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Parenting Hub

WHY YOU REALLY, REALLY SHOULD NOT BUY OR BORROW A SECOND HAND PERSONAL BREAST PUMP!

With the cost of living these days, life can be stressful. We have been forced to cut back where we can and remove things we really don’t need, just to survive. There are certain things that are great to get second hand. We got out cot and compactum from a lovely friend for free. What a score, that saved us about R10 000 and all they both needed was a clean.  Second hand clothes are also fantastic, especially with them outgrowing those cute little outfits every couple of months. So, why not Breast pumps? I am sure as tempting as it may be to save money in this department after knowing the facts, you will feel the same way I do. First, not all breast pumps are the same. Hospital grade pumps like the work on a “closed system” meaning the milk never touches the working parts of the pump. You buy your own Kit for these pumps and you take that home with you and sterilise it as per instructions.With personal use pumps the pump motor is open to contact the mother’s milk particles. The motor cannot be sterilised.  The scary part is that milk particles may be inside the pump without them being visible. So what’s the big deal? Your milk is perfect for your baby but before giving your milk to another mom, it would need to be pasteurized to kill any dangerous viruses. These viruses can be passed on to your baby and make the baby seriously ill. A mom may have a virus in her milk without even knowing that she is a carrier. You may think a virus is no big deal but we are talking out HIV, CMV and more. These diseases can go undetected for a long period of time so the mom sharing or selling the pump may not even know she is infected yet. Another difficult thing to clear are fungal infections like thrush. Make sure to follow guidelines by manufacturers on hygiene and sterilisation to avoid this. Sore nipples are no joke and neither is a sore and unhappy baby. Don’t put your baby’s life at risk, it is not worth it. Either rent a hospital grade pump with your own kit or purchase your own personal use pump. Tips for purchasing a Breast pump: Always buy from reputable stores Make sure your box is sealed Follow all hygiene and sterilising instructions inside the box. Not sure what the best fit is for you? Every breastfeeding mum has different needs. Step 1: Decide how often you are going to be expressing? If this answer is more than twice a week then a double pump is necessary. Double pumping compared to single pumping has many scientifically proven benefits: You may get 18% more milk in a 15 minutes pumping session. Your milk has a higher energy content, which is especially beneficial for preterm babies. Last but not least, high energy content indicates increased breast drainage, thereby it is assisting in the maintenance of lactation. Double pumping is twice as fast as single pumping. If you will be feeding twice a week or less a manual or electric pump will suit your needs. This is perfect for the stay at home mom that plans to breastfeed her baby. She can express breastmilk occasionally when planning to be away from her baby. Step 2: Are you going back to work? Most moms have no choice and need to go back to work after the 4 month maternity leave time period. What happens if you would continue to feed your baby breastmilk? You would need to pump for every feed you will miss. This means pumping 3-4 hourly.  Most moms work 8 hours a day and would need to pump between 3 and 4 times a day. In my opinion, if you are pumping so often, you would need the most effective and easiest option. Step 3 : Is baby premature or multiple Births? Twins? You would need to start off with renting a hospital grade pump to have the best results. This is it! If your baby was born too early or is ill. You are both still in the hospital and you need help to establish your milk supply the symphony is really the best option. This is a critical time and your breast milk could make all the difference to your baby’s well-being. Once you and your baby have both been discharged from the hospital and neither of you is experiencing any breastfeeding challenges, then you can decide on which breast pump to use depending on your needs. Well done to all the mommy’s that have persevered and continued to breastfeed and express even when it has been tough. Your baby will not only receive optimal nutrition but also protection from infection

March 24, 2022
Bonitas – innovation, life stages and quality care

SYMPHYSIS PUBIS DYSFUNCTION (SPD) AND HOW TO DEAL WITH IT

Symphysis pubis dysfunction or SPD is pain in your pelvis, which is caused by the relaxing of ligaments in the pelvic bones too early before birth. Many aspects of pregnancy can cause discomfort, and SPD is one of them. Here are the signs of SPD and what you can do if you think you to alleviate your discomfort if you are suffering from it.  What is SPD and what causes it? Not all moms-to-be will experience SPD but it is thought to be fairly common in pregnancy. SPD is a pain in the symphysis pubis (which can range from moderate to serve) caused by the relaxing and stretching of the ligaments around the pelvic bone. Pain can be brought on by opening your legs, walking up stairs or even turning over in bed, and this may be accompanied by a clicking/grinding sensation in the pubic area.  The cause of SPD in pregnancy is the hormone relaxin, aptly named as it relaxes your joints and ligaments to make it easier for your baby to come out at birth. SPD happens when these hormones come into play too early. Not only that but you’re shifting centre of as your baby grows, which can cause main in your lower back and pelvis as your body shifts to accommodate your little one.  What can I do to relieve SPD  Living with SPD can be uncomfortable at best, so you may be wondering what you can do to help alleviate some pain. Being fit before pregnancy can help, as stronger glute and abdominal muscles can help support your pelvis. Physiotherapy can help manage SPD pain, as a physio will be able to work with you as your pregnancy and pain levels change. Speak to your doctor first, as they may have recommendations for you. Your pelvis should return to normal between 4 and 12 weeks after birth

March 23, 2022
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 areolas. During pregnancy, it is common for a woman’s areolas to become slightly larger, and darker in colour. Your areolas 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 optimize comfort both during pregnancy and after. They also allow for easy feeding when your little one

March 18, 2022
Bonitas – innovation, life stages and quality care

DEALING WITH POSTPARTUM DEPRESSION – PLUS WAYS TO DEAL WITH MENTAL HEALTH AFTER PREGNANCY

As a new mom, the birth of your baby is a beautiful and exciting time, but there is a darker side to childbirth. Postpartum depression affects about 15% of moms after delivery, and while it is a serious disorder it can be overcome through treatment. What is Postpartum depression? Feelings of anxiety, sadness and fatigue are common after birth and are often referred to as the ‘baby blues’ and should subside within the first two weeks. However, if these feelings stick around for longer, you could be experiencing postpartum depression. Restlessness, mood swings, insomnia, irritability, disconnection from your baby and feeling of worthlessness are all red flags for postpartum depression. Some moms feel guilty or ashamed to be feeling this way, however PPD can affect any woman. Don’t be afraid to reach out for help, as PDD is treatable through both medicated and unmedicated options. What should I do if I have the symptoms of Postpartum Depression? The good news is that PPD is treatable. There are a variety of common types of treatment, which depend on the type and severity of symptoms. Treatment can include counselling, therapy groups, antidepressants and hormone therapy. Self-help groups can be helpful, as it allows you to connect with others who have experienced similar problems and stop feelings of isolation. Recovery time will also vary from mother to mother, but untreated the disorder will last much longer and can interrupt mother-child bonding. Getting help does not mean you are a bad mother, it is important to reach out if you are feeling depressed. Postpartum Psychosis In rare cases moms can develop postpartum psychosis. This should be treated as a medical emergency, and it is essential that you receive help right away.  Symptoms include paranoia, delusion and erratic/disorganised behaviour.        How to deal with mental health after pregnancy  Your mental health is critical to you and your child’s well-being. If you are worried about PPD it is important to get professional help. However, you can help your mood by slowly getting back into exercise, setting aside time for yourself and leaning on those around you for support. It is important to stay connected to family and friends so that you don’t feel alone.

March 15, 2022
My Breastpump

Prematurity is not something that a mother plans for when she falls pregnant

Prematurity is not something that a mother plans for when she falls pregnant. Prematurity can happen for so many different reasons and you may have a warning or not. Sadly, it does happen to about 1 in 7 pregnancies in South Africa. This is about 84 000 babies born per year to early. As a mother of two children that were born to early, I have lived through the uncertainties, stresses and also the wins that happen when you find your self in this situation. As a result My Breastpump focuses on helping families with support and products that will help them during this time.  Mom, dad and baby soon find themselves living in the Neonatal Intensive Care Unit (NICU). It becomes their focus and their everything. Mom and Dad may have limited access to the NICU due to COVID restrictions, but their heart and mind will not leave the NICU until there little one comes home. It can be a helpless feeling not being able to hold and cuddle your baby, but a mom can help her little one grow and get stronger by supplying her baby with breast milk. Breast milk is the recommend milk for all premature babes as it has among other benefits: growth hormones, specialised nutrients (mothers’ premature milk is different to that if a mother from a full-term baby), easier absorption of milk and immune factors. If a mother needs assistance with breast milk she can ask for donated breast milk. The mom can ask for information for the nearest milk bank and find out what the hospital polices are. There are several breast milk banks in South Africa: The South African Breast Milk Reserve, Milk Matters and the Net Care hospital group.  Here are some tips for mothers of premature infants that want to build up their supply. Start expressing as soon as possible after birth. The ideal time is within 1 hour but if the mother has had extra surgery or complications, she can try to start expressing within 6 hours. Hand expression can be used in the beginning and then it is recommended that the other used a double hospital grade breast pump. The reason for this is that the mother will save a lot of time by Double pumping. This may sound insignificant, but it can reduce her expression time by half or more. This will make expression more possible and not as strenuous on the mother. Double pumping also will help her to increase her milk supply sooner. She needs to aim for about 1000ml of expressed breast milk in 2 weeks. This will allow her to keep up with her infants needs and set her up for a better breast-feeding experience later. The Ameda Mya Joy is a hospital grade double electric breast pump that is ideal for exclusive pumpers like mothers who have premature babies. The Mya Joy is small, but the motor is very strong and able to empty a mother’s breast well. It is this emptying that assist the mother to increase her milk supply. The Mya Joy has 7 different flange sizes that can be used and help for comfort and better breast emptying. The Mya Joy also has a NAPPI code which can be used with some medical aids to claim back from the medical saving. Please note that this is dependent on the medical aid plan and savings. The Mya Joy Hospital Grade double electric Breastpump can be bought on Takealot and on our website  Another thing that parents may be concerned about is that it is very difficult to get the correct sizing nappies, especially for babies born before 29 weeks. My Breastpump has just launched our first premature nappy which is the My Little Prem <1.1kg, these nappies are designed to help the baby be more comfortable. This aids in better sleep and decrease in pain. Both are very important for improved growth and development. The My Little Prem Nappies are soft, light, small and have a leg cut out. The Leg Cut out is designed so that the baby can be placed in different positions and allow for correct placement of their hips. This allows for correct growth and improvement in the baby’s muscle tone. These nappies can be bought on Takealot and on our website  My Breastpump also has one on one session that a mom can book with our lactation consultant to help her with her expressing journey, transitioning back on to the breast and making sure that she maintains her breast milk supply. Topics that are covered in these sessions are: How to choose a breast pump- what to look out for How to look after your breast pump and what parts to replace often How to maintain/ increase your supply using a breast pump How to pump if your baby is in NICU How to pump if you must go back to work Cleaning and sterilizing your breast pump parts Managing your breast milk stash If you would like to book a session with our lactation consultant, please book on our website Our goal at My Breastpump is to help families that need assistance with breast feeding and expressing. We want to help you to reach your goals and walk this journey with you. Please follow our social pages on Instagram and Facebook for more information on breast feeding. 

March 15, 2022
Bonitas – innovation, life stages and quality care

GESTATIONAL HYPERTENSION, WHAT IS IT AND HOW CAN I AVOID IT?

Gestational hypertension is high blood pressure (the pressure of your blood on the walls of your blood vessels) during the later part of pregnancy, as opposed to chronic hypertension which is high blood pressure outside of pregnancy. Hypertension affects about 6 – 8 % of pregnant women, and unfortunately can negatively affect you and your baby. How will I know if I have gestational hypertension? You are more at risk if you’re carrying twins, are overweight, had high blood pressure, kidney disease or diabetes before becoming pregnant or are older than 40 or younger than 20.Gestational hypertension is high blood pressure in the second half of pregnancy and some moms may not even realise that they have it – which is why regular check ups are important. Unfortunately, high blood pressure during pregnancy can develop into preeclampsia. If left untreated, preeclampsia can lead to serious complications and even death. The most effective treatment of this is delivery of your baby (if possible). Symptoms of preeclampsia include headaches, nausea and excessive protein in your urine, with the most common first sign being a rise in blood pressure. How can I avoid or treat hypertension? Although there isn’t anything you can do to prevent hypertension(some variables such as age and number of babies you’re carrying is uncontrollable), you can try to keep yourself (and your baby) as healthy as possible during your pregnancy to help you control your blood pressure. Knowing your blood pressure level before getting pregnant, reducing your salt intake and regular exercise are all things you can do to help stay healthy and aware of your body’s condition. Going for regular checkups during your pregnancy will also help let you catch any problems early.

March 8, 2022
My Breastpump

Pregnancy: Your body is amazing

So, you have a bun in the oven, what excitement and changes to come.  Being pregnant is something to celebrate. Pregnancy is such an amazing miracle of life and is a time of learning. You learn so much about what your body can do. Can you imagine growing your own little human? It that not totally amazing?  Pregnancy gives you time to get ready for the birthing and beyond that? Pregnancy is a fantastic time to learn, this way you can make informed choices about your pregnancy care, birth experience and afterwards. There are important things that you need to know about to have a safe and healthy pregnancy. You need to go for regular check ups with your health care provider to monitor you for hypertension, diabetes, infections, and anaemia. You will also then know how your baby is growing. One of the most special times is hearing your baby’s heartbeat for the first time.  You can also learn more about healthy eating and what supplements to take while you are pregnant, how to exercise safely, the different ways that your baby can be delivered and how you will look after your baby once she is born.  This is the perfect time to learn more about breast feeding. The more you know about feeding before you give birth the easier it will be. If you understand about how breast milk is made you will be mor confidant in your body’s ability to make milk. If you know different ways to latch and what a deep latch it is will make the actual feeding so much easier.  Understanding what to expect and normal baby behaviour really helps when you are learning to breast feed. Did you know that a newborn can drink between 8 to 12 times in 24 hours?  Include your partner in all the baby related discussions because the both of you can learn and attend classes together. Did you know that your partner plays such an important role in breast feeding? Yes this is true, they can be so helpful with making you comfortable, getting baby in the correct positions for feeding, keeping you hydrated and fed. Not to mention all the other practical things that they can help with like dishes, cooking, bathing siblings and shopping.  My Breastpump is so passionate about breastfeeding, education and pumping. Here are a few reasons why, but there are so many more. Breast feeding has positive effects for both mom and baby. Lets start with mom; breast feeding helps to reduce the risk of a variety of cancers, can reduce the risk of developing Diabetes by half if you breast feed for longer than 6 months, you burn between 300-500 calories a day, helps to return your womb to its original size (yes that means it helps to reduce the size of your tummy after birth), the hormones of breast feeding also helps to reduce stress and depression.  Now for some of the benefits for baby. It reduces the risk of illness including flu, COVID, diarrhoea, childhood cancers, eczema and ear infections. Breast milk helps to teach the baby’s immune system how to fight infections by passing on the information from the mother’s immune system. Therefore, if a mother is sick, she can continue to breast feed her baby. This is just so amazing! Other benefits are that the muscles used to breast feed help your baby to learn to eat and speak.  There are so many different places that you can learn about birthing. It is a good idea to learn more about the difference between a natural birth, c-section and v-bac? Why would you need a Pilates ball, is walking good in labour, what should I pack or even how to choose a good health care provider? What are the pro and cons with each and why would you prefer one birthing type over the other? These are all important and common questions that moms have. My Breastpump have been working closely with Origin Mother and Baby clinic and love the free and paid for classes that they offer to pregnant mothers. You have the option of online or face to face workshops. The Origin antenatal classes give you valuable information about creating your birthing plan, the role of Doula’s, Midwives, pro and cons about midwife lead or hospital lead birthing. They have great interactive conversations with qualified health care professionals. For more information about their pregnancy workshops have a look at their website . Another great pregnancy and mommy classes are BuB Hub   as they also have baby classes to help you bond and stimulate your baby as they get older. It is so lovely to join a mommy group and find your tribe.  As an extra service to you, My Breastpump provides an hour online personalised breastfeeding workshop for you and your partner. To book the workshop for yourself follow this www.mybreastpump.co.za. You can also find out who your local South African Certified Breastfeeding Consultants or IBCLC is. This way if you need assistance, you will know who to call and how to set up an appointment with them.  Why not follow the “My Breastpump” social media pages on Facebook and Instagram where we share great information around breast feeding and pumping? We give information on positioning and good latching, positive stories about breast feeding and also guidelines on how to choose a breast pump, when and how to pump and pumping while back at work. Our page on Facebook is @mybreastpumpsa and @my_breastpumpsa on Instagram. You are welcome to DM us if you are needing more information around pumps and pumping.  Enjoy your pregnancy, embrace it and learn about all the weird and wonderful things that you body is doing. You will be amazed at how strong your body is and how prepared you can be for birthing. Your little baby is growing and becoming stronger each day. 

February 11, 2022
Bonitas – innovation, life stages and quality care

Postpartum recovery – How long does it take and what can you expect?

As a new mom, or a potential new mom, you are probably wondering how long your body will take to recover post birth and pregnancy. The postpartum period is generally regarded as the first six weeks after childbirth. This is an important time for both you and your baby, as you there are lots of emotional and physical adjustments that happen in this period. Recovering from having a baby can be a long process, especially considering that you now have a new baby to look after as well. What can I expect postpartum? Postpartum recovery will differ between moms and pregnancies. If you have opted for a vaginal birth, your vagina will hurt postpartum, and recovery can take 3 to 6 weeks depending on if you had an episiotomy or your perineum tore.  C-section incisions can be painful and you can expect a recovery period of 4 to 6 weeks. Initially you may find moving difficult, but it’s important to move a little bit to avoid blood clots. Some new moms can experience difficulty urinating, perineal discomfort or soreness, vaginal bleeding, contractions, constipation and breast tenderness post birth. During the postpartum period you may also feel irritable, anxious or have sudden mood swings, this is also known as the ‘baby blues’ and is caused by hormonal changes in the first few weeks. However, if this period is extended you could be suffering from postpartum depression, and should speak to your doctor about this. How can I help my postpartum recovery? Be aware of pushing yourself to return to ‘normal’ as soon as possible, even if you have had an easy pregnancy and birth, your body has still been through an ordeal and you will need time to recover. Avoid over exercising (even if it’s tempting to get straight back into it!) and trying to socialise too much with friends and family eager to meet the new baby.  Don’t be afraid to ask people for space and to limit your baby’s visitors.

February 10, 2022
My Breastpump

Why do some breast pumps hurt?

The simple answer to the question of, “Why do some breast pumps hurt?”, is that it was not designed to fit you. Just like our bodies have different sizing, so do our breast, areola, and nipples. There can even be a combination of large breasts with small areola and nipple or the other way around. It does not matter your combination or size of breasts; your breasts are your perfect shape and size. Remember your breast milk is made deep inside your breast and not in your nipple. You can think of your nipple as a tap where the milk comes out and not where it is made or stored. What is needed are breast pumps that fit all the different sized breasts so that we can be comfortable while we pump. The diameter of the flange is important as well as the length of the flange. The diameter needs to allow for space for your nipple to move in and out of with comfort. The flange needs to be long enough that the tip of your nipple will not touch the bottom end and cause discomfort while pumping.  The flange is the part of your breast pump that touches your breast, and your nipple should move freely in and out of it while pumping. The flange connects to the bottle and the tubing that goes to the pump. There will be a valve that connects to the flanges as well. The funnel of the flange can have different diameters. The size of the flange diameter is key to your comfort while pumping.  The Ameda range of breast pumps gives you the confidence to pump easily and without discomfort. All of the Ameda breast pumps use the FDA approved Closed system HygieniKit which has the option to use the different size flanges. The Ameda range of breast pumps have 7 different flange sizes to help you find your personal comfortable fit. The sizing ranges is 21mm flexi shield insert, 22.5mm insert, 25mm standard size, 28.5mm flange or insert, 30.5mm flange, 32.5mm insert and 36mm flange. The Ameda pumps all come with the 25mm flange and then if you do need a different flange, you can measure your nipple and find the correct fit for you. All the different size flanges and inserts are found on our website . There are full sized flanges or inserts depending on the size that you are needing.  The big question that we get asked is how to measure myself to get the correct flange size. Well, that is actually really easy. You need to measure your nipple base diameter. This is the part of your breast that will be moving in and out of flange. The nipple base is the part of your nipple that starts to stick out from your areola (the dark part around your nipple). You can use a normal ruler to take the measurement. Once you have your measurement you need to add on 6mm. So for example if your nipples are 19mm + 6mm = 25mm. Then the 25 m flange would most likely be the most comfortable size for you. Ameda also has a sizing tool that can be requested when you purchase any of our pumps. The tool is easy to use as it has cut outs the size of the flange diameter so you can measure and see how your nipple fits inside of each flange. The measurement technique is used to guide you to which size would most likely fit and be comfortable for you.  When is the best time to measure your flange size? The timing of measuring your nipple size is important. As you know your nipple size may change during pregnancy or even during breast feeding. The best time to fit your flange size is just before you start using the pump. This will mean that you are measuring the actual size of your nipple. You should measure your nipple size in between a feed or before you want to start pumping. This way you will get their normal size, it may be a little bit larger after a feed or pump session. If at any time you feel like your breast pump is just not fitting anymore you can also recheck your measurement as your nipples may have changed size over time.  How do you know that the flange is not fitting correctly? If your flange is too big. This will result in your nipple and areola being pulled into your flange. This can cause discomfort and make it more difficult for your milk to move out of your breast and into your pump. When the flange is too small for your nipple, this can result in your nipple rubbing on the side of the flange causing a blister or pain. Both will result in a decrease amount of breast milk expressed from your breasts.  Another reason why a breast pump would hurt you is that you have the settings on too high for what is comfortable for you. Remember expressing breast milk is not a race to the fastest setting but rather you need to find your setting sweet spot. This means that the settings are comfortable and also help you to express effectively. We all respond differently to the speed and strength of a breast pump. You many need to spend some time to work out which settings are most comfortable for you.  If you are not sure and need some help with finding the correct flange size for you, please send us an email to [email protected] and we will be happy to assist you. 

January 14, 2022
The Lily Rose Collection

Style, function, exclusivity: new luxury bag range launches online in South Africa

Born in South Africa in 2020 – Luxury Neoprene Bags. For fashionistas, workaholics, party girls, super moms, sweat addicts, baby mammas & YOU! The Lily Rose Collection was created to allow fashion-savvy women to easily switch between casual weekend style and glam working executive mode, without having to swap out her handbag.  Crafted for stylish women who value practicality and convenience, every bag in the Lily Rose Collection is made from neoprene – a hardworking material offering no-snag protective cushioning that’s also weather-, water- and heat-resistant so it will last for ages. The added bonus? The entire bag is plastic- and latex-free.  The Lily Rose Collection bags are washing machine-friendly, extremely durable yet lightweight and with just the right amount of stretch to fit in that little something extra – because you can never have enough space in your handbag. With limited signature prints – photographed in Cape Town using locally-grown blooms – reminiscent of luxe Victorian fabrics, it’s apt that the brand name is the Lily Rose Collection. With lilies representing devotion to oneself, family or career, and roses known to signify love and passion, who better to turn to for a statement piece to carry all your daily essentials?  But you’ll love your Lily Rose Collection bag for more than just its good looks, because the designers really have thought of everything. A wide opening with a roomy main compartment, two zipped pockets, colour-matched canvas hand- and shoulder straps for ease of use, built-in elasticated mesh storage pouches for a water bottle or your wallet – plus, there are thoughtful details like zip stoppers, protective feet and a gorgeous, branded puller to secure everything inside.  Whether you opt for a soft, neutral colour palette like the Tranquillity bag, something bold like the Passion bag or attention-grabbing like Abundance, there’s a feminine print to suit every taste because a Lily Rose Collection bag is a style statement.  What’s new?? The Lily Rose Collection will be launching an all-new range of Neoprene beach bags just in time for the December holidays. Locally designed, locally manufactured in gorgeous new prints. Every beach bag will come included with a PC lotion bag to store your sunblock and the like – so keep your eyes peeled for the Launch! Currently available in South Africa, visit www.lilyrosecollection.co.za for more information or to start your collection today. 

November 2, 2021
Parenting Hub

Herbal extracts and how they can help overcome common women’s health issues

These days supplements, which include vitamins, minerals and herbal extracts, are easily available and more accessible. Fortunately, science and technology has also come a long way in recent years and we have made impressive strides with vitamins, minerals and herbal extracts in particular when it comes to studying and knowing the mechanism of action and how it relates to the body’s physiology and thereby, how it helps keep you healthy or how it can help treat ailments. The Salome range, launched by South African pharmaceutical company 3Sixty Biomedicine, addresses common women’s health issues using herbal extracts as a key ingredient. The current product range offers over the counter treatment options to help manage heavy menstrual bleeding, menstrual pain, Polycystic Ovary Syndrome (PCOS) and infertility linked to PCOS.  3Sixty Biomedicine locally manufactures their products and because they are based on herbal extracts the added benefit for consumers is that they are safe to use and have limited side effects. Being a biotechnology company, the efficacy of these ingredients included in their products is backed by science and medical studies, which is why their products are recognized and reimbursed by certain medical aids. Common women’s health conditions that moms can do without – period! Primary dysmenorrhea, the technical term for period pain without the presence of other conditions such as endometriosis, is the most common gynaecologic problem in women of all ages and races with the menstrual cramping being severe enough to interfere with daily activities, according to the American Academy of Family Physicians. Salome Menstrual Pain is based on herbal extracts of yarrow (Achillea millefolium) which has antispasmodic, anti-inflammatory & analgesic effects, which may provide relief for spasm associated with menstrual periods known as dysmenorrhoea. What is great about Salome Menstrual Pain is because it contains natural ingredients, females from as young as 13 years old who suffer from menstrual pain can use it to manage painful menstrual cramping without worrying about unwanted side-effects. Another common problem experienced by women is menorrhagia (heavy menstrual flow and prolonged bleeding). 3Sixty Biomedicine created their Salome Heavy Menstrual Bleeding product to help alleviate this problem. The product also draws on herbal extracts from Capsella Bursa-Pastoris, a medicinal plant also known as Shepherd’s purse, as an active ingredient to assist with the reduction of heavy menstrual bleeding in women with regular menstrual cycles. The medicinal benefits of this plant have been scientifically proven to have smooth muscle stimulant effects. As an added bonus Capsella has antioxidant features that improve uterine tone, meaning that it will facilitate the regulation of menstrual blood flow. It also has anti-inflammatory properties that can have a positive impact on the management of heavy menstrual bleeding (HMB). Understanding the basics of PCOS Salome Polycos assists with the management of symptoms commonly associated with PCOS by helping to decrease testosterone levels, increasing progesterone levels in women with irregular or absent periods and thus regulating the menstrual cycle, as well as reducing blood pressure levels. It also plays a role in increasing insulin activity in women diagnosed with PCOS, as many suffer from insulin resistance. Due to these hormonal imbalances women living with PCOS often battle with acne, irregular periods, male pattern hair loss or experience excessive body hair growth (hirsutism). Salome Polycos’s main active ingredient is D-chiro-inositol (DCI) which is a natural extract obtained from the carob tree. In cases where infertility can be linked back to the hormonal imbalances caused by PCOS, patients who make use of products like Salome Fertility that contain Myo-inositol and D-Chiro-inositol have seen an increase in their ovulation, a reduction in their hyperandrogenism and in the oxidative stress in their follicular fluid. The efficacy of the product lies in it containing the correct ratio of Myo-inositol and D-Chiro-inositol that have been extracted from the pod of the Carob bean tree. Clinical studies have shown that these natural extracts are instrumental in helping manage the regulation of ovarian function in PCOS patients. There is a solution! The full Salome range that contains natural herbal extracts is available online at Takealot.com and www.3Sixtybiomedicine.co.za, as well as over the counter at most pharmacies nationwide. The products are recognised and can also be reimbursed by medical aids.  We believe #YourJourneyMatters so follow the Salome range on their social media pages to hear from Salome experts who are committed to educating and normalizing conversations about common women’s health conditions.  Facebook: SalomeRange Twitter: SalomeRange Instagram: SalomeRange

November 1, 2021
Prima Baby

Chicco Ohlala2 Stroller – Black Nite

When you want to make an entrance there is only one stroller that says urban cool with the utmost confidence – the Chicco Ohlala2. In slick Black Nite colouring, this diverse and convenient travel option is an all-round solution when looking for a lightweight, easy-to-fold yet durable solution to shopping, strolling and hanging out with your little one. Easy enough to ‘lift with one finger’, this 3.8kg stroller makes going out with baby so much easier when packing away in cars or accessing stairways. Fully reclining when it’s nap time for baby, you can use the extra coverage of the UV50+ protected canopy to keep harmful rays at bay. With a strong bumper bar protecting from forward falls, baby can hold on and watch the world go by whilst being strapped in with the five-point safety strap. Durable wheels make the Ohlala2 perfect for roads, pavements, malls and hard exteriors. As baby grows, the footrest will make sure they are neatly tucked in and ready to go. Pop your shopping or baby essentials in the large storage basket and be ready to make an impression with this ultra-fashion stroller. Also available in twin mode. Suitable up to 22kgs. Grab one at the reduced price of R1999 from www.shopchicco.co.za while stocks last.

October 22, 2021
Prima Baby

Chicco launches new e-commerce website

Leading baby products supplier Chicco has just launched their brand new, e-commerce website, www.shopchicco.co.za. Shop Chicco is finally ready to supply consumers with top quality baby products straight from the heart of the company. Chicco has been on the forefront of the baby world in European and American markets for almost 65 years. As a heritage brand that started off in the medical field, all Chicco’s products are quality controlled and tested in the Osservatorio in Como where Chicco is based. A laboratory within the company ensures that no item leaves the company without rigorous and methodical testing.  It is through this strict attention to detail that Chicco has continued to be the preferred supplier to parents across the world for so long. When you shop on www.shopchicco.co.za you get access to not only a wide variety of Chicco products, but you also get the opportunity to sign up to the newsletter and receive further discounts. When you check-out, receive a free baby hamper gift worth R500*. Shop Chicco South Africa offers reduced pricing on selected goods, making it more than just an online portal, but a club to belong to in order to receive the very best deals on Chicco favourites. Shop world-class strollers, car seats, high chairs, bouncers, cribs, slings, carriers, toys, nursing products, grooming products and so much more on www.shopchicco.co.za today. Free gift valid until stocks last

October 8, 2021
Toptots Head Office

Giving birth – the facts and the myths

With so many truths and myths flying around when it comes to pregnancy and giving birth, it’s no wonder you get confused. Not only does every existing mother and aunt know the ‘right’ answer to everything, but doctors also have varying opinions. Have you ever walked out of the doctor’s office realising that out of the ten important questions you want to ask, 8 slipped out of your mind during the consultation? Don’t worry, it happens to the best of us. We have listed some popular beliefs and delved into whether they are true or false. Breaking of the waters makes the contractions stronger, thus can speed up labour.  True. While there are other medical reasons why breaking the waters may be necessary, once a woman is around 7cm dilated, this process helps speed things up for the painful last three. However, this will only be used if you absolutely need to have things go a bit quicker. So don’t count on it to help you out if you’ve been in labour for 30 minutes without any complications. Braxton Hicks contractions are regular and strong, and will wake the mother up if she is asleep False. Real contractions will start at the top of the uterus and the intense pressure, like a tight belt around her waist, will wake her up.  True contractions feel like menstruation cramps. While Braxton Hicks may not be a walk in the park, you will know the difference because they won’t come in regular intervals and increase in intensity. If you lift your arms above your head during pregnancy, the umbilical cord will slip around the baby’s neck. False. The baby is submerged in water and thus gravity will have no influence.  Furthermore, the baby may become entangled by the umbilical cord because of the length of it. But the baby can swim through a loop in the cord as well.  Dilation of the cervix can occur at any given time of the pregnancy.  True. Some women have an “incompetent cervix” which means that the cervix does not tighten properly and a woman who had a child previously, has a slightly dilated cervix. In labour, dilation of the cervix is capable of happening earlier in the pregnancy. This is not necessarily a problem, but your doctor will talk you through it, depending on each case. An epidural might not be possible if the mother previously had an extensive back injury.  True. Although this statement is true in certain circumstances, the skills of the anaesthetist will determine the likelihood of the mother having an epidural. If you feel that this may be a problem, make an appointment with the anaesthetist prior to the birth to talk about your options. An emergency epidural can be done if the baby is under stress  False. This is not true as an epidural takes up to 20 minutes to have an effect.  If the baby is under stress, 20 minutes to wait will be too long. The most successful method of managing pain during labour is the one the mother choose  True. To manage the pain of labour, the mother needs to have the right attitude and support. Sometimes a combination of non-pharmacological methods (hypnosis, reflexology, massage and water therapy) is more effective than any given pain medication.  While the term ‘mind over matter’ sounds like hocus-pocus when it comes to the pain of birth, it really has proven to help. So if you believe that having a water birth will help you, then you’ve already done some of the work. Bleeding in pregnancy at any given time necessitates a trip to the emergency room.  True. Bleeding is always regarded as suspicious and should be investigated. So ignore those who scoff at your apparent paranoia and get yourself checked out ASAP. If the mother wakes up in the morning in the last trimester with a swollen face and extremities, she should contact her primary caregiver immediately  True. This may indicate a rise in blood pressure and must be investigated immediately. You should take a urine sample for testing as well. The mother should insist that an advanced lactation specialist help her with breastfeeding.  False. All midwives are trained to help and assist the mother with breastfeeding difficulties. However, it is true that a lactation specialist have a particular interest in and passion for breastfeeding. Some hospitals do not have lactation specialists available, then the ward midwife can assist effectively. With the right attitude and the right support, breastfeeding can be a success. The delivery of the placenta occurs within 15 minutes after the birth of the baby with a contraction True. But don’t worry, this contraction is not as strong as during the birth and the tissue is soft and moulds into the area, so the expulsion will be far easier than delivering the baby.

September 29, 2021
Bonitas – innovation, life stages and quality care

What should I do if I have symptoms of COVID-19 and I am pregnant?

Given today’s current global COVID-19 pandemic, worrying about the potentially harmful viruses’ effect on your pregnancy and baby is a valid concern. You’re probably wondering the best ways to avoid the virus when pregnant, and what to do if you think you may have caught it. How can I protect myself and my baby from catching the corona virus? Protecting yourself from COVID-19 while pregnant, is similar to that of anyone else avoiding the virus. Minimise contact with others through social distancing, frequently wash and sanitise your hands, and avoid touching your nose, eyes and mouth. Don’t be tempted to skip important prenatal visits in lieu of avoiding the virus – chat to your doctor about the best way forward with regard to this. Although slightly disappointing, cancelling events such as baby showers is a good idea, as the risk of exposure and infection becomes bigger with larger groups. Being pregnant, it’s a good idea to be extra precautious where possible. However, the RCOG (Royal College of Obstetricians and Gynaecologists) states that pregnancy doesn’t increase your risk of becoming unwell from coronavirus, and the majority only develop mild to moderate symptoms. What should I do if I think I have COVID-19 while pregnant? If you think you may have COVID-19 or have tested positive for corona the first thing you should do is contact your doctor. However, it’s best to avoid travelling to the doctors office as you may come into contact with someone positive for COVID-19 in these spaces. As the virus is new, this means that the studies that have been conducted are limited. Because of this it’s essential to follow social distancing guidelines to try and protect yourself, however, if you do contract the virus there is no immediate need for stress, as pregnancy doesn’t increase your risk.

September 23, 2021
Bonitas – innovation, life stages and quality care

Covid-19 Information for Moms-to-Be

Pregnant women do not appear to be more severely unwell if they develop Coronavirus than the general population. As this is a new virus, how it may affect you is not yet clear. It is expected the large majority of pregnant women will experience only mild or moderate cold/flu like symptoms.

September 16, 2021
Parenting Hub

Preparing for baby with Mom2B®

Oh, the happiness of hearing about a longed-for pregnancy! And what fun preparing for the tiny arrival. Where will baby sleep? What baby equipment and cute clothes are needed? Don’t forget mom’s pregnancy wardrobe to cover that expanding tum…  Meanwhile during all this activity and joy, little one is calmly doing his or her unseen baby work – growing and developing to meet the world on that important due date. To help baby and herself during this time of preparation, mom-to-be knows that it is important to eat nourishing food. But because she is the one doing the running around while baby is just a passenger, finding the time and energy isn’t easy.  What helps is to stock the house with chicken, fish, salads, vegetables, fruits and high fibre foods like brown rice, chick peas or oats. These meet her need for smaller and more frequent meals and help her cope with typical tummy problems like nausea, constipation, and cravings.  Mom2B® Pregnancy Shakes can go on the list as part of her pregnancy and breastfeeding preparation too. They are affordable and yummy meal supplements in chocolate, strawberry or vanilla flavours and can be taken once or twice a day, helping her to acquire important nutrients for herself and baby. Just add milk or water for a drink of protein, carbohydrates, vitamins, minerals and an impressive nutritional content. No wonder Mom2B® is South Africa’s number one pregnancy shake. (*Nielsen MAT Aug 2019) Mom2B® Pregnancy Shakes, available from Takealot, selected pharmacies and retailers, cost around R144 for a 400 g tin of 8 servings.  For more information: www.mom2be.co.za or Facebook https://web.facebook.com/NativaMom2B  WIN! Are you preparing to welcome your little baby, or perhaps organising a baby shower for family member or friend? Enter and stand a chance of winning a Mom2B® hamper comprising of of 6 shakes, Nema the Mom2B® lamb, and a shaker bottle. Valued at over R1000!   

August 2, 2021
Vital Baby

SHOP VITAL BABY ONLINE AND OUR TOP PICKS FOR EXPECTING MOMS

We heard your suggestion and we have delivered – you can now shop for your favourite Vital Baby items online at www.vitalbabyshop.co.za From breast-pads to bottles, from sterilizers to thermometers, Vital Baby has everything an expecting mother could possibly require. Take a look at a few of our best seller items across the website. vital baby® NURTURE™ Easy Latch Newborn Starter Set Included in the pack:  2x vital baby® NURTURE™ breast like feeding bottle 150ml, cap and collar 2x vital baby® NURTURE™ breast like feeding bottle 240ml, cap and collar 4x vital baby® NURTURE™ breast like teat slow flow 1x vital baby® newborn 100% silicone soother 1x non-scratch bottle & teat brush vital baby® NURTURE™ breast like feeding bottles are: Expertly designed to mimic mum’s breast, the teat flexes like mum’s nipple, providing easy latch on. Advanced triple anti-colic valves to reduce air intake. Silicone is soft and smooth against baby’s delicate face. Wide neck bottle is easy to clean and fill. BPA-free. A range of teats with varying flow rates to keep up with your growing baby is available.  For hygiene and safety reasons, it is recommended that the teats should be replaced at regular intervals. vital baby® NURTURE™ Flexcone™ Electric Breast Pump 1x vital baby® NURTURE™ flexcone™ electric breast pump The vital baby® NURTURE™ flexcone™ electric breast pump together with it’s very soft silicone breast cup and flexcone™ provides gentle cushioning around your breast and mimics the suckling action of your baby to provide the most natural and effective breast milk expression ever! With 9 different speed settings to give ultimate control, the vital baby® NURTURE™ flexcone™ electric breast provides a uniquely tailored feeding experience. The simple touch panel control is easy to use and quick to operate.  It is discreet, quiet, lightweight and portable for total convenience. Perfect for use when at home or away; cordless operation with the built-in rechargeable battery, or plug in with the USB cable included – the choice is mum’s! vital baby® NURTURE™ Easy Pour Breastmilk Storage Bags The unique design of our easy pour breast milk storage bag makes it simple to fill, store and easy to transport.   The leak proof secure seal ensures no milk is lost when storing breast milk in the fridge or freezer and the wide neck and free-standing base of each storage bag makes it easy to fill.  Simply remove the pre-perforated tab when you are ready to fill the bag, then pour in your freshly expressed breast milk with ease, and securely lock the freshness into the bag with the easy use zip fastener.  It’s as simple as that! When you are ready to use the stored breast milk, there is a special easy-pour spout.  You re-open the bag by simply cutting along the dotted line, ensuring that your valuable breast milk does not pour over the sealing zip which may have been handled during filling.  Our breast milk storage bag avoids possible contamination and maintains a high standard of hygiene, easily and effortlessly. vital baby® PROTECT™ Contactless Thermometer Quick, accurate and super simple to use, our multi-use 4 in 1 infra-red contactless thermometer detects the temperature in just 2 seconds and gives the result on its large fever alert colour changing, digital display. Choose which mode you need to give you ultimate peace of mind during the day, night or even at bath or feeding times! Learn more about Vital Baby on http://www.vitalbabyshop.co.za or follow them on social media at @vitalbabysa.

July 29, 2021
Parenting Hub

Infertility challenges during COVID-19? Help is available!

June is World Infertility Awareness Month, a time dedicated to heightening awareness about infertility – a medical condition often not widely spoken about yet something which affects a surprisingly large number of couples around the world.1a “Infertility is when you cannot get or stay pregnant after trying for at least a year and you are under the age of 35, or if you are over the age of 35 and are unable to get or stay pregnant for six months,” says Dr Sulaiman Heylen, President of the Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG).” In the past few years, the number of couples seeking treatment for infertility has dramatically increased due to factors such as postponement of childbearing in women, and lifestyle factors such as stress, smoking and body weight.1b However, an additional recent stumbling block has been the fear of contracting COVID-19 which has had an impact on delaying people’s fertility journeys. For those already undergoing fertility treatment, when COVID-19 hit, there was a suspension of treatment worldwide and the subsequent delay of fertility treatments has resulted in much psychological distress for many patients.2a The month of June therefore aims to highlight why it’s so important not to let the pandemic ruin one’s fertility plans. “In addition to psychological issues, there are the physiological ones too,” says Dr Heylen. “Delaying fertility treatment due to fear of COVID-19 can further reduce your chances of successful treatment outcomes, with studies showing a reduction in live birth rates in patients who have postponed treatment.” “Treatment was suspended during the hard lockdown, but clinics are open once again, and particularly ‘high risk’ patients whose chances of falling pregnant would be further reduced by delaying treatment are encouraged to seek assistance,” says Dr Heylen.  Dr Heylen says that infertility is a disease as defined by the WHO that can lead to disability (loss of function). “Section 27 of the constitution entrenches the fundamental right to access healthcare services and specifically includes reproductive health. SASREG feels that fertility services are an essential service and should therefore not be withdrawn for patients for whom delay in treatment would affect their prognosis.” “It’s very important to stress that assisted reproductive technology (ART) clinics are safe and have taken precautions to ensure the health and safety of patients and staff, while we await the availability of the vaccines,” says Dr Heylen. “There is minimal risk of exposure to the virus at these clinics and there is therefore no need to wait for a vaccine to reach out to receive fertility treatment.” Dr Heylen also notes that there has been much misinformation circulating online about the potential negative impact the COVID-19 vaccine might have on fertility, which has been causing patients to delay treatment while deliberating whether to have the COVID-19 vaccine or not.2b With COVID-19 vaccines now available globally, the British Medical Journal (BMJ) has stated that there is “absolutely no evidence” that these vaccines can affect the fertility of women or men.3a “Patients undergoing fertility treatment should be encouraged to receive a COVID-19 vaccine when it becomes available to all South Africans,” says Dr Heylen. “There’s no evidence that vaccination before or during fertility treatment will impact the outcome of treatment in any way. As the vaccine does not contain any actual virus, there is also no reason to delay pregnancy attempts after vaccination.” People undergoing fertility treatment (in vitro fertilisation (IVF), frozen embryo transfer, egg freezing, ovulation induction, intrauterine insemination, or using donated gametes) can be vaccinated during treatment but may wish to consider the timing given the potential side effects in the few days after vaccination.3c People may start their fertility treatment immediately after being vaccinated, unless they wish to have a second dose before pregnancy.3d Those who are donating their eggs or sperm for the use of others can also still have a COVID-19 vaccine.3e Don’t delay fertility treatment One in every four couples in developing countries is affected by infertility4a, while one in six couples worldwide experience some form of infertility problem at least once during their reproductive lifetime.1a The current prevalence of infertility lasting for at least 12 months is estimated to affect between 8 to 12% worldwide for women aged 20 to 44.1a “More than 50% of patients who visit a fertility centre are 35 or older,” says Dr Heylen. “It is very important for people not to wait too long when they consider having children. Young women need to be aware that there is a slow decline in fertility from their 20s until the age of 35, after which it starts to decrease rapidly until the age of 45. About half of infertility cases can be linked to the male. It’s therefore extremely important to investigate your fertility options and fertility preservation earlier in life, rather than leaving it too late. A woman who is not ready to have a child can choose to freeze her eggs to try to preserve her ability to have a child later on should she wish to.” Treatment options It is now estimated that more than 9 million babies have been born worldwide since the first IVF baby was born in the last 70s.1c The most common fertilisation treatment is intracytoplasmic sperm injection (ICSI)1e. This accounts for around three quarters of all treatments globally while conventional IVF accounts for around one quarter.1e Success rates from frozen embryo transfer are increasing too.1e “The good news is that over the last decade the advances that have been made in the field of assisted reproduction are massive and there is hope for those who might be suffering from some form of infertility,” says Dr Heylen. “You are not alone and there are many options available to help you realise your dream of having children.” Visit a fertility clinic near you to speak to a doctor about the options available to you and your partner. For more information, visit www.merckfertilityjourney.co.za #WorldInfertilityMonth #DontDelay #Merck

June 11, 2021
Mums Support Network

The silent victims of PND

One in three women suffer from Perinatal Distress (PND) in our country, according to the South African Depression and Anxiety Group (SADAG). But the terrifying truth is that it’s not just the women who suffer; it’s often their partners who take strain, even to the point of being diagnosed with PND themselves.  Hubby’s hormones Women’s hormones undergo major changes during and after pregnancy, but they’re not the only ones. The lack of sleep and increased stress that new fathers experience can also take a toll on their bodies, creating real hormonal shifts that are often overlooked. Craig*, whose wife Claire* was diagnosed with PND soon after the birth of their first child, began to feel off kilter around the same time, but “everyone was so concerned with Claire, nobody even asked me how I was doing.” Because Claire wasn’t coping, Craig felt added pressure to take on extra duties with the baby and around the house – on top of maintaining a full-time job. He “somehow muscled through” those first few difficult weeks, which turned into months before he realised how severely it had affected him.  Real men do cry At the end of his rope, Craig realised he had to do something about his situation. He reached out to a friend, who suggested he see a doctor. Through a combination of medical support, psychological therapy, and practical assistance (in the form of family, friends and a night nurse), Craig made a full recovery and is the happy husband and father he always dreamed of being. “It was the darkest and scariest period of my life,” he confesses. “Sometimes I’m not even sure how I made it through, but I am so glad that I did.” Not only is it unhelpful to bottle up emotions instead of working through them in a healthy way, it also sets an unrealistic and unhealthy example for older children and others who look up to you as a male role model. Like all humans, men experience a range of feelings triggered by both hormones and environmental factors, and by reaching out for help, you are doing the best thing for yourself, your family, and for society in general.  Risk factors Each father is an individual, but there are broad factors that may place someone at added risk of developing PND. These include a personal or family history of mental illness, a strained relationship with the mother of the child, or difficulties with the child – this could be anything from colic to serious medical conditions that induce additional stress and/or concern. Financial pressure, problems at work and feeling unsupported (not having a circle of family or friends to confide in) can also increase the risk. Single fathers are also at added risk.  However, perhaps the biggest risk factor is that so many cases of paternal PND go undiagnosed (or are diagnosed too late, once major damage has already been done) because the condition is not acknowledged or accepted as a legitimate illness. “Let me tell you, it is real!” implores Craig.  It’s essential that every new and expectant dad ensure he has the support of at least a few key friends or family members who can be a shoulder to lean on and, occasionally, a pair of hands to hold the baby. Further, we as a society need to update our mindset when it comes to supporting new and growing families. “People always ask how the baby is,” Craig points out. “Sometimes they ask how the mother is doing. But nobody ever asks the dad.” A family affair Treatment of the mother is important but should not be in isolation from treatment of the family as a unit. Some doctors are reluctant to include fathers in the treatment plan for PND or even to talk to them about it, because of concerns about breeching doctor-patient confidentiality. This further disempowers fathers from helping to heal the family unit as a whole. It’s crucial to find a healthcare practitioner that sees and treats new and expectant families together (this, of course, includes a broad range of family structures including unmarried partners, same-sex families, adoptive parents and single-parents with their own unique support structures).   Don’t live in denial  Craig’s advice for dads struggling with PND? “It doesn’t matter how you got here. It doesn’t matter what you think of mental illness. It does matter that you are here. It does matter that your partner needs kindness and the way to provide that is to accept that you are here. Then act.” You heard the man! Make that call. Take that first step. You – and your family – deserve it.  *Names have been changed to protect identities.

June 9, 2021
Mums Support Network

Matrescence – The Birth of a Mother

“Do you remember a time when you felt hormonal and moody? Your skin was breaking out and your body was growing in strange places and very fast? And at the same time people were expecting you to be grown up in this new way.”  This is the beginning a TED talk by New York-based psychiatrist Alexandra Sacks. In answer to her questions, I immediately thought about my teenage years: adolescence. She continues, “These same changes happen to a woman when she’s having a baby. We know that it’s normal for teenagers to feel all over the place, so why don’t we talk about pregnancy in the same way?” After running a support group for mothers for several years, it has become apparent to me that while not all mothers develop Peri-Natal Distress (previously known as Postnatal Depression), all mothers do seem to battle in one way or another with the transition from woman to mother.  This transition, and all the idiosyncrasies that go with it, was not something I had ever consciously considered. There are hundreds of books about the transition from child to adult. Adolescence is talked about in our culture; it is recognised as an awkward time in one’s life. Despite the obvious similarities, the same cannot be said for the transition from woman to mother. Even in the medical community, most of the focus is on a baby’s health rather than a mother’s, even less so her mental health.  Unrealistic Expectations Many women post birth or adoption will seek psychiatric help, thinking that they might have PND.  Dr Sacks has spoken with countless new mothers who tell her that they are battling. This is what she hears repeatedly from her patients: The women thought motherhood would make them feel whole and happy; they thought a maternal instinct would tell them what to do; they expected to want to put the baby first. These mothers did not know that these expectations were unrealistic. Because they were not living up to these expectations, they thought something was wrong with them. They thought that their feelings were unnatural, and that perhaps it was PND. The women were experiencing a sort of cognitive discomfort, but not the clinical signs of mental illness. They did not have PND. Dr Sacks struggled to put a name to what this phenomenon was. Then she found an old academic paper from 1973. Anthropologist Dana Raphael (who created the profession of a mother supporter: the doula) had coined the term ‘Matrescence’. Yes, this word sounds like adolescence. Both are times when the body changes and hormones shift, leading to emotional upheaval.  Matrescence is not a disease, but doctors are not educated about the impact of matrescence on a woman’s life, and it consequently becomes confused with PND. In reality, it is not a simple case of either you have PND, or you feel absolutely perfect. Most mothers will struggle through the transition. Identity Shift Matrescence is not only about the physical changes that happen to a woman’s body whilst becoming a mother. This is how ALL mothers, both natural and adoptive, go through matrescence. Psychiatrist Dr Daniel Stern describes becoming a mother as a massive identity shift. Being aware of this is important because a mother who understands it will have more control over her behaviours, which in turn leads to better parenting. In addition, if a mum is in touch with her own emotions, then she can be more empathetic to her children’s emotions. What is it that makes matrescence so uncomfortable? Dr Sacks describes it as an emotional tug-of-war; a push and pull on a woman’s feelings. Human babies are very dependent on their mothers, and the hormone oxytocin helps a mother’s brain to ‘pull in’ to her baby. However, her mind is pushing away. There are other parts to her identity, such as relationships, work, hobbies, intellectual pursuits, etc. Then there are her physical needs: sleeping, eating, exercise, sex, and going to the toilet alone!   This feeling of ambivalence, of wanting their child close but also craving space – is uncomfortable. Mothers are experiencing two opposing feelings at the same time.  Realistically the experiences of motherhood are a mix of good and bad. Women have the unattainable image of “the ideal mother” in their minds. It sets them up to feel shame and guilt for not meeting this impossible standard. Mothers are too ashamed to speak about their ambivalent feelings for fear of being judged. That can be a trigger for developing PND.  Let’s talk  Motherhood is a natural progression. Most mothers find it hard. Ambivalence is normal and there is no reason to feel ashamed. If this were more widely talked about, mothers would feel less alone and stigmatised. It may even reduce the prevalence of PND. Women need to talk to each other to change the way our cultures understand this complex transition. Talk to other mothers, friends, other women! There is nothing wrong with a woman keeping a part of herself separate to being a mother. In fact, it is healthy and normal. Dr Sacks wrote in a New York Times article in 2017: “Knowing the causes of distress and feeling comfortable talking about them with others is critical to growing into a well-adjusted mother.” This, she says, will help new mothers and those around them to acknowledge that while PND is an extreme manifestation of the transition to motherhood, even those who do not experience it undergo a significant transformation. “When a baby is born,” she says, “so too is a mother; each unsteady in their own way.”

May 28, 2021
Lamelle Pharmaceuticals

Could you have PCOS and not even know it?

Despite being incredibly common, affecting around 1 in 10 women, polycystic ovary syndrome (PCOS) is still one of the most underdiagnosed conditions around. So much so that, of those who have it, only 1 in 3 will be diagnosed. In short, there’s a fair chance you might have it – and a good chance you don’t realise it! PCOS tends to fly under the radar because signs can be easy to miss or attributed to something else. This is why it’s important to be aware of the condition and its symptoms, especially since getting the right treatment can be life-changing.  But first – what is PCOS? PCOS is a hormonal disorder that also affects your metabolism in a way that causes insulin resistance. Ultimately, your body stops listening to insulin’s “instruction” – to convert the sugar in your bloodstream to energy. Instead, after lingering in your blood for too long – essentially raising your blood sugar – the sugar ends up being stored away as fat. This is why those suffering from diabetes as well as PCOS tend to experience weight gain. Another side effect of insulin resistance is that it triggers your ovaries to produce higher-than-normal amounts of androgen, the male hormone. The results manifest invisibly as cysts on your ovaries. The visible signs, however, include acne, excessive hair growth in unwanted places such as your face and irregular or missed periods. If left untreated PCOS can lead to infertility, type 2 diabetes and even cardiovascular disease. In short, if you’ve got it, you really want to diagnose it and treat it. Know the signs The frustrating thing about PCOS is that it’s not always so easy to recognise the symptoms. Life gets busy so we don’t keep track of our periods. Weight gain can be attributed to getting older or skipping out on gym. That recent spate of chin pimples? Perhaps that’s just “maskne” or a stress breakout.  To make things even trickier, not every woman will develop all the signs. After all, it’s not unusual to develop PCOS and never spot as much as a single chin hair, let alone develop a mustache. Other less obvious symptoms include insomnia, fatigue and a craving for carbohydrates as well as anxiety or depression. When you consider that list, it’s easy to see how they could all be overlooked as just the side-effect of a stressful life mid-pandemic and not an extremely common syndrome. So here’s the good news   If you suspect you have PCOS you’ll be glad to know there’s a lot you can do about it but your first step is to visit your doctor or gynaecologist. They’ll be able to ask the right questions and run a simple series of tests to help you get a diagnosis. As far as treatment is concerned, this could include medication as well as making certain lifestyle changes. For example, eating a low glycaemic index (GI) diet and getting regular exercise will help you manage your blood sugar levels.  You can also manage your condition with our brand new ovarian health nutritional supplement – Ovaria by Lamelle Pharmaceuticals. It contains 4000mg of Myo-Inositol, the required dose clinically proven to reduce the symptoms of PCOS of women in their fertile era.  A naturally occurring sugar associated with the vitamin B family, Myo-Inositol helps reduce your androgen levels by normalising your blood’s insulin levels. The result is an improvement in many PCOS symptoms including weight gain, acne and hair growth. In fact, Ovaria is proven to reduce unwanted hair growth by 29% in just 6 months. It can also increase your ovulation rate – improving your chance of getting pregnant – in as little as 16 weeks and help normalise your menstrual cycle. You’re not alone  Ultimately, if you suspect you might be suffering from PCOS, don’t hesitate to chat with your doctor today. An early diagnosis means the sooner you’ll enjoy a better quality of your life while reducing your risk of PCOS-related conditions like diabetes. As far as treatment options go, you’ll have several to choose from and all of them can be enhanced by Ovaria. You’re not alone. Together, we can help put you back on the path to wellness.  Learn more: https://lamelle.co.za/ovaria

May 13, 2021
Bonitas – innovation, life stages and quality care

Gestational Diabetes: Reasons, risks and recovery

Kathy Malherbe speaks to the clinical team at Bonitas Medical Fund to get some insights on Gestational Diabetes (GDM) and tells the story of mother-of-two, Theresa’s (36) experience with Gestational Diabetes. Diabetes is a condition whereby your body is unable, in varying degrees, to produce or respond to the hormone insulin. This causes abnormal metabolism of carbohydrates and elevated levels of glucose in the blood. Diabetes is commonly divided into four types: Type 1, Type 2 (often lifestyle related,) Gestational Diabetes and Diabetes Mellitus. Normally when you eat, your blood sugar rises. The pancreas, a gland deep in your abdomen, releases a hormone called insulin. It helps move sugar from your blood into your cells for energy and storage. In a non-diabetic person, the blood sugar will go back down to normal after eating.   What is Gestational Diabetes? Gestation comes from theLatin gestare, which means ‘to bear’ or ‘give birth to’. Medically speaking it is the period between conception and birth. There are two types of Gestational Diabetes. Women with class A1 can manage it through diet and exercise. Those who have class A2 need to take insulin or other medications. Gestational Diabetes usually goes away after you give birth. But it can affect your baby’s health, and it raises your risk of getting Type 2 diabetes later in life Unlike Type 1 diabetes, Gestational Diabetes is not caused by a lack of insulin but by other hormones produced during pregnancy that can make insulin less effective, a condition referred to as insulin resistance. Gestational Diabetic symptoms disappear following delivery. Why does it develop? During pregnancy, your placenta makes hormones that cause glucose to build up in your blood   and produces a hormone called the Human Placental Lactogen (HPL). HPL breaks down fats from the mother to fuel the growth of the baby. Usually, your pancreas can send out enough insulin to handle it. But if your body can’t make enough insulin or stops using insulin as it should, your blood sugar levels rise and you get Gestational Diabetes. It can lead to insulin resistance and carbohydrate intolerance in the mother.  Who is at risk? About 10% of pregnancies result in Gestational Diabetes. The causes are not known but the risk factors include:  Age-older women  High blood pressure, high cholesterol, heart disease Obesity Not exercising   Immediate family history of diabetes History of Gestational Diabetes in a previous pregnancy Have had a miscarriage or a stillborn baby Polycystic Ovarian Syndrome It is important to note that there is no definitive way to prevent Gestational Diabetes. Even mothers who have had Gestational Diabetes in a previous pregnancy may not get it with a later pregnancy. Warning Signs of Gestational Diabetes Sugar in the urine Unusual thirst Frequent urination Fatigue Nausea Blurred vision Vaginal, bladder and skin infections. When and how is it detected? In most cases, Gestational Diabetes develops in the second or third trimester (from week 14 to the birth) and disappears after the baby is born. A screening or finger prick blood test can be done at a clinic or pharmacy to give you a snapshot of your blood sugar levels. However, a formal diagnosis requires a blood test and sometimes this will need to be repeated. Gestational Diabetes is detected by using an oral glucose tolerance test (OGTT) or a random blood glucose test.  The OGTT test is done by a nurse or doctor taking a blood sample from your vein to test the blood sugar levels.  Then you will drink a glass of water mixed with glucose. An hour later you will have another blood test. Your blood glucose level should rise after you finish the sugary drink, then go back to normal, as insulin moves glucose into your cells. If it takes too long to go back to normal you could have diabetes. What the test shows The blood glucose is measured in milligrams per deciliter (mg/dL). Two hours after you finish the glucose drink, this is what your results mean: Below 140 mg/d: Normal blood sugar  (7.8mmol) Between 140 and 199: impaired glucose tolerance or prediabetes (11mmol) 200 or higher: diabetes (11.1mmol) The random glucose blood test is carried out a couple of times to see if your glucose varies widely.  If initially you are not diagnosed with Gestational Diabetes, the test may be repeated at around 24-28 weeks.  What are the dangers? In many cases it can be controlled with a healthy diet and exercise but at least one in ten women will need their blood glucose levels controlled with medication. If your diabetes is not picked up during pregnancy it can cause risks at birth. The most prevalent is shoulder dystocia which is when the baby’s head gets stuck during the birth.  This can cause:  Fractures to the collarbone and arm Damage to the brachial plexus nerves. These nerves go from the spinal cord in the neck down the arm Lack of oxygen to the body (also called asphyxia). In the most severe cases, this can cause brain injury or even death  It can also lead to babies being large for their gestational age which can result in birth complications How can you help yourself? By adhering to an eating programme that is healthy for you and for your baby including:  Eat protein with every meal Include daily fruits and vegetables in your diet Limit or avoid processed foods Pay attention to portion sizes to avoid overeating Exercise regularly. Aim for at least 30 minutes of exercise 5 days a week. Just remember to speak to your doctor before starting any new exercises  Don’t skip meals. To regulate your blood sugar levels, aim to eat a healthy snack or meal every 3 hours or so. Eating nutrient-dense foods regularly can help keep you satiated and stabilise blood sugar levels. Take your prenatal vitamins, including any probiotics, if they’re recommended by your doctor. Being diagnosed with Gestational Diabetes can be extremely stressful and dangerous to both mother and baby.  It is imperative to have your blood glucose monitored during pregnancy. However, if you are tested regularly, stick to a healthy eating programme and exercise regularly,

May 6, 2021
The Baby Academy

Antenatal Advice: The secrets of sleep in pregnancy

Spoiler alert….A lifetime of being obsessed with sleep starts now!Whatever your stage of pregnancy, chances are your sleep has been somewhat interrupted. Be it nausea, restless legs, inexplicable temperature fluctuations, or night time baby disco, the obstacles to a good nights shut-eye can seem endless. To learn about how to put baby your baby safely to bed, you can sign up for our Free Baby Care Workshop, where our expert Midwife will give you all the information you need. You can book your place here.  Here I’ll share my top tips, as a Midwife and mum, to getting the best night’s sleep possible. Smart hydration. Getting 2 litres of water every day is extra essential in pregnancy. Being well hydrated fends off dizziness and keeps the bowel happy, but night time wee trips are bound to disturb your sleep. The effects of hormones on the bladder in early pregnancy and the increased blood flow in later pregnancy mean the urinary system is in overdrive. Try to get your intake in earlier in the day, keeping fluids to a minimum from 2 hours before bed to reduce nocturnal loo trips. Whatever the time of year, pregnant women usually feel warmer than usual at night. This can cause night time disagreements with partners as the duvet is discarded and windows flung open. Try sleeping on top of your normal duvet with a light tog single duvet or sheet just for you, while your other half stays cosy. Lone sleepers have the luxury of kitting the bed out to suit them; try light layers that can be peeled off as required. Restless legs and cramps are common in pregnancy. Again, hydration in the day is crucial, and there is significant research to show that magnesium supplementation will aid in leg cramps and is safe in pregnancy. Most pregnancy multivitamins contain 40-50% of the recommended daily intake of magnesium, and additional dietary intake should also help in the form of foods like green leafy vegetables such as spinach, nuts and seeds and dark chocolate (yay) Invest in a maternity pillow. These need little explanation; just treat yourself! Supporting your bump, helping you get comfortable on your side (blood flow to baby is best on your left side due to the anatomy of your vascular system), which will double up as a breastfeeding pillow, even a baby nest when little one is just learning to sit up and needs some crash mats! If nausea is an issue for you, keeping a small snack by the bed will usually help. If you feel sick at night, an empty tummy makes matters worse. A plain biscuit or salty cracker to nibble on should settle the ill feeling. If nausea is new or is accompanied by pain or a temperature, get to your GP without delay. You could have a kidney infection—the joy. Insomnia in later pregnancy is very common, even when no obvious cause can be identified. You’ve done all your troubleshooting, and you’re still lying awake! Some say it’s mother nature preparing new Mums for night feeds. Whatever the cause, it’s exhausting. When many Mums are working until 38 weeks, switching to herbal tea like camomile is a good idea and has some relaxation tracks ready. Try not to get too stressed about not sleeping, and remember to talk to your Midwife or GP at your next antenatal visit if you feel you are sleep deprived; you may need some time off work. To learn more about sleep and a whole host of other topics, please join us at our Free Baby Care Workshop, where our Expert Midwife will talk through topics such as how to care for your baby’s cord, nails and how to put baby to sleep safely. You can book your free place here.

April 28, 2021
The Baby Academy

What are the benefits of attending an Online Antenatal Class?

Having a baby is a fundamental part of human nature, and some people don’t see any reason to attend an antenatal class. After all, women have been having babies for thousands of years, and there weren’t antenatal classes available way back when… right?  However, today’s modern parents seek the most up-to-date evidence-based information to ensure the safe delivery of their baby. Research around the safe and healthy delivery of baby has progressed significantly in the past two decades, with this research proofing that expectant Mums who attend an Antenatal Class have:  Increased likelihood of vaginal birth Lower rate of inductions Higher likelihood of breastfeeding Decreased need for pain medication in labour  Increased confidence for labour and birth  Women and partners who’ve attended antenatal or childbirth classes report that they feel more prepared because they know what to expect due to increased communication between them and their caregiver.  Overall, making women more likely to have a positive birth experience. The Baby Academy believe that helping and guiding women and their partners at this exciting time is paramount. Their FREE Baby Care Workshop and 1-day Antenatal Class aim to help prepare, empower, and support women and their birthing partners. Places in their Free Baby Care Workshop are limited and book out quickly, so we recommend early booking. Simply click HERE to book your free place. 

April 13, 2021
The Baby Academy

Free Pregnancy Class for Expectant Parents

If you are pregnant, you will be delighted to hear that The Baby Academy are running FREE Online Workshops for first-time pregnant women, tailored for those in their second or third trimester of pregnancy. Their Expert Midwife will deliver the most up-to-date evidence-based information on how to care for your baby safely. At the free workshop, you will learn: How to care for your baby’s cord How to care for your baby’s skin and nails How to put your baby to sleep safely to prevent SIDS (Sudden Infant Death Syndrome) Plus, a host of practical, evidence-based demonstrations on how to care for your baby Places in their Free Baby Care Workshop are limited and book out quickly, so we recommend early booking. Simply click HERE to book your free place. 

April 8, 2021
Parenting Hub

Plant-based pregnancy

As the wife of ultra-endurance triathlete and Ironman Africa Champion, Kyle Buckingham, Lauren, knows a thing or two about needing to look after her body and keep energy levels high. So when Kyle made the move to a fully plant-based diet over a year ago, Lauren, followed suit and honestly believes that this is what has contributed to her feeling so amazing through the last 6 months of her pregnancy.  “From the time I found out I was pregnant at 5 weeks, nothing had changed,” says Lauren. “I didn’t even feel pregnant until I went into my 2nd month, after which I had occasional afternoon nausea until I went to bed. And just as fast as that feeling started it stopped on the first day of my 3rd month!” “I am still working as a sports massage therapist, dealing with athletes on a daily basis which requires a lot of my energy and input, and then just getting on with my normal daily things. I have yet to experience a drop in energy and I am into my 6th month now!” So how has Lauren coped with any cravings she has had during the past 6 months? “I have only had one craving so far and thankfully that only lasted two weeks. All I wanted was a cheese sandwich dipped in tomato soup! I was able to change dairy cheese for a vegan cheese option which was great, it was the weirdest combo, but I loved it!” While Lauren and Kyle made the switch to a plant-based diet quite quickly for Kyle’s training, Lauren realises that this might not be as easy for others. “If you are thinking of moving to a plant-based diet, I would suggest starting with either replacing one meal a week or possibly having one day a week that is only plant-based,” explains Lauren. “That way you can slowly get used to the various options and see what works for you.” “Fry’s started Meatless Monday’s which is a great place to start, they also have a few tasty recipes on their website that are super easy to try out!” What has been the biggest advantage that Lauren noticed since being on the plant-based diet? “Energy levels, when I made the switch my energy levels never dipped and throughout my whole pregnancy so far I have not gained extreme weight!” Here are some of Lauren’s favourite recipes for you to try out! Versatile Veggie Chilli by: Jamie Oliver INGREDIENTS – 500 g sweet potatoes 1 level teaspoon cayenne pepper , plus extra for sprinkling 1 heaped teaspoon ground cumin , plus extra for sprinkling 1 level teaspoon ground cinnamon , plus extra for sprinkling olive oil 1 onion 2 mixed-colour peppers 2 cloves of garlic 1 bunch of fresh coriander (30g) 2 fresh mixed-colour chillies 2 x 400 g tins of beans, such as kidney, chickpea, pinto, cannellini 2 x 400 g tins of quality plum tomatoes lime or lemon juice, or vinegar , to taste METHOD + Preheat the oven to 200˚C/400˚F/gas 6. Peel and chop the sweet potatoes into bite-sized chunks, then place onto a baking tray. Sprinkle with a pinch each of cayenne, cumin, cinnamon, sea salt and black pepper, drizzle with oil then toss to coat. Roast for 45 minutes to 1 hour, or until golden and tender. Peel and roughly chop the onion. Halve, deseed and roughly chop the peppers, then peel and finely slice the garlic. Pick the coriander leaves, finely chopping the stalks. Deseed and finely chop the chillies. Meanwhile, put 2 tablespoons of oil in a large pan over a medium-high heat, then add the onion, peppers and garlic, and cook for 5 minutes, stirring regularly. Add the coriander stalks, chillies and spices, and cook for a further 5 to 10 minutes, or until softened and starting to caramelise, stirring occasionally. Add the beans, juice and all. Tip in the tomatoes, breaking them up with the back of a spoon, then stir well. Bring to the boil, then reduce the heat to medium-low and leave to tick away for 25 to 30 minutes, or until thickened and reduced – keep an eye on it, and add a splash of water to loosen, if needed. Stir the roasted sweet potato through the chilli with most of the coriander leaves, then taste and adjust the seasoning, if needed. Finish with a squeeze of lime or lemon juice or a swig of vinegar, to taste, then scatter over the remaining coriander.  Delicious served with guacamole and rice, or tortilla chips. SERVE with rice and pappadums Chunky Veg Yellow Thai Coconut Curry INGREDIENTS Yellow or Green Thai paste 1 can coconut milk (extra if necessary) 1 medium onion, diced ½ red bell pepper, roughly chopped (bite size) ½ yellow bell pepper, roughly chopped (bite size) 3-4 mixed courgette, chopped bite size pieces 1 cup chopped butternut (bite size) 2-3 carrot chopped (bite size) handful chopped baby spinach leaves Flexitarian optional -Add strips of tofu or calamari METHOD Add oil and Thai paste to pan allowing paste to warm and release flavours. Add can coconut milk and mix with paste. Bring to a simmer. Add onion, butternut and carrots first until semi firm (15-20min) with lid to keep moisture in. Add remaining veggies except the spinach, simmer about 30 min or until all veggie are soft enough to eat but not soft enough to mash. Al dente. Add spinach and stir together until wilted. Add extra coconut milk, water or oat milk to top up the sauce. Add tofu or calamari strips to pan and simmer in coconut milk until turns white. SERVE with sushi rice and pappadums.

March 30, 2021
Little Prem

How to make the best out of your Preemie’s NICU Journey during Covid-19

Let’s be honest having a preemie and ending up in the Neonatal Intensive Care Unit (NICU) is no place a mother dreams of being when she finds out she’s pregnant, and honestly, I would never wish this for any mother.  But, the NICU does not have to be all bad, after all the NICU is the next best place other than your womb to help your premature baby grow stronger. The NICU tries to mimic a mother’s womb as best as possible for our tiny little miracles.  So, let’s get straight to the point, as a NICU preemie mom myself I know how useless and helpless you can feel when the nurses do everything for your baby, especially now during the COVID 19 pandemic restricted visiting hours. The first few days, even weeks can be very daunting, and you might even be unsure and scared to ask or do anything.  Let us look at some ways how you can get involved and make the best of the NICU journey for you and your preemie during the COVID 19 pandemic  ASK QUESTIONS AND SPEAK UP: Giving birth to a premature baby can be incredibly stressful and it’s easy to feel disconnected. Most parents are unsure and do not even know where to start when it comes to asking questions.  SOME GOOD QUESTIONS TO ASK: What is your Kangaroo Mother Care – Skin to Skin policy during the COVID-19 pandemic, and when may I start with KMC? How often may we visit our baby during the Pandemic? May I have a number to phone in to the NICU to hear how my baby is doing when I get discharged? What am I allowed to bring into the NICU for my baby? What other rules do you have in your NICU? GET TO KNOW THE STAFF: Get to know the nurse caring for your baby, it helps to have a friendship with the nurse looking after your preemie, this will make you feel more at ease and will improve your ability to ask questions and advocate for your baby.  Remember that you are baby’s mom, and that you play an incredibly important role in also helping them through this experience.  One thing to remember as a parent in the NICU is that you are your babies only advocate, you need to speak up if something is bothering you or ask questions when you are unsure.  Something that will also help you navigate around the NICU is to learn the ‘’NICU language’’ This also comes from asking questions, this way you will learn to know what certain beeps and ‘’stats’’ on the machines mean and will make you more confident around your preemie, and gives you more freedom to bond with your baby, by understanding the environment they are in. BONDING: COVID-19 has forced NICU’s to implement extreme measurements and rules to keep the NICU safe from COVID, making it a bit more challenging for mothers to be with their babies to bond. Here are a few ways you can Bond with your baby during your visit: Skin to Skin – Kangaroo Mother Care has so many benefits, do as much skin-to-skin with your baby as possible. Studies have shown that skin to skin is not just amazing for bonding, but also improves milk supply and has MANY other advantages for premature babies. It helps them cope with stress More stable heart rate It regulates their body temperature It improves the nervous system functioning More stable sleep patterns Better cognitive control Regulates heart rate and respiration Reduces post-natal depression in mom Improves weight gain for baby  THROUGH SMELL: Ask your NICU if you may place a NICU bonding heart with your baby.  A person’s sense of smell is closely linked to memory throughout life, and these memories can often trigger certain emotions that provide relief. For a baby in the Neonatal Intensive Care Unit (NICU), certain smells — like a mother’s — can provide comfort in more ways than one. Mom places one clean fabric heart on her skin for a few hours to absorb her unique scent. When mom must leave the NICU she leaves the NICU heart near her baby in the isolate to provide comfort and continue bonding even during times of separation. NICU BONDING HEARTS – https://www.littlelittleprem.co.za/product/nicu-bonding-heart/ ROUTINE:  It is natural to feel like the nurses are taking over. A mother’s instinct is to provide and care for her new-born baby. In the NICU this might not always be possible. Ask the NICU staff to give you the schedule of when they will change baby’s nappy and feed baby. Try to be there to feed (hold the feeding tube) and, or change your babies’ nappy, Ask the nurse to show you how to reconnect the pulse oximeter as it can easily fall off and needs to be changed frequently. These are tiny things that you as a mother want to naturally do and can do for your baby and will help the bonding between you and your little miracle.  READ AND SING TO YOUR BABY: Your little baby has been listening to you and your partners voice in utero and finds your voices comforting as it is familiar to your baby. Reading and singing to your baby can help soothe your baby and has many benefits for brain development.  Singing and reading also improves the bonding between parent and baby. Unfortunately, with the COVID – 19 pandemic some NICU’s only allow short visits for one parent a day.  Record your voice while you read a story or sing a song. You could ask the nurses to play the recording to your baby when you are not there or record your partners voice and play it to your baby when you visit.  EXPRESSING MILK: Expressing your breastmilk for your baby has become something you do more than sleep at this moment, and it can be very stressful sometimes. Carey Haupt, a qualified lactation consultant and ex-preemie mom, thought of expressing

March 18, 2021
Parenting Hub

World Down Syndrome Day: What to expect parenting a child with Down Syndrome

Finding out that you will be a parent is an exciting time for many. But finding out you will be a parent to a child with Down Syndrome, is often met with shock. If you will be raising a child with Down Syndrome, it can be challenging, so make sure you have a good medical team who can support you.   18 March 2021: With the world observing World Down Syndrome Day (WDSD) on 21 March, it is a good time to demystify what parents can expect from the first few months of life if they are expecting a child with Down Syndrome. This is especially so given that there are many cultural taboos around talking about, or having a, child with Down Syndrome.   “The most important thing to understand is that raising a child with Trisomy 21 is challenging, given that the entire family dynamic will be affected. High levels of support and understanding are essential,” says Dr Iqbal Karbanee, paediatrician and CEO of Paed-IQ BabyLine, a trusted telephonic medical advice service for the first 1000 days of a child’s life, starting from conception to birth and beyond.   Down Syndrome is caused by the triplication (trisomy) of the 21st chromosome and affects approximately 1 in 800 newborns. According to Dr Karbanee, it is the commonest chromosomal abnormality.   He says that there are many features of Down syndrome that can be picked up during pregnancy and screening  is readily available. The screening is offered mostly in high risk cases of which the commonest is an older expectant mom.   “If you are pregnant and are diagnosed, it can be a major shock and parents have to face the choice of carrying on with the pregnancy or not. This is an intensely personal decision and should be carefully considered after discussion with all involved, and importantly, also the medical team.”  Babies affected by Down Syndrome have a higher risk of abnormalities affecting multiple systems of the body. Parents will need to understand that the newborn will require a cardiac assessment as well blood tests to ensure the body’s systems are functioning normally. Feeding can be a problem as low muscle tone is associated with Trisomy 21.  “The best way to approach this is to ensure the medical team is involved often as regular follow-ups and check-ups will be important.  You need to make sure you can trust your medical team; this will be essential to getting the help your baby needs,” says Dr Karbanee.   He adds that if you already have other children in the family, the needs of the child with Down Syndrome will be different to other children and will require everyone to adjust accordingly.  “Developmental milestones will be delayed so expect the baby to sit and crawl much later than normal. Special schooling will be necessary as well as ongoing visits for physiotherapy and possibly Occupational and Speech Therapy,” says Dr Karbanee. “Having said that, while having a child with Down syndrome may be a huge adjustment for the entire family, the good news is that children with Down syndrome tend to have a pleasant personality and parents report that they are a delight to the family.  “Speak to your paediatrician about all of your concerns, fears, or expectations, as it is her or her role to co-ordinate the care of the child and ensure that the health of the child is optimised,” concludes Dr Karbanee.   About Paed-IQ BabyLine  Paed-IQ BabyLine is a trusted, telephonic medical helpline for pregnant moms and new families. With healthcare advice given by qualified, experienced and medically trained nurses, we aim to improve health outcomes during the first 1000 days of a child’s life, starting from conception to birth and beyond. We are there for mommies-to-be at all stages of their maternity journey as well as new parents or caregivers to young children. By offering early and appropriate medical intervention through advice, we have helped to safeguard the health of over 10000 children, and helped moms and families successfully navigate the medical concerns of their young children. Visit https://paediq.com/ for more.   

March 18, 2021
Bonitas – innovation, life stages and quality care

Trimester two overview

Your second trimester begins in week 13 and ends at week 28. During this time your morning sickness will ease off, and initially your baby will be small enough that your body won’t be in too much discomfort, earning this trimester the nickname of the honeymoon period of pregnancy. During this trimester you’ll probably tell your family, friends and employees you’re expecting and your tummy will begin to show – time to upgrade your wardrobe! Your body during your second trimester During the second trimester the pregnancy you’ll hopefully notice that your morning sickness is easing up and your energy levels should begin to rise. While you will be feeling better don’t put pressure on yourself to exercise or socialise more than you’re comfortable with. This trimester your baby bump will go from barely noticeable to one that you may struggle to hide. Embrace your changing body and adapt your exercise plan to accommodate your baby, prenatal yoga and pilates classes are a great way to stay in shape, meet other moms-to-be and prepare for labour and delivery. A growing belly and breasts, Braxton Hicks contractions and leg cramps are all common pregnancy symptoms you may experience during this trimester. Not only this but you may experience dental issues, sore and swollen feet, and an achy back and/or pelvis. Your baby’s growth during the second trimester Your little one does lots of growing during your second trimester, and during this time you’ll begin to feel them moving around inside your belly (this is also known as quickening). Not only this, but during trimester two your baby’s ears develop to the point that they can hear your voice and other external sounds.  During the second trimester your baby’s eyes and ears become more developed and you’ll soon be able to find out their gender on an ultrasound (if you want to!). Your baby’s muscle tone is also improving, they’ll be swallowing amniotic fluid and their sucking reflex will develop – they may even suck their own thumb. Important things to note during the second trimester At week 19 to 20 you’ll have an anatomy scan. In this scan your doctor will be able to see how your baby is developing, and if there is anything unusual that would be cause for concern. During this scan the doctors will also be able to tell you the gender of your baby – if you decide to be told you can start thinking of baby names! This trimester is also a good time to decide how and where you’d like to have your baby. Decide on if you like a hospital or home birth, and start putting together a birth plan.

March 16, 2021
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