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Babies R Us Premium Parenting Event is Back

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

Nutripaeds

Breastfeeding While Pregnant

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

CRYOSAVE

Epigenetics and Motherhood

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

Bonitas – innovation, life stages and quality care

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

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

Julie Kay Belly Way

Back and Pelvic Pathology in Pregnancy – the Need for Support

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

CRYOSAVE

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

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

Aupair Exclusive

What To Expect When Expecting Multiples

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

Good Night Baby

WHERE SHOULD YOUR BABY SLEEP?

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

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 9 of your pregnancy

At week 9 of your pregnancy, you’re probably more aware than ever of your growing baby inside of you, as the first two months of pregnancy are now behind you. You may be dealing with a variety of different pregnancy symptoms as your baby slowly grows bigger. Your baby at week 9  At 9 weeks in, your baby is looking more human, with mini arms and legs developing, and the tail which was initially present is slowly disappearing. Your baby is now the size of a grape or a cherry and her facial features are also becoming more prominent. At week nine your baby is also becoming more active and beginning to move around. However, you won’t be able to see or feel this just yet – but it’ll be visible on ultrasound. If you’re struggling with painful breasts, a maternity or sports bra can offer you more support and help alleviate some of your uncomfortableness. When your body becomes more used to your pregnancy hormones, it’s likely that some of your pain may ease, but throughout your pregnancy, it’s a good idea to find clothes that you feel comfortable in. How you’re feeling at 9 weeks At nine weeks you may be feeling a variety of emotions, alongside the many other pregnancy symptoms, such as morning sickness, which peaks at around week 9. Your symptoms may be particularly difficult to deal with if you’re still keeping your pregnancy quiet from your colleges and friends, but if you are struggling emotionally open up to your partner or health care provider. Things to keep in mind At this point, it may be a good idea to chat to your doctor about possibly restructuring your exercise routine. It could be a good time to start incorporating prenatal yoga or pilates as these activities help you get ready for labour and childbirth. Staying active is also a great way to keep healthy during your pregnancy, but depending on what activities you did before getting pregnant, you may need to think about adjusting your training program.

CRYOSAVE

Exploring Delayed Clamping and Stem Cell Banking Synergies

The subject of delayed cord clamping (DCC) has been researched and discussed in numerous studies. The most important consideration at the time of the delivery is the health of the mother and baby. Delayed cord clamping has been shown to be beneficial to the baby and thus in the setting of cord blood banking, delayed clamping is an acceptable practice and is encouraged. Recent studies have shown that DCC show an increased amount of red blood cell stores in newborns and thus lessening the risk of iron deficiency anaemia later in the baby’s life. This is specifically important in preterm babies and those at risk of anaemia. In very preterm babies (22 weeks–28 weeks), DCC for 30 seconds, or more, has led to increased survival and a lowered risk for severe neurological injury. In further studies, DCC also showed an improvement in fine-motor and social skills in kids at four years of age in comparison to kids of the same age that had no cord clamping at birth. There is, however, a small risk of increased hyperbilirubinemia/jaundice (because of the additional red blood cells infused during DCC) in some infants after DCC. An estimated 50% of term and 80% of preterm infants develop jaundice. Delaying cord clamping for one minute or more resulted in only a 6%–21% decrease in the total volume of cord blood collected and a 9%–31% decrease in the pre-processed total nucleated cell. It is estimated that about 60% of DCC collections still meets the upper level for the number of total nucleated cells. However, a prolonged delay will allow the blood in the cord to clot, and the opportunity to collect the blood for stem cells will be lost; therefore, if clamping is delayed, it is recommended not to delay for more than two minutes. What major myths exist relating to the optimal clamping time? Myth: If you don’t do DCC, you are robbing the baby of 30% of its blood. Fact: When the umbilical cord is clamped soon after birth, the infant’s blood volume is the same as its volume in utero (in the womb). Myth: The longer you wait to clamp the cord, the more blood the baby gets. Fact: The continued transfusion of cord blood when delaying the clamping in normal birth is reliant on contractions of the uterus, the umbilical arteries close around 45 seconds after birth and the umbilical vein in 1–2 minutes. For c-sections, the blood volume in infants increases till 40 seconds and actually decreases thereafter. Myth: Delaying the clamping of the cord confirms the advantages observed by researchers. Fact: Factors affecting the transfusion of additional blood cells include the timing of cord clamping, gravity, the onset of respiration, uterine contractions and drugs affecting it, maternal blood pressure and birth asphyxia. Facts relating to COVID-19 and delayed cord clamping The use of delayed cord clamping during COVID-19: Most Gynaecological institutions have stated that these procedures should remain according to usual center practice, while following infection control precautions. They have stated that delayed umbilical cord clamping is extremely improbable to increase the risk of transmitting pathogens from an infected mother to the fetus; however, some institutions have selected to forbid this exercise in term infants, in whom the benefits are modest. This practice they believe will minimise newborn exposure to any virus in the immediate environment and reduce the chances that the newborn will require phototherapy for jaundice. Some institutes also prohibit skin-to-skin contact in these cases, although the Paediatric institutions have not advised against this. References Arthur, R. (2021). ‘We are on track for a watershed year for approvals of new regenerative medicine and advanced therapies’. Retrieved 10 November 2021, from https://www.biopharma-reporter.com/Article/2021/09/01/We-are-on-track-for-a-watershed-year-for-approvals-of-new-regenerative-medicine-and-advanced-therapies Ntege EH, et al. Advances in regenerative therapy: A review of the literature and future directions. Regen Ther. 2020 Jun; 14: 136–153.

Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 8 of your pregnancy

It’s week 8 of your pregnancy and your baby is beginning to look more like a little human. You’ll probably be feeling many of the first-trimester pregnancy symptoms but you shouldn’t be showing just yet, so enjoy your flat figure while it lasts! Your body at week 8  Even if you don’t outwardly look pregnant, you’re definitely feeling it. Your first trimester brings morning sickness (not just in the morning!), tender breasts, fatigue, pregnancy cramps and a heightened sense of smell. Dealing with morning sickness and fatigue its important that you remember to stick to a healthy lifestyle. Eating well, exercising often and trying to make sure you get enough sleep. It’s important that you take prenatal vitamins during this time as well. Where your baby is at  Your baby is now roughly the size of a bean or a raspberry. They are becoming more distinctly human, developing arms and legs. Their digestive system also develops around this time. If you get an ultrasound you may notice that your baby has a disproportionate body, with a large head – this is because the upper body develops faster than the lower. However, in 32 weeks time, your baby will be a normal-sized little-human. Things to remember  Your first prenatal check-up around this time, where you may have blood tests and an early ultrasound to check your baby’s growth and heart rate. If you have lots of questions for your doctor it is a good idea to write them down, so you don’t forget when you arrive – especially if this is your first pregnancy. During the first trimester, you are at higher risk for a miscarriage. It is estimated that 1 in 8 women experience miscarriages, often before they realise they are pregnant. Signs of a miscarriage are cramping and pain in the lower back and abdomen, as well as light spotting to heavy bleeding. If you suspect miscarriage, it is important that you contact your doctor so that they can help you during this time.

Parenting Hub

Babies R Us Support Preemie Mom’s in Need During Pregnancy Month

400 Care Bags Donated to Rahima Moosa Mother and Child Hospital in Johannesburg Babies R Us has delivered four hundred mom care bags to the Rahima Moosa Mother and Child Hospital in Johannesburg to mark Pregnancy Awareness Month. This initiative forms part of the annual Babies R Us Preemie Heart Campaign, which allows customers to buy a purple preemie heart at all Toys R Us and Babies R Us stores in support of World Prematurity Day, observed annually in November. In addition to the mom care bags, last year, the Babies R Us team handed over a NICU incubator to the Rahima Moosa Hospital’s NICU unit. The Rahima Moosa Mother and Child Hospital is the only mother and child hospital in South Africa, providing care for a very large number of women and children and delivers around 14,000 babies every year – the second highest number of babies in the country after Chris Hani Baragwanath Hospital (Africa’s biggest hospital). Each mom care bag contains several essential items, including a blanket and baby toiletries and mothers who have currently have babies in the NICU unit, received a pack of preemie sized diapers. “We hope that these bags will bring joy to many moms in need, and we are sure that they will find the necessities in the bag very useful,” said Ronel Grant, Head of Wellness at Babies R Us. “The Babies R Us Mama Club slogan is ‘We’ve got you’ and the team would like moms to know, that this extends to moms across all walks of life in South Africa.” Dr Joy Fredericks at Rahima Moosa Hospital comments: “Once again, we extend our sincerest gratitude to Babies R Us for your unwavering support towards mothers and babies in our community. Your generous donation of 400 care bags provided mothers with essential items bringing relief and restoring hope to those navigating uncertain times.” Most notably, Grant adds that beyond managing the journey of parents and babies, the Babies R Us, Mom and Baby Wellness Clinics can be found at several stores including: Gateway, Pavilion, Mall of Africa, Boksburg, Canal Walk and Wonderpark shopping centres. “We also provide free virtual antenatal courses, presented by midwife, Sister Claire de Villiers, who is the Babies R Us midwife at the Gateway Clinic.” Free virtual Babies R Us Antenatal courses are also offered, consisting of two modules; guiding mom from the first stages of pregnancy, to giving birth and taking baby home for the first time. The course is presented via Teams, Sister Claire de Villiers has 34 years’ experience as a registered nurse and midwife,  and shares expert guidance and information to all moms embarking on their pregnancy journey. Grant adds that as a further extension of the Babies R Us expert advice pillar, Carey Haupt, a lactation expert also presents a virtual lactation course, sharing information and guidance with all moms about the reality of breastfeeding. Babies R Us stores can be found inside every Toys R Us store and offer moms everything they would need from bump to baby during their pregnancy journey. Bookings for all clinics and courses can be made via the website:  www.babiesrus.co.za, under the tab Clinic and Course bookings.  

CRYOSAVE

Securing the Future: A Step-by-Step Guide to Joining CryoSave’s Family with Stem Cell Banking

In the ever-evolving landscape of medical advancements, securing the future health of your family has become more accessible than ever. CryoSave, a leading name in stem cell preservation, offers a comprehensive and streamlined process for parents looking to safeguard their child’s health through the preservation of umbilical cord blood and tissue. Let’s take a closer look at what happens when you decide to join CryoSave. Beginning the Journey: Registration Online: To initiate the process, prospective parents can register online through CryoSave’s user-friendly digital application form available on their website, www.cryosave.co.za. This straightforward step sets the foundation for the journey ahead. Delivery of Collection Kit: Once registered, arrangements are swiftly made to deliver the CryoSave collection kit to your doorstep. This kit contains everything necessary for the collection process, ensuring that you, your midwife, or doctor are well-equipped for the upcoming birth. Bringing the Kit to the Hospital: An essential reminder for expectant parents is to take the collection kit with them to the hospital when the time comes for the birth. This proactive step ensures a seamless transition to the collection process. The Collection Process: Risk-Free and Painless: One of the key benefits of CryoSave’s process is that the collection is entirely risk-free and painless for both the mother and the baby. This is a crucial aspect that prioritizes the well-being of all involved. Immediate Collection Post-Birth: After the birth, the collection is performed promptly by your doctor or midwife. A small section of the umbilical cord (approximately 20cm) and 150ml of blood are collected, securing valuable stem cells for future use. Ensuring Completion: Before concluding the collection process, it is vital to ensure that maternal blood samples are collected, all necessary documents are filled out, and everything is packed correctly. This meticulous attention to detail guarantees the integrity of the collected samples. After the Birth: Initiating Contact with CryoSave: With the collection completed, the next step is to contact CryoSave. A seamless communication process is established, marking the beginning of the post-collection phase. Specialized Courier Service: CryoSave takes care of logistics by sending a specialized courier to collect the kit. This courier is entrusted with the safe and timely transport of the samples to CryoSave’s state-of-the-art laboratory for processing and storage. Processing and Storage: Confirmation and Certificate: Once safely delivered to the CryoSave laboratory, parents receive a confirmatory email and certificate. This communication serves as tangible evidence that their baby’s stem cells are securely stored in a liquid nitrogen tank within CryoSave’s highly secured facility. Long-Term Cryo-Preservation: CryoSave South Africa commits to cryo-preserving your baby’s cord and tissue stem cells for a minimum of 20 years, offering peace of mind and a long-term investment in your family’s health and well-being. In the journey with CryoSave, each step is thoughtfully designed to prioritize the safety, comfort, and future health of your family. By seamlessly integrating cutting-edge technology with compassionate care, CryoSave stands as a reliable partner in securing the potential health benefits locked within your baby’s stem cells. For more information on our processes and facilities, visit the CryoSave website and feel free to contact us for an obligation free personalised quote.

Bonitas – innovation, life stages and quality care

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

By now you probably know that you’re pregnant, but some moms only find out during this week or later. Even if you haven’t started looking outwardly pregnant, there is a good chance you’re definitely feeling it, with the likes of fatigue and morning sickness. Your baby is going rapidly day-to-day, with continued brain and body development for the next 33 weeks. Where your body is at  This week you’ll likely be feeling some or all of the symptoms generally experienced during the first trimester of pregnancy. It’s important throughout your pregnancy that you maintain a healthy lifestyle, even if doing so feels tough at times. Eating the correct foods and taking prenatal vitamins will ensure that your baby gets the correct nutrients from you. It is important to remember that during pregnancy your needs will change, so you should keep this in mind when tailoring your diet. Miscarriage and ectopic pregnancies are both serious complications that can happen during early pregnancy. Miscarriage is the spontaneous loss of the foetus before week 20, unfortunately, this is not reversible and is usually due to abnormal development. Ectopic pregnancy often shows around 7 weeks and is when the fertilised egg implants outside of the uterus. Unfortunately, neither complication can be reversed, and losing a baby early in pregnancy is likely to be very traumatic for the mom-to-be and family. It’s important that you seek medical and psychological support if you are struggling post ectopic pregnancy or miscarriage. What your baby is doing  Your baby is now the size of a blueberry but is shaped more like a tadpole than a human, however, their tail is getting smaller and will soon disappear. At this point, your baby has continued to develop limbs, facial features, spinal cord and lungs, heart and kidney.

Parenting Hub

How to manage early pregnancy sickness

Affinity Health, a leading provider of high-quality health coverage, discusses ways to manage early morning sickness. Pregnancy is a beautiful and transformative journey for many women, but it often comes with its fair share of challenges. One of the most common early pregnancy symptoms is morning sickness, which can make those first few months challenging. “Early pregnancy sickness is a natural response to the hormonal changes occurring during pregnancy,” says Murray Hewlett, CEO of Affinity Health. “While it can be uncomfortable, it is usually a positive sign that the pregnancy is progressing as expected.” What is Morning Sickness? Morning sickness affects approximately 70-80% of pregnant women. While the name suggests that it occurs only in the morning, this condition can occur at any time or night. It typically begins around the sixth week of pregnancy and peaks between the ninth and 16th weeks. What Causes Morning Sickness? While the exact cause is not fully understood, hormonal changes, notably the surge in human chorionic gonadotropin (hCG), significantly trigger symptoms. Although every woman’s experience with morning sickness is unique, symptoms often include nausea, vomiting, loss of appetite, increased salivation, sensitivity to smells, fatigue and dehydration due to fluid loss from vomiting. 15 Ways to Manage Morning Sickness Affinity Health provides these 15 coping strategies and tips to help expecting mothers cope with the challenges of morning sickness: Dietary Adjustments Eating smaller, more frequent meals to avoid an empty stomach can help reduce nausea. Opt for bland, easy-to-digest foods like crackers, toast, or plain rice. Hydration Staying well-hydrated is crucial during pregnancy. Drinking fluids, such as water, herbal tea, or electrolyte-rich beverages, can help prevent dehydration. Rest and Stress Management Getting adequate rest is essential to manage fatigue and stress, which can exacerbate nausea. Relaxation techniques, such as deep breathing exercises or prenatal yoga, can be beneficial. Medication Sometimes, healthcare providers may recommend anti-nausea medications if dietary and lifestyle changes do not provide relief. Acupressure and Alternative Therapies Some women find relief through acupressure wristbands or alternative therapies like acupuncture. Prenatal Vitamins Taking prenatal vitamins as prescribed by a healthcare provider is essential to ensure the mother and baby receive crucial nutrients. Ginger and Lemon Ginger and lemon are known for their soothing properties. Sipping on ginger tea or adding a slice of lemon to your water can provide relief from nausea. Aromatherapy Certain scents, such as peppermint or lavender, can help alleviate nausea. Consider using essential oils or scented candles for relaxation. Stay Cool Avoid getting too hot, as heat can trigger nausea. Stay in well-ventilated areas and use fans or air conditioning when needed. Distraction You should consider activities that take your mind off nausea, such as reading a book, watching a movie, or listening to calming music. Support System Lean on your support system, whether it’s your partner, family, or friends. Their understanding and assistance can make a significant difference during this time. Avoid Trigger Foods Identify foods that tend to worsen your symptoms and avoid them. Sometimes, spicy, greasy, or highly seasoned foods can be triggers. Herbal Remedies Some herbal remedies, like peppermint, rooibos, or chamomile tea, may relieve nausea. Keep a Journal Keeping a journal to track when and what triggers your nausea can help you identify patterns and make necessary adjustments to your routine. Maintain Good Oral Hygiene Nausea can sometimes lead to bad breath or a metallic taste in your mouth. Regularly brushing your teeth and using mouthwash can help combat this. When to Seek Medical Help While morning sickness is generally considered a normal part of pregnancy, severe symptoms can lead to complications such as dehydration and weight loss. If you experience severe nausea and vomiting, consult your healthcare provider. They can provide guidance, recommend treatments, and ensure the health and well-being of both you and your developing baby.

Bonitas – innovation, life stages and quality care

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

Week 6 of your pregnancy At week 6 of your pregnancy you’ll most likely know that you’re pregnant now, although some mom’s realise as quickly as 3 weeks or as late as 12. Every week your body is changing to accommodate for your growing little one. Your body at 6 weeks 6 weeks in and you may be experiencing a range of pregnancy hormones. One of the most common and challenging first trimester pregnancy symptoms is morning sickness, although these waves of nausea can strike at any time. It is important to eat bland foods little and often. Even though this nausea may be uncomfortable to deal with, it’s nothing to worry about unless you can’t keep any food down throughout the day. Fatigue is another unpleasant aspect of pregnancy that you may have started experiencing in your first trimester. Napping often, letting others take over some of your chores and work, as well as keeping hydrated are ways in which you can help yourself. Your pregnancy fatigue may be worse during your first and third trimesters. Exercise and a healthy diet are also important (at this point and throughout your pregnancy) and you’ll probably be able to do most of the exercise you’re used to – just stay away from anything heated (such as heated yoga) or high risk. Your baby at 6 weeks Your baby is now the size of a pea, still tiny enough that you won’t be able to spot a tell-tale pregnancy bump. Your uterus has begun expanding to accommodate your new baby, and may have started pressing down on your bladder (que the frequent urge to use the bathroom). Inside you, your baby is starting to look more like a little human, and her eyes, nose, ears as well as limbs have started slowly forming. Liver, kidneys and lungs are also starting to take shape.

CRYOSAVE

Unlocking the Potential: Cord Blood Stem Cell Therapy and the Spectrum of Treatable Diseases

Over the past three decades, the field of cord blood stem cell therapy has witnessed remarkable progress, with more than 40,000 successful transplants worldwide. These transplants have emerged as transformative treatments for various medical conditions, particularly blood disorders, inherited metabolic disorders, and immunodeficiency syndromes. As the therapeutic landscape continues to expand, cord blood stem cells have found applications in over 80 approved therapies, offering hope for patients facing a diverse range of diseases. Treatable Diseases and Therapies: Cord blood stem cell transplants have proven effective in treating a multitude of diseases, ranging from blood cancers to inherited metabolic disorders and bone marrow disorders. The following is a glimpse into the scope of treatable diseases and approved therapies: Blood Cancers: Acute Lymphoblastic Leukaemia (ALL) Acute Myeloid Leukaemia (AML) Chronic Myeloid Leukaemia (CML) Myelodysplastic Syndrome (MDS) Multiple Myeloma Hodgkin’s Lymphoma Non-Hodgkin’s Lymphoma Inherited Metabolic Disorders: Hurler Disease (MPS type IH) Osteopetrosis Adrenoleukodystrophy Krabbe Disease Bone Marrow Disorders: Aplastic Anaemia Unspecified Fanconi Anaemia Other Diseases: Blood Disorders Bone Marrow Failure Syndrome Immunodeficiencies Neuroblastoma Solid Tumours For a comprehensive list of current treatable diseases and therapies, interested readers can refer to the Parents’ Guide to Cord Blood and CryoSave’s dedicated page to these diseases. Ongoing Clinical Trials: The frontier of cord blood stem cell therapy extends beyond approved therapies, with ongoing clinical trials exploring the potential applications of these cells in various conditions. Some of the areas currently under investigation include: Acquired hearing loss Alzheimer’s disease Acute Ischemic Stroke Autism Spectrum Disorders Amyotropic Lateral Sclerosis Bronchopulmonary dysplasia Cartilage repair Critical limb ischemia Cerebral Palsy Congenital Diaphragmatic Hernia Congenital Heart Diseases Childhood Hearing Loss Corneal Epithelial Wounds Ulcerative Colitis / Inflammatory Bowel Disease Duchenne Muscular Dystrophy Diabetic Foot Ulcers Diabetes Mellitus (Type I & Type II) Encephalopathy (neonatal) Epidermolysis Bullosa Fertility Global development delay Graft versus host diseases Glaucoma Hypoplastic left heart syndrome HIV Hydrocephalus Ischemic Stroke (pre/peri-natal) Intraventricular haemorrhage Infant Lung Disease Idiopathic Dilated Cardiomyopathy In-Utero Brain Injury / Stroke Liver Cirrhosis Neurodegenerative Disorders Preterm Neonatal Complications Parkinson’s Disease Rheumatoid Arthritis Severe Hypoxic-ischemic Encephalopathy Systemic Lupus Erythematosus Spinal Cord Injury Skin-Wound / Burns Sweat Gland Diseases / Regeneration References Cairo MS, Rocha V, Gluckman E, et al. Alternative allogeneic donor sources for transplantation for childhood diseases: unrelated cord blood and haploidentical family donora. Biol Blood Marrow Transplant. 2008; 14:44-53. Cairo MS, Tarek N, Lee DA, et al. Cellular engineering and therapy in combination with cord blood allografting in pediatric recipients. Bone Marrow Transplant. 2016;51:27-33 Gluckman E, Ruggeri A, Rocha V, et al. for Eurocord, Netcord, World Marrow Donor Association and National Marrow Donor Program. Family-directed umbilical cord blood banking. Haematolgica. 2001; 96: 1700-1707. Mazonson P, Kane M, Colberg K, et al. Prevalence of medical conditions potentially amenable to cellular therapy among families privately storing umbilical cord blood. Matern Child Health J. 2016 (online). https://clinicaltrials.gov

Bonitas – innovation, life stages and quality care

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

Week five of your pregnancy is the week that many women find out that they are pregnant. You’ll notice the skipped period and your pregnancy test will come out positive, you’ll also start to notice some pregnancy symptoms if you hadn’t already. Your body at 5 weeks pregnant This week you’ll notice pregnancy symptoms, and this is just the beginning of a huge number of changes you’ll feel taking place in your body. At this point your pregnancy hormones will probably be affecting you, making you feel nauseous, your breasts tender. You could also be experiencing spotting and cramping, as well as frequent urination and cravings. The pregnancy hormone, human chorionic gonadotropin (hCG), is responsible for many of these changes, and this hormone is why your test shows up positive. Not only will your body physically change, but you’ll probably be dealing with mental changes as well. No only can your changing hormones cause your moods to fluctuate, but finding out you’re pregnant can also be an emotional experience. Remember any emotions are valid, even if you’re feeling overwhelmed and confused, as opposed to excited. If you’re struggling it’s important to reach out to those around you or seek professional help.  Your baby at 5 weeks pregnant   Your baby is now roughly the size of orange or apple seed and her tiny face is already starting to form, even though she looks more like a tadpole than a human. During this time your baby’s neural tube is developing – this will become their spine and brain – which is why folic acid is so important at this point. Folic acid taken daily reduces the risk of spinal tube defects. By 5 weeks your little one’s heart will have also started beating. If your pregnancy is healthy, you won’t be having an ultrasound before 8 or 9 weeks of pregnancy, so it’ll be a few more weeks before you get to see your baby.

CRYOSAVE

The Importance of Storing Cord Blood Stem Cells for Future Health

The decision to bank your baby’s cord blood stem cells is a significant one, offering potential health benefits for both the child and their siblings. Understanding the intricacies of stem cell matching and the role these cells play in medical treatments is crucial for making an informed choice about storing this precious resource. Who Can Benefit? Your baby’s cord blood stem cells are a 100% match for themselves, ensuring a personalized and compatible source for potential future medical treatments. Siblings, on the other hand, may also benefit, but a crucial step is determining their compatibility through a process called tissue typing or HLA (Human Leukocyte Antigen) testing. This method reveals whether siblings can utilize each other’s stem cells for approved therapies. Biological siblings share a 25% chance of being a match, a statistic that highlights the importance of storing cord blood for each child in the family. Biological parents are considered a partial match, termed ‘haploidentical,’ emphasizing the need for alternative sources in certain situations. Importance of Matching in Transplants In cases where an individual cannot use their own stem cells due to an inherited condition, having cord blood from a matched sibling becomes invaluable. If the sibling did not inherit the same condition, their cord blood becomes a preferred source for stem cells in potential transplant scenarios. This emphasizes the critical role cord blood banking plays in securing a suitable match for transplantation, significantly increasing the chances of successful treatment. Comparing Match Chances Understanding the probabilities associated with different sources of stem cells is vital in appreciating the value of cord blood banking. The chances of being a suitable match for a transplant vary based on the source of stem cells: Autologous (Your own stem cells): 100% chance of a match. Syngeneic (Stem cells from identical twins): Each twin has a 100% chance of a match. Haploidentical (Stem cells from biological parents): A 50% chance of matching. Allogeneic (Stem cells from biological siblings): Each sibling has a 25% chance of matching. Banking your baby’s cord blood stem cells is an investment in their future health. The potential benefits extend beyond the individual, providing a lifeline for siblings who may require compatible stem cells for medical treatments. As the statistics show, the chances of finding a transplant match from unrelated donors are extremely low, making cord blood banking a proactive and strategic choice for families concerned about their long-term well-being. References Waller-Wise R. Umbilical cord blood: information for childbirth educators. J Perinat Educ. 2011 Winter;20(1):54-60. doi: 10.1891/1058-1243.20.1.54. PMID: 22211060; PMCID: PMC3209739.

Bonitas – innovation, life stages and quality care

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

This may be the week that you realise that you’re pregnant. Many women don’t notice so early-on, but if you’ve been trying for a while you may  take a pregnancy test before when your next period was due. Your body at 4 weeks Although your body is changing, chances are you may not have noticed just yet – at the end of this week you’ll probably notice (or maybe earlier or later – depending on your menstrual cycle) that you’ve missed your period. This is one of the more obvious pregnancy signs, but your body is changing in other ways as well. When your fertilised egg implanted into your uterus you may have noticed some cramping and spotting. You may write -off other early pregnancy signs as pre-menstrual changes, however, there are some symptoms that are unique to having a baby. Such as nausea, spotting and cramping, and a raised body temperature. If you haven’t already, now is the time to quit any unhealthy habits, such as drinking alcohol and caffeine, and smoking. It’s also a good idea to take prenatal supplements if you haven’t started yet. If you’re feeling healthy and your pregnancy symptoms are all normal, you’ll only need to schedule an ultrasound at week 8. Your baby at 4 weeks Your baby is a tiny mass of cell inside you, roughly the size of a poppy seed, but just because it’s so small doesn’t mean lots isn’t happening. In the next few weeks, this tiny ball of cells will form the neural tube, which is the beginning of the brain and spine. At this point, the cells that are your baby are dividing up, becoming more defined. Three layers are developing – the ectoderm, the mesoderm, and the endoderm – and these will later develop to become your baby’s organs and tissues.

CRYOSAVE

10 Reasons to choose cord stem cell banking for your baby

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

Parenting Hub

What are the costs of cord blood banking?

At CryoSave we understand that becoming a parent comes with financial strain. That is why we offer flexible pricing options, structured to your needs.” as this will give an indication that even though there is so much benefit, CryoSave makes it easier in terms of cost.  Below is a breakdown and explanation of the costs of stem cell banking. The collection kit The collection kit includes everything your doctor/midwife will need for the collection. The collection kit is paid upfront when you sign up for stem cell banking. The reason this is paid upfront is to ensure that the kit can be couriered to you immediately to be available once the baby is born for the collection to take place and after completion the kit will be collected by a specialised courier. Processing the collected samples Once the samples (collection kit) are received by the CryoSave laboratory, the samples need to be processed. This means that the cord blood cells are separated. The cord blood and tissue are processed according to international standards. CryoSave is an internationally AABB (Association for the Advancement of Blood and Biotherapies) accredited facility. All cord blood samples are processed using internationally validated processing and cryopreservation protocols. The cord blood and tissue stem cells will be kept in a liquid nitrogen storage tank (between -196 and -150°C) at our secured facility for long-term storage. In addition to the above, blood is also drawn from the mother at birth. The vials for these tests are also included in the kit. These samples will then be analysed by pathologists for infectious markers. Stem cell banks must do quality checks on all samples and before freezing a representative sample is taken for quality testing. The number of blood-forming stem cells and the % viability of the cells present in each sample is measured. Other checks are done to determine the recovery of stem cells after processing. Stem cell banks must also test for microbiological infection in each sample. After successful storage, the parents are notified of the success of the cord blood and cord tissue processing and negative microbiology. Parents will also receive a certificate for both the cord blood and cord tissue for their records. If difficulties are encountered during delivery that might have affected the collection of the cord blood or tissue, the Laboratory Director or Medical Director will call the gynaecologist to ascertain the reason for the problematic delivery. They will also contact the parents to inform them and discuss the collection with them. If the sample is needed for an approved transplant, CryoSave offers parents free shipment of the samples to anywhere in the world where the transplant will take place. A sample will only be released if approval is provided by an approved transplant centre and after discussions and approval documentation has been signed by the transplant physician, the parents, and the cord blood bank. Storage After processing is complete the cord blood and tissue stem cells are cryopreserved and cryogenically stored in the vapour phase of cryogenic nitrogen freezing tanks at -196° C and maintained there until needed. When you consider all these costs; running any cord blood bank is rather expensive. This includes the cost of running the liquid nitrogen facility, maintenance of equipment, regulatory-, compliance- and operational costs (including staff salary expenses). The storage fees paid over 20-30 years, is a critical element of cost as this is to ensure that the stem cell bank you banked your baby’s stem cells with, can safely and securely store your samples for the required time to come. Storage fees should therefore be a non-negotiable cost when it comes to this process. Conclusion In addition, the search for donor stem cells can take months for a life-threatening disease and can cost anything between R600k – R1m. If you bank with a private cord blood bank, the stem cells are immediately available. Considering the above, the cost of R25 000 for the collection kit and processing fees, and storage fees less than R50 p/m should not seem expensive. Only the collection fee is paid upfront. Repayment terms are available. At CryoSave we understand that becoming a parent comes with financial strain. That is why we offer flexible pricing options, structured to your needs. Contact us today to get a personalized quote.

CRYOSAVE

Choosing the Right Stem Cell Bank: Private, Government, or Community – What Parents Should Consider

Some of the earliest decisions that parents face, can be amongst the most challenging. The choices that parents must make before and after the birth of their baby can have long-term implications for their future health. These days, one of these major decisions includes whether to collect and store the cord blood and tissue of your new-borns umbilical cord and placenta during delivery. Then there is also the question about the choice of the various types of stem cell banks. There are three types and options for stem cell banks. These are: Public Stem Cell Banks In South Africa, there is no public cord blood bank available, as the government does not provide a facility for collecting and storing cord blood samples. At public stem cell banks, families can choose to donate the cord blood, but in doing so, they relinquish ownership of the sample, making it unavailable for their own or their family’s use. This absence of a public cord blood bank poses challenges for families in South Africa who may require cord blood stem cells for potentially life-saving treatments in the future. To address this limitation, families may need to explore private cord blood banking options, which come with associated costs and ongoing maintenance fees. Private banks allow individuals to store their baby’s cord blood exclusively for their own use, providing a potential source of compatible stem cells if needed. However, the availability of private cord blood banking ensures that families have an alternative for preserving cord blood in South Africa, despite the lack of a public option. Community Stem Cell Banks If individuals decide to bank their baby’s stem cells with a community bank, they will incur lower costs for registration, processing, and storage. However, the trade-off is that they do not have exclusive rights to the sample for their own family’s use. Typically, the initial banking period in such cases is limited to 10 years. Community banking of cord blood is open to everyone, meaning there is no guarantee that the donating family will be able to access these cells if they ever require them. Public and community banking operates on the principle of donation, allowing anyone in need to potentially utilize the donated stem cells if they are a compatible match. Unfortunately, if a family needs the stem cells in the future but they are no longer available to them, obtaining donor stem cells becomes a significant financial challenge. The cost of acquiring donor cells can range from R600 000 to R1 million. Additionally, the search for a suitable donor can be a time-consuming process, taking months. In cases of life-threatening diseases, this delay can be a critical obstacle for individuals and their families, leaving them with limited options. Private Stem Cell Banks Private cord blood banking offers individuals a means to ensure the future health of their family. The process involves an initial cost for the collection kit, processing of the sample, and subsequent storage fees. However, flexible payment plans are often available to accommodate varying financial circumstances. Typically, the storage period spans 20 years, and the associated fees can be paid on a monthly, annual, or upfront basis. Moreover, it is possible to extend the storage term beyond the initial 20 years. The cost of private cord blood banking should be viewed as a form of lifetime insurance for one’s family, rendering it highly affordable. By opting for this option, the stored samples remain exclusively accessible to the donor and their immediate family, ensuring immediate availability in the event of a medical treatment requirement. Additionally, there is a 25% chance that the stored samples will be an exact match for siblings with the same parents, and a 50% chance of being a match for the parents themselves. This significantly enhances the potential benefits of private cord blood banking for family members who may require stem cell treatments in the future. CryoSave is your dedicated premier private family stem cell bank. Our stem cell products are stored exclusively for your family’s use. Our ultimate focus is to ensure the highest quality service delivery and maintenance of your child’s precious stem cells.

Vital Baby

The Ins and outs of Co-Sleeping with your Kids

Co-sleeping is common in many parts of Africa, including South Africa. Co-sleeping is when parents share a bed with their young infant or child. It is considered as bonding, comforting, and protecting the child, however, co-sleeping may also have risks and challenges, affecting the parents’ sleep quality, intimacy, and independence. Co-sleeping may also vary depending on the family’s preferences, values, beliefs, and circumstances. Co-sleeping was common in Western societies until the 19th century when nuclear families and private bedrooms became popular. Co-sleeping was then associated with poverty and bad parenting and discouraged by society. Babies can find it hard to sleep without the closeness of a parent and may cry when they’re in a cot. Co-sleeping can make it easier for parents to respond to their baby, settle them more quickly and hopefully get some better-quality sleep at the same time. Older children might be motivated to sleep with their parents because of separation anxiety or when feeling sensitive or vulnerable, such as during the night.  No evidence confirms co-sleeping enhances a better (or worse) emotional attachment compared to those children who sleep separately. While today’s modern paediatricians may recommend room-sharing and discourage bed-sharing, the choice remains with your family, and your cultural and societal customs.  Jake in the Bed Lisa and Mark had a two-year-old son named Jake, who slept in their bed every night since he was born. They loved the warmth and comfort of co-sleeping but faced some problems. Lisa often had back pain and neck stiffness from sleeping awkwardly to accommodate Jake. Mark often snored loudly, which disturbed Jake’s sleep and made him restless. They also felt that co-sleeping affected their intimacy and relationship, as they had no space or time for each other. They decided to try to transition Jake to his bed in his room, but they faced some difficulty as Jake was now used to sleeping with his parents. He resisted and cried whenever they tried to leave him alone which left Lisa and Mark feeling frustrated and exhausted from the constant struggle. Max in the Bed Anna and Ben had a four-month-old son named Max, who slept in a crib beside their bed. They were happy with this arrangement, but they noticed that Max often woke up crying during the night and had trouble falling asleep. They also felt that they missed the closeness and connection with their baby. They decided to try co-sleeping with Max and found that co-sleeping made their nights more manageable and more enjoyable. Max could nurse more frequently and comfortably, which helped him sleep longer and better. Anna and Ben also felt more relaxed and rested, as they did not have to get up and check on Max every time, he made a noise. They also felt that co-sleeping strengthened their bond with Max, as they could cuddle, kiss, and talk to him more often. They enjoyed watching him sleep and wake up with a smile. They continued co-sleeping with Max until he was ready to move to his room.  Co-sleeping is common in many cultures and families, but it has some benefits and drawbacks. Here are some of the pros and cons of co-sleeping with your kids: Weigh up the facts and set the scene to suit you before it becomes a nightly habit and ensure your best option for harmonious nights and deep, peaceful sleep for everyone. Pros for Co-Sleeping: Co-sleeping may increase your emotional bond and attachment with your baby, as you can cuddle, comfort, and communicate more easily. Co-sleeping may make night nursing more accessible and convenient for breastfeeding, as you will not have to get up and go to another room to feed your baby. Co-sleeping may help babies and toddlers fall asleep faster and sleep better, as they feel more secure and relaxed near their parents. Cons for Co-Sleeping: Co-sleeping may increase the risk of accidental suffocation, strangulation, or injury to the child, especially if the parents are obese, smoke, drink alcohol, use drugs, or sleep deeply. Co-sleeping may interfere with your sleep quality and quantity, as you may be disturbed by the child’s movements, noises, or needs. Co-sleeping may affect your intimacy and relationship with your spouse, as you may have less privacy and time. Co-sleeping may make it harder for the child to develop independence and self-soothing skills, as they may become too dependent on their parents’ presence to fall asleep or stay asleep. Co-sleeping is a personal choice that depends on many factors, such as your family’s personal preferences, values, beliefs, and circumstances. There is no right or wrong answer to whether you should co-sleep with your kids. However, if you co-sleep, you should follow the safety guidelines to reduce the potential risks. You can also consider some alternatives to co-sleeping, such as room-sharing (where the child sleeps in their crib or bed in the same room as you) or partial co-sleeping (where the child sleeps in their room but joins your bed for part of the night). Safety Tips: Place your baby on their back on the side of the bed, away from the edge and to the side of one parent. Avoid placing your baby between parents or next to other children or pets. Co-sleeping with a child over one year old is less risky than with a child under 12 months. At a toddler’s age of 1 to 2, they can roll over and free themselves if trapped in the bed. Co-sleeping during the school-aged years has been associated with problems initiating sleep, less nighttime sleep, more daytime sleepiness, more bedtime resistance, increased nighttime awakenings, and greater levels of sleep anxiety. Tips for Getting Baby to Sleep in their Cot:  Make sure baby is comfortable. Check the room temperature, the lighting, and their clothing. Make the cot a safer place. Use a firm, flat, waterproof mattress and a comfortable baby sleeping bag. Try the gradual retreat. Move the cot closer to your bed and slowly away until it reaches the baby’s room. Eliminate motion. Avoid rocking or driving your baby to

Lamelle Pharmaceuticals

The power of Pycnogenol: Enhancing sperm health naturally with Prelox

If you’re male and in a partnership that’s struggling to conceive you should know you’re not alone. In South Africa, one in 6 couples are diagnosed with infertility and, in up to 60% of these cases, the stumbling block sits before the male, often due to a lack of quality sperm. This is where Prelox by Lamelle Pharmaceuticals comes in, but first, let’s unpack what it means to be a man with healthy “swimmers”. Understanding male fertility  Male fertility is not only determined by the quantity of sperm but also by their quality. Factors such as sperm count, motility, and morphology (the way the sperm is shaped) play important roles if you’re wanting to see two blue lines on that pregnancy test. Lifestyle choices, stress, and the fact that sperm quality decreases significantly after 50 can all impact these factors, leading to decreased fertility in men. Prelox – a natural yet effective solution Prelox is an international, innovative blend of all-natural ingredients, including Pycnogenol and L-arginine, that work synergistically to support male reproductive health. Pycnogenol, derived from French maritime pine bark – patented to Lamelle Pharmaceuticals – is one of the most powerful antioxidants known to man. Studies have shown it does an outstanding job of helping to protect sperm from oxidative stress, a common factor contributing to many cases of infertility. As for Pycnogenol’s co-star, L-arginine, this natural amino acid, enhances its effects by stimulating your body’s production of nitric oxide (NOS). This dramatically improves sperm health and includes the added bonus of improving the quality of your erections. A win-win if you want to make a baby! Expect improved sperm count, motility and morphology  Studies have shown that taking Prelox for just 30 days could increase your number of healthy sperm by as much as 150% and boost motility by 55%. Sperm motility, the ability of sperm to move efficiently, is vital for successful conception, especially when you consider the distance they have to travel. In relation to their size, they really do have a long way to go and it’s important to move fast!  The shape and structure of sperm are referred to as their morphology and this can also have a big impact on fertility. Healthy, happy sperm will have a long tail that helps them wiggle their way to the egg and an oval-shaped head that helps them implant in it. If you’re producing poorly shaped sperm, it’s going to struggle with its mission so you’ll be glad to know Prelox generates 93% more optimally-shaped sperm.  Here’s to healthier sperm, naturally  As more couples face challenges in conceiving, the importance of addressing male fertility cannot be overstated. If you’re wanting a boost – with no negative side effects – Prelox stands out as a natural yet potent and proven supplement offering new hope to those on the path to parenthood. 

Parenting Hub

Four changes you can expect from your skin during pregnancy

Pregnancy is a time of excitement and anticipation, but it’s not without its ups and downs. A woman’s body goes through major changes throughout her pregnancy journey. Some of these changes are obvious and expected, while others may catch you by surprise. It’s a well-known fact that facial skin undergoes changes during pregnancy due to fluctuating hormones and increased sebum production, but did you know that the skin on the rest of the body (in particularly the tummy!) undergoes significant changes too? From stretch marks, to dryness, to uneven skin tone, there are plenty of changes bound to occur throughout pregnancy and post-natal, but mums don’t have to face these challenges alone. Happy Event has been nourishing women’s skin for over 50 years, treating stretch marks, dryness and various other skincare concerns related to pregnancy. Experts in pregnancy, antenatal and post-natal skincare, Happy Event offers a variety of skincare products containing pure olive oil to nourish and protect skin throughout the pregnancy journey. Happy Event is proud to introduce a new product to their line-up, created specifically to treat the common skincare challenges that may arise during pregnancy: Stretch marks Stretch marks are not exclusive to pregnancy, but they are very common among pregnant women. They occur when skin is stretched (for example when putting on weight, during puberty or with a growing pregnant belly), and are the result of tiny tears in the dermis (the middle layer of skin). There are many factors that contribute to the severity of stretch marks, including genetics, the skin’s elasticity, hormones and lifestyle. Over time, they will fade from dark red or purple to a light silvery or grey-white shade. Stretch marks are more easily prevented than cured, and may be minimised by daily application of nourishing body lotions, creams or oils that help increase the skin’s elasticity. Dryness It is very common for skin to get dry and even flaky during pregnancy. Hormonal changes may reduce the skin’s oil production, which is responsible for natural moisturisation. The skin’s hydrolipidic barrier is easily influenced by hormonal fluctuations and may weaken, allowing water to naturally evaporate faster, resulting in dry skin. Dryness can be treated by applying a good quality moisturising product twice a day and by avoiding hot showers or baths (hot water may lead to dryness – opt for lukewarm instead). Itchiness Itchiness and dryness go hand-in-hand and many women experience itchiness on their growing tummy during pregnancy. When skin is excessively dry or flaky, it may lead to irritation and discomfort. And the more you scratch, the itchier it becomes. The best way to manage itchiness is to minimise dryness by moisturising the skin often. Uneven skin tone An increase in hormones may lead to changes in the skin’s pigmentation. Many women develop pigmentation on their facial skin (also known as the “mask of pregnancy”), while others may develop uneven skin tone on their bodies. Existing pigmentation such as freckles may become darker during pregnancy and for some women, darkened areas may remain darkened post pregnancy. Help is at hand With so many bodily changes taking place simultaneously, it’s natural for expecting mums to feel overwhelmed. Happy Event takes the stress out of pregnancy skin by providing mums with trusted skincare products specifically designed to care for the skin during pregnancy and after the baby’s birth. And now, they’re proud to introduce the newest addition in their range, the newly-launched Happy Event 100% Natural Body Oil. A powerful blend of olive, argan, marula, baobab and oat oils, this 100% natural body oil was formulated to minimize and treat stretch marks, uneven skin tone, scars and dry skin. The formula is vegan, cruelty-free and housed in a 100% recycled plastic bottle and carton made from recycled materials. It is free from artificial fragrances and naturally fragranced with lavender essential oil. Happy Event 100% Natural Body Oil is a safe, nourishing oil that can be used all over to boost and lock in moisture as well as treat some of the concerns associated with pregnancy skin. Learn more at https://www.happyevent.co.za/ Follow Happy Event on social media: Facebook: Happy Event Instagram: @happyeventskincare_sa

Majors for Minors

The amazing benefits of hugging your baby

Have you ever had that feeling that you just cannot give your baby enough hugs? And that you just want to hold her as much as possible. Well good news, a recent study [1] has found that hugging your baby during the early part of their life can help with brain development, as well as help with other trauma newborns may experience.

Parenting Hub

WHAT TO EXPECT FROM YOUR BREAST CHANGES DURING AND AFTER PREGNANCY

Breast changes within a pregnant woman are truly incredible. The topic of breast development is one which is grossly misunderstood. Most women have an incorrect knowledge of how their own body develops. For most of ladies, it is assumed that by the time they have gone through puberty, that their breasts are fully developed. But this is wildly incorrect. Puberty is actually just the beginning of breast development.  Within this article, we will discuss the actual development cycle of a woman’s breasts and what changes she can prepare herself for both during, and after pregnancy. You Ain’t Seen Nothing Yet! How Breasts Develop After Puberty Many people link breast development to size. Simply put, this is the wrong measure to take. Whilst a woman’s breast size will remain relatively the same from puberty up until pregnancy, the real development happens within the tissue itself. Breasts actually continue to develop every time a woman menstruates. When it is that time of the month, a lady’s breasts begin to produce small amounts of secretory tissue. This is the tissue that allows milk production to take place. This cycle will go on until a woman either reaches the age of about 34, or she falls pregnant. Naturally, another question arises in light of this knowledge. If a woman is consistently creating additional tissue, why do the breasts not get bigger as she gets older? Well, the breast actually replace the older cells within them when creating the new ones. As such, the old cells are replaced by the new. This is also why a lady’s breasts become incredibly sensitive during this time.  In a nutshell, the body only begins to develop a woman’s breasts from the end of puberty onwards. But, what happens when you fall pregnant? Breast Development During Pregnancy Pregnancy is truly a miraculous time for a woman. Multiple changes begin to happen within your body. Your hormones sore, your bodily functions begin to change, but above all, a tiny being begins to grow within you.  This period can be seen as your breast development heyday. During this time, your breasts will grow into full maturity. And it all begins after month one of falling pregnant. The first notable thing a woman will experience is the sensitivity of her breasts. This is actually one of the most common first signs of pregnancy. This is caused by the sudden change in hormones within her body. Within the first four to six weeks, the breasts will be particularly sensitive – similar to how they feel during a period. For the first trimester of her pregnancy, a woman’s breasts will remain sensitive. Visible Physical Changes The next change is one you will physically be able to witness. During pregnancy, breasts may go up by a cup size. This change happens particularly in first time mothers. Some ladies even go up by two sizes during this time. You will start to see the beginning of this growth from about six to eight weeks into pregnancy. Breasts may also begin to feel particularly itchy during pregnancy. This is due to the tightness of the skin within the area as the breasts grow. Some women have even developed stretch marks on their breasts during pregnancy from the sudden growth. Areola Changes Another physical indication of breast change during pregnancy are prominent veins. When pregnant, a woman’s breasts may begin to show large, blue veins running through them. This is attributed to the act that the veins will expand to accommodate extra blood flow of the growing breast tissues. Don’t be alarmed if you notice this on yourself – it is completely natural and will fade once you have given birth and stopped breastfeeding. Additional colour changes to expect occur within the areola’s. During pregnancy, it is common for a woman’s areola’s to become slightly larger, and darker in colour. Your areola’s will also develop pronounced bumps, known as Montgomery’s tubercles. These are oil producing glands which are common within pregnancy, and help lubricate the nipples during this time. Tissue Changes  As far as changes are concerned, the first thing which begins to change in the tissue structure are the amount of milk ducts within the breast. The hormones released during pregnancy send messages to the breast structure informing it of the need to increase the number of ducts – as feeding will soon begin. As such, a burst of ducts begins to develop within the breast tissue.  Lactocytes are another tissue addition within the breasts during pregnancy. These are actually the milk production cells. Naturally, the body will need to develop these as they are the power houses behind breastfeeding. Other Changes The next set of changes do not necessarily happen within all women. Firstly, there is the possibility of the breasts leaking. During the third month of pregnancy, a woman’s body begins to produce the liquid substance known as colostrum. This is also known as liquid gold, as it contains nutritional value second to none for babies. However, during the last few months of pregnancy, the breasts may actually leak a tiny bit of colostrum. This happens frequently in some women, may start earlier in others, and may not occur for some moms. If you experience a breast leakage, don’t be ashamed. Invest in a few disposable breast pads and wear these during this time. Another pregnancy change could be that of lumpy breast tissue. Some ladies may develop umps within the breasts during pregnancy. This can commonly be associated to milk-filled cysts beginning to appear. These should subside once the woman begins to pump r breast feed. How to Deal With Breast Changes During Pregnancy Breast changes can be uncomfortable for some women. Even if they are not causing discomfort to you, there is something every pregnant woman needs to invest in; nursing bras. Nursing bras or apparel is a must have for all moms to be. These are designed to optimise comfort both during pregnancy and after. They also allow for easy feeding

Parenting Hub

10 WAYS TO CARE FOR YOUR MENTAL HEALTH DURING PREGNANCY

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

RediscoverDairy

Does what you eat in pregnancy matter?

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

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