Pregnancy - Parenting Hub

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The Ins and outs of Co-Sleeping with your Kids

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

December 13, 2023

The power of Pycnogenol: Enhancing sperm health naturally with Prelox

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

December 13, 2023

Four changes you can expect from your skin during pregnancy

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

November 29, 2023

The amazing benefits of hugging your baby

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

November 27, 2023

Smoking and pregnancy – should I quit

If you’re an avid smoker you’re probably wondering if being pregnant means you should wave your smoking habits goodbye. Unfortunately, even if your health isn’t enough for you to stop, your baby’s health should be. What can happen to my baby if I keep smoking? Smoking during your pregnancy is harmful to your unborn baby. The chemicals in cigarettes are both damaging to you and your baby; nicotine and other harmful poisons increase the risk of health problems for unborn babies. Second hand smoke, vaping and e-cigarettes are all still damaging to your baby’s health and should also be avoided (or quitted). You may need to designate your house a non-smoking area, and ask any friends and colleges not to smoke around you. So what exactly does smoking do to your unborn baby? Smoking lowers the amount of oxygen available to your growing baby and nicotine damages the baby’s brain and lungs. Smoking can make it harder to conceive, and if you do fall pregnant, can lead to miscarriages or stillbirth. Babies can be born premature, have a low birth weight, or be born with birth defects. Smoking during pregnancy can also affect your baby’s health after they are born, leading to cases of Sudden Infant Death Syndrome, asthma and other respiratory problems and infections. Help – I am really struggling to quit! Even if you have decided that quitting is in both of your best interests, this may be easier said than done. If you are pregnant already it is best to quit without using any medication, as this is healthier for you and your baby. You also won’t be able to transition to vaping or e-cigarettes, as these too, are harmful and usually contain nicotine, which is damaging to health. In order to quit for good, try avoid the triggers that make you want to smoke, and try find something else that you can do when the craving kicks in. Get the support of your family and friends, or join a stop-smoking group or self help plan. Whatever your plan is to stop, you can be sure that both you and your child’s health will benefit from it.

November 22, 2023

Symphysis pubis dysfunction (SPD) and 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.

November 3, 2023

WHAT TO EXPECT FROM YOUR BREAST CHANGES DURING AND AFTER PREGNANCY

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

October 26, 2023

10 WAYS TO CARE FOR YOUR MENTAL HEALTH DURING PREGNANCY

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

October 20, 2023

Does what you eat in pregnancy matter?

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

October 19, 2023

Tips for Breastfeeding Success!

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

October 17, 2023

Understanding Your Breastfeeding Rights in the Workplace

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

October 10, 2023

Baby monitor. Do I really need one?

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

August 31, 2023

Keeping Fit while you’re Pregnant

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

August 29, 2023

How to use a breast pump: 12 top tips

Learning how to use a breast pump can take time and dedication, but is well worth the effort. Read our expert breast pumping tips to help set you on the path to successful expressing. Like any skill worth having, it might take you a bit of time to get the hang of using a breast pump. The key is to be patient, even if you’re not able to express as much as you’d like right away. After all, a breast pump won’t stimulate the same feelings in you as your baby does. But, with time, your body will usually learn to trigger your let-down reflex when you pump, and the quantity of milk you express should increase. 1: There’s no need to rush to start pumping… In the first four weeks, you and your baby work together to initiate and build your milk supply. If your baby is healthy and breastfeeding is going well, you won’t need a pump to help with this. Pumping is, however, really helpful if you need to be apart from your baby any time (see tip below). If not, enjoy this time with your baby and be reassured that even if you plan to pump regularly in future, there’s no need to ‘train’ your body to express milk in the first few weeks. 2: …unless your baby is unable to breastfeed If your baby can’t feed directly from the breast, perhaps because she’s premature or has special needs, or you are separated for any reason, start double pumping breast milk as soon as you can after the birth. Research shows that starting to express within the first few hours (when a healthy newborn would usually have her first breastfeed) helps mums produce a higher volume of milk in the early days and weeks,1,2 giving their babies the best chance of being fed exclusively on mother’s milk. If you’re expecting your baby (or babies) to be born pre-term, in need of intensive care, or to have a condition that might make breastfeeding difficult, prepare yourself. Contact Lorraine at medelasa@sunpac.co.za or 011 445 3300 for advice about breastfeeding or book a full consultation with her online at www.medela.co.za to help you choose the right equipment to prepare yourself for special feeding conditions. There will probably be a hospital-grade double breast pump at your hospital or birth facility, so ask staff to show you how to use it. It’s important to remove milk from your breasts whenever your baby would normally drink – this means your breasts will still get the message to make milk. Aim for eight to 10 pumping sessions every 24 hours at first, and continue this frequency once your milk comes in. 3: Time it right For your first breast-pumping session, express for at least 15 minutes. Don’t worry if you don’t collect much milk at first – regular extra suction should soon stimulate your breasts to produce more milk. Some mums find pumping one hour after a feed gives the greatest milk yield, others prefer to pump straight after every second feed – try expressing at different times to see when best fits your lifestyle. When you find times that work for you, stick with them so your body gets used to your breast pump use and the extra demand on your milk supply. You may be tempted to extend the time between expressions in a bid to collect larger volumes of milk. However, if you wait until your breasts are full one pumping session won’t drain them very well, so the key is to pump frequently and regularly. 4: Be hygienic Always wash your hands before and after breast pumping, and clean any pump parts that have been in contact with your milk or your baby’s mouth. You will also need to sanitise them after cleaning at least once a day. Be sure to allow all the pieces to completely dry and you can then store the pump set in a clear bag or container until next use. 5: Be prepared To avoid interrupting your breast-pumping session, have everything you need close by before you start. You might want a drink and snack, your phone or TV remote, bottles or milk storage bags for your expressed milk, and a muslin cloth to soak up any drips. Try the Medela Milk Storage Bags for a convenient way to store, carry and warm expressed breast milk. They have a double zip protection and double walls to ensure no leaks, and the heat-sealed seams guarantee no tearing, splitting or cracking. A specially designed breast pumping bra allows you to keep your hands free, making it much easier to operate the controls and do other things while you express. 6: Make yourself comfortable The best position for pumping is one in which you feel at ease. Being relaxed is essential for the release of the hormone oxytocin, which stimulates your let-down reflex. Discomfort and distractions can hamper this process, so choose somewhere private and comfortable, and make sure your arms and back are well supported as you pump. If you’re not using a pumping bra, hold your breast shield between your thumb and index finger, and use your palm and other fingers to support your breast. Hold the breast shield gently against the breast – pressing too hard could compress your breast tissue and obstruct milk flow. Medela’s PersonalFit™ Breast shields play a key role in pumping comfort and efficiency. Shields are available in different sizes and is shaped around you so you can easily adjust the way your breast shield fits to find the most comfortable pumping position. Some mums find deep breathing, soothing music, visualisation techniques, or having their partner massage their back and shoulders, can help them express more milk. 7: Kick-start your let down Most Medela electric and battery-operated breast pumps have 2-Phase Expression technology, which mimics the way your baby feeds (with fast, light sucking followed by slower and stronger sucks), to help trigger your let down. Massaging your breasts before

August 23, 2023

Five Things You Haven’t Thought About Before Your Baby Comes

Here’s a list of five less thought about items before your baby arrives: 1. Gap Cover For many, it may come as a shock to realise that even if you have medical aid, you could be faced with additional medical costs that having a baby can bring to the table. Gap cover provides extra financial protection and closes the gap between what specialists charge and what your medical aid is prepared to pay, ensuring that you can afford the care that you and your family deserve and need. Top Tip: Gap cover providers appoint a 10-month exclusionary waiting period on pregnancy and childbirth, so be sure this is something you include into the planning stages of starting a family. 2. Where there’s a will… Like Life Insurance, it’s one of those things we don’t like to think about, but if you’re going to become a parent, getting a will should be right up there with deciding on baby’s name or which pram to buy. Without one, you would have no say over who should care for your little bundle in the event of your death or what they will inherit from you and who should look after this inheritance until they’re old enough to look after it for themselves. Top Tip: Unless you have multiple assets and numerous issues that require a lawyer, you can draw up a will yourself online within minutes. 3. Save, save, and save some more Welcoming a baby into the world will have a significant impact on your finances. Being proactive when planning will help you to direct, save, and protect your wealth and is essential in preparation for raising and sustaining a child – not to mention the optional luxuries like a night nurse or whether your Mother-in-Law is up for babysitting. Consider borrowing items that the baby will use for short periods of time and look out for car seats and cots that are convertible, meaning you will save on large purchases in the future. Top Tip: Consider opening a tax-free savings account and setting up a monthly debit order to assist you with the discipline and frequency of saving. 4. Baby proof your life As you are heading to the final stretch, the nesting phase will start to kick in. While you will be inspired (again) to clean, organise and rearrange the nursery and house in preparation, don’t overlook the safety around the house. You may think you have time, but in the blink of an eye, that tiny baby is going to be digging under things or doing weird things like chewing on furniture legs so now is the time to cover those sharp corners, clear out/raise any indoor plants, and cover up plug points across the house. Top Tip: Go down to tummy time level to make sure that there are no heavy objects on high cabinets or counters that can topple over once baby starts moving around. 5. Insure your life It can be easy to put off big tasks until tomorrow (which never comes), so if “sign up for life insurance” is toward the bottom of your pre-baby to-do list, now is the time to push that right to the top. Even though the last thing you want to be thinking about is the possibility of your family needing to use your life insurance policy, not being able to provide for your child or leaving your partner with the financial burden of having to do so alone, is a far less pleasant thought. Top Tip: There are many factors to consider when getting life insurance so it’s best to see what kind of cover you need (and don’t need) with an insurer like Sanlam Indie – With Sanlam Indie you can get covered in 10 minutes, so there’s no time like the present. Bonus Tip: Stock up on groceries “Why?” you ask. Short answer… to save your sanity! Stock up on essentials such as coffee (the only thing you will really need), easy oven/frozen dishes, crackers, butter, and milk so you have them on hand, as well as some fresh foods such as fruits and veggies to snack on that will help you power through the chaos of those first whirlwind weeks (don’t forget the chocolate Mom). Top Tip: Bottled water is another important thing to buy in bulk so make sure to buy enough for the first few weeks. “Providing for your child isn’t just about taking care of their current needs; it’s about preparing for their future needs too.” – Edwin Theron, CEO at Sanlam Indie

August 23, 2023

Emotional Health during pregnancy

Expecting a child is a blessing and an incredible experience, whether it’s your first child or not. Often, focus is mainly placed on the joy that comes with expecting, the long nights ahead or how it will change life as you know it. But we usually don’t emphasise on emotional health during pregnancy when in fact, the reality is that pregnancy can become overwhelming and stressful at times, where you might be going through a rather tough time while the best thing in your life is underway. So how do you identify stress, anxiety and depression during your pregnancy, and very importantly, how do you manage or overcome it? Identifying the signs It is important to be self-aware of your emotions and how you feel from day-to-day, maybe having a journal to keep note of your health might be the right place to start and help you notice any changes – even the subtle ones. There are some key things to look out for to ensure you are aware of triggers related to anxiety and depression: Feeling lonely and sad; Crying a lot; Feeling anxious all the time Fatigue and wanting to sleep Avoiding people and not wanting to socialise Getting through the stress and anxiety during your pregnancy Once you have identified the signs – it’s critical that you address them. How you do this is up to you, and there are a number of options that can be considered, from speaking to someone, going to a professional to get properly diagnosed to identifying your stress areas and working on relieving or finding solutions to better manage these. Even just taking time out to focus on yourself – regrouping, reassessing and realising what you need, and want, can go a long way in helping you get through such times. The process of growing a life can be quite daunting as you are focused on whether you are living your best life to ensure your little one’s growth is healthy. You worry about what you eat, drink and if you are doing enough physical activity to ensure that you are also healthy enough to have the best possible delivery process for you and baby. In some cases, the stress can be severe for expecting moms and ways to manage or deal with the stress and anxiety need to be top of mind – emotional health is probably one of the most important. Start small and maybe opt for a more intimate solution – talk to your partner about what is keeping you up at night and your fears of not doing enough for your unborn child. Your partner – or a good friend – can be your confidant and through doing this, you might find out that he is also stressing about – or has been through – similar or different things. Because you are both being open and sharing your feelings you will find comfort in one another and end-up reducing your stress and anxiety levels. You can also look at solutions or putting some things in place that work for both of you. And of course, it’s always good to know you are not alone in your fears. Additionally, keep these tips in mind when you are feeling overwhelmed: Reduce the time you spend on the internet – researching is great, but don’t get to a point where it consumes your entire life and fuels your paranoia. Take time in the day to meditate – quiet time to clear your mind and thoughts might be just what you need to calm yourself and have a level-head when reacting to situations and new information. Resting is vital – whether it’s sleeping early, taking breaks or going on a short vacation, time away from it all will help you with your stress levels. Try to eat healthy – when you eat healthy it translates to you feeling better about yourself and that way you focus less on negative things. Don’t overload yourself with work – don’t commit to stressful amounts of work, know your limits and plan your tasks accordingly to avoid unnecessary stress and anxiety. How to deal with depression while pregnant Depression is an illness that alters your mood, causing you to feel sad and hopeless. In many cases, it is easier for women who have been diagnosed with depression previously and fall pregnant, to ‘relapse’ into depression as pregnancy can be quite overwhelming. In fact, 1 in 10 pregnant women suffer from Ante-natal Depression so it is essential that expectant moms take care of their mental health and know how to identify the cues. Pregnancy is an amazing thing to experience – enjoy the process of growing a life inside of you and make sure you are self and emotionally aware to notice the little, or big, things robbing you of fully experiencing this time in your life. Ensure that you have a solid support system around you – be it your partner, family or friends. Make your pregnancy journey one to remember and embrace every moment of it!

August 17, 2023

Webinar – Vaginal Infections during Pregnancy

Sr Talia discusses different vaginal infections that you can experience during pregnancy

August 11, 2023

THE FIRST SIGNS OF LABOUR

If you’re expecting your first baby you’ve probably read up a little (or a lot) on pregnancy and birth process. Labour is something you’ve probably wondered about and seeing as every pregnancy is different, many moms experience different labour signs. However, there are a few tell-tale signs to look out for that you are about to meet your new baby soon. What to look (or feel) out for You may be worried that you won’t distinguish normal late pregnancy signs from the fact that you’ve started labour. Luckily your due date should give you an indication of when you could expect your baby to arrive, but this won’t always be the case. Here are some indicators that your baby is on the way. One of the more obvious signs of labour beginning is regular contractions. This will be different to the Braxton Hicks contractions you may have been experiencing leading up to this point. Labour contractions are longer, stronger and more frequent – when they come every 5 minutes you should call your doctor or midwife. Another sign your baby is on her way is your cervix dilating or beginning to open. This can start happening in the days or weeks before you deliver. Your baby will also move down into your pelvis during this time – which is known as your baby dropping. When your labour begins, the mucus plug which seals your cervix opening comes away. This jelly-like pink mucus is known as a show, and you may notice it when it passes out your vagina. Lower back pain, diarrhoea and looser feeling joints are all other signs that your labour may be starting. Another sign is your water breaking, this can happen in a gush but a trickle is more likely, most moms-to-be go into labour within 24 hours of their water breaking. Be sure to keep your birth partner in the loop about how you are feeling mentally and physically around the time of your birth. If you are at all worried about your baby or experience anything abnormal be sure to let your doctor know as soon as possible.

August 1, 2023

Webinar – Gestational Diabetes

In this antenatal class, Sr Talia explains what Gestational Diabetes is, what the symptoms are and how to manage it.

July 28, 2023

Webinar – Caesarean Birth and Recovery

In this webinar, Sr Ingrid Groenewald explains the process of a Caesarean Birth and the recovery process thereafter.

July 21, 2023

Putting together your birth plan

As you enter your third trimester you’ll have probably done a fair bit of research on the birth process (if this is your first) and may have a good idea of what you want before, during and after delivery. There are many options and opinions, from whether or not you want pain medication to how many people you would like supporting you. However, trying to keep track of your choices during labour may be tricky, which is why you’d put together a birth plan. So what exactly is it and how do you put one together? Why should I put together a birth plan? Your birth plan is your choices or preferences before, during and after labour and delivery. While things may not always go according to plan, having your preferences written down and communicated means you, your midwives and doctor have a more mutual understanding. However, if your pregnancy doesn’t go accordingly, you need to be prepared to make adjustments on the day. What should be in my birth plan? Your birth plan is how you’d like everything would go in the best-case scenario. Your birth plan will also have to take into consideration what is available at the hospital or place where you are giving birth. Some birth plans are very basic, just outlining a simple overview, whereas others may be far more detailed and in-depth. The choice is yours. Typically a birth plan will include before, during and after labour and birth preferences. Such as who you want to assist you during birth, whether or not you want any pain medication, you birthing positions, and requests for newborn care, such as skin-to-skin time. How can I learn more about the birth process? If you feel like you need to top up your birthing knowledge before putting together a plan they are a few ways you can go about this. Joining antenatal classes are a good way to learn more and to meet other women in your position. Chatting to friends or family who has been through the birthing process themselves is another good way to see what would work best for you. If you and your partner are having a baby together, keep them in the loop as well. Find out what they expect during labour and you can chat about what you want, and what role you see them playing in the process.

July 17, 2023

Webinar – Post Birth Care for Moms

In today’s webinar, Sr Ingrid reminds Mom’s that’s it’s important to look after yourself post birth. What you can experience post birth and how to deal with the body changes, bleeding and uterus contractions.

July 14, 2023

WHEN AND WHY PREGNANCY ULTRASOUNDS ARE DONE

According to Affinity Health, a leading provider of high-quality healthcare, pregnancy ultrasounds are an essential part of prenatal care that can provide valuable information about the health and development of the foetus. What is a Pregnancy Ultrasound? From the first glimpse of a tiny heartbeat to the detailed images of a fully-formed little human, ultrasound technology offers a window into pregnancy’s mysterious and wondrous world. Each ultrasound provides expectant parents a unique opportunity to connect with their babies, see their features taking shape, and witness the incredible miracle of life unfolding. How Do Pregnancy Ultrasounds Work? A pregnancy ultrasound is a non-invasive diagnostic test that uses high-frequency sound waves to create images of the developing foetus in the uterus. It allows healthcare professionals to monitor your unborn baby’s growth and development, assess the pregnancy’s health, and detect potential risks or abnormalities. When are Pregnancy Ultrasounds Done? Pregnancy ultrasounds are typically done at different points throughout the pregnancy, depending on the mother’s and the foetus’ medical needs. The most common times for ultrasounds are the following. First Trimester A first-trimester ultrasound is usually done between 6-12 weeks to confirm the pregnancy, determine whether you have more than one baby growing inside you, and assess the foetus’s gestational age. This ultrasound can also detect any abnormalities or potential risks to the pregnancy, such as ectopic pregnancy or miscarriage. Second Trimester A second-trimester ultrasound is usually done between 18-22 weeks of pregnancy to check the development of the foetus, including its size, weight, and organ development, and detect structural abnormalities, such as heart defects or cleft lip/palate. Third Trimester A third-trimester ultrasound is usually done between 28-32 weeks of pregnancy to check the position of the foetus, which is essential for planning delivery, as well as access the placenta and the amount of amniotic fluid surrounding the foetus. In some cases, doctors may do additional ultrasounds in the case of a high-risk pregnancy. Benefits of Pregnancy Ultrasounds Pregnancy ultrasounds offer several benefits for both the mother and the baby, including: Early detection of potential problems Improved prenatal care Increased peace of mind Facilitating communication between the doctor and the expectant parents Detecting multiple pregnancies Providing a record of the pregnancy Good to know: To minimise the risks associated with pregnancy ultrasounds, it is crucial only to have ultrasounds when a healthcare provider recommends and to use qualified healthcare professionals who are trained in ultrasound techniques. Maternity Benefits from Affinity Affinity Health’s Maternity Benefits cover the costs of bringing new life into the world, ensuring that members can enjoy the most precious time without worrying about money. Members can access comprehensive maternity and postpartum benefits, including scans, blood tests, health advice, and guidance via Affinity’s Telehealth Call Centre (simply call 0861 11 00 33). The benefits are subject to policy types and Affinity Health rules, including coverage for hospitalisation, antenatal consultations, growth sonars, and pathology tests. Affinity Health also offers an all-inclusive birthing plan that provides members with access to gynaecologists, sonographers, social workers, psychologists, dieticians, and antenatal classes. With Affinity Health, new parents can rest easy knowing they have access to affordable and accessible healthcare products that protect them when it matters most. For more information on Affinity Health’s Maternity Benefits, click here. About Affinity Health Affinity Health is South Africa’s leading health insurance provider, offering you a range of options, including access to the widest national provider network. We understand the importance of medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters. We strive to give our clients peace of mind and the highest standard of service. Follow us on Facebook, Twitter, and Instagram.

July 13, 2023

Retailer Alerts of Dangers of Buying Second-Hand Baby Goods

The second-hand infant goods market in South Africa is rapidly growing, providing much-needed affordable products and financial relief for families across the country who are struggling with the rising cost of living. First-time parents in South Africa spend on average upwards of R100,000 a year to raise a child and nursery set-up costs alone surge to more than R5,000. Despite the financial reprieve of purchasing second hand items, Babies R Us advises caution when purchasing some second-hand baby goods as they may have been recalled or are unsafe. The second-hand infant goods market is estimated to be worth around a billion rand with the primary buyers in South Africa from low-income families. Most purchased second hand items include clothes, toys, furniture, and equipment. According to a report last year by Mercari in the United States, 62 percent of parents purchased second-hand baby and kid products last year, with 58.7 percent of those surveyed doing so to save money. “As a retailer we understand parents are always looking for ways to save money when it comes to purchasing baby items, such as clothes, toys, and furniture,” she adds. “Unfortunately, buying some second-hand baby goods can have serious consequences for your child’s safety and health.” “There are a number of challenges in the second-hand infant goods market,” according to Catherine Jacoby, Marketing Manager at Babies r Us. “The primary being the lack of regulation and meeting safety standards which means it is difficult to ensure the quality and safety of the products.” She explains that South Africa does not have its own set of safety standards in place to regulate many infant related products, specifically those that are produced locally. “It’s not just about safety standards though, there’s a growing global concern of products being sold in the second-hand market that have been recalled for safety reasons.” According to a report by Kids in Danger, a non-profit organisation focused on children’s product safety, last year, the United States had the highest number of children’s product recalls since 2013 impacting everything from baby products to kids’ clothes and toys. Nursery products, items like strollers and baby swings, accounted for over half of the more than 5 million units of children’s products recalled in 2022 alone, the report found. By way of example she adds, the U.S Consumer Product Safety Commission (CPSC) is currently calling on Meta and a well-respected manufacturer to recall a product being sold on Facebook Marketplace. The item in question has been linked to the deaths of approximately 100 infants which was recalled in 2019 ten years after it had been on the market. It is estimated that there are still over a million still in circulation having not been returned which are now being sold on sites like Facebook Marketplace. “Every parent wants their baby to be safe, but once the market is flooded with an unsafe product, it’s hard to bring it back,” she says. “Infant products make their way onto second hand sites, they’re in day-cares, at charitable organisations and have even been handed down to family members.” Jacoby notes however, that although it’s totally fine to buy second-hand for some products like clothes, some toys and even furniture, not every product can be safely bought second hand as some of these items are not subjected to the same safety standards as new items. “Experts advise that items like car seats, highchairs, strollers and cots should be bought new to ensure they meet the current safety standards and haven’t been recalled, don’t have any peeling paint, chips, or missing parts. “This ensures that the product is safety checked, you are notified if there are any issues with it and you can be assured of the safety of the product,” she explains. Additionally, Jacoby adds, used baby items may contain bacteria or viruses, which can cause serious illnesses in infants. It is important to clean and inspect them thoroughly before allowing your child to use them. “Our advice to parents is to research the products you are buying second hand, keep an eye out for great deals on new items and if you’re purchasing second hand items ensure you clean and inspect them properly,” she concludes. For more information visit: www.babiesrus.co.za

July 10, 2023

Postpartum bleeding – what is normal?

Giving birth to your baby after 9 months can be a relieving, beautiful and exciting experience. Postpartum your body will still be going through adjustments for a while, and as you care for your new baby, you’ll need to remember to take care of yourself as well. Postpartum bleeding, also known as lochia, is normal after both vaginal and c-section births, however, it is best to know what is and isn’t common in post birth bleeding. Normal postpartum bleeding Lochia is similar to menstruation in the way in which it is made up of blood and tissue, it’s just heavier and longer lasting – it should stop between 4 and 6 weeks after giving birth. Initially, your bleeding will be heavy. This first phase of postpartum bleeding is known as lochia rubra and you’ll experience this in the first 3 to 4 days. Bleeding will be red to reddy brown and you may have small clots. In the next few days after birth your lochia will decrease in volume. Lochia serosa lasts 4 to 10 days and during this period your blood will darken in colour and become more watery. Blood clots should get smaller and disappear. Finally you’ll experience lochia alba, which usually lasts about another 1 to 2 weeks, but can be up to 28 days. Discharge will be yellowy white in colour, you may see pinkish or brown stains on some days. There should be no smell other than what you would experience during a normal period – a strong odor can be a sign of an infection. When to reach out to your doctor Even though lochia is normal, if you are bleeding heavily this can indicate that you have a postpartum haemorrhage. If your bleeding is heavy a week after birth, you experience fever or chills, a tender abdomen or foul-smelling discharge, you’ll need to seek medical assistance.

July 10, 2023

Due soon? What to include in your hospital bag

With your due date fast approaching, this is a very exciting, yet stressful time for most moms to be. Here is a great list of what to pack for the big day! Ideally, you should have your bag ready to go by 36 to 37weeks, apart from the last minute grabs such as your tooth brush and phone charger. Please see our extensive list of the essential items and also items to make you feel more comfortable for mom and baby (and dad, of course!) Baby Car seat – Many hospitals won’t let you leave without one. Please make sure you know how to strap baby properly into the seat and the seat is secure in the car. Safety first! A going home outfit: It’s important to keep baby skin to skin (this means no clothes on baby; only a nappy) for as long as possible, as this promotes growth, bonding and a calming period for you and your baby. When it’s time to go home, pack different outfits in different sizes as you don’t know how big or small baby will be. Aim for an outfit in Newborn sizes, and 0-3 months. Don’t forget a beanie or socks if the weather is cold. Blankets or Muslin wrap to keep baby nice and cosy. Bottles – If you are going into the hospital knowing you are going to bottle feed, take your bottles with. The hospital usually supplies the formula, but if you have a preferred brand, take some along. If breastfeeding doesn’t work for you, don’t stress! The nurses will provide the bottles and formula. Nappies and wipes to keep baby clean and dry. The nurses in the hospital will show you how to change baby if you are a first time mom. Mom Your medical aid information, your pre authorization/ doctors forms, your ID card and all other important documents you may need. Keep this safely in a folder all together to avoid any stress. A robe or dressing gown – This is such a handy item to have to cover up and make you feel comfortable Pyjama’s that button down at the front – If you are breastfeeding it’s a lot easier to undo the buttons than lift your top continuously. Comfortable, soft and loose pants such as lights weight shorts, stretchy leggings or sleep pants are ideal. Maternity pads and disposable breast pads. Nursing bras are also wonderful and offers great support for breastfeeding moms. Slippers or slip in shoes. Your feet may be a little swollen after delivery, so don’t feel bad leaving the hospital in the snuggest and easiest pair of shoes you can slip into. Slipper socks also work great. Cotton underwear, preferably in a dark or black colour. One that fits you well but rises above the uterus. This is good for moms who have a caesarean section and natural birth as it offers support and doesn’t cause pain along the wound site. Nipple cream – If you’re planning on breastfeeding, your nipples will be happy you are being so proactive. Toiletries – You will want to brush your hair and have a shower after baby has arrived. Take your shampoo, face cream, lotion and body wash, as well as your toothbrush and toothpaste. Deodorant, lip balm and extra hair ties are also a great items to have on hand. Cell phone charger – Because your phone will be full of photos of your new addition to your family. Water bottle and snacks. Take a reusable water bottle as its very important to keep hydrated during and post-delivery. Snack on dried fruit and wine gums to keep your sugar up and to give you energy (with permission from your midwife or doctor of course) A magazine or book, your laptop or some music. Labour may sometimes become a little long. It’s good to keep busy. Most hospitals and birthing clinics supply towels, pillows and blankets. If you have a favourite, take yours along to the hospital. A set of clothes to go home in. Your make up bag and straightener or curling iron. While you won’t be focused on looking great during labour, you may want to take some photos after the birth of your little one. Get someone to help you and make you feel good about yourself (and the great work you’ve just done!) Dad/Birthing partner Camera – Take photos! Lots of them. This is a great job for dad to do during birth. It will make them feel a lot more involved. Snacks: Another great job for dad. Full his bag with plenty of snacks and treats that you can both enjoy during your stay. Comfortable clothes – As he may be sitting with you for quite some time, let him pack some tracksuit pants, t shirts, slippers and hoodies. Extra underwear is also a winner if he is staying overnight. Chargers – For phones, laptops and cameras. The longer the wire, the better, as most plug outlets are likely to be far from you. Toiletries – He may want to freshen up during the course of your stay. Many private hospitals offer you a baby bag when you are admitted for delivery. This is a great item and will contain most, if not all baby’s toiletries such as soap and creams. If you forget something, it’s not the end of the world. The nurses may be able to help or someone can go to the shop for you. All baby ideally needs is a clean nappy, milk, and most importantly, you.

July 3, 2023

What to expect from your skin during pregnancy

It’s no secret that a woman’s body goes through a lot of changes during pregnancy. These changes also affect the skin. The hormonal changes a woman goes through during the various stages of pregnancy may disrupt the skin’s delicate balance, resulting in anything from dehydration, to breakouts and hyperpigmentation. Your pre-pregnancy skincare routine will likely not suffice for the new challenges brought on by pregnancy, plus, if you use products containing active ingredients, you may need to reconsider your regime as the ingredients may not be safe for baby. For most women, pregnancy brings on a radiant glow, especially during the first trimester. This is due to an increase in blood flow, fluctuating hormone levels and increased oil production. However, this glow sadly doesn’t always last, and as a woman’s pregnancy journey evolves, she may begin to experience less desirable skincare changes. Some of the most common skin concerns women experience during pregnancy are: Acne Acne is extremely common among pregnant women, especially among those who have a history of acne or those who experience hormonal acne linked to their menstrual cycle. The change in hormones and increased oil production that is responsible for that pregnancy glow may lead to clogged pores and an increase in breakouts. This may range from occasional breakouts, to severe acne. Hyperpigmentation Have you ever heard of the “pregnancy mask”? Also known as melasma, it refers to a condition in which women develop dark marks on their skin during pregnancy. For some women it may be small freckle-like spots, and for others it may be larger, blotchy patches. Melasma is often symmetrical and occurs most commonly on the nose and cheeks (thus where the term “mask of pregnancy” comes from) but may also appear on the upper lip and forehead. Anyone can develop melasma, but it is particularly common among women with darker skins. Melasma occurs when a steep rise in the hormones oestrogen and progesterone stimulates excess melanin production in the body. It usually develops during the second and third trimesters when these hormones are found in higher levels in the body. Melasma may be intensified by sun exposure and one of the most important things you can do to avoid this is to protect your skin against the sun’s rays by applying a broad spectrum SPF product every day. The good news is that melasma is usually temporary and will fade after pregnancy. Skin sensitivity Skin sensitivity is extremely common during pregnancy, largely due to increased hormone levels. Some women may also experience flare-ups of conditions like eczema or dermatitis. It’s important to avoid skincare ingredients that are harsh or drying, and to opt for soothing products free from fragrances and colourants. Dryness and dehydration Hormone changes may cause skin to lose elasticity and moisture, which is why dry skin is a common concern during pregnancy. Replenish moisture by drinking plenty of water and by applying moisturising products containing hydrating and moisturising ingredients like hyaluronic acid. Ingredients to avoid: Some ingredients used in certain skincare products may be harmful to your baby, so it’s important to reconsider your skincare regime as soon as you find out you’re pregnant (or if you’re trying to conceive). Avoid products with high caffeine content, retinol (vitamin A) and salicylic acid, especially during the first trimester. It’s important to avoid any prescription skincare products during pregnancy as these may be harmful to your baby. Professional treatments like Botulinum Toxin injections, filler, laser and certain chemical peels are also not recommended during pregnancy, however, there are plenty of pregnancy-safe facials available. Speak to your doctor or healthcare professional if you’re uncertain as to which products are safe. Ingredients you may use: Hyaluronic acid is considered the best ingredient for dry and dehydrated skins and it is safe to apply during pregnancy. Natural ingredients like tea tree oil, aloe vera, coconut oil etc are also safe. UVB ray blockers like zinc and titanium are safe and are a must to help prevent darkening of hyperpigmentation. Pregnancy-safe skincare Biomedical Emporium’s trusted Maternology range is a scientifically formulated skincare range suitable from pre-conception to Mom-to-be. This range is simplistic, easy and safe to use. The ingredients are rich in vitamins and minerals and covers a wide array of gentle and effective ingredients to treat your skin optimally when trying to conceive as well as during pregnancy. The Maternology range will assist to control skin concerns associated with pregnancy such as pigmentation, acne and severe sensitivity. Try this trusted 3-step daily skincare regime and enjoy healthy skin throughout your pregnancy: Biomedical Emporium Maternology Cleanse (R274.00) Offering deep cleansing and mild exfoliation, this cleanser gently unclogs pores while soothing and calming skin. Biomedical Emporium Maternology Skin Stabilising Serum (R1060) This skin-calming serum helps smoothe fine lines and wrinkles while preventing and diminishing hormonal pigmentation. Biomedical Emporium Maternology Nutri-Hydro Day SPF30 (R1233.00) This is a sunscreen moisturiser suitable for moms-to-be, that prevents photo-ageing, controls the skin’s oil production and reduces redness caused by UV radiation. Biomedical Emporium Maternology Nutri-Hydro Night Therapy (R1200.00) This night cream provides cellular hydration to help combat dryness, rebalances the biodiversity of the skin and restores to skin barrier. Whether you’re loving your pregnancy skin or facing skincare challenges, it’s important to stick to all the skincare basics you knew before you were expecting: maintain a suitable skincare regime twice a day, never go to bed with makeup on, change your pillowcase regularly, disinfect your cellphone regularly, drink lots of water, eat fresh and unprocessed foods, try not to touch your face and remember to apply SPF every day. If in doubt about your skincare, or if you’re struggling to combat any of the concerns you’re faced with, make an appointment with your healthcare practitioner. About Dr Judey Pretorius Dr Judey Pretorius is a highly accomplished Biomedical Scientist and product development specialist with substantial experience in the disciplines of acute, chronic and post-surgical wound healing, regenerative medicine and cell therapy. She holds a Master’s degree in Genetics and Molecular Biology followed

June 23, 2023

What is HELLP?

Pregnancy and the arrival of a new baby is a time of great excitement and joy for expectant parents. However, occasionally there can be complications, which is why pregnant moms should have regular health checks and be aware of any unusual symptoms that may develop. Over the past few years, there has been discussion around a condition known as HELLP Syndrome. It’s a life-threatening complication in pregnancy that can be difficult to diagnose. We reached out to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund and his clinical team, to get some answers and advice about HELLP. What is HELLP Syndrome? HELLP (Haemolysis, Elevated Liver enzymes, Low Platelet count) Syndrome usually develops before the 37th week of pregnancy but can occur shortly after delivery. It’s a serious complication that affects the blood and liver. H = Haemolysis is the breakdown of red blood cells that carry oxygen from lungs to the rest of the body. EL= Elevated liver enzymes. High levels of these chemicals in the blood can be a sign of liver problems. LP = Low platelet count. Platelets are little fragments of blood cells that help with blood clotting. A low platelet count can lead to serious bleeding. What causes HELLP? ‘We don’t know what causes HELLP syndrome,’ says Dr Mkhatshwa, ‘however, you are at risk if you have pre-eclampsia or eclampsia.’ About 1 to 2 in 10 pregnant women (10 to 20 percent) with pre-eclampsia or eclampsia develop HELLP. Pre-eclampsia is caused by high blood pressure. It usually starts after the 20th week of pregnancy or giving birth. Eclampsia is when pre-eclampsia is uncontrolled and causes seizures. Many women are diagnosed with pre-eclampsia before they have HELLP which is a more severe form of pre-eclampsia. What are the symptoms / signs of HELLP? You may feel tired, have pain in the upper right part of the belly, bad headaches and nausea or vomiting. You may also experience swelling, especially of the face and hands and blurry vision. Some women develop HELLP suddenly, without having any signs or symptoms. If you have any signs of HELLP Syndrome, call your medical practitioner, emergency services or go to a hospital emergency room for medical care right away. How is HELLP diagnosed? To find out if you have HELLP Syndrome, your healthcare provider will do a physical exam to check for: Belly pain or soreness, especially in the upper right side An enlarged liver High blood pressure Swelling in your legs Other tests could include: Blood tests to check your liver enzyme levels, lactate dehydrogenase and full blood and platelet count with a peripheral smear Urinalysis to check for protein in the urine A CT scan to see if there’s bleeding in your liver Non-stress test or ultrasound to check your baby’s health. A non-stress test checks your baby’s heart rate, in the womb, to see how the heart rate changes when your baby moves. This test is to make sure your baby’s getting enough oxygen. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb Is HELLP painful? Symptoms of HELLP include serious pain just below the ribs, or the upper right side of the chest area (where the liver is), shoulder pain or pain when breathing. How is HELLP treated? You may be given medication to control your blood pressure and prevent seizures or you may require a blood transfusion to treat anaemia and low platelet levels. Early birth may be necessary because HELLP complications can get worse and harm both you and your baby – either through an induced labour or by C-Section depending on the health assessment results of the baby. How does it impact the baby? Infants born to mothers with HELLP Syndrome may have a variety of birth injuries: Intrauterine growth restriction (IUGR) or severe respiratory distress. Are there long term effects of HELLP? A history of HELLP Syndrome means you are at increased risk for recurrent pre-eclampsia and HELLP Syndrome as well as increased long-term morbidities, particularly depression and chronic hypertension. Can HELLP develop after childbirth? Yes, up to 30% of all patients who develop HELLP Syndrome do so after giving birth, typically within 48 hours. Can I have another baby after HELLP syndrome? If you had HELLP in a previous pregnancy, regardless of the time of onset, you have a greater risk for developing it in future pregnancies. ‘The condition is serious but rare’, stresses Dr Mkhatshwa. ‘Throughout your pregnancy it’s important to understand the changes your body is going through and to discuss any unusual pain or symptoms with your medical practitioner. This will ensure you receive the right help especially if you develop a complication and make the pregnancy and birth the joyous event it should be!’

June 22, 2023

Dealing with anxiety during pregnancy

Pregnancy can be a very happy and exciting time of your life, however, it can also be a time that is very difficult for some expecting moms. This is often made more difficult by the fact that many family and friends expect you to be thrilled, and conflicting emotions are often surrounded by guilt. Your mental health is important, and you shouldn’t expect yourself to snap out of it, or soldier on alone. What is anxiety during pregnancy? It’s natural for an expecting mom to have worries, this is a new and ever-changing part of your life. However, if your anxiety is ever-present, can’t be controlled easily and impact on your daily life it may be time to seek help. Worrying is part of being human, and if you have struggled to conceive or have lost a baby before, it’s very understandable that you may worry about your baby’s health. You may also worry about whether you’ll be a good parent or how your family dynamic will change, and these are all normal worries. But if you find your heart racing, your breathing shallow, obsessively worrying with racing thoughts, feeling restless or struggling to eat or sleep you may have anxiety. Anxiety in pregnancy is fairly normal, and you’re more likely to experience it if you’ve had anxiety in the past, have a high-risk pregnancy or are dealing with huge life stresses. What can I do about it? If you think you may have anxiety during your pregnancy, know that you are not alone or abnormal, as many expecting moms have experienced this. If you’re struggling, the best way forward is not put up with it, but to seek help. Speaking to a psychologist is a good way to start dealing with why you are suffering from anxiety and how you can deal with it. Medication during pregnancy can be tricky but are an option if they’ll benefit you and your babies well being. Staying active, eating healthy and trying to get enough sleep are also ways in which you can help yourself. Talking to others that have gone through pregnancy, or making sure that you rely on your family and partner for support are also ways in which you cope with your feelings and feel less isolated.

June 8, 2023

Your Guide To Hiring a Nanny Through an Agency

Hiring a nanny is a big deal with many factors to consider. A key decision is whether to hire a nanny through an agency or on your own. Not hiring an agency means you’ll have to do all the legwork yourself which can be time-consuming and difficult, especially if you don’t know where to start. Using an agency can be a great way to find a nanny who meets your specific needs. The process of hiring a nanny through an agency can be a little bit daunting; However it’s worth it to have the peace of mind that comes with knowing that you’re hiring a qualified and experienced nanny who has been vetted by an experienced agency. Agencies can also provide support after the nanny is hired, such as addressing any concerns or replacing the nanny if things go wrong. Common Nanny Types Live-in nannies live with the family they work for full time. They are typically available 24/7 and can provide a high level of care for children. Live-out nannies do not live with the family they work for full time. They work a set number of hours per week and are not available overnight. Part-time nannies provide their services occasionally. Night nannies only work overnight to care for children. They can help with night feedings or diaper changes. Special skills nannies have skills or qualifications such as CPR training, first aid training, or experience with children with special needs Choosing the Right Nanny When choosing a nanny, it is important to consider your family’s needs and preferences such as: The age of your children. You may need a nanny with experience caring for infants or toddlers. Your family’s schedule. You may need a nanny who is available to work long hours or who can work nights or weekends. Your budget. The cost of nannies can vary depending on their experience, qualifications, and the number of hours they work. Your family’s values. You may want to choose a nanny who shares your religious beliefs. Interviews The aim of an interview is to ensure that the candidate is a good fit for your family. Interviews can take place telephonically, face-face or as a trial day. Be sure to ask questions about their experience, qualifications, childcare philosophy and availability. Using the Find Your Nanny Agency FindYourNanny is a South African agency that has helped over 3000 families find their dream nannies. The FindYourNanny hiring process is simple and straightforward: Go to www.findyournanny.co.za and select a nanny type and placement package to suit your needs. Complete the online registration form and pay the once off registration fees. FindYourNanny will send you candidate profiles including experience and references. Select candidates to interview. Make an offer to the nanny you want to hire. Pay the placement fee for your chosen package. Onboard your nanny and provide them with information about your family, your expectations, and your house rules. You can contact FindYourNanny on hello@findyournanny.co.za.

June 6, 2023

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