactive activities to redirect their attention and create positive associations with separation. Playing peek-a-boo or offering engaging toys can help distract them from their anxiety. Foster your baby’s sense of independence by encouraging exploration and self-soothing. Allow them to explore their surroundings and gradually build confidence in their ability to navigate their environment. Reach out to other parents or join support groups to share experiences and strategies for managing separation anxiety. Connecting with others who have gone through or are going through similar challenges can provide valuable insights and support. “It is important to remember that separation anxiety is a temporary phase and will naturally diminish as your baby grows older and develops more self-assurance”, adds Hewlett. “By implementing these tips and providing a nurturing and supportive environment, parents can help their babies navigate separation anxiety more easily”.

September 11, 2023

Webinar – breastfeeding positions

Sr Ingrid Groenewald explains the different breastfeeding positions that you can try to have a successful Breastfeeding journey, as well as the latch baby, should have.

September 8, 2023

PHYSICAL TOUCH & NEWBORNS – WHY IS THIS SO IMPORTANT

The birth of your baby is a beautiful and special moment in both of your lives. You may be wondering about your newborn’s senses, while they are born with all necessary senses, some are less precise than others and develop as your baby grows. Physical touch is an important aspect of your child’s growth, coming from your womb, where they are tightly cocooned in your womb. Skin to skin contact offers benefits to both you and your baby, and touch is one of the senses that can help comfort your baby, making them feel more secure and helping strengthen the bond between the two of you. Why is touch important? Touch enables your baby to learn more about the world, bond with their mother and learn communication skills, as touch and body language will be the first way that you can ‘speak’ to one another. Breastfeeding is an important part of this, as your baby then spends time in her mother’s arms. The benefits of touch goes beyond the physical. Contact between mom and baby has been shown to lower cortisol levels, which in turn benefits the functioning of the immune system.  Children that are deprived of touch can be more aggressive with other conduct disorder problems. What is swaddling? Coming from a tightly packed womb, you’ll find that your baby is comforted by touch and close cuddles. Swaddling your baby in a blanket is also another technique that you can use on young babies to help them feel more secure, as it stops them from upsetting themselves from their own startle reflex. It’s important that your newborn finds their new world a comfortable and soothing place. Swaddling is an old technique, and beyond helping your little one feel safe and secure, your baby is likely to sleep better and will be kept nice and cosy in their blanket. If you decide to swaddle your baby it’s best to do so from birth, as opposed to introducing it when they are older as this can increase the risk of Sudden Infant Death Syndrome. Using the proper techniques when swaddling is also important, as incorrect wrapping can lead to issues.

September 8, 2023

Choosing a Baby Sitter

Choosing a baby sitter for your children can be a very daunting task. You need to find someone trustworthy, who is the right fit for your children.

September 6, 2023

Baby monitor. Do I really need one?

The question I get asked is ‘is it really necessary? After all my parents did without and I turned out just fine!’. Baby Monitors come in all shapes and sizes but it’s all about what fits into your lifestyle and meets your needs as a parent.

August 31, 2023

Why do I need to stimulate my baby from a young age

Parents to be, have the unique opportunity to create a better brain for their unborn child from day one.  When a baby is born she born with unlimited potential but the experiences she has in her life will determine the outcome of that potential. Experience = learning.  No experience = no learning. Lots of experience = optimal learning. Your unborn children will face many different challenges to you.  In all likelihood they will be working in fields that have not even been developed yet. You will have very little knowledge of what they are doing, as it will not be part of your frame of reference. We as parents need to equip them with the best tool (a ready brain) to deal with this onslaught.  There are very simple things that you as a parent can do to help ensure that your child is equipped to deal with the challenges that may face her.  In order for you to understand this we need to go back and look at the brain. The brain is made up of three layers (Triune model) these layers have a window of opportunity to develop to their full potential.  A window of opportunity is just this brief period that we have for optimum development of that part of the brain.  The first layer is the primal survival brain – the fight or flight centre of the brain.  The next layer is our emotional brain – here we learn to love and care and feel.  The last layer is the thinking brain or the cortex.   The first window of opportunity is during the first 14 months from birth; during this time we need to stimulate the survival brain in order to create strong muscles so that we can send messages to them that they will respond to in the correct way. We do this through encouraging movement. Once we stimulate the senses the message has to travel via neurochemical pathways (roots) to the muscles to react.  How do we create these neurochemical pathways in the brain?  By allowing our babies freedom to move and explore.  Nothing is more detrimental to a child’s development than being cooped up in a chair or stroller for the better part of the day.  Simply by stimulating the senses through massage and exposing them to different experiences during these crucial 14 months, you are creating the networks (roots) that she will need to help her learn and help her reach her full potential.  By repeating the actions you are creating the insulation (myelin) that makes it permanent. Repetition is good for a child, it is how they learn. The next window of opportunity is from 14 months to 4 years and during this time your child will be working on the emotional brain.  This area of the brain processes feelings and emotions. This is the glue that holds the survival brain and the cortex together.  We have to keep our emotional bucket full in order for learning to take place.  Only between 4 and 11 years will the thought processes be laid down.  This is the area of the brain that focuses on language, creativity, thought etc. As parents we can create a whole brain experience with an excellent root system that allows messages to come through easily to the brain just by stimulating our children.  It is imperative to enrich a child’s brain with as much experiences as possible during these windows of opportunity.

August 31, 2023

Pre-Sleep Rituals, Sleep Routines For All Baby Stages

Pre-sleep Rituals or bedtime routines are really good to introduce to your baby around three months old. I like to call them rituals because they do become just that – rituals. By incorporating special time with your baby before they go to bed they come to know and love it. But it is the simple and consistent rhythm of what you do before bed that becomes so predictable for your baby and allows them to know what’s coming next. And being relaxed and calm in the minutes before being put into the cot can really help them fall asleep easily. Some babies, especially if they are overtired, can be quite wound up and stimulated before bedtime. A gentle predictable routine around bed can really assist them to get out any pent-up energy and really wind down to a calm and relaxed state. The younger your baby is the shorter the pre-sleep ritual needs to be (3-6 months). Great ideas for pre-sleep rituals for younger babies are: A lovely warm bath or a baby massage.    Swaddle your baby dry in the  Tommee Tippee Swaddle Dry Towel it is made from hypoallergenic, skin friendly, microfibre material. It is supersoft and is the perfect way to make sure your little one stays warm and cosy after bathtime.  Take bub into the bedroom, dim the light, turn on the white noise and change them. The Tommee Tippee Grolight 2-in-1 Night Light is a simple adaptor that fits easily to your normal overhead light or bedside lamp and converts your light into a dimmer light.  Wrap them in their snuggle or pop on their sleepbag. Wrapping or swaddling baby with their arms inside super soft fabric helps mimic the closeness of the womb and suppresses the startle reflex which can wake babies up. The Tommee Tippee easy-to-use Snuggle sleep bag combines the comfort of swaddling with the ease-of-use of a baby sleep bag. Cuddle your baby and read them a story Cuddle your baby and talk to them about what they did that day (your voice is so soothing to them) Sing them a song Do a final feed and transition them into their Moses basket or cot Slightly older babies can enjoy a bit more winding down time (6-12 months). Great ideas for pre-sleep rituals for this age group are: A bath and into a snuggle or sleepbag Saying goodnight to everyone (babies love to be carried around to say goodnight to family, pets, or even their favourite toys!) Read them a story or sing to them Cuddle with you while snuggling with a special blanket or toy Final feed for the day and then into the cot   Turn on the white noise, turn off the light and say goodnight. The Tommee Tippee Grofriends are a cute night-time companion.  With a soft heart shaped light, and 6 great natural soothing sounds which  include a comforting heartbeat, rainfall, white noise or any of 3 lullabies,  your little one will be reassured as they go to sleep. During the night, the intelligent CrySensor listens out for any crying noises and plays your chosen sound or lullaby to help them drift back to sleep. Having bedtime at roughly the same time every night is important to support your baby’s body clock. And the predictable sequence of events before bed gives your baby clear signals that it’s wind down time and bedtime. It doesn’t really matter what you do, or exactly how you do it but that you consistently do it. In time the lovely wind down routine and the special rituals you incorporate in for your baby will become just as enjoyable and special for you as they are for your little one. Resource  : Emma O’Callaghan is a qualified midwife, nurse and infant and child sleep consultant. With over 20 years’ experience in both hospital and community settings, Emma knows about sleep. She has helped thousands of families reclaim sleep and is particularly passionate about supporting new and first-time parents. She is the Founder of Baby Sleep Expert, and with a common sense, compassionate approach is often referred to as the ultimate “baby whisperer”. Emma lives in Melbourne with her three daughters and fur baby.

August 30, 2023

Encouraging Baby’s First Words

When can you expect to hear your baby’s first words and how you can encourage speech development in your baby or toddler? It’s another wonderful moment: The first time your baby looks up and says “Mama!” Perhaps they are just practicing their “m” sounds, but this is another step toward “Mommy, I love you” all the same. Whether it’s “mama,” “dada,” or some other cute combination of sounds, they are starting to vocalise and to imitate the sounds around them. To encourage your child to talk you should talk to them often. Point out cats, balls and apples and so on. Talk about what is happening around you. Follow your child’s lead and describe the things your child points to, they will listen to you and they will learn. As children learn new words, they might not get them quite right at first. Don’t feel like you need to correct them straight away. Help them by repeating the word after they say it, so that they can hear it again. Help build a child’s vocabulary by adding details to the objects and events of the day. For example, if the child says “car”, you could add, “Yes, that’s right, it’s a car. We drive in a red car”. Don’t be afraid to use expressive vocabulary when you talk about things. If you get tired of talking why don’t you try reading to your child? While exposing your baby to language outside your own day-to-day vocabulary doesn’t guarantee your child will learn new words, it might help. And it can be a fun way to be close to your child. Remember that children recognise and understand many more words than they can say. Don’t be afraid to use ‘parentese’ – that singsong, higher-pitched way of talking to young children. Baby Talk Milestones Baby talk at 3 months. Lots happen within the first 3 months of your baby’s development, and by the end of this period you’ll likely be hearing your baby offer up their sing-song coos as they interact with you. Something that you will probably notice is that they listen to your voice, watch your face as you talk, and turn toward other voices, sounds, and music that can be heard around the home. Baby talk at 6 months. By 6 months that cooing has progressed to babbling as your baby combines a few basic consonant and vowel sounds. Strings of ba-ba-ba or da-da-da will bring a smile to your face. However, don’t mistake that “da-da” cry as being a call out for dad. Sounds at this age do not have meaning; they are simply sounds that your baby delights in making and in hearing. Baby talk at 9 months. Your baby will have their language progress to having them recognise a few basic words, such as “no,” “more,” and their name. You’ll hear them using a larger range of consonant sounds, and they’ll have developed a tone of voice. Baby talk at 1 year. Their development around the first birthday will showcase a few basic words, and they’ll use them with meaning and purpose. You’ll likely melt at the first heartfelt call of “mama” or “dada.” Your child will recognise their own name when you call them, but can’t say it. Toddler talk at 12 to 17 months. They are using one or more words and know what these words mean. They will also raise their tone when asking a question, saying “Up-py?” when they want to be carried, for example. They realise the importance of talking and how powerful it is to be able to communicate their needs. Toddler talk at 18 to 24 months. Their vocabulary may include as many as 200 words now, many of which are nouns. They’ll even string two words together, making basic sentences such as “Carry me.” By the time they are two, they’ll use three-word sentences and sing simple tunes. Their sense of self will mature, and they will start talking about themselves — what they like and don’t, what they think and feel. Toddler Talk at 25 to 36 Months. Your child will struggle for a while to find the appropriate volume to use when talking, but they will soon learn. They also start to get the hang of pronouns, such as me and you. Between ages two and three, their vocabulary will increase to up to 300 words. They will string nouns and verbs together to form complete though simple sentences such as “I go now.” Your baby’s first word is an exciting milestone, and one that you’re probably anxiously waiting for. Keep in mind, though, that every child develops at their own rate, and whether your child is an early talker or a late one seldom has an impact on their later communication skills. Talk, sing, read, and play silly games with them. The more you communicate — from birth on up — the more language they will learn.

August 30, 2023

Keeping Fit while you’re Pregnant

Sports Science Institute Biokineticist, Zoe Woodman, gives us her advice on the do’s and don’ts of keeping fit during pregnancy.

August 29, 2023

DEVELOPMENTAL MILESTONES- YOUR BABY’S FIRST YEAR

Caring for an infant can be exhausting, but there’s so much to look forward to. Take a tour of first-year “firsts” with WebMD’s guide to the most anticipated baby milestones. During the first year of life, your baby will grow and develop at an amazing speed. While caring for an infant can be exhausting during this period, there is so much to look forward to.  Here are the development milestones that your baby will reach in their first year: At Birth Head, Hands and Visuals At birth, your baby will: Have no control of head movement. You would notice that baby’s hands are closed and palmar and plantar grasp reflexes are present. Baby is able to close their eyes in response to bright light. 6 Weeks Head, Hands, Visuals, Hearing, Speech, Recognition and expressions Has a moderate amount of control over the head, particularly while lying on stomach, bust still demonstrates head lag when gently pulled up into a sitting position. Places hand in mouth and can make tight fists. Looks at faces or objects placed within the direct field of vision and may follow slow moving objects within 90°. Responds to sounds by calming, startling or crying. May turn head to the source of the sound. Starts making “cooing” sounds. Begins to smile in response to a familiar face or voice. 3 Months Head, Hands, Visuals, Hearing, Speech, Recognition, expressions and Gross Motor Can lift head when lying in a prone position, very little head lag. Spends much time inspecting hands. Hands are held loosely. Grasp objects that are placed in the hands. Follows objects moving up to 180° in the field of vision. Starts to recognise and look at the source of sounds. Smiles spontaneously. Develops facial expressions to show basic emotions. Recognises and responds to parents. Can lift upper body with forearms when lying on stomach. Demonstrates controlled leg movements lick kicking and stretching. Begins to demonstrate standing reflex, (pushing down on a surface with legs when held up). 6 Months Head, Hands, Visuals, Hearing, Speech, Recognition, expressions and Gross Motor Supports head and can move head. Reaches for and grasps objects. Transfers objects from hand to hand. Starts holding a bottle. Places objects in mouth. Can move eyes in all directions. Responds vocally when spoken to. Uses sounds, such as moaning, squealing or laughing, to express emotions. Uses repetitive monosyllabic sounds, like “baba”. Recognises toys. Recognises self in a mirror and responds to own name. Can support upper body with hands when lying on stomach. Sits when supported. Rolls over. Legs can support the body when held in a standing position. 9 Months Head, Hands, Visuals, Speech, Recognition, expressions and Gross Motor Can pick up, shake and drop small objects. Begins to grasp food and place it in the mouth. Holds a bottle. Begins to point. Starts imitating sounds. Recognises their own name. Nervous around strangers. Sits without support. Crawls on stomach and then on hands and knees. Starts to pull body into a standing position. 1 Year Begins to understand and respond to words like “no”and “bye bye”. Walks with support. Speaks up to 4 words. Can perform gestures such as waving goodbye, pointing or shaking the head. Plays with and makes sounds at toys. Begins to throw objects. Searches for hidden or fallen toys. Helps to dress self. Shows social preference. *These milestones are only given as an approximate as to when your baby might start doing certain things, as all babies develop differently. If you are concerned about your baby’s development, please consult with your healthcare professional. 

August 28, 2023
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