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DIBBER SA

Five ways to boost your baby’s brain development during pregnancy

Pregnancy is an exciting journey, and there are simple yet effective ways to support your baby’s brain development even before they arrive. Kelly Eyre, Quality and Pedagogy Lead at Dibber International Preschools, looks at how you can nurture your little one’s growth in a natural and enjoyable way. “First and foremost, paying attention to your diet can make a big difference. Eating a balanced diet with plenty of leafy greens, whole grains, lean proteins, and fresh fruits supports both your health and your baby’s brain development. Incorporate Omega-3-rich foods like fish, nuts, and seeds into your meals, and enjoy nutritious offerings like spinach and eggs. Staying hydrated by drinking plenty of water is also essential, so try to avoid excessive caffeine and processed foods. “Staying active is another wonderful way to support your baby’s growth. Regular, moderate exercise, such as walking or swimming, can enhance brain development. Many South African communities offer local exercise classes for expectant mothers, making it easier to stay fit and connected. Just be sure to consult your healthcare provider to choose activities that are safe and appropriate for you. “Your baby can start hearing sounds from around 25 weeks, so talking and singing to them can be incredibly beneficial. Share stories about your day, sing traditional South African lullabies, or simply chat about what’s happening around you. This not only helps build an early bond but also stimulates your baby’s auditory development. “Managing stress is crucial, as high stress levels can impact your baby’s development. Finding ways to relax, whether through meditation, deep breathing, or spending time in nature, can make a big difference. Enjoy the stunning landscapes or spend time with loved ones to create a peaceful environment for both you and your baby. “Finally, attending regular prenatal check-ups is vital for monitoring your health and your baby’s growth. These visits provide an opportunity for you to discuss any concerns and get personalised advice from your healthcare provider. They can guide you on the best ways to support your baby’s development and ensure everything is on track. “By integrating these practices into your daily life, you’re giving your baby a strong start and creating a nurturing environment even before their first breath. Embrace this special time and enjoy the journey of preparing for your little one’s arrival.”

Medela South Africa

A Comprehensive Guide to Medela Breast Pumps

Breastfeeding is vital to infant health, and Medela, a leader in breastfeeding solutions, offers a range of breast pumps to support mothers in their breastfeeding journey. Understanding the different types of Medela breast pumps can help mothers choose the best option for their needs. This guide provides an overview of four popular Medela breast pumps: Harmony, Solo, Swing Maxi, and Hands-Free Freestyle. 1. Medela Harmony Breast Pump  Type: Single Manual Overview: The Medela Harmony is a manual breast pump designed for occasional use. It is a great option for mothers who prefer a hands-on approach to expressing milk or need a backup pump for travel or emergencies. Features: 2-Phase Expression Technology: Mimics a baby’s natural nursing pattern with a two-phase pumping rhythm: stimulation and expression. The stimulation phase helps initiate milk flow, while the expression phase helps extract milk more efficiently. Lightweight and Portable: Easy to carry and use wherever needed, making it convenient for occasional pumping. Ergonomic Handle: Designed for comfortable use with a user-friendly handle that reduces hand fatigue. Compatibility: Works with Medela’s wide range of bottles and accessories. Benefits No need for batteries or electricity. Simple to clean and assemble. Affordable and cost-effective. 2. Solo Single Electric Breast Pump Type: Single Electric Overview: The Medela Solo is a compact and efficient single-electric breast pump designed for mothers who pump regularly but prefer a streamlined device.  Features: 2-Phase Expression Technology: Features the same dual-phase technology as the Harmony for effective milk extraction. Rechargeable Battery: Offers flexibility with a rechargeable battery that provides up to 6 pumping sessions per charge. Compact Design: Lightweight and easy to carry, with a modern design that fits comfortably in a diaper bag or purse. Adjustable Settings: Multiple suction and speed settings to customize the pumping experience. Benefits Portability and convenience with a rechargeable battery. Efficient and effective for regular use. Quiet operation for discreet pumping. 3. Medela Swing Maxi Breast Pump  Type: Double Electric Overview: The Medela Swing Maxi is a double electric breast pump designed for mothers who need to pump both breasts simultaneously, which can significantly reduce pumping time and increase milk output. Features: 2-Phase Expression Technology: Utilizes the same technology as other Medela pumps to enhance milk flow. Double Pumping: Allows for simultaneous pumping, making it more efficient for busy mothers. Portable and Compact: Although it is a double pump, it remains relatively compact and easy to transport. Adjustable Settings: Offers customizable suction and speed settings for a personalized pumping experience. Benefits: Efficient double pumping saves time. Portable and easy to use. Can be used with a variety of Medela accessories. 4. Medela Hands-Free Freestyle Breast Pump  Type: Double Electric, Hands-Free Overview: The Medela Hands-Free Freestyle is a cutting-edge double electric breast pump designed for maximum convenience and freedom. It allows mothers to pump while going about their daily activities, thanks to its hands-free design. Features: 2-Phase Expression Technology: Continues to use Medela’s effective dual-phase technology for optimal milk extraction. Hands-Free Design: Comes with a hands-free pumping bra and can be worn comfortably under clothing, allowing mothers to multitask. Rechargeable Battery: Offers up to 2 hours of pumping time on a single charge. Compact and Lightweight: The pump is small and lightweight, making it easy to carry around. Benefits: Ultimate convenience with hands-free operation. Allows for multitasking while pumping. Rechargeable and portable. Choosing the right breast pump depends on individual needs and preferences. The Medela Harmony is ideal for occasional use, while the Solo offers a compact and efficient solution for regular pumping. The Swing Maxi provides the benefits of double pumping, and the Hands-Free Freestyle is perfect for mothers seeking the utmost convenience. Each pump has its unique advantages, and understanding these can help mothers select the best tool to support their breastfeeding journey.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 32 of your pregnancy

You officially have 8 weeks until delivery, but this is likely not to be exact, as many babies aren’t born on their due dates. Your body may be feeling sore and tired, thanks to the strain your growing little one puts on you. Your body at week 32 As you get closer to delivery day, you may notice more frequent Braxton Hicks contractions, which is just your body’s way of preparing for the real-deal. Your feet and ankles may be swollen and your back and pelvis are probably taking strain. Constipation, shortness of breath, fatigue, a sore mouth and leg cramps are also all common pregnancy symptoms at this time. Look after yourself (and your baby) and don’t be afraid to ask for help or to put your feet up for some well earned rest – growing a baby is hard work! Your baby at week 32 Your little one is now roughly the size of a melon and they are practicing breathing, sucking and swallowing to prepare their body for the outside world. Your baby is also busy shedding the lanugo, which is the fine hair covering their body. Most of it will be gone by the time they are born, although some babies are born with some lanugo covering parts of their body. Your baby’s finger and toenails are also growing – you may even find them fairly long when they are born. Things to keep in mind at week 32 of your pregnancy You may be wondering how realistic your due date is, although pregnancies are 40 weeks long, as little as 5% of moms give birth on their due date. Most women give birth to their babies between week 37 and 42, although about 11% of moms-to-be deliver prematurely. If you don’t go into labour within a week of your due date, you will most likely have a nonstress test which monitors your baby’s heart rate and checks they are reacting normally to stimuli. When you hit 42 weeks, your doctor may induce labour.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 31 of your pregnancy

Your baby is getting bigger and plumper – looking more like the chubby baby you’ll expect to meet. You may be feeling a dip in your energy levels, thanks to a sore body and a less-than-ideal night’s sleep. Your body at week 31 Your breasts and belly are growing, preparing your body for birth and beyond. Your baby’s kicks may be uncomfortable (yet still a comforting reminder that everything is going well in there) and you may find yourself constantly feeling tired. A good night’s sleep may be harder to come by, so it’s important that you eat healthily and exercise as this can help your energy levels. Other common pregnancy symptoms are aching and swollen feet, a sore back, constipation, stretch marks and feeling bloated. Your baby at week 31 Your baby is now roughly the size of a coconut and their bones are slowly hardening. Their skull is soft and made up of unfused bone, so that delivery is easier and brain growth can easily be accommodated. Your little one will be moving around quite a bit at this point, and you may even start to notice some patterns in their movement. However, if you notice a sudden change or stillness in their movements, it’s important to call your doctor quickly as there may be an issue. Things to keep in mind at week 31 As your belly grows, you may find sleeping harder as it becomes more difficult to find a good position to lie in. It is recommended that you sleep on your side. In particular the left side is preferable as this allows optimal blood from the inferior vena cava and takes pressure off your organs. However, don’t worry if you lie on your right as well, whatever makes you feel most at ease.  You may feel more comfortable with your knees bent and a pillow tucked between them, and you could pop a pillow under your tummy for added comfort.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 30 of your pregnancy

You now officially have ten weeks left of your pregnancy, this can be both an exciting and overwhelming realisation, and feelings of anxiety during this time are normal. Your little one’s kicks and growing baby bump are reminders that your due date is increasingly getting closer. Your body at week 30 Your back and feet may be increasingly getting more painful as your baby grows in size. Swollen ankles and feet are normal, so remember to give yourself some time to put your feet up and invest in some comfortable footwear. Bloating, constipation and  stretch marks are normal at this point in your pregnancy. The fatigue you felt in your first trimester may be returning. You could be struggling to sleep at night, which will leave you feeling drained during the day. Don’t be afraid to ask for help at this time, you’ll need extra hands now and after your baby has been born. Your baby at week 30 As your delivery date grows closer, your baby is constantly growing in size, and at this point she is roughly the size of a cabbage. Your little one is also prepping for the big day and they should have (or will be soon) changed position, facing head down with their face towards your back (known as the occipito-anterior position) – ready to enter the pelvis. This is the ideal position for birth, however it is possible for your baby to be lying another way inside you. Some babies will only turn this way closer to your due date. Things to keep in mind at week 30 It’s normal to feel anxious about your approaching delivery. Going to antenatal or birth classes can help you feel more prepared for what is to come. Do exercises that can help you prepare your body for what it will go though, certain yoga and pilates positions can strengthen your muscles and help make the process quicker and smoother. If you find that your anxiety is overwhelming, chat to a health professional, as you may be experiencing antenatal anxiety. This is nothing to be ashamed about, and is something that can be managed with the help of professionals.

Parenting Hub

How Tissue Salts Can Help During Pregnancy

Pregnancy is an incredible journey, but it can come with a few annoying discomforts, especially when we’re having babies later in life. Natura Tissue Salts can help alleviate some common issues associated with pregnancy, making the experience more comfortable and enjoyable. The Benefits of Tissue Salts Our bodies, which might have breezed through pregnancy in our 20s, face new challenges as we enter our 30s and 40s. Our skin’s elasticity decreases, making us more prone to stretch marks and other little joys. But don’t worry, there’s hope with tissue salts! Tissue salts, like those offered by Natura, are biochemic remedies that address various health concerns. Developed in the 19th century by Dr Wilhelm Schuessler, tissue salts encompass 12 essential minerals necessary for proper cell function and health. These mineral-based supplements help maintain and restore the elasticity of our skin and connective tissues. Calc Fluor: Your Skin’s Best Friend Meet Tissue Salt #1, Calc Fluor. It helps keep skin and connective tissues elastic, which is crucial during pregnancy as your skin stretches to accommodate your growing baby. Start taking Calc Fluor as soon as possible, or, if you can, before you’re even pregnant, to help reduce the formation of stretch marks and keep your skin healthy and happy. Tackling Haemorrhoids Stretch marks aren’t the only issue pregnant women may encounter. Haemorrhoids can be a real pain in the, well, you know… In your last trimester, your body ramps up progesterone, slowing down the contractions of your uterus and, unfortunately, your colon. This slow-down can cause constipation, leading to haemorrhoids. Calc Fluor can help strengthen blood vessel walls, reducing the likelihood of developing haemorrhoids. Fighting Colds and Sniffles Lastly, let’s talk about colds and sniffles. Being pregnant seems to make you a magnet for them, especially if you’re around runny noses. Many over-the-counter meds are off-limits, which can be frustrating. Enter Tissue Salt #4, Ferrum Phos. It supports your immune system and reduces inflammation, helping fight off infections. By taking Ferrum Phos at the onset of symptoms, you can reduce the severity and duration of colds and sore throats. How to Incorporate Tissue Salts Into Your Routine Tissue salts are gentle, non-toxic, and have no known side effects, making them an excellent choice for pregnant women. Dissolve the tablets under your tongue for best results. To support skin elasticity and prevent stretch marks, take Calc Fluor twice daily throughout your pregnancy and for a few months afterward. Increase the dosage to three times a day for haemorrhoids, stay active hydrated, and consume a fibre-rich diet. Just a heads-up: Natura Tissue Salts are made with a lactose base, so if you’re sensitive to lactose, it’s a good idea to consult with your health professional before starting them. When you feel the onset of a cold or sore throat, take Ferrum Phos every 15 minutes until symptoms subside. You can also take it as a preventive measure if you’re exposed to others who are sick. For further information on the Natura Tissue salts range, please visit the Natura website https://natura.co.za/natura-best-of-the-best/tissue-salts-range/. If you have any queries, or need advice on which Tissue salts to use, please send an email to: hello@natura.co.za. Follow Natura on our socials: Facebook, Instagram and TikTok.

PowerPlastics Pool Covers

Quick tips for a safe pool

So you have a pool and you have small kids that you watch like hawks when outside. But do you really have total peace of mind? Could you get there in time if your toddler made it out to the pool while you were distracted for a moment? Drownings happen in seconds.  To lower the statistics pool safety is now regulated by way of SANS 10134 – the recommended Standard for swimming pools. It is every home owner’s duty to understand and comply with this much-needed pool safety regulation.  Quick tips for a safe pool: Cover the pool with the PowerPlastics Solid Safety Cover as soon as swimming is over.  Always have an adult supervising. Use the Safety Monitor tag from PowerPlastics Pool Covers and request the free child drowning prevention guide. www.powerplastics.co.za  Know what drowning looks like. It really isn’t like in movies with splashing and loud calls for help. In a drowning, the child can be upright and look like he/she is just treading water. Start CPR as soon as you find the child and don’t stop until paramedics get there. Always use a SABS-compliant safety cover such as the PowerPlastics Solid Safety Cover, which comes with certification. Thermal pool covers or ‘bubble’ covers that lie directly on the water should never be considered as child safety pool covers as they do not bear weight. Request a quote today or shop online. www.powerplastics.co.za info@powerplastics.co.za

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 29 of your pregnancy

Week 29 of your pregnancy and you may notice that your body is taking more strain. Be mindful of this and don’t be afraid to take it easy if needed. Make sure that you’re still eating healthily (and remembering to take your prenatal vitamins) and exercising gently, both are important to your health as well as your growing baby’s. Your body at week 29 You are now entering the last phase of your pregnancy, and because of this you may find this very challenging, both physically and mentally.  Your back, pelvis and feet are probably aching, and you’ll experience constipation, frequent urination and shortness of breath. Your baby at week 29 Your baby is now filling more of your womb, this means that any kicks, which used to be soft and barely notable, may feel more like hard pokes now. Your little one is also growing rapidly, and will probably have doubled in weight before birth. At this point many of their organs are almost fully developed, meaning they have a good chance of survival if born premature. That being said, their lungs still have lots of developing to do, which is why preemies need help breathing via a ventilator. Things to remember If you haven’t already, start planning your maternity leave. In South Africa, moms are entitled to four months of unpaid leave. If you’re still feeling able to work, you’ll probably want to keep most of your leave for after birth, so that you can spend as much time with your growing baby as possible. Generally speaking, maternity leave begins about a month before birth –  and the good news is dads are now entitled to 10 consecutive days of parental leave. Your employer is obliged to keep your job for you until you return from leave, so you won’t have to worry about losing your job.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 28 of your pregnancy

Welcome to week 28 of your pregnancy, you are now in your third trimester – the final stretch before birth! Your baby will do lots of growing during this time, and your body may start taking some strain in the final weeks before delivery. You’ll probably be feeling both nervous and excited, soon you’ll be able to take your little one home! How your body will be feeling at week 28 If you haven’t started experiencing it already, you may notice that back ache and pelvic pain are becoming an issue. This is due to the fact that pregnancy hormones cause your ligaments to loosen, which can cause lower back and pelvic pain. Your changing centre of gravity also puts strain on your back. Excruciating pain in your pelvic reason is cause for concern and the culprit could be symphysis pubis dysfunction (SPD). Luckily this isn’t harmful to your baby, but is probably very painful to you. Chat to your doctor if you’re feeling pain that you see as abnormal. They’ll probably recommend a physiotherapist to you as physio can help minimise your pain and improve your muscle function. Other common week 28 pregnancy symptoms include Braxton-Hicks contractions, frequent urination, swollen ankles and feet, sleeping problems, stretch marks, heartburn and indigestion and constipation. Your baby at week 28 Your little one is growing fast, and is now the size of a head of lettuce. Around this time your baby will begin to open and close their eyes,  and can sense changes in light. Your baby’s heart rate will have lowered to about 140 bpm (and at birth this will have dropped to around 130 bpm). If you were to have an ultrasound now you may notice hair on your baby – this is known as lanugo, which is fine hair that grows on babies before birth. This will disappear at birth or shortly afterwards.

Medela South Africa

How to use a Medela breast pump: 12 top tips

Learning how to use a breast pump can take time and dedication but is well worth the effort. Read our expert breast-pumping tips to help set you on the path to successfully expressing yourself. 1: There’s No Need To Rush To Start Pumping… In the first four weeks, you and your baby work together to initiate and build your milk supply. If your baby is healthy and breastfeeding is going well, you won’t need a pump to help with this. Pumping is, however, really helpful if you need to be apart from your baby any time (see tip below). If not, enjoy this time with your baby and be reassured that even if you plan to pump regularly in future, there’s no need to ‘train’ your body to express milk in the first few weeks. 2: …Unless Your Baby Is Unable To Breastfeed If your baby can’t feed directly from the breast, perhaps because she’s premature or has special needs, or you are separated for any reason, start double pumping breast milk as soon as you can after the birth. Research shows that starting to express within the first few hours (when a healthy newborn would usually have her first breastfeed) helps mums produce a higher volume of milk in the early days and weeks,1,2 giving their babies the best chance of being fed exclusively on mother’s milk. If you’re expecting your baby (or babies) to be born pre-term, in need of intensive care, or to have a condition that might make breastfeeding difficult, prepare yourself. Learn about expressing, source equipment you might need, and ask a healthcare professional, lactation consultant or breastfeeding specialist for support. There will probably be a hospital-grade double breast pump at your hospital or birth facility, so ask staff to show you how to use it. It’s important to remove milk from your breasts whenever your baby would normally drink – this means your breasts will still get the message to make milk. Aim for eight to 10 pumping sessions every 24 hours at first,3 and continue this frequency once your milk comes in. 3: Time It Right For your first breast-pumping session, express for at least 15 minutes. Don’t worry if you don’t collect much milk at first – regular extra suction should soon stimulate your breasts to produce more milk. Some mums find pumping one hour after a feed gives the greatest milk yield, others prefer to pump straight after every second feed – try expressing at different times to see when best fits your lifestyle. When you find times that work for you, stick with them so your body gets used to your breast pump use and the extra demand on your milk supply. You may be tempted to extend the time between expressions in a bid to collect larger volumes of milk. However, if you wait until your breasts are full one pumping session won’t drain them very well,3,4 so the key is to pump frequently and regularly. 4: Be Hygienic Always wash your hands before and after breast pumping, and clean any pump parts that have been in contact with your milk or your baby’s mouth. You will also need to sanitise them after cleaning at least once a day. Be sure to allow all the pieces to completely dry and you can then store the pump set in a clear bag or container until next use. 5: Be Prepared To avoid interrupting your breast-pumping session, have everything you need close by before you start. You might want a drink and snack, your phone or TV remote, bottles or milk storage bags for your expressed milk, and a muslin cloth to soak up any drips. A specially designed breast pumping bra allows you to keep your hands free, making it much easier to operate the controls and do other things while you express. 6: Make Yourself Comfortable The best position for pumping is one in which you feel at ease. Being relaxed is essential for the release of the hormone oxytocin, which stimulates your let-down reflex. Discomfort and distractions can hamper this process,5 so choose somewhere private and comfortable, and make sure your arms and back are well supported as you pump. If you’re not using a pumping bra, hold your breast shield between your thumb and index finger, and use your palm and other fingers to support your breast. Hold the breast shield gently against the breast – pressing too hard could compress your breast tissue and obstruct milk flow. Some mums find deep breathing, soothing music, visualisation techniques, or having their partner massage their back and shoulders, can help them express more milk. 7: Kick-Start Your Let Down Most Medela electric and battery-operated breast pumps have 2-Phase Expression technology, which mimics the way your baby feeds (with fast, light sucking followed by slower and stronger sucks), to help trigger your let down. Massaging your breasts before and during pumping,6 as well as warming your breasts7 by applying a warm compress (such as a flannel) on them before expressing has been shown to help stimulate your milk flow and increase the amount you collect. Scientists have discovered that having skin-to-skin contact with your baby before and during pumping can help you express more milk too.8 This is because the warmth and touch of your baby’s skin against yours releases oxytocin in your body.9 In fact, some mums find expressing works best if they feed their baby from the other breast while they pump because of the extra stimulation. If your baby isn’t with you, try looking at a photo or video of her, or smelling an item of her clothing, while you express.10 Being able to connect with your baby at the same time as pumping is another way to raise your oxytocin level and help get your milk flowing. 8: Take Advantage Of Your Milk Flow Many mothers don’t sense their let down, so watch out for it as you pump. When you start to see jets of breast milk squirting into the collection bottle or bag, you’ll know it’s happening.11 If you’re using a breast pump with 2-Phase Expression technology, it will have a stimulation mode

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 27 of your pregnancy

Congratulations, you are now in the last week of your second trimester and approaching the third, which will start at the beginning of week 28 –  so you are nearing the final stretch of your pregnancy. You’ll find that you’re probably becoming more used to your little one moving around inside of you and while you may have enjoyed less fatigue during trimester two, this unfortunately may begin to change. Your baby at week 27 Your baby is starting to pack on the final pounds before birth (which should be in 13 weeks, but not all babies arrive at their due date). Inside of your uterus, your little one will be kicking and grasping, slowly developing their muscle tone before birth. Your baby will also be practicing breathing and swallowing with the amniotic fluid. Your body at week 27 Haemorrhoids are a common pregnancy, thanks to your uterus becoming larger and putting pressure on your veins. Haemorrhoids are swollen veins in the anus and rectum, and these are both uncomfortable and painful. While these are unwanted, they generally aren’t harmful to you or your growing baby and normally go away after birth. Other pregnancy symptoms common during this time are leg cramps, aching pelvis and back, heartburn bleeding gums,  constipation, trouble sleeping, frequent urination and stretch marks. Things to remember at week 27 At week 27, something you can start considering is putting together a birth plan. A birth plan is a written document that communicates your wishes during your pregnancy (think of the ideal way you’d like your birth to go) as when the time comes, you probably won’t be thinking clearly.  There is no right or wrong way to go about doing this – some may be detailed and others just cover the basics, the choice is yours!

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 26 of your pregnancy

Although you are yet to meet your baby, they are slowly taking over your life and you may notice weekly and even daily changes in your body. Some days you’ll feel better than others, and it’s important that you take each day as it comes. Both by taking advantage of your good days, and being gentle on yourself on the bad ones. How your body may feel during this time Tiredness, an achy body, a sore mouth and stretch marks are all part of your pregnancy journey. Your belly and breasts are also growing, so make sure that you accommodate your body and dress in clothes that are both supportive and comfy. Your baby’s growth at week 26 Your little one’s lungs are now working hard, getting ready for the day that she’ll need to start using them. At this time the lungs start to produce surfactant, which’ll make it possible for your baby to breathe at birth. Your baby’s suck reflex is  growing stronger (they may even suck their thumb!), and their eyes may open for the first time around now and they’ll start to practice blinking. Not only this, but your little one also has eyelashes that are starting to grow. Now that your baby can hear you, you can also spend some time talking to them. Research has shown that babies prefer the sound of their mothers voices and you may even notice that they start responding to the sound of your voice, and by late pregnancy they should be able to distinguish between voices. What you should keep in mind at this time Something to keep aware of during your pregnancy is the possibility for gestational diabetes. Gestational diabetes is high blood sugar levels during pregnancy, and it’ll go away after birth. However, moms who develop gestational diabetes are at higher risk of developing type 2 diabetes after birth. Warning signs are unusual thirst, frequent urination and dizziness, if you feel like you are checking these boxes then it’s important to speak to your doctor about treatment. If treated effectively, there is no reason you shouldn’t have a healthy pregnancy.

Safety 1st

Ensuring Your Baby’s Safety with Safety 1st

Parenting comes with many responsibilities, but none are as important as ensuring the safety and well-being of your child. At Safety 1st South Africa, we understand the various challenges parents face, and we are dedicated to providing reliable and innovative solutions that bring you peace of mind. From baby safety gates and bedrails to grooming accessories, health essentials, and home safety solutions, our comprehensive range of products covers all aspects of baby safety. Baby Safety Gates and Bedrails One of the main concerns for parents is preventing accidents and falls, especially as babies start to explore their surroundings. Safety 1st offers safety gates and bed rails designed to create a safe environment for your little one. Our safety gates are perfect for blocking off staircases, kitchens, or any area that might pose a danger. They are easy to install and strong enough to withstand curious toddlers. Bedrails, ensure that transitioning from a crib to a bed is smooth and secure, preventing nighttime falls and giving both parents and children a restful night’s sleep. Baby Grooming Essentials Taking care of your baby’s hygiene is crucial for their health and comfort. Safety 1st’s baby grooming essentials are thoughtfully designed to cater to the delicate needs of your infant. Our grooming kits include everything from soft-bristle brushes and combs to nail clippers, ensuring that you have all the tools you need to keep your baby looking and feeling their best. Each item is ergonomically designed for ease of use and safety, making grooming routines a breeze. Baby Health Essentials Monitoring and maintaining your baby’s health can be daunting, but with Safety 1st’s baby health essentials, it doesn’t have to be. Our range includes Healthcare kits, nasal aspirators, and medicine dispensers, all designed with the highest safety standards in mind. Accurate and easy to use, these products help parents effectively manage their baby’s health, providing quick relief and accurate readings when it matters most.  Baby Proofing or Home Safety Essentials Creating a baby-proof home is one of the best ways to ensure your child’s safety as they grow and explore. Safety 1st offers a wide array of baby-proofing and home safety essentials that protect against everyday hazards. From corner cushions and outlet plug protectors to cabinet locks and door stoppers, our products are designed to secure your home. These essentials are discreet and easy to install, allowing you to maintain the aesthetics of your home while ensuring a safe environment for your baby. Why Choose Safety 1st? At Safety 1st South Africa, we believe that safety is not just a product feature but a fundamental aspect of parenting. Our products undergo rigorous testing to meet the highest safety standards, ensuring that they provide reliable protection for your child. We understand that parenting is a journey filled with precious moments and unique challenges, and our goal is to support you every step of the way. By choosing Safety 1st, you’re investing in quality, innovation, and peace of mind. We are committed to helping parents create a safe and nurturing environment for their children, so you can focus on cherishing the moments that truly matter. Find Safety 1st products at selected Dis-Chem pharmacies, Clicks, Takealot, ToysRus and other leading retailers.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 25 of your pregnancy

As you enter week 25 of pregnancy, you will be nearing the end of the second trimester and the start of the third. You may find that your rise in energy levels you felt at the beginning of your second trimester is now beginning to drop. Your baby at week 25 Your baby is now roughly the size of a cauliflower and they are slowly starting to become the chubby baby you’ll expect at birth, as fat is added to their body every day. Your little one is also starting to develop a sense of balance, becoming more aware of what is up and down. Not only this but your baby’s lungs are slowly developing closer to maturity, as blood vessels (caprillirs) grow and they start to practice breathing in amniotic fluid. Your body at week 25 As your baby grows, it is normal that your back and pelvis may be starting to take some strain. This is also thanks to pregnancy hormones which cause your ligaments to soften. To avoid any injuries, make sure you aren’t tempted to over stretch if you’re doing something such as yoga and don’t lift any heavy objects around the house or office. If your back is feeling sore, gentle exercise in water, such as aqua aerobics, can help alleviate the aching. However, if your back is seriously painful , chat to your doctor about finding a physiotherapist who can help you during this time. Other common pregnancy symptoms around this time are heartburn, sore feet and ankles, camping in your legs, swollen and bleeding gums, dizziness,  trouble sleeping and stretch marks. Although many aspects of pregnancy (and certainly afterwards) are rewarding, there are also many parts of it which can be uncomfortable. Things that you should keep in mind Cravings are a natural part of pregnancy (and these generally peak in your second trimester), and they are the sudden desire to eat a particular kind of food. These can be odd foods and combos that you’ve never had the urge to eat before, and generally these are personal to you. Strange combinations, such as pickles and ice cream, might suddenly be on your most wanted list. Just be aware of what you are consuming, as trying to keep things healthy will be best for your growing baby. Unfortunately big meals can also mean heartburn, so little and often can often be the answer here. The book: http://picklesandicecreamcookbook.com/

Medela South Africa

Unlocking the Power of Breastfeeding with Medela

Breastfeeding is one of the most intimate and rewarding experiences for a mother and her baby. Tt can however sometimes be challenging to find the right products to support this journey. Medela is committed to providing innovative and reliable breastfeeding solutions to ensure that every mother can enjoy this special bonding time.  Medela’s range of breast pumps covers all the potential needs of breastfeeding mums: from initiating breastfeeding for a prematurely born baby with the highest-standard, hospital-grade breast pump Symphony (available to rent), to expressing milk to cover the odd night out with the high-performance manual pump Harmony, to exclusive expressing with our Freestyle Hands-free pump. All Medela breast pumps feature 2-Phase Expression™ technology, which mimics babies’ natural sucking rhythms, allowing mums to express more breast milk in less time. Medela Freestyle Hands-Free Double Electric Breast Pump For the modern, on-the-go mom, the Medela Freestyle Hands-Free Double Electric Breast Pump is a game-changer. This pump is designed to provide maximum flexibility, allowing moms to pump hands-free while continuing with their daily activities. The lightweight, compact design is perfect for busy moms who need to pump at work, home, or on the move. With its double pumping feature, it significantly reduces the time needed for each expressing  session. The Freestyle also  has a rechargeable battery and a digital display, ensuring you have everything you need for a seamless pumping experience. Medela Swing Maxi Double Electric Breast Pump The Medela Swing Maxi Double Electric Breast Pump is another excellent choice for moms seeking efficiency and comfort. This double electric breast pump is designed to express milk from both breasts simultaneously, saving valuable time and increasing milk production. Its compact and portable design makes it ideal for both home and travel use. The Swing Maxi is equipped with Medela’s 2-Phase Expression technology, which mimics a baby’s natural sucking rhythm, ensuring maximum comfort and efficiency. Whether you’re at home or on the go, the Swing Maxi makes the breastfeeding journey smoother and more manageable. Medela Solo Electric Single Breast Pump For moms who prefer a single pump, the Medela Solo Electric Single Breast Pump is a great option. It offers simplicity and ease of use with its compact design and intuitive controls. The Solo features Medela’s 2-Phase Expression technology, which mimics babies’ natural sucking rhythm. This pump is perfect for moms who need a reliable, efficient option for occasional pumping. Its lightweight and portable nature ensures you can take it anywhere, whether you’re at home, at work, or traveling. Medela Harmony Manual Breast Pump The Medela Harmony Manual Breast Pump is a fantastic option for moms who prefer a more traditional, manual pumping method. This lightweight and portable pump is ideal for occasional use and provides a quiet, discreet pumping experience. The Harmony features Medela’s 2-Phase Expression technology, allowing you to switch between stimulation and expression phases easily. It’s perfect for moms who need a backup pump or prefer manual expression for comfort and control. Medela South Africa is dedicated to supporting moms on their breastfeeding journey by offering a range of high-quality, innovative breast pumps. Whether you need the hands-free convenience of the Freestyle Hands-Free, the efficiency of the Swing Maxi, the simplicity of the Solo, or the control of the Harmony, Medela has a solution that fits your lifestyle.  You can hire a Medela Symphony Hospital Grade Breast Pump for 4 weeks for ONLY R999.00. Contact Lorraine at LSekgetle@sunpac.co.za or 011 445 3300 and jump onto your breast-pumping journey with us.  For more information about these products and to find the right pump for you, visit Medela South Africa’s website Medela breast pumps are available at selected Dis-Chem, Baby City Clicks, Takealot, Fedisbest.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 24 of your pregnancy

You’re a good few weeks past half way of your pregnancy, which means you are closer than ever to finally meeting your little one. In terms of months, you’re about 6 months in, which means you only have 3 left to go! Your Body at Week 24 As you near your third trimester, you may notice that your body is feeling more uncomfortable thanks to your growing baby. Back ache, tired swollen feet, leg cramps and constipation are all pretty common during pregnancy. You’ll also be gaining weight (which is completely normal) and your breasts are also bigger. Heartburn may be something that you’re struggling with and this is  normal during pregnancy thanks to hormones and your growing baby taking up space. Your pregnancy hormones are the reason the valve between your stomach and throat doesn’t close as it should, as the hormones relax the tight muscle between your stomach and your esophagus. Your growing uterus can also put pressure on the stomach, making it more likely that acid can spill out. Your Baby at Week 24 As your baby grows, they are putting on more and more weight, and their muscles are developing and gaining strength – which means their kicks are getting stronger and harder. Your little one also has hair at this point, however, none of it is pigmented yet. Your baby is pretty active now, and you should feel them move around regularly, however, unless you don’t feel your baby moving around for long periods of time, stillness is nothing to be concerned about. Things to take note of While it may seem obvious, eating healthily and frequent exercise are both ways to stay mentally, physically and emotionally happy and healthy during pregnancy. While a few stresses here and there are common, a constant state of worry or sadness is probably a sign of antenatal depression or anxiety. If you feel like you don’t have the energy for small tasks or every small detail of your pregnancy is triggering anxiety, it may be best to both seek the support of those you love, and medical professionals.

CRYOSAVE

CryoSave South Africa: A Trusted Choice for Safeguarding Your Baby’s Future with Stem Cell Banking

In the rapidly evolving field of medical science, the importance of stem cells in treating various diseases and conditions cannot be overstated. For expecting parents, the decision to bank their baby’s stem cells is a significant step towards securing the health and well-being of their child. CryoSave South Africa emerges as a distinguished choice for this crucial responsibility, and here are three compelling reasons why. 1. Pioneering Legacy in Stem Cell Banking CryoSave proudly stands as the oldest established stem cell bank in South Africa, with a commendable 20-year history of providing private stem cell processing and storage services in Southern Africa. In a region where public stem cell banks are scarce, CryoSave has been a trailblazer, offering families unparalleled access to cutting-edge technology and expertise. A strategic partnership with PBKM Famicord, the fifth-largest cord blood bank globally, further solidifies CryoSave’s reputation as a trusted family stem cell bank in South Africa. PBKM Famicord, with its extensive international presence and expertise, brings invaluable experience to the table, particularly in the transfer of materials for transplantation. 2. State-of-the-Art Facilities for Unparalleled Security CryoSave’s laboratory in Pretoria stands as a testament to its dedication to excellence. The state-of-the-art processing and storage facility adhere to rigorous international standards, guaranteeing the highest quality in cord blood and tissue preservation. The cord blood samples undergo processing and cryopreservation using internationally validated protocols. Rigorous tests, including viability assessments, cell counts, and sterility evaluations, provide an added layer of assurance for parents entrusting CryoSave with their baby’s precious stem cells. Stored within liquid nitrogen storage tanks at temperatures ranging from -196 to -150 °C, these stem cells remain secure within CryoSave’s fortified facility for long-term preservation. 3. International Accreditation for Unmatched Quality CryoSave South Africa’s commitment to excellence is exemplified by its voluntary pursuit of accreditation from the AABB Association. Dr. Robert Crookes, medical consultant to CryoSave South Africa, emphasizes the significance of AABB accreditation in fostering a level of professional and technical expertise that contributes to quality performance and patient safety. As a member of the Cord Blood Association, CryoSave actively participates in an international network that collaborates to advance cord blood banking and therapies. Led by Professor Joanne Kurtzberg, a distinguished transplant specialist in regenerative medicine, this association reinforces CryoSave’s dedication to staying at the forefront of scientific advancements in stem cell therapy. For more information on CryoSave’s commitment and partnerships, interested readers can visit CryoSave’s website. In conclusion, CryoSave South Africa emerges as a premier choice for parents seeking a reliable partner in safeguarding their baby’s future through stem cell banking. With a rich legacy, state-of-the-art facilities, and international accreditation, CryoSave sets a benchmark for excellence in the critical field of stem cell preservation.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 23 of your pregnancy

Your growing baby is making her presence known, and you may regularly feel little kicks inside you when she is awake. Your body is also starting to take some strain, and you may have uncomfortable feet and back to name a few. While you are excited to meet your little one, you may notice this excitement in strangers who might attempt to touch your baby bump, and this added attention is not necessarily something you’re happy with. Your body at week 23 At week 23 you may be experiencing a variety of bodily aches and pains as your body takes on the strain of growing and carrying a small human. Leg cramps, swollen feet, bleeding gums and a tired, sore back are unfortunately all normal during pregnancy. During this time you may also feel stressed out and overwhelmed. Although pregnancy is a beautiful and exciting time, it can also be very stressful for moms to be. You may be under financial strain, and you may feel pressure at work to finish up pieces of work before going on maternity leave. All of this is normal, and if you feel like you’re not coping well it’s important to speak to a health professional who can help you through this tough time. Your baby at week 23 Your baby is now the size of a squash and in their 23 week, your baby is now able to survive outside your body if they are born prematurely (although they aren’t’ ready to be born yet and have lots of growing to do!). Their lungs are developing and their face is fully formed, it just needs to do some filling out first. Your baby is also gaining weight each week (they should double in weight in the next 4 weeks), so by the time your baby is born, she’ll be the plump, chubby little one you’re expecting. Their middle ear bone is also hardening, and they are able to hear you talking to them. Things you should remember at week 23 During your second trimester as your baby bump grows you may experience both wanted and unwanted attention to your baby bump, as well as advice from everyone – from strangers to your mother. Dealing with this added attention can be overwhelming at first, but be sure to state your boundaries clearly if strangers attempt to touch your bump. While some moms-to-be may not mind extra attention, others may not like the invasion of their space when strangers want to touch their growing baby belly.

Parenting Hub

5 Types of Birth Defects: Causes, Symptoms and Treatment

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

CRYOSAVE

Revolutionizing Blood Cancer Treatment: Cord Blood Transplants Provide Hope for Non-Matched Patients

In the past, people with blood cancer’s only hope of a cure was getting a stem cell or bone marrow transplant from a donor, which is called an allogeneic transplant.  These patients needed a matched donor, thus the recipient and donor had to have the same immunologic proteins, called HLA. If not a match, the donor cells would attack the recipient’s immune system. Over the past few decades, substantial progress has been made in learning how to perform transplants using donated cells that aren’t a perfect match. Only 25% of people that require an allogeneic transplant, will have a sibling that is a match and 75% will need to find a match elsewhere. However, for southern European, Asian, African, Hispanic, Middle Eastern, or mixed ancestries people, it is often difficult to find a match. Where there is no sibling match for these people, patients can benefit from finding a cord blood match. This is where cord blood from a healthy newborn baby is used in the transplant. The following examples illustrate the incredible progress made with cord blood transplants: In May 2023, Duke University of Medicine published an article about the increased use of cord blood transplants in adults. Dr. Edwin Alyea, Chief Medical Officer stated that”. “More patients can benefit from transplants now because there are more donor options.” In  September 2022, the Memorial Sloan Kettering Cancer Centre published an article about how cord blood transplants have saved lives in patients with Leukemia, Lymphoma, and Myeloma. Kirsten Riemer, age 41 of African American and Creole descent, was diagnosed with acute myeloid leukaemia in 2016; and received a cord blood transplant in 2016. She is still disease-free after 7 years. Ali Abouzari, age 67 of Persian descent, was diagnosed with acute myeloid leukemia in 2009; and received a cord blood transplant in 2010. Stuart Apfel, age 63 of Ashkenazi (Eastern European) Jewish descent, was diagnosed with acute lymphoblastic leukemia in 2017; and received a cord blood transplant in 2018. Donamarie Gerardi, age 52 of Southern Italian descent, was diagnosed with diffuse large B cell lymphoma and chronic lymphocytic leukemia in 2001; and received a cord blood transplant in 2006. Wincheng Lin, age 41 of Chinese descent, was diagnosed with acute leukemia in 2006; and received a cord blood transplant in 2009. Keelly Nieves, age 41 of Colombian descent, was diagnosed with myelodysplastic syndrome in 2020; and received a cord blood transplant in 2020. Ankit Sundaram, age 33 of Indian descent was diagnosed with acute myeloid leukemia in 2019; and received a cord blood transplant in 2019. All these above patients have survived their cancer and are still disease-free today and living normal lives. To this day, nearly 400 adults and children have received cord blood transplants at Memorial Sloan Kettering, of these more than 50% were from non-European ancestry. The major benefits of a cord blood transplant are: The cord blood stem cells do not have to be a perfect match and can be transplanted without harm since a baby’s immune system is less developed and therefore less likely to recognize the patient’s body as foreign. The cord blood stem cells can help stop the cancer from returning after the transplant and are also excellent at combating cancer. The patients are also less likely to have the potentially life-threatening complication called graft versus host disease (GVHD).  The stem cells are also immediately available for an urgent transplant, as they are already cryopreserved once a match is found. Given that there are relatively few stem cells in each unit, and the time for the stem cells to settle and start producing blood cells is longer; a way to overcome this is with a new technology called “expansion”. This technology replicates these blood cells in the laboratory before being used in a transplant. Through clinical trials, Duke University has shown that using expansion shortens the time for the stem cells to settle and start producing blood cells from 28 to 12 days. This is much faster than any other transplant technique available. This product, called Omdidubicel, was approved by the Food and Drug Administration (FDA) in April 2023. This means that many more patients will now have access to the therapy. Another option to make cord blood transplants available for more people is to do a haplo-identical cord transplant. This involves a combination of donated cord blood stem cells and half-matched (haploidentical) cells from a related half-matched adult donor, typically a parent, child, or sibling. Medication given after the transplant, dampens the immune response among the newly transplanted cells to discourage graft versus host disease. Another way to make cord blood transplants available to patients that cannot endure high-dose chemotherapy before a transplant is to allow low-dose chemotherapy before the transplant, for it was found in these instances that the transplanted cord blood can recognize and kill cancer cells that were not eliminated by the chemotherapy. Today, more than 50,000 of these transplants have been performed worldwide. Cord blood even contains rare stem and progenitor cells for tissues that are different from the blood. Scientists are studying the likelihood that cord blood cells could be used to repair damaged tissues including those in the heart, brain and pancreas. To quote from an article in Diabetologica in 2011: “By implication, it appears that the stem cells in cord blood may hold more promise for the formation of pancreatic beta cells than those in bone marrow”. With all of these developments in regenerative medicine, it would be a great investment in a family’s future for parents to make the choice to bank their baby’s umbilical cord- and tissue stem cells at birth.   References Gupta AO, Wagner JE. Umbilical Cord Blood Transplants: Current Status and Evolving Therapies. Front Pediatr. 2020 Oct 2;8:570282. doi: 10.3389/fped.2020.570282. PMID: 33123504; PMCID: PMC7567024. https://medschool.duke.edu/stories/more-options-people-blood-cancers https://www.mskcc.org/news/how-msks-cord-blood-transplant-program-has-saved-lives Huang, C.J., Butler, A.E., Moran, A. et al. A low frequency of pancreatic islet insulin-expressing cells derived from cord blood stem cell allografts in humans. Diabetologia 54, 1066–1074 (2011). https://doi.org/10.1007/s00125-011-2071-2

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 22 of your pregnancy

Your second trimester has you feeling more yourself, and feeling your growing baby moving inside your tummy is bound to bring a smile to your face. Your body may be feeling some strain as your baby grows in weight and size, and you’ll need to remember to eat healthy in order to ensure that you little one receives all the needed nutrients from you. Changes to your body at week 22  Your body may be feeling slightly uncomfortable all round thanks to the changes that pregnancy has had on your body. You may notice your back, pelvis and hips aching, leg and foot cramps, as well as swollen feet. This can be alongside heartburn, constipation (and possible haemorrhoids) as well as stretch marks. Your baby’s growth at week 22 Your baby is now approximately the size of a coconut and is sleeping in cycles – the time that you don’t feel them moving around will be when they are asleep. At this time your little ones taste buds are developing, and what they find tasty later in life may be influenced by what you’re eating. So try to keep it healthy and to stick to fruit and wholesome veggies. Their eyes are almost fully developed but lack colour in the iris. Your little one is also becoming more sensitive to outside stimuli, so you may notice that they react to loud noises. Things to remember at week 22 During your pregnancy, eating healthily is something that is important to keep in mind. Afterall, what you eat is nourishment for your baby. During your second trimester try and eat foods that are rich in protein, calcium and iron. These will help your baby’s growth – protein helps in tissue development, calcium helps in the formation of bones and teeth, and iron helps carry oxygen to your developing baby.

CRYOSAVE

Unlocking the Future of Healthcare: What is Cord Blood- and Tissue Stem Cell Banking?

As parents with a newborn on the way, nothing is more valuable than your child’s health. The umbilical cord functions as the baby’s support throughout pregnancy, by connecting them to the placenta. It serves as a source of oxygen, providing them with nutrition and antibodies. The umbilical cord, cord tissue, and placenta have historically been discarded; however, more parents are storing (or “banking”) their baby’s cord blood and cord tissue for possible future use. Cord blood is the blood left inside your baby’s umbilical cord after delivery. The umbilical cord blood is a rich source of stem cells, these “precursor” cells are exceptional because they can mature or grow into different types of blood cells, such as platelets, red blood cells, and white blood cells. It also contains special types of stem cells as found in bone marrow, that can help improve the immune system. Therefore, cord blood stem cells are perfect for treating many of the diseases that can affect the immune and blood system (1). Cord blood stem cells help treat several diseases like leukemia, genetic disorders, diseases of the immune system and much more. Cord blood stem cells have the ability to treat more than 80 approved conditions and are being studied in more than 7,600 clinical trials for numerous regenerative therapies. Today, cord blood banking is already changing lives and there have already been more than 40,000 cord blood transplants around the world since the 1980s (2). Currently, new therapies are continually being developed to use these stem cells. Additionally, stem cells found in the umbilical cord tissue and placenta can also be banked. The umbilical cord itself is also a rich source of mesenchymal stem cells and these stem cells are found in the “Wharton’s Jelly”. As with cord blood-forming stem cells, these tissue-forming stem cells are also a rich and powerful source of stem cells. Both these types of stem cells have strong regeneration and differentiation capacity, possess a high level of stem cells, exhibit less immune rejection, and have fewer DNA mutations, are easily accessible and valuable stem cell sources. Cord tissue contains various exceptional cell types, which might in the future provide therapies for heart disease, spinal cord injury, autism, cerebral palsy, multiple sclerosis, and many more. In the correct environments and given the right signals, the umbilical cord stem cells can differentiate into many different cell types. As a result, they are very valuable in treating an increasing selection of medical conditions where specialised cells are injured and need replacing (3). The term ‘cord blood banking‘ means saving the newborn stem cells found in the blood of the umbilical cord, tissue and/or the placenta. Once the baby is born, it is possible to collect these cells and bank them in cryogenic storage for many years (currently CryoSave saves these stem cells for an initial period of 20 years, after which the period can be extended). The stem cells in cord blood can be collected without any risk to the baby or mother. This is the only chance you will get to store these types of stem cells – in the moments after birth. You can store the most powerful source of stem cells within minutes after birth if you choose to bank your baby’s cord blood and tissue. The cord blood and cord tissue stem cells are younger, have less exposure to harmful environmental factors or disease and are more “unspoiled” than adult stem cells. Storing your baby’s own cord blood safeguards that they will always have immediate access to their own stem cells which is a perfect stem cell match. Thus, any stem cell treatment or future possible organ replacement is available without the chance of rejection. Your baby’s stem cells may also be a match for a sibling (25%) and is always a partial match for the parents (50%). Cord blood banking is non-invasive and should have no impact on your birth plan or delivery process. Your gynaecologist or midwife can perform the collection after your baby is safely delivered. Once they collect the cord blood and a piece of the cord tissue in a sterile manner, and after your maternal bloods have been collected, our dedicated medical couriers will come to the maternity ward to collect the sample and bring it directly back to our laboratory. The cord blood and tissue will be processed, cryopreserved and cryogenically stored for 20 years or more, according to our AABB standard approved procedures. Various other tests will be performed to ascertain the number of stem cells, viability, sterility, recovery percentage and maternal infectious marker status. CryoSave understands that the day of the birth of your baby is one of the most significant days of your life. We make the process as seamless as possible from beginning to end. Once you have decided to bank your baby’s stem cells with us, we will organise everything for you. On the day of the birth, you only have to ensure that you take the Collection Kit with you. Your gynaecologist or midwife will perform the stem cell collection using the items found in your collection kit. We will assist to arrange for a nurse to draw the maternal bloods if required. All you have to do is call CryoSave and we will arrange collection using our dedicated courier to pick up the sample. CryoSave will take care of everything else for you. Your newborn may form part of the next generation to survive beyond 100 years of age. The likelihood is they will need stem cells to keep healthy. These umbilical cord blood and tissue stem cells, in the future, could be used for the treatment of diseases for your baby and even your family and will repair and heal damaged tissue or even regenerate organs. This is why over 4 million families worldwide have chosen to protect their baby’s health by banking their cord blood and tissue.   References: Waller-Wise R. Umbilical cord blood: information for childbirth educators. J Perinat Educ. 2011

Parenting Hub

Early intervention is key to overcoming infertility

June is World Infertility Awareness Month, a time dedicated to raising awareness around infertility challenges faced by a large number of people across the world. According to the World Health Organisation (WHO), around 17.5% of adults – roughly 1 in 6 worldwide – experience infertility. It’s a major health challenge globally, affecting high-, middle-, and low-income countries alike. World Infertility Awareness Month highlights the Importance of access to infertility therapies through effective parenthood solutions at recognised infertility centres. Causes of infertility Infertility can affect both men and women and can be attributed to many causes. Male infertility can be caused by abnormal sperm production or function, challenges with sperm delivery, exposure to certain environmental factors (such as cigarette smoking, anabolic steroid use, marijuana, alcohol, and certain medications), and damage from cancer or its treatment. Female infertility may result from ovulation disorders, uterine or cervical abnormalities, fallopian tube damage or blockage, endometriosis, early menopause, pelvic adhesions and cancer or its treatment. Age is a key factor in the decline of fertility for both men and women. While men over the age of 40 may be less fertile than younger men, a woman’s fertility declines after the age of 35. This decline in women progresses quickly after the age of 37, due to the lower number and quality of eggs. According to Dr Jack Biko, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG), infertility can stem from issues present at birth or those that develop later in life, affecting one or both partners. “Infertility is determined after 12 months or more of regular, unprotected sexual intercourse without a pregnancy. Women over the age of 35 should seek an evaluation if they have not been able to conceive after six months.” An infertility diagnosis can lead to feelings of distress and anxiety and may negatively impact the wellbeing of a person or a relationship. But help is available. “Early diagnosis by a fertility specialist can identify fertility challenges promptly, allowing for more effective and timely interventions,” says Dr Biko. “Fertility clinics provide medical support as well as counselling and emotional guidance to help couples navigate this difficult time with hope and resilience. Seeking treatment also ensures that you receive a personalised care plan tailored to your specific situation, which optimises your chances of a successful pregnancy.” Consider fertility preservation Age is one of the most common causes of infertility, with the growing trend of people starting their families at an older age. Egg or sperm freezing can help to address this issue. “One option that is becoming increasingly popular with women is elective egg freezing,” says Dr Biko. “It’s a prudent choice for women who wish to preserve their fertility for future family planning. By freezing your eggs at a younger age, typically in your late 20s to early 30s, you may safeguard your chances of conception later in life, when natural fertility starts to decline.” Dr Biko says this proactive approach allows families, especially women, to focus on personal, professional, or educational goals without the immediate pressure of starting a family. “Advances in cryopreservation technology have improved the success rates of using frozen eggs, making it a viable option for those planning ahead. The success of egg freezing, however, is highly dependent on the age of the woman at the time of freezing, with women under 35 having much better outcomes.” This option can be especially empowering for women who have not yet decided to have a child, or who are delaying pregnancy to focus on career advancement. Increasing your chances of achieving a successful pregnancy later in life reduces the stress and pressure associated with the natural decline in fertility. Egg, sperm, or embryo freezing is also used for fertility preservation for medical reasons, such as people with a condition, or facing treatment for a condition, which may lead to infertility. For example, cancer treatments such as radiation, surgery and chemotherapy may either temporarily or permanently impact your ability to produce healthy eggs or sperm, and freezing them prior to starting therapy may improve your chances of starting a family later. Taking control of your reproductive future For many people, knowing they have preserved their healthy sperm or eggs provides a sense of security and control over their reproductive futures. However, there is a lack of awareness about fertility preservation options. Proper counselling tailored to the personal backgrounds of patients is essential, as is the need for accurate information to help people make informed decisions. Empowering yourself through knowledge is a key step in addressing fertility concerns. If you are struggling to conceive or if you would like to preserve your future fertility, don’t delay, have an open conversation about fertility treatment options with your doctor.     References 1. World health Organisation (WHO). 1 in 6 people globally affected by infertility: WHO. Accessed 20 May 2024. Available at:https://www.who.int/news/item/04-04-2023-1-in-6-people-globally-affected-by-infertility#:~:text=Around%2017.5%25%20of%20the%20adult,care%20for%20those%20in%20need. Boivin J et al. Tailored support may reduce mental and relational impact of infertility on infertile patients and partners. RBMO 2022. Mayo Clinic. Infertility. Accessed 20 May 2024. Available at: https:www.mayoclinic.org/diseases-conditions/infertility/symptoms-causes/syc-20354317. Alteri A et al. Elective egg freezing without medical indications. Acta Obstetricia et Gynecologica Scandinavica. Panagiota Nakou (20 Mar 2024): Women’s reproductive choice and (elective) egg freezing: is an extension of the storage limit missing a bigger issue? The New Bioethics. DOI: 10.1080/20502877.2023.2300233

Parenting Hub

Babies on the Brain after SA’s Baby Boom Month

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

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 21 of your pregnancy

At week 21 of your pregnancy you’re now just over half to meeting your baby for the first time. You’re still in your third trimester, so take advantage of feeling better with a smaller baby bump while you can. Your body at week 21  Typical pregnancy symptoms during this are an achy back, swollen feet, heartburn, hot flashes, forgetfulness (nicknamed ‘baby brain’) and leg cramps. You may have also noticed stretch marks on tummy, breasts, thighs and butt, and this is thanks to your quickly growing tummy and baby. Headaches during pregnancy are fairly normal, especially if you’re slightly tired or dehydrated. However, if you experience bad headaches for hours on end, or ones that won’t go away, consult your doctor as you may have high blood pressure. This is also known as pre-eclampsia, which is a pregnancy complication characterised by high-blood pressure and protein in your urine. Your baby at week 21 Your baby is now the length of a banana or a carrot. Around this time your baby will also start sleeping and waking at different times (not necessarily the same as yours though). Your baby is also drinking amniotic fluid, although the placenta is how they receive the majority of their nourishment. Things to keep in mind at week 21 Braxton Hicks contractions are also known ‘false labour’ and they are your body’s way of preparing you for labour. These contractions are your womb contracting and relaxing and while they can be uncomfortable, they aren’t painful. Braxton Hicks contractions vary in length, and aren’t rhythmic, which is what differentiates them from normal contractions. There isn’t a treatment for these contractions, but changing your position (if you’re lying down) or taking a relaxing bath or nap can help ease them. If you’re unsure of whether or not you’re having Braxton Hicks contractions or labour contractions, contact your doctor immediately, as you may be going into preterm labour.

Parenting Hub

Can giving up Alcohol Improve Fertility?

Affinity Health, a leading provider of high-quality health coverage, explores whether giving up alcohol can improve fertility. “The question of whether giving up alcohol can improve fertility is a topic of growing interest among individuals and couples hoping to conceive,” says Murray Hewlett, CEO of Affinity Health. “While numerous factors influence fertility, lifestyle choices can and do play a role.” The Impact of Alcohol on Fertility Alcohol consumption can affect fertility in both men and women, but the extent and mechanisms can vary. In Women For women, moderate to heavy drinking can lead to a range of reproductive issues. Alcohol can disrupt menstrual cycles, leading to irregular periods or ovulation problems, making it harder to predict fertile windows. Hormonal imbalances caused by alcohol can affect the reproductive system, reducing the chances of a successful conception. Excessive alcohol use is also linked to an increased risk of miscarriage and may harm the health of the ovum (egg). In Men Men are not exempt from the reproductive consequences of alcohol consumption. Alcohol can lead to decreased sperm count, reduced sperm motility (movement), and abnormal sperm morphology (shape), all of which can diminish male fertility. Alcohol can also affect testosterone levels and other hormones in men, further influencing fertility. Evidence Linking Alcohol to Fertility Issues Numerous studies have explored the relationship between alcohol and fertility, with many finding a negative correlation between high alcohol intake and reproductive health. For instance, research has shown that couples undergoing IVF treatments might experience lower success rates if they consume alcohol. Another study highlighted that even light drinking could potentially extend the time it takes to conceive. The Benefits of Giving Up Alcohol for Fertility  Given the evidence linking alcohol consumption with reduced fertility, abstaining from alcohol could have several benefits for individuals trying to conceive: Hormonal Balance: Eliminating alcohol from your diet can help maintain a healthier hormonal balance, essential for regular ovulation in women and optimal sperm production in men. Improved Menstrual Cycle Regularity: Cutting out alcohol can lead to more regular menstrual cycles for women, making it easier to predict ovulation and optimise the timing for conception. Enhanced Sperm Quality: Men might see improvements in sperm count, motility, and morphology, which are crucial for fertilising an egg. Health Benefits: Beyond fertility, giving up alcohol can lead to better health, including weight management, improved liver function, and reduced risk of chronic diseases. A healthier body creates a more favourable environment for conception and a healthy pregnancy. Increased Energy Levels: Alcohol can disrupt sleep patterns and lead to feelings of fatigue. Eliminating alcohol may result in better-quality sleep and higher energy levels, which are beneficial for managing the demands of trying to conceive and preparing for the energy required for parenting. Improved Immune Function: Regular alcohol consumption can weaken the immune system, making the body more susceptible to infections that could impact fertility. Abstaining from alcohol can help strengthen your immune system, contributing to overall health and well-being. Better Nutrient Absorption: Alcohol can interfere with the body’s ability to absorb essential vitamins and minerals, some of which are vital for reproductive health. Reducing alcohol can improve nutrient absorption, ensuring your body benefits from a nutritious diet. Emotional Well-being: Reducing or eliminating alcohol can have positive effects on mental health, reducing instances of mood swings, depression, and anxiety. Emotional well-being is crucial when trying to conceive, as stress can negatively impact fertility. Financial Savings: The cost of purchasing alcohol can add up. By cutting out or reducing alcohol consumption, you can save money, which can be redirected towards fertility treatments, preparing for a baby, or other wellness activities that support your fertility journey. Practical Tips for Reducing Alcohol Consumption Deciding to give up alcohol while trying to conceive is a personal choice and can depend on individual circumstances, including the frequency and amount of alcohol consumed. For many, reducing alcohol intake or abstaining altogether can be a proactive step toward improving their chances of conception. If you decide to reduce or eliminate alcohol to enhance fertility, Affinity Health offers these tips: Set clear goals: Decide whether you want to cut back or quit entirely, and set realistic, achievable goals. Seek support: Share your goals with your partner, family, or friends who can offer support and encouragement. Find alternatives: Discover non-alcoholic beverages that you enjoy to replace alcoholic drinks during social occasions or meals. Focus on overall wellness: Adopt a holistic approach to improving fertility by focusing on a balanced diet, regular exercise, and stress management. Track your progress: Keep a diary or use an app to record your alcohol consumption. This can help you stay aware of how much you’re drinking and motivate you to keep reducing it. Identify triggers: Take note of situations or emotions that make you reach for a drink and find healthier ways to cope or avoid these triggers altogether. Create new routines: If your social life or relaxation habits revolve around alcohol, try new activities that don’t involve drinking, like joining a class, exploring a hobby, or planning alcohol-free outings with friends. Reward yourself: Set milestones in reducing alcohol and celebrate each achievement with non-alcoholic treats or rewards that support your overall well-being. Educate yourself: Learn about the impact of alcohol on fertility and overall health to strengthen your resolve and commitment to reducing consumption. Be patient with yourself: Change takes time, and setbacks may occur. Be kind to yourself and recognise that every step forward is progress. Consult a professional: If you find it challenging to cut back on alcohol, consider seeking help from a healthcare professional or a support group specialised in managing alcohol consumption.  

Bonitas – innovation, life stages and quality care

Tackling women’s health holistically

‘A woman’s health is her Capital’ As far back as 2014 at the World Health Organization’s (WHO) ‘Partnership for Maternal, Newborn and Child Health Forum’, South Africa stated their alliance with WHO’s statement and said, ‘the health of mothers and their children is key to achieving development equity.’ Which is why Bonitas Medical Fund, the Medical Aid for South Africa, has teamed up with CareWorks, to bolster its mother and childcare benefits and introduce a new Female Health Care Programme. With this renewed commitment to the health and wellbeing of women and toddlers, the Scheme will shine a light on the importance of preventative care and empower women to prioritise their health. ‘In South Africa, women face a range of health challenges influenced by socioeconomic, cultural and environmental dynamics at play,’ says Dr Themba Hadebe, Clinical Executive at Bonitas. ‘Many of these healthcare factors are unique to women. Early disease detection and appropriate care programmes are proven key factors in improving treatment outcomes and prognosis. Dr Hadebe says, ‘It is common knowledge that women often put their own health needs aside to care for their families. This programme will pro-actively assist women and provide them with support, to ensure that they access prevention services when they need to, as well as treatment plans.’ Top health issues in South African women are: Non-Communicable Diseases (NCDs) Diabetes in South Africa’s is the second deadliest disease and is also the leading cause of death among women in the country. 68% of women are obese, which is a strong risk factor for Type 2 diabetes. In addition, it is estimated that 10% of pregnant women in South Africa have gestational diabetes, which may go undiagnosed. This evidences the urgent need for screening and diagnosis.  Breast and Cervical Cancer The statistics are stark: 1 in 6 women worldwide is estimated to develop cancer during their lifetime. By 2040, there will be a projected rise to 30 million new cancer cases amongst women globally. Screening services are encouraged for early HPV (Human Papilloma Virus) detection and breast cancer diagnosis.  Mental Health Approximately 25.7% of South Africans are affected by probable depression, with similarly elevated levels of anxiety, particularly among women. These rates are influenced by socio-economic status, adverse childhood experiences and educational levels. HIV/Aids South Africa has one of the highest HIV prevalence rates in the world – with women, especially young women, being disproportionately affected. Of the 7.3 million adults living with HIV, 64% are women. According to Dr Mizpah Moru, the Clinical Service Manager of CareWorks, ‘The programme is focussed on educating and empowering women to take control of their health and to address any barriers that may stop them accessing health services. ‘We have a highly skilled female team of clinicians who understand the specific healthcare needs of women.’ Online Assessment and Preventative Screening There are various modules in the Self Health Evaluation (SHE) – each are educational and designed to alert potential red flags related to the likes of cardiovascular disease, hypertension and diabetes. Other modules deal with prevalent cancers, mental health, pregnancy and communicable diseases like HIV, as well as screening questions for TB and STIs. SHE and risk identification will enable targeted messaging to members. Screening results will trigger a support process to assist members in accessing appropriate, targeted care programmes. ‘We’ve taken proactive steps to address their unique healthcare needs. Our aim is to provide inclusive, tailored healthcare solutions at every stage of life,’ says Dr Hadebe.  Female members will be encouraged to access their Bonitas benefits to: Promote preventative care strategies for both females and toddlers  Detect non-communicable diseases such as hypertension, diabetes, mental disorders, cancers, etc.  Help females plan appropriately during their reproductive ages Help expecting mothers to detect and manage any risks and complications as early as possible in their pregnancy Improve access for females and toddlers to essential care Improve parent education and awareness about toddler care Expansion of the Maternity Programme  The comprehensive Maternity Programme includes support for new parents with milestone reminders for children under three, immunisation reminders and online screenings for infant and toddler health.  Enhanced support for expecting mothers, includes: Early identification of high-risk pregnancies Weekly engagement for high-risk pregnancies Post-childbirth follow-up calls Online assessments for pregnancy and mental health Midwives and nursing sisters will provide nurturing and caring support to women who have suffered a miscarriage and assist them in working through both the physical and mental issues associated with the loss of their baby.  Support will be offered to parents of neonatal babies  The programme also includes a library of female specific health topics – with a monthly focus – screening reminders and support, all communicated through SMS, WhatsApp, emails, calls and other existing digital platforms.  ‘The aim of the new Female Health Care Programme is to raise awareness and promote education around health and wellness,’ says Dr Hadebe. ‘It’s about influencing behaviour positively and encouraging early screening and preventative services. Importantly, it is also about providing inclusive, tailored healthcare solutions at all stages of life, to help members live their healthiest life.’

CRYOSAVE

Men’s Health: The top health risks and how stem cells could assist in future

Men’s health is a complex topic, and some common trends and factors contribute to men sometimes neglecting their health. Reasons for this might be social expectations and stereotypes, fear of weakness and vulnerability, Work and lifestyle pressures, risk-taking behaviour, as well as the reluctance to discuss mental health issues. Most men are affected by the same diseases that can affect anyone—heart disease, stroke, diabetes, cancer, depression. Men’s health involves a variety of gender-specific issues, like testosterone production, sexual health, and unique issues such as prostate cancer and benign prostate enlargement. Thus, men can take control of their health by eating a healthy diet, making simple lifestyle adjustments, and visiting the doctor regularly. Heart disease and stroke Heart disease comes in many forms. All its forms can lead to serious, fatal complications if undetected. It is estimated that heart disease is the leading cause of death for U.S. men, responsible for one in every four male deaths. Between 70 percent and 89 percent of sudden cardiac events occur in men. Stroke targets more than three million men. High blood pressure is common in males under the age of forty-five. Stem cell therapy has been investigated as a potential treatment for congestive and heart failure patients. Mesenchymal Stem Cells (MSCs) can differentiate into various types of cells, including heart cells. Studies have shown that stem cells can improve heart function in patients with congestive heart failure. Stem cells have been shown to stimulate the growth of new blood vessels and heart muscle cells, and improve the function of existing cardiac cells, thereby improving cardiac function and blood flow and reducing inflammation in the heart. A few studies have shown good outcomes whereby injecting patients with allogeneic umbilical cord MSCs significantly reduces the rate of heart attacks or strokes in patients with chronic heart failure. Stroke is the fifth leading cause of death for U.S. men; it kills about the same number each year as prostate cancer and Alzheimer’s disease combined. Men have strokes at younger ages than women. After a stroke, the brain stem can suffer damage, and stem cells have the potential to help heal this damage. Research has shown that stem cell therapy can promote functional recovery in stroke patients by replacing damaged neurons and promoting the growth of new brain tissue. Cord blood is emerging as a serious competitor in cell therapy for stroke. The main reason is that MNC from cord blood triggers less graft-versus–host reaction than adult sources of MNC. If clinical trials of allogeneic cord blood therapy for stroke continue to meet their endpoints, this could be an exciting new application for donated cord blood.  In the United States, about 795,000 people suffer a stroke each year, and 140,000 are fatal1-3. If only 1% of these patients received cell therapy, that would be comparable to the total number of allogeneic stem cell transplants per year in the United States10. Ultimately, a successful cord blood therapy will find itself in competition against cell therapy products for stroke that are already near approval.  The possibility to utilize cord blood cells as an “off-the-shelf” product (actually out of the cryogenic freezer) with no HLA matching would make cord blood more competitive against other cell therapies that are based on MSC and operate as universal donor products (1-3). Skin Cancer This cancer joins heart disease as the top two leading causes of death for men of all races—and it is largely preventable with proper skin care and regular check-ups. Melanoma, the most serious skin cancer, affects the sexes differently. Men are more likely to die of melanoma than women. This is true at any age. White adolescent males and young adult men are about twice as likely to die of melanoma as white females of the same age. Recent experimental studies in melanoma cell lines confirmed that umbilical cord mesenchymal stem cells (UCMSCs) exert antitumor effects on melanoma by inhibiting proliferation, inducing apoptosis, and suppressing the metastatic potential of these melanoma cell lines (4). High blood pressure Several studies have shown that men younger than sixty-five consistently have higher levels of hypertension compared to women of the same age group. While common, it is not inevitable and can be prevented, delayed, and treated. If ignored, it can lead to heart and kidney failure, vision problems, and even blindness. Stress, lack of physical activity, and being overweight or obese increase the odds, as do genetics. Pulmonary arterial hypertension (PAH) is a progressive illness characterized by chronically elevated blood pressure in pulmonary circulation that can lead to right-sided heart enlargement and failure. In advanced stages, PAH is considered non-curable (5). Clinical researchers in Germany recently reported the first successful treatment of (PAH) using a human umbilical cord mesenchymal stem cell (HUCMSC)-derived therapy. Depression and suicide In 2019, 69% of total reported suicides were men.  The most common cause of suicide is untreated depression, as 90% of individuals who commit suicide are depressed. Men are less likely to seek treatment for depression. Stem cell therapies have emerged as a standard for the treatment of both subacute and chronic inflammatory processes and neurological disorders. Investigations have suggested the potential use of adult stem cell therapy to treat several neurological conditions, such as multiple sclerosis, autoimmune encephalomyelitis, Alzheimer’s disease, other dementia conditions, Parkinson’s disease, and epilepsy. Most studies emphasize the immunomodulatory nature of adult stem cells, with their therapeutic efficiency related to neurological diseases, particularly triggering anti-inflammatory states. Recently, various studies have focused on treating depression with MSCs from various sources and the results from different experimental studies strongly support the potential therapeutic use of stem cells in treating depression (6). Diabetes Untreated diabetes in men can lead to erectile dysfunction and other urological problems, nerve damage (neuropathy), dehydration, and damage to the eyes, kidneys, and hearing. Men, after putting on weight, are more at risk for diabetes than women. Additionally, men typically store fat differently than women, which increases their risk. In a recent meta-analysis, clear evidence was provided for the superior efficacy

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 20 of your pregnancy

Congratulations to you and your baby, you’re officially halfway through your 40 week pregnancy. It’s crazy to think that 20 weeks ago you had your last period, and now a new life is blossoming inside of you – you may even know their gender and are thinking about possible names. Your baby at week 20 You little one is now roughly the size of a grapefruit or banana, and if you haven’t been able to feel your baby move around, at week 20 things may change. Although your baby still has a fair amount of room inside of you, and you should feel her moving around inside your tummy.Their heart is pumping between 120-160 beats per minute and their senses and reflexes are becoming more developed. How you’ll feel at week 20 You may have noticed the appearance of a dark vertical line on your belly, this is normal in pregnancy and is known as a linea nigra. This line isn’t a problem and is caused by hormones during pregnancy. If you’re wanting to travel or are planning to organise a baby nursery in your house, use the time during your second trimester to your advantage, as your pregnancy symptoms won’t be as intense as they were in your first trimester, and your belly won’t be inconveniently big just yet. But that being said keep your needs in mind and don’t push yourself to do something if you aren’t feeling comfortable. Things to remember at this time During your pregnancy you may experience lower back pain thanks to your growing baby putting increasing strain on your body. If your pain is unbearable it’s best to seek the advice of your doctor or physio, but if you are managing there are a few things you can do to make your life more comfortable. Practicing prenatal yoga, deep breathing, being aware of your posture and a pregnancy belt are all things which can help ease your tired back.

Parenting Hub

How do you know if adoption is for you?

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

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