Babys and Beyond Volume 8: June - September 2020 by Media Xpose

VOLUME 8

INSIDE: FEATURES | COMPETITIONS | KICKS FOR KIDS | RECIPES

www.babysandbeyond.co.za

Sue Duminy SUPER MOM!

COVI D-1

MEN

TAL H E

TIPS

ALTH

Her secrets to being an all-rounder

BOREDOM-BUSTING GAMES to keep kids entertained

June − August 2020 R29.90 Incl. VAT

WINTER

� Immune-boosting recipes � Fight colds with buchu � Do’s and don’ts to keep weight off

ed’s note For me, COVID-19 is one of the worst experiences of the century. Even though some of us are back at work, it is still a very daunting experience to see the daily increase in infections and deaths. Selfdiscipline is important to ensure that you keep yourself, family and co-workers safe by practicing good hygiene and social distancing.

Elro y van

r Heerden, Edito

ith winter upon us, we need to be more cautious to avoid panic when common ﬂu symptoms arise. In this edition we share healthy immune boosting recipes and games to keep children entertained while in lockdown at home.

With schools opening up in phases, I have noticed on social media that many parents are still not prepared to send their children back to school, which I understand as this pandemic is a big scare and causes a lot of panic for many. We need to be extra cautious, but at the end of the day children will be children, regardless of how much we educate them on hygiene and social distancing. In my opinion, the opening up of schools is not the right move as we haven’t reached the peak of the pandemic yet. But also, can we afford to waste an academic year? On the other hand, many children do not have the necessary resources at home to attend virtual classes. It is a real catch-22 situation. For some of us the lockdown did us well with regard to lifestyle changes. However, at the same time the lockdown has done a lot of harm in terms of mental health and increased levels of domestic violence. This pandemic will remain with many of us for years to come, especially with the ﬁnancial strain it has placed on many households. Some of us were just not lucky enough to earn full salaries while working remotely. Remember to keep safe, stay warm, sanitise regularly and practice social distancing at all times. Best wishes,

Elroy

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Contents COVER STORY

Sue Duminy 14

FEATURES

How do SA kids see #coronavirus in a TikTok and Instagram-based world 18 Photo hacks to stay on top of your child’s memories 24 Pocket money 26 Year of the nurse 28 How to maintain a positive learning environment at home during lockdown 32 COVID-19 is taking its toll on SA’s mental health 34

PREGNANCY

Have a healthy pregnancy with these hints and tips

CHILDBIRTH

Birth defects 40

NEWBORNS

The stork has landed

CHILD DEVELOPMENT

Helping your child deal with common childhood fears 44

PARENTING

Top tips for parents

Do’s and don’ts to keep the weight off this winter 54 Take kid’s worries to heart 56 Endometriosis 58 Eating disorders—the silent killer 62 Fight colds and viruses with buchu 68 Food intolerance testing 70

NUTRITION

The importance of having breakfast Nutrition during pregnancy

76 78

PLAYTIME

Sustainable ideas to keep your kids entertained during lockdown 82 Top tips for making the most of playtime during lockdown 86

REGULARS

Snippets 8 Family fun 84 Recipes 72 Kicks for kids 88 DIY arts & crafts 90 Book reviews 94 Competitions 95

EDITOR’S CHOICE

DENTAL HEALTH

Tooth decay: causes, symptoms, diagnosis, treatment and prevention

HEALTH

Baby 22 Beauty 36 Health 66 Decor 80

A blocked nose

can be very upsetting mylan

Use DriNasal for relief of nasal congestion due to: • The common cold • Sinusitis • Allergic rhinitis • Hay fever

For children up to the age of

SS 14152

6 years.

S1 DRINASAL PAEDIATRIC 0,025 % (Drops and Metered Spray). Reg. No.: 27/16.1/0390. Each 1 ml of the solution contains Oxymetazoline hydrochloride 0,25 mg. Preservative: Benzalkonium chloride 0,015% m/v. For full prescribing information, refer to the Professional Information approved by the Regulatory Authority. Oxymetazoline hydrochloride 0,25 mg

www.drinasal.co.za

Marketed by Mylan (Pty) Ltd. For XIXIA Pharmaceuticals (Pty) Ltd. Reg. No.: 1991/003162/07. 4 Brewery Street, Isando, Kempton Park, 1600. Tel: (011) 451 1300 Fax: (011) 451 1400 www.mylansa.co.za M2823 Sep 19

VOLUME 8

INSIDE: FEATURES | COMPETITIONS | KICKS FOR KIDS | RECIPES

www.babysandbeyond.co.za

Volume 7

BOREDOM-BUSTING GAMES to keep kids entertained.

VolUME 7

Her secrets to being an all-rounder

INSIDE: FEatUrES C CoMpEtItIoNS KICKS For KIDS rECIpES Baby’s and BeyondTM

Sue Duminy SUPER MOM!

a family lifestyle magazine

OVID

ME TAL H -19 a family lifestyle N magazine EALT H

TIPS

andbeyond

babysandbeyond

@babysandbeyon

www.babysandbeyond.co.za

June − August 2020 R29.90 Incl. VAT

WINTER

� Immune-boosting recipes � Fight colds with Buchu � Do’s and don’ts to keep weight off

Pictures: 123f.com | Pexels.com | Unsplash.com

Editor: Elroy van Heerden editor@babysandbeyond.co.za

Editor’s Assistant: Social Media and Digital Manager: Wadoeda Adams wadoeda@mediaxpose.co.za Sasha-Jade Burgess digital@mediaxpose.co.za

Breastfeeding

a premature Media Assistant: babySocial successfully

Mom’s Editor’s Assistant: Wadoeda Adams wadoeda@mediaxpose.co.za emotional Sub-Editor: Al Geyer al@mediaxpose.co.za www.babysandbeyond.co.za

Graphic Designer: Geoffry Tyler artwork1@mediaxpose.co.za Editorial Contributors: Sue Duminy Dean McCoubrey John Luis Abdurahmaan Kenny Gert Coetzee Prof Andre Venter Reabetsoe Buys Prof Nadia Mohamed Dr Craig Peck Ilse de Beer Dr Gary Groenewald Prof Christopher Paul Szabo Prof Corinna May Walsh Dr Jacqueline Harding

Melanie Taylor artwork@mediaxpose.co.za

Help your child Editorial Contributors: Distribution and Subscriptions: Professor Andre Venter discover their passion Shihaam Adams distribution@mediaxpose.co.za Don Dinnematin Shannon McLaughlin

Chief Financial Officer: Despina Senatore Vanessa Elizabeth Booysen Shaun Mays accounts@mediaxpose.co.za

DaD time

Photographer: Keith Dinnematin Cover Art: The Don Father Family

ENTER TO

Win!

Advertising Sales: Allison Davids allison@babysandbeyond.co.za Lorraine Beneke lorraine@babysandbeyond.co.za Jo Ryklief jo@babysandbeyond.co.za

Ad Traffic Controller: Kyla van Heerden social@mediaxpose.co.za

health is important

Ad Traffic Controller: March – May 2020 Melanie Taylor artwork@mediaxpose.co.za r29.90 Incl. Vat

Copy Editor: Tessa O’Hara tessa.ohara@gmail.com

Vicki Scott Cindy Glass Receptionist: Helene Vermaak Saleem Sonday Daniela Daniels receptionist@mediaxpose.co.za Johno Meintjes Dr Bavi Vythilingum Joe Swart

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Design and Layout: , a division of Novus Holdings CDC Design carla@cdcdesign.co.za

Published by:

Advertising Sales: Allison Davids allison@babysandbeyond.co.za Jo Ryklief jo@babysandbeyond.co.za Lorraine Beneke lorraine@babysandbeyond.co.za

SMS the word

TILLAJACOB

Social Media and Digital Manager: Sasha-Jade Burgess digital@mediaxpose.co.za and your email Crescent, addressParklands,Social 6 Carlton 7441 Media Assistant: Tel:and 021 424 3625 to 33903 stand a Fax: 086 544 Kyla5217 van Heerden social@mediaxpose.co.za E-mail: info@babysandbeyond.co.za chanceto win a hamper Distribution and Subscriptions Manager: www.mediaxpose.co.za valued Website: at R2 300 Shihaam Gyer distribution@mediaxpose.co.za

Partnerships: Disclaimer: The views expressed in Media this publication are not necessarily those of the publisher maurisha@mediaxpose.co.za Niewenhuys or its agents. While every effort hasMaurisha been made to ensure the accuracy of the information published, the publisher does not accept responsibility for any error Chief Financial Officer: or omission contained herein. Consequently, no person connected the publication of this journal will be liable Shaun with Mays accounts@mediaxpose.co.za for any loss or damage sustained by any reader as a result of action following statements or Receptionist: opinions expressed herein. The publisher will give consideration to all material submitted, but Daniela Daniels does not take responsibility for damage or its safe return. receptionist@mediaxpose.co.za Retail Distribution: RNA Distributors

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, a division of Novus Holding

Online Delivery for Bionase and UTI-X www.pharmaonline.co.za

Available through Dischem, independant pharmacies and online

ble online a il a v a s t c Produ stores and at Dischem armacies. nt ph independa t ies, contac ir u q n e ll a For 940 083 357 8

snippets Vital Baby 2 in 1 Combination Steriliser

R390.25, available at Clicks, Babies R Us and Takealot • Time with your baby is precious. The vital baby® NURTURE™ 2 in 1 combination steriliser is designed to make the sterilising process as quick and simple as possible. • The vital baby® NURTURE™ 2 in 1 combination steriliser has been designed to give you ultimate convenience and peace of mind, killing 99.9% bacteria to keep your baby healthy and happy. This microwave and cold water steriliser combination offers total flexibility depending on your needs. • It keeps contents sterile for a full 24 hours when the lid is kept closed. This is really useful, so you can always have a sterile bottle close to hand. You can choose to sterilise in either the microwave with only water using steam for a chemical-free clean, or use the cold water method with sterilising solution added.

• The large capacity holds up to 4 wide neck bottles, teats, collars, caps and tongs. This steriliser is also suitable for standard neck bottles and accessories such as breast pumps and their components, soothers and teethers.

contents inside the steriliser for 24 hours, but make sure the lid is kept closed for the duration. Ensure you re-assemble items with clean hands or sterilised tongs if you can and always on a clean surface too. The inside of the steriliser lid is perfect for this.

• It can be easily stored in the microwave when not in use and can be easily transported when travelling with your baby. • Sterilising time is just 4 minutes in the microwave (based on an 850W microwave). Why do I need to sterilise? It’s really important to sterilise a baby’s feeding equipment as it helps to protect its developing immune system from potentially harmful bugs and bacteria. To sterilise effectively, you should make sure that all bottles, teats and accessories are disassembled and washed thoroughly with warm soapy water and rinsed before sterilising. You can leave the sterilised

Vital Baby Flexcone Electric Breast Pump

R2 257.20, available at Clicks, Babies R Us and Takealot The vital baby® NURTURE™ flexcone™ electric breast pump together with its very soft silicone breast cup and flexcone™ provide gentle cushioning around your breast and mimics the suckling action of your baby to provide the most natural and effective breast milk expression ever! WHAT MAKES THE vital baby® NURTURE™ flexcone™ electric breast pump SO GOOD? Behaving the same way as your baby would when feeding, the vital baby® NURTURE™ flexcone™ electric breast pump offers a 2-phase expression for the most effective, fast and comfortable way of promoting breastmilk production. Phase 1: Fast, small pulses at first to massage and stimulate the breast to help gently induce milk flow.

Phase 2: Slower and longer pulses to encourage “let down”—the clever natural hormone reaction where your milk will start to flow smoothly. The flexcone™ works by gently squeezing the breast to imitate the natural massaging of your breast, which occurs when your baby is breastfeeding.

• The pump has 9 speed settings in each phase, making the pump perfectly adaptable for every mum’s comfort level. • Ergonomic design is portable and lightweight, perfect for use anywhere. • The pump is supplied with a convenient handle for manual operation.

• Super soft silicone breast cup and flexcone™ provides gentle, comfortable and natural expressing for mum. • Unique soft silicone flexcone™ and cup massages the breast to mimic your baby’s natural sucking action for super comfort and more milk flow. • 2-phase expression promotes milk production by mimicking baby’s natural breastfeeding action. www.babysandbeyond.co.za

snippets New Sunlight Baby Laundry Liquid is gentler than ever before! Introducing NEW Sunlight Baby Laundry Liquid—now available at leading retailers!

s a trusted expert in cleaning, Sunlight understands just how important it is for parents to give their little ones only the gentlest care. From the softness of their sensitive skin, to the captivating baby smell that lingers all through your home. Your bundle of joy has been cared for and protected in the safest environment from before they were born. Why would that stop now? That’s why we’ve created a new Sunlight baby detergent that’s pure and gentle, just like your baby. NEW Sunlight Baby Auto & Handwash Liquid has been put to the test by dermatologists and baby care experts and has 0% dyes and hypoallergenic fragrance, so that it’s soft to touch and gentle on skin. Our new liquid format easily dissolves in the wash, ensuring no product residue on your clothes and leaving them hygienically clean and soft. From the moment you wash your baby’s clothes to the moment they smile, laugh, or take their first step—Sunlight Baby is there for every gentle moment you share.

How does the product differ from the old Sunlight Baby detergent?

• New Sunlight Baby Laundry Liquid is • New Sunlight Baby Laundry Liquid is now available in a liquid format suitable for use on all types of fabric, which dissolves easily in the wash, leaving but if you are concerned about a specific no product residue on your clothes. garment, we advise testing it by using a little on the inside of your fabric first. Is Sunlight Baby safe to use for babies with allergies or skin conditions or Can I use Sunlight Baby to clean my sensitive skin? cloth nappies? • New Sunlight Baby Laundry Liquid has been designed with hypoallergenic fragrance to minimise allergenic potential and has been dermatologically tested by an external institution. However, it is not possible to guarantee that no one will experience a personal sensitivity to an ingredient. We advise those with serious skin conditions and unusually sensitive skin to contact their doctor for advice. Should you observe any reaction, we recommend you stop using it immediately and consult your doctor.

• For an average load, one capful of New Sunlight Baby Laundry Liquid should be enough.

Sunlight Baby Laundry Liquid | Fact Sheet Find out just what makes NEW Sunlight Baby Laundry Liquid as gentle as your baby. We’ve compiled all the facts you need to know!

• New Sunlight Baby Laundry Liquid contains a mix of surfactants which leave clothes hygienically clean.

What makes New Sunlight Baby Laundry Liquid different from other laundry detergents?

• New Sunlight Baby Laundry Liquid contains surfactants which lift the stain from the fabric and carry it away from the surface. For tough stains that are difficult to remove, we recommend applying the product directly to the stained area.

www.babysandbeyond.co.za

• New Sunlight Baby Laundry Liquid can be used on cloth nappies. For best results, we recommend you ensure product is rinsed off thoroughly to avoid any product residue. Can I handwash with Sunlight Baby? • New Sunlight Baby Laundry Liquid can be used in machines as well as for handwash (see back of pack for dosage instructions for both machine and handwash).

How much Sunlight Baby should you use with an average load?

Try it today! NEW Sunlight Laundry Liquid is available in our recyclable bottle for R64.99 (1.5L) from Spar, Checkers, Dis-Chem, Babies R Us, Baby City and Pick n Pay (coming soon to other stores).

• New Sunlight Baby Laundry Liquid is a dermatologically-tested detergent with 0% dyes and hypoallergenic fragrance, so that it cares for your baby’s delicate clothes and is also gentle on skin.

Can I use Sunlight Baby on all types of fabrics?

Does Sunlight Baby leave clothes hygienically clean?

Does Sunlight Baby remove stains from clothes?

snippets Trichotin: multi-nutrient hair supplement Very important: DO NOT use while pregnant

any people pride themselves on having healthy and pristinelooking hair, styling, cutting or colouring it in a multitude of ways to showcase their personalities. Little do most people know, our hair says more than just who we are. In fact, it says a great deal about our overall health. Despite popular opinion, healthy hair is not due to excessive conditioning and shampooing, nor is it due to hair masks or hair treatments, both which tend to burn a hole in our pockets. Having a healthy head of hair is a visible indication of our physical well-being and adequate nutrient intake. Poor hair quality can be traced back to a lack of the correct nutrients within our diet, with effects such as slowed hair growth, hair loss and weakened hair. A single hair has two major components, the root and the strand. The root, considered the “living” part of the hair, lies within a follicle, which receives nutrients in order to nourish the hair. Each strand goes through a cycle of growth and rest, which is initiated by the follicle’s received nutrients. A lack of

these nutrients may stunt the rate of new growth and cause premature hair loss. These nutrient deficiencies come about when the demands on our bodies, such as lifestyle stressors, lack of exercise, incomplete nutrition and environmental factors, take more from us than we can replenish. Since we cannot refuel our bodies properly, our hair and skin tend to indicate the negative effects. We understand that getting every essential nutrient each day may be hard, which is why Trichotin has the perfect solution. Trichotin is a multi-nutrient hair supplement that makes it easier to take care of your body by supplying it with a precise combination of vitamins, amino acids, herbs and minerals. One simple capsule secures 34 ingredients to ensure you are able to give yourself the correct nutrients every day. Our key ingredients are: • Saw Palmetto, Oat Straw, Pygeum and Nettle, which are effective ingredients for minimising hair loss. • An exclusive blend of Pyrodoxine, Kelp, Inositol and select amino acids

form the primary ingredients required to stimulate hair follicles and initiate the process of growth and rejuvenation. Kelp in particular accelerates growth since it contains auxins and cytokinins. These ingredients are more accurately referred to as growth regulators, since they also play an important role in cell metabolism and development. • Cysteine, Zepufa, Sarsaparilla, Thiamine and Biotin are top-end protein builders which improve the quality of hair and skin by supporting cell construction and cellular repair. • Vitamin A, Silica, Choline and Folic Acid prevent keratinisation of the hair follicles and maintain consistent growth. Trichotin is natural, has no side effects, and is just a once-a-day capsule. Treat your body with love and respect by giving it what it needs. Trichotin Hair Regenesis and Trichotin DHT Inhibitor are available at www.fusionlabsonline.com

Trichotin Hair Regenesis: R438

Trichotin DHT Inhibitor (combats the effects of androgenic alopecia): R448

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snippets Sanitise—and don’t forget to moisturise The World Health Organisation (WHO), the South African government and health officials have stated it’s vital we wash our hands thoroughly with soap and water for at least 20 seconds to effectively curb the spread of germs. 99.99% germ protection with an alcohol content of 65%. Annandale adds that hand sanitisers should be used when it makes the most sense, like after touching a door handle or another surface that might carry germs. In fact, the more regularly you use it the more effective it will be.

lcohol-based hand sanitisers that contain at least 60% alcohol can also be used to rid your hands of germs. However, keeping our hands clean can lead to and worsen dry skin. That’s why it’s important to both sanitise and moisturise, explains Clere brand manager, Su-Marie Annandale. Clere, for almost 60 years, has always been a brand that cares. From their “love your beautiful skin” motto to their long-time advocacy of creating a positive body image, Annandale says it was a natural progression for the brand to step up during this crisis we currently find ourselves in. Clere Pure & Protect Instant Hand Sanitiser will cleanse and protect all skin types and provides

The increase in sanitising and washing plus the cooler autumn air we’re currently experiencing means our skin is being stripped of its naturally protective oils at a quicker rate, causing it to dry out. Annandale suggests using a moisturising crème throughout the day to help restore moisture and seal it back into the skin. Clere’s range of crèmes and lotions consist of four unique formulations: Pure Glycerine Crème, Triple Glycerine, Tissue oil, and Pure Glycerine and Glycerine Gel. All four formulations provide 48-hour moisturisation and contain Vitamins E & A which are gentle, yet effective, on dry skin from over-washing and sanitising. Annandale provides the following tips as to how you can keep your hands clean and moisturised:

Leave a small amount of dampness on the skin, and then moisturise to lock in the water. • Crèmes are better than body lotions in this instance because they are more nourishing. Crèmes are more effective after washing hands as they contain what we’d want to add back into the skin, including certain oils such as tissue oil. Carry your own tub of moisturiser with you to avoid spreading germs by sharing with others. • In addition to making a routine out of using hand cream after washing your hands, a humidifier can help keep the air—and your skin—moist. • Apply moisturiser before going to bed. Night time is the perfect opportunity to give your skin a break. Apply a thick crème and wear a pair of cotton gloves to bed. Clere Pure & Protect Instant Hand Sanitiser is available at all leading retailers starting at R24.95. Clere’s range of crèmes and lotions are available at all leading retailers at a cost of R34.99 and R21.99 respectively.

• Once you’ve washed your hands for at least 20 seconds, pat them dry rather than For more from Clere visit: rubbing them, which can irritate the skin. clereafrica ClereAfrica

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CONTACT: 021 424 3625 editor@babysandbeyond.co.za www.babysandbeyond.co.za

snippets Why teaching your baby to drink from a sippy cup is easier than you think If you’re picturing a mini flood when you introduce your baby to a sippy cup, think again. Here are some of the things all parents worry about when it comes to introducing a sippy cup, and the safeguards Philips AVENT has put in place to make sure it all goes smoothly. You’re probably wishing you’d bought a darker couch to hide those baby spills. Philips AVENT’s fix: Okay, so baby spills can happen, but there’s no need to worry with Philips AVENT’s sippy cups. Every cup has a leak-proof design to help save your couch from even the messiest drinker.

one starts using their teeth more you can switch to a hard, bite-resistant spout.

You may also be wondering how to make the big jump from bottle to cup. Philips AVENT’s fix: Babies take around 15 months to complete the transition from bottle to cup, beginning at around 4 months. However, every baby learns at

their own pace. Learning new skills can be overwhelming at first, so Philips AVENT has broken the process down for your little one. First, teach your baby to drink with handles using the sippy cup trainer. Then, when your baby is starting on solids, you can help them learn a new skill: drinking from a spout. A spout requires a bit more finesse than a nipple to draw out liquid. It also supports your baby’s transition from a suckling to a sucking drinking motion, which typically happens around the 6-month mark. To support those first sips, Philips AVENT created a soft spout that’s flexible and soft on gums. When your little

You may well also be thinking “Wow, babies sure do come with a lot of stuff!” Philips AVENT’s fix: A new addition to the family can lead to an, err, fuller life. So

how can you live a simpler life and make sure your baby has everything they need? Philips AVENT sippy cups are designed to be interchangeable. So you can use one

top on multiple bottles and cups—and always find a lid quickly. So, ready to help your little one drink like a grown up? You’re going to ace it.

You might be just a little worried that you’ll lose cups at the same rate you lose baby socks. Philips AVENT’s fix: Things have a way of getting left behind, dropped and discarded when they’re in the hands of your little one. Philips AVENT gets it, so they designed their sippy cups with rippled edges and handles, making them easy for your little one to carry when they’re on the go.

Available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za, and www.babiesafrica.com. Facebook: Babies Africa SA Instagram: @philipsaventsouthafrica

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cover story

SUE DUMINY

Sue Duminy, wife of retired cricketer JP Duminy, is a successful entrepreneur and social media influencer. Together they are raising two beautiful daughters, Isabella (5) and Alexa-Rose (2). We asked Sue about motherhood, work, travel, and how her family is coping during lockdown. Weâ&#x20AC;&#x2122;ve also included Sueâ&#x20AC;&#x2122;s top tips for parents. Read on to learn more about the adorable Duminy family! 14

www.babysandbeyond.co.za

cover story MOTHERHOOD What’s it like being a mom? The ups are very up and the lows are very low. I love everything about motherhood. I never really pictured myself to be a mom. I was always the one avoiding babies and when I did hold them I would look so awkward. So I never really imagined myself being a mom. When I gave birth to Isabella, everything changed (maybe a bit more than I expected). I found myself suffering from postnatal depression. I spoke to my doctor at the time and luckily she helped me with the right medication and soon the days felt better and the nights more manageable. As Isabella grew older and her personality started to blossom, I didn’t want that season of motherhood to end. Then Alexa-Rose came along and motherhood became even more challenging than ever, but so much fun at the same time. It’s really a roller coaster. Some days I need an extra hand and some days I feel like I am wearing a Superwoman cape. Motherhood has taught me so much patience, understanding and not to be afraid to ask for help. I never knew my heart could handle so much love! What advice would you give new moms? Don’t spend too much money on expensive baby accessories (buy quality of course), but rather save that money and use it towards help (if you don’t have a support structure). Maybe a nanny or even a night nurse every now and then to get a good night’s sleep; it does wonders for your emotional and mental wellbeing. Don’t be afraid to ask for help if you feel like things are getting a bit too much. Put your pride in your pocket and reach out to someone. Don’t worry about figuring everything out before the baby comes; no one and nothing can prepare you. Your natural instinct will kick in. Always listen to your inner voice when people offer you advice. You are the mom and only you will know what is best for your baby. What are quick and easy meals for busy working moms? I love one-pot dinners. I mix an array of vegetables in my NutriBullet and use it as a sauce over chicken and rice or mince and potatoes. I also love doing fruit smoothies www.babysandbeyond.co.za

for breakfast. I freeze them in lollipop mounds and pretend I’m giving them “icecream” before school. They love it! WORK What work do you do? A friend and I run a business called Opari. It’s an online shop where we sell high fashion event wear, bridal shoes and accessories (as well as swimwear). I’m also a co-editor for Inspired Women, a platform that helps women with work, relationships, beauty and travel. Finally, I do social media marketing and content creation for various companies and businesses. How do you differentiate yourself from other social media influencers? My aim is to stay real and authentic. Compared to other influencers, you won’t find my Instagram curated and planned according to colours etc. I post as I feel, when I feel, and what I feel in the moment. The last thing I want is another first-time mom or woman looking at my social media and feeling they are falling short because all I ever post is beautiful, styled images with perfect hair and makeup, portraying an unrealistic picture of motherhood. That’s not me. Life is real, life is challenging and I would rather want to share that to support other women. What’s the most rewarding part of your work? I love being creative and coming up with new ideas. With Opari I find it very rewarding when someone falls in love with a dress that makes them feel confident. I think it’s the combination of creativity and making someone else feel special that makes it so rewarding. TRAVEL What’s it like travelling with kids? Isabella was an absolute dream to travel with. Since she was about 8 months we would travel alone internationally without any trouble. I never had a routine with her, which made travelling and adjusting to time zones very easy for me. We

cover story slept when we were tired, ate when we were hungry and played when we were bored (no matter what time zone). When Alexa-Rose came along things changed. She is very challenging to travel with! I always have my mom or mom in-law with me when I travel with her. I feel like I can write a book on travelling with kids. Isabella has nearly 200 international and domestic flights under her belt. So depending on your children and their personalities you either have it easy or challenging. Travelling takes a lot of planning, a lot of patience and a lot of… patience. Did I say “patience” twice? What is your favourite travel destination? My favourite Destinations are India, New Zealand and the Caribbean. I’m a nature lover so anywhere where there are beautiful mountains, fjords, lakes and sounds or white beaches and palm trees. I love India for its unique traditions and humble people. It’s so busy and crazy, yet that is the one place my soul finds the most peace. LOCKDOWN How is your family spending lockdown? We are at home with our extended family, which includes my mom-in-law, sister-inlaw, her fiancé, their son and my brother in-law. It’s a full house and it crazy but so much fun with everyone around. We all have chores and tasks and a daily routine, so it’s going great so far. My brother in-law is a chef we so we are getting properly spoilt. During the day some will work while I take care of home-schooling. In the evenings we will have game nights, karaoke nights or just sit around a fire with a glass of wine and have conversations.

SUE’S TOP TIPS FOR PARENTS • We encourage independence from a young age. We try not to overprotect them, but rather let them learn through trial and error.

more than you succeed, but as long as you are doing it with love it is all that matters.

• Don’t create a dream or goal for your child before you are sure that is what they want to do. So many times we see moms or dads saying our son or daughter will be a doctor or athlete or • Discipline plays a big role in our house, lawyer one day. Don’t put unnecessary so does setting boundaries and following pressure on your child by forcing them through with them. The girls know there into something that is actually your dream. are consequences to their actions and we always make sure we follow through. • If you feel like the pressure of parenting Thus, all of us understand what is is getting too much, speak to your allowed and what is not; there are no partner to help you with a “time-out”. grey areas. The last thing your children want to see is a parent exploding with anger or • Make time for your partner. When you frustration over something small, making have kids things change, so be conscious children think it’s their fault. of deliberately setting time aside to spend quality time together. It’s so easy • As much as we need to check in with our to grow apart when life gets busy and partners and need quality time, so do you’re caught every day in a repeated our kids. Make time to really invest in routine of chaos. them (unhindered quality time) and talk about their feelings and what makes • There is no right and no wrong when it them happy or sad. The majority of the comes to parenting. Do what suits your time naughty kids or strange behaviour schedule and don’t feel irritable or guilty is a cry for attention. when others’ lives look so flawless and organised. Know that you will probably fail

Can you tell us more about what JP’s foundation is doing for the Western Cape communities during this pandemic? There have been a few amazing sponsors who have partnered with the foundation to hand out food parcels to the families involved in the JP21 Foundation. So JP is out and about delivering much needed food parcels to families and providing support where need be.

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How do SA kids see #Coronavirus in a TikTok and Instagram-based world? By Dean McCoubrey

SA’s digital life skills experts offer 7 key tips for parents

As COVID-19 has exploded from a distant reality in South Africa to a global pandemic with increasing local cases of the virus, we can count ourselves lucky to have almost instant access to information, education and updates on the status of disease. However, the sheer volume of information, fact-based or hysteria-driven, can be overwhelming, even for adults. What does this information and adults’ concern look like to our kids, and how are they consuming information on apps like TikTok, Instagram, or Snapchat?

SA’s leading digital life skills expert, Dean McCoubrey, whose company MySociaLife teaches an eight-module social media program in SA schools, explains that the skill of critical thinking—the ability to question what may be true or false, safe or dangerous, right or wrong—is a key life skill in an explosive world of selfpublishing, fake news, and cyberbullying. Consider how much time some teens (and even pre-teens) spend online and then discuss at school, irrespective of whether it may be fake news. Early cases of the virus have seen online hate and memes on some apps towards those with the virus.

Children and teens need to be guided about how to choose what content they consume about the disease, in addition to ongoing engagement with the adults they trust. Schools and parents often overlook the source of their children’s news. “We’ve got more access to information about COVID-19 thanks to the internet and social media than we’ve had for any other global epidemics such as SARS, MERS and the various Ebola outbreaks, which is helping to manage and treat it” McCoubrey says. www.babysandbeyond.co.za

feature 1. Equip yourself with information from together is how diseases like COVID-19 trusted resources, like UNICEF, the are overcome. World Health Organisation, the US Centre for Disease Control, 7. Keep the conversation going. and the South African Department COVID-19 is here for a while, so of Health. Explain that many other consistency is essential. Challenges sources are less reliable and check the provide opportunities to educate, so date of articles and authors—are they do some online research on resources credible, or does the headline and image that you’ve identified as trustworthy and look like fearmongering “clickbait”? discuss developments regularly and openly. 2. Keep calm where possible, because children pick up on their parents’ emotions and are more likely to panic if their parents are doing so. 3. Ask your children what they’ve heard about COVID-19, and answer as many of their questions in age-appropriate ways as you can. If you don’t know the answer to a question, use the opportunity to research it on trusted resources together. 4. Co-create a plan of action—it helps them feel like they’re in control. Teach them the steps that they can take to protect themselves and others, including washing hands frequently with soap or an alcohol-based hand-rub, covering their mouth when sneezing or coughing (or coughing into their elbow), avoiding sick people, and alerting adults if they feel sick so that medical attention can be sought.

“The challenge with social media is that it can magnify our herd mentality. And anyone and everyone can publish information which may be untrue or negative in a bid to get traction. In the middle of this are our children, who have yet to develop the ability to discern fake news from important facts and can become overwhelmed or anxious if they are exposed to the wrong information.” There are a number of steps that parents can take to reassure children, discuss the implications of the disease, and equip them to self-manage their access to information. These include: www.babysandbeyond.co.za

“Because we teach eight hours of life online to thousands of kids every year, we are closer to understanding how teens and tweens consume content online, interpret what they see and read, and how it impacts them (both positively and negatively). MySociaLife’s ‘Digital Life Skills Program’ equips children with the skills they need to be responsible digital citizens who can discern fake news from real news, explains the effect of cyberbullying, shows how to protect privacy and reputation online, and describes how our mind and body react to what we see, which can cause mental health issues,” says McCoubrey.

“As devices become increasingly ubiquitous, the issue is becoming less about policing children’s screen time or access to digital content, because they’ll find a way to get online. It’s more about equipping them to think critically about the information they read, so that they can participate actively in their media 5. Share the facts to help them gain an consumption, rather than accepting understanding of the role everything that they read as the truth,” that they play in society. For example, he adds. “Once they have that distance research shows that very few children to question what happens online, we get sick or die from the virus, which can teach them about other key topics may make them feel invincible. like respect, empathy, resilience and However, remind them that responsible publishing. In one sense they they can carry the virus and share it need a digital values system to call on, but with people who are vulnerable, like you can’t find that in a curriculum here in their grandparents. our country. That’s why we developed our own with a global entity, resulting in eight 6. Talk about the social implications of 60-minute sessions to unpack it carefully. the disease and remind children that Schools need the help. And, so do many the disease doesn’t care what the people parents—it’s a complex world out there,” it infects look like—and that there’s McCoubrey concludes. no basis for stigmatising any population group because of the disease. Remind them that everybody is looking out for one another and working

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Meet Dean McCoubrey, Founder of MySociaLife.com, an education company that offers Digital Citizenship Programs in corporates and schools (Grade 4 to 11 learners). The topics include selfesteem, privacy, bullying, sexuality online, reputation management, empathy online, and more. MySociaLife exploded onto the school scene in 2018, offering a term-by-term “Digital Citizenship” program (not a single ad hoc presentation) to raise student, parent and teacher Digital Quotient (DQ). The program covers emotional and mental health, the brain and body, cyberbullying, sexuality, privacy, security, digital footprint, and empathy online.

Self-image One of the reasons why social and digital media can be so tricky is that it has the ability to shift our self-esteem. When we use phones or computers online, ultimately the subconscious mind can jump to a comparison, perhaps where or how or who I should be, and this, in turn, creates some aspect of self-analysis. Described as a “toxic mirror” (for some), this can eventually result in self-esteem issues, or deeper selfworth questions, which can be the catalyst for disorders like anxiety, depression or body disorders. These issues are not due solely to social media; there are many factors including our experiences in the past or our upbringing, but when ongoing comparison is multiplied thousands of times via many social interactions (let’s call them snapshot moments of someone else’s life), you can imagine how our self-esteem can rapidly plunge amidst the wrong social influences. A quote from author Steven Furtick explains it well: “The problem for children—and actually for adults as well—is that the reason we struggle with insecurity is that we compare our ‘behind-the-scenes’ with everyone else’s highlight reel.”

Customised to each audience group (schools, colleges, parents, teachers and psychologists), the content is driven by local experts in every topic, guaranteeing fresh and relevant insights from experts. Tech is changing the world in so many positive, life-changing, fun, creative, and philanthropic ways. But for some adults and kids, dependent on their make-up as a human being, it has to be used a little more carefully, like learning to drive a car or drink a glass of wine. If we set ourselves loose like a wild horse, it’s quite hard to rein ourselves in before long—such is the nature of our habits. Website: www. mysocialife.com

Behavioural patterns There are many reasons why we can develop behavioural problems. These can be a consequence or response to something that happens to us or something we see or feel. As a route of escape we adopt another behaviour to distract us (or provide a different feeling), and we hide the discomfort. Consider how many obsessive or compulsive behaviours form as a means of safety or distraction. Again, this is not the case for every individual as these traits may be genetic, but consider gambling, food, drugs, nicotine, etc. In other cases, it can be due to a physical or chemical response. We activate chemicals (like dopamine) in our brain from our interaction on games and social media (the rewards of achieving tasks or being liked), and we want more of it so it brings us back again and again. Withdrawal is less appealing and so we play on or come back time and again. Parenting Our kids have taken up devices, gaming and social media at an astounding rate, with most principals, teachers and parents understandably lagging behind. In this explosion over the last decade, teens and www.babysandbeyond.co.za

feature tweens have stumbled into situations and content which put their physical and emotional health, and future potential, at risk. What schools and parents are asking for is real industry expertise in this area, instead of struggling with limited resources and just a handful of great educators. One of the most common things we hear from parents are “What am I meant to do?” and “Where do I possibly start?” The solution? Parents and schools will need a partner that will bring the latest findings from some of the country’s finest minds regarding critical thinking online, cognitive therapy, neuroscience, security, and reputation management to illustrate (slowly and carefully) what to watch out for. From that base, when relevant content is shared frequently, term-by-term and over time, a real impact can be made. With awareness comes the opportunity for better choice. Education creates the springboard to excel online, but only if the ground rules are rooted and firm. These are difficult truths; I can vouch for that as an educator and a parent. Sometimes people get frustrated with this message. Ignore this post if it doesn’t resonate with you; it’s totally understandable. For the most part though, a parent feels that responsibility to solve this problem. But the truth is that it’s a three-pronged approach. The solution—the way we see

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it at MySociaLife.com— is an in-school program that unfolds over time, allowing for a frequent and repeated message, which builds the case for healthy online awareness and behaviour. Why? Because when we deliver our parent seminars, sadly only a third of parents turn up. But when the school hosts it, all students (your kids) have to turn up, and then parents are offered the option too of an evening seminar. Even teachers, your child’s custodians during the day, are trained. One host institution, but three audiences. End result? All parties uniting to share the load from a steady stream of researched information, supported by experts in each field, which provide clarity and tactics to the ever-evolving beast that is the internet. It’s time for change, and we have to ask for it. Mental health There are a number of reasons why mental health can be associated with online usage, but as yet many researchers are unwilling to propose that there is enough conclusive data. The smartphone is still young after all. But there are a number of ways smart devices and social media can affect us. For example, overuse, disconnection from real-world relationships, anxiety about what we have seen or experienced online, and finally, self-esteem and body issues from overexposure and comparison. Aside

from working with a specialist on this, you have to limit the exposure if it doesn’t make you feel good. And only you will know that. Being online brings excitement and community, but it can also be stressful and depressing; we need to accept that too much use may not suit us personally. More physical contact and outdoor or creative time is perhaps a better alternative. Career When a reputation is tarnished it can cause lasting damage to a career. So, protect what you say and show online, keep settings private, and consider a brief pause before publishing your thoughts. There are lots of ways people interpret what you say from their own lens; something innocent can be taken the wrong way. That leads to a backlash which can cause problems at home, with friends or at work. What do we do to protect a child’s reputation? On the flip side, the internet and social media offers useful platforms for people to promote and share positive messages. It’s a question of asking yourself what you use devices for and what your approach is in your communication, and your own set of values about what you will broadcast. Figure out what your digital identity is (how you present yourself online) and once you know this, you can proceed with the type of content you will share.

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photo hacks to stay on top of your child ’s memories

When your little one is born, you’re attached to your phone or camera capturing as many of the moments as possible. Not much changes as the years pass, and soon you’re inundated with an overflowing digital album filled with birthdays, the start of the school year, funny moments in the park and precious sleepy shots in the back of the car. 24

hoto printing experts, Nifty250.co.za, offer up a few hacks to stay on top of your child’s memories, be they captured or created:

1. A year at a time In a time when we’re taking more photographs than we could ever hope to print, it’s sometimes good to take stock of the year passed and highlight the great memories. Take a moment to sift through the endless selfies to find the images that really captured your family’s happiness over the past 12 months. Print and slip

them into an album. Your kids will thank you one day as they page through their collective childhood joy. 2. String it While photobooks and albums are neat and take up minimal space on the bookshelf, you might prefer to see your amazing memories every day. Source artwork frames from vintage www.babysandbeyond.co.za

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stores or wooden craftsmen and remove the glass and backing. Using a pinboard pin, pin a piece of string across the width of the frame, securing it on the side facing the wall. Find yourself some stylish pegs and create a customised wall feature using your own polaroids as the content. Print them over at Nifty250.co.za—the best part is that the site links with your social feeds to make selecting your images a breeze.

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3. Celebrate your mini Picasso If you’re a parent, you’re well accustomed to the piles of artwork that arrive home with your offspring in their early school years. You’re overwhelmed with how much your little one has developed, and while you lovingly admire their handiwork, the thought of storing it sends chills down your spine. Technology has the solution. Take a snap of each art piece as it arrives home and create orderly collages of the

art for each year or every couple of school years. Voila! Tidy and gorgeous frameable memories that don’t fill your cupboards. Visit www.nifty250.co.za for many more ideas on how to remember the best moments now passed.

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Pocket Money Top tip: Let them earn their pocket money by doing chores in and around the house. This includes making their own bed, cleaning up their rooms, washing dishes, taking the trash out, cleaning the garden, washing dad or mom’s car, offering dinner ideas and other daily tasks. 1. Start saving habits from a very young age. 2. Let them create their own piggy banks or money bags for fun. 3. Get them to save first, before they spend—this will build a key financial habit.

7. Help them open an interest-bearing account and let them deposit their savings. 8. Make the experience memorable and an act of responsibility by letting them do the bank deposits themselves.

4. Pay them for each chore.

9. Let them see their bank statements so they can see how their savings have grown.

5. Allow a much better cash incentive if they do chores as a team—this will encourage them to work well in teams.

10. Give a quarterly or annual reward for the one that has saved the most—this will encourage the others to compete.

6. A valuable lesson is to let them save for what they want, whether it be a new toy or electronic gadget.

“Do not save what is left after spending, but spend what is left after saving”—Warren Buffett www.babysandbeyond.co.za

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Operation Smile South Africa OSSA is a non-profit medical service organisation that provides free cleft lip and cleft palate reconstructive surgery and has—since 2006—seen its medical volunteers provide over 6 000 free surgeries to children and adults throughout southern and central Africa. Every three minutes, a child is born somewhere in the world with a cleft lip or cleft palate; about one in 500 to 750 births. It takes medical volunteers at OSSA as little as 45 minutes to repair a child’s cleft condition, giving them a smile and the chance to live a happy and healthy life. The organisation believes that access to safe, effective and timeous surgical care is a basic human right, and that the inability to obtain surgical treatment for cleft conditions impacts lifelong health and mortality rates among children in South Africa and beyond. Those living with cleft conditions often suffer negative and stigmatic societal treatment resulting in emotional, social and economic costs, which inadvertently extend to their families and communities.

Our h that lo earts go out st the ir lives to all the nu rs due to COVI es D-19

OSSA has the ability to address this need directly by deploying missions across multiple sites in and around South Africa. And by means of a referral programme, the organisation identifies and refers patients to one of the nine existing cleft centres nationwide. The missions also supplement the national healthcare system by delivering much-needed care to the two provinces in South African that do not yet have established cleft centres. “In 2019, OSSA together with the National Department of Health will be embarking on a pilot programme at the Witbank Provincial Hospital to assist in expanding the facility’s surgical services and offering non-surgical education and training programmes that cover Basic Life Support (BLS), Paediatric Advanced Life Support (PALS) and Helping Babies Breathe (HBB),” explains Lauren Bright, Country Manager for Operation Smile South Africa.

support such as access to speech pathology experts, as well as dental and feeding and nutrition programmes. “Surgery only repairs the superficial,” adds Bright. “Rehabilitation post-surgery is vital in order for patients to re-establish their lives within their communities.” “The word ‘surgery’ traditionally carries a lot of weigh; most-associated with exorbitant hospital and doctors’ costs, but in as little as 45 minutes and for just R5 500 one child can receive truly life-changing reconstructive surgery,” says Bright. Those requiring assistance with receiving reconstructive surgery to correct a cleft lip and/or palate can visit the Operation Smile South Africa website (operationsmile.org/content/south-africa), connect on Facebook, Instagram or Twitter, call toll-free on 0800 0 76453, or WhatsApp on 060 855 7971.

The organisation’s involvement further extends into offering patients post-surgery www.babysandbeyond.co.za

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Q&A 1. What is your name? Galima Mobara 2. Where are you from? Cape Town 3. Where do you live and practise? I live in Cape Town and work at a private hospital in the southern suburbs of Cape Town. 4. What is your medical background? Nursing 5. How did you learn of Operation Smile? I was working with a plastic surgeon who introduced me to Operation Smile. 7. How long have you been involved? 11 to 12 years (I started in 2008) 8. Why do you continue to be involved? It is truly a rewarding experience. You can change someone’s life within an hour, especially a child’s life. They can be accepted back into society and return to their academic community and viewed as normal. 9. What drew you to volunteerism in general and Operation Smile specifically? Being healthcare professionals we wanted to do something other than earn money, but utilise our skills and expertise to contribute to society. I am also fortunate to be able to be involved with Operation Smile as much as I am currently, because my children are all grown up, so family life is not that demanding. 10. How many missions have you served on? 20 to 25 missions 11. Are there any missions or patients that stand out in your memory? Please elaborate. There was a mission in Rwanda, Kigali, where I met a lady that was over 70 years old. It really touched my heart when she woke up after surgery and mentioned that she was so excited to go to her village’s social function. She could never go because of how she looked and now she is no longer socially isolated. Education and work experience: • Completed in 1977: Somerset Hospital/ Saleh Dollie Nursing College—Diploma in General Nursing • Completed in 1978: Shipley Maternity Hospital—Diploma in Midwifery • Completed in 1995: University of South Africa—Bachelor degree of Curation • Completed in 2013: University of Cape Town—Master of Nursing Science www.babysandbeyond.co.za

feature Lauren Bright, OSSA Country Manager How important is the role of the nurses to OSSA missions? Nurses play an exceptionally crucial role in the missions. They nurture and attend to patients’ needs before, during and after surgery. The scrub nurses have a pivotal role in surgeries, ensuring that patients’ safety is upheld at every single stage. We have been blessed with the most phenomenal Operation Smile volunteer nurses (pre- and post-recovery room and scrub nurses).

Nurse volunteers all seem to have been working with OSSA for a longtime. Does this familiarity help make missions run smoother? Without a doubt. As part of Operation Smile’s philosophy of building local sustainability, our nurses provide on-site mission skills straining and expertise to local teams. Many of our long-time nurses go on to develop magical relationships with local hospital teams. What do you look for in a nurse volunteer? A passion for making a difference and a heart of gold, coupled with a willingness to adapt to various mission environments and total commitment to patients’ safety at all times

Anything you care to add? Perhaps a first-hand experience whilst on a mission with either Togieda and/or Galima? I was very lucky that I got to share a room with Togieda at a recent mission in Mozambique, and she shared many of her beautiful stories with me about the missions she’s been on. Both Togieda and Galiema share an immense passion and commitment for their mission work over the years. Their unwavering dedication to changing lives is clear for all to see. They are humble, resilient, generous and kind-hearted.

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a lifetime

of smiles

One call is all it takes.

Speak out for those who canâ&#x20AC;&#x2122;t. If you know of a child that is in need of reconstructive surgery, please let us know, we are waiting to hear from you.

Because every child deserves to smile. smilefoundation.co.za | 0861 276 453

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How to maintain a positive learning environment at home during lockdown By John Luis, Head of Academics at ADvTECH Schools

South African families are going through challenging times as most continue to stay at home during the country’s extended lockdown. While it is not yet clear when schools will start to re-open, thousands of learners are working hard to stay on top of their educational journeys, while those parents who can do so are still working from home. External pressures combined with anxiety about the future are taking their toll on parents who are, at the same time, tasked with ensuring their children don’t fall behind. These, and other factors, are exacting an emotional toll on homes during this time, an educational expert says. “The current situation facing those parents who are trying to do their best on the work front to ensure the sustainability of their companies and their livelihoods, while having to oversee their children’s schoolwork is without a doubt extremely stressful, and it is important to take a step back and gain perspective at this time,” says John Luis, Head of Academics at ADvTECH Schools. “It is no easy task to keep children productive and learning at home, while also trying to get your own work done under trying circumstances. But we urge those parents who are ready to throw in the towel, and who quite simply have had enough, to

aim to regain a sense of equilibrium and a positive environment even if it seems impossible right now,” he says. Luis says that ADvTECH, in preparation ahead of lockdown, introduced pastoral care teams at all their schools in recognition of the fact that the current situation would come to pass. “From the start, we were ready and committed to continuing our teaching and learning through our online and distance offering, and recognised that parents and family members would need to support, guide and monitor the learning taking place at home. “But addressing the continuation of the curriculum was only one part of the story. We realised very early that this was going to be an unsettling and uncertain time for everyone concerned, and that we also had to support our parents and learners in the challenges and demands that would accompany this time in addition to the learning aspects. “So we put in place pastoral care teams at each school to help learners, staff and parents maintain a sense of community by maintaining regular contact, and to ensure that we are firstly aware of, and then able

to help them address issues arising during this time. Many of these issues, as flagged by our partner schools abroad who went through lockdown for up to nine weeks before South Africa did, are now being realised in homes across the country.” Luis says despite the fact that public and private schools are all planning and preparing for the return to physical sites, the approach will be phased, which means that many learners outside of the designated first returning grades will still be learning from home for several weeks and even months. “It is very important that the educational journey continues for these learners so that they do not fall behind their peers. But at the same time, the situation needs to be managed in a way that no harm is done do the relationships within the family, as a result of this pressure to continue.” So parents should aim to re-establish a productive yet calm environment even in the face of the challenges of this time, he says. “One way in which this can be achieved is by creating a schedule which allows for both family connection and deep focus

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time. Parents must set the example by demonstrating that while things are different, we can build our resilience muscles. “In the mornings, before children start their work and parents dive into their to-do lists, make the time to connect; read your children a book, get some fresh air, and just be. When the work starts, be realistic. Don’t try to make your average 9-to-5 happen. Structure the day to allow for work-immersion slots, and during this time don’t feel guilty for not engaging directly with your children. Too much screen time is still not advisable, but if it allows the children to decompress while you can apply intense focus to your own

work, it will do more good than harm.” Parents should also dedicate some time to assist their children—and must ensure that they can focus on their child’s needs and learning during this time—without running over their own pending work repeatedly in their minds. “Try to banish your own concerns during this time, and give your child your full attention. It may only be half an hour, but make that half an hour count in terms of connection,” he says. Finally, everyone should have some downtime together during the day,

potentially around lunchtime, he says. “Build up your reserves for the afternoon shift by going offline, taking a tea break, hanging up the washing, and so forth. It is important for parents during this time to look after our own wellbeing and state of mind by actively managing these factors, and not allowing our fears and anxieties to rule our entire days or our interactions with our families. By realising the need, and then ensuring we maintain positive space and connection despite challenging times, we will be better positioned to continue our lives post-lockdown without having to start rebuilding our personal relationships as well.”

Suscribe For a free digital copy of the publication. Visit www.mediaxpose.co.za Facebook: @babysandbeyond Twitter: @babysandbeyond Instagram: @BabysandBeyond www.babysandbeyond.co.za

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COVID-19 is taking its toll on SA’s mental health By Abdurahmaan Kenny

Fear and anxiety have gripped the globe as COVID-19 continues to take its toll on human life, economies and society at large. Experts are becoming increasingly concerned about the psychological effects of the epidemic, particularly on the poor, elderly, children and teens, and frontline healthcare workers.

bdurahmaan Kenny, mental health portfolio manager at Pharma Dynamics, says levels of distress are bound to increase as more South Africans become infected, lose their income and social isolation becomes a way of life beyond the lockdown.

“Equally, parents who are dealing with childcare responsibilities during school closures and work-from-home obligations may experience greater levels of anxiety as they try to juggle it all while taking care of elderly parents and reassuring their children.”

“Vulnerable populations, such as the elderly, those with mental health conditions and pre-existing health concerns are likely to experience higher levels of psychological distress due to the major threat that the outbreak poses to their own personal health.

He says that stress during the outbreak can include fear and concern about one’s own health and the health of loved ones, which is completely normal. More detrimental changes to watch out for include sleeplessness, difficulty concentrating, feelings of hopelessness, suicidal thoughts and worsening of chronic health problems.

“Another high distress category is likely to include the poor who rely on odd jobs to make a living. Staying at home means they cannot provide for themselves or their families. “Doctors and nurses, particularly those at the frontline of the crisis, may experience secondary traumatic stress (STS) reactions—a by-product of working in a traumatic environment.

Those with pre-existing mental health conditions are also encouraged to continue with their treatment. Should their symptoms worsen, they should contact their healthcare provider (remotely if possible). Advice to parents “Arming yourself with the real facts about COVID-19 and the risk that it poses to yourself and your family can make the

outbreak less stressful. If you remain calm and provide reassurance, children will follow your lead. However, teens are likely to be exposed to more communication from friends and social media, which may lead to excessive worry or sadness, unhealthy eating or sleeping habits or acting out. “Keep the lines of communication open between you and your children. Answer questions they may have around COVID-19 based on facts provided by credible organisations such as the World Health Organisation (WHO) or the SA government (sacoronavirus.co.za). Share advice on how to cope with stress and try stick to a routine with educational, fun and relaxing activities to make the days meaningful. “Be a role model to your children. Limit your news coverage of the outbreak to once a day, including social media. Stick to a wholesome routine of your own by getting enough sleep, eating healthily, exercising and connecting with friends and family. Your children will take their cue from you.”

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Supporting frontline responders “Many of our doctors, nurses and other healthcare personnel will be directly involved in the diagnosis, treatment and care of people with COVID-19, which places an extraordinary burden on them both physically and mentally. “It is vital that they remain focused by taking care of their own health in order to continue to respond to the outbreak. “Take regular breaks, eat right, practice deep breathing and relaxation techniques, get enough sleep and work in teams to help ease the burden. Also ensure that childcare, household and pet care responsibilities are in hand while you’re on duty. Communicate with loved ones, even if it’s just once during a shift. Helping those in quarantine “For the 112 people who have been released from quarantine in Polokwane, many of whom have been separated from their families for more than 65 days (first while being in lockdown in China for 51 days and then another 14 days in SA), a range of emotions may follow.

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“These could include feelings of relief, stress from constant monitoring for signs and symptoms, sadness, frustration and even anger. Guilt about not being at home and caring for children or other emotional or mental health challenges may surface. Families should be extra supportive and allow those returning from quarantine time to adjust. “It can also be traumatic being separated from loved ones after testing positive for COVID-19. Remain in contact as much as you can via phone or video calling to provide patients with the love and support they need.” Kenny says knowing how to respond to these challenges when they arise will help you to stay mentally focused while caring for those closest to you. “For now, we need to embrace the new rhythm of life and the chance it gives us to connect with others in different ways.” As a leading provider of central nervous system (CNS) medication for the treatment of depression, anxiety and

bipolar disorders, amongst others, Pharma Dynamics is committed to the mental wellbeing of all South Africans. The company advocates for prevention services, early identification and intervention for those at risk. Those who feel mentally overwhelmed by COVID-19 or experience signs of depression can contact Pharma Dynamics’ toll-free helpline on 0800 205 026, which is operated by trained counsellors who are on call from 8am to 8pm, seven days a week. The call centre is a critical service to the public and is therefore operational during the lockdown. Also visit www.letstalkmh.co.za for additional tips and videos to ensure mental well-being during the lockdown. The public is also being encouraged to share photos and ideas of their own on the platform to help others get through this challenging time.

editorâ&#x20AC;&#x2122;s choice beauty Gentle Care Concentrated Calming Serum R109.99, available at Clicks nationwide

Organic Peace Silk Beauty Cocoons R375.00 (pack of 30), available from www. thesilklady.com and www.faithful-to-nature.co.za Stockistsâ&#x20AC;&#x2122; details at www.thesilklady.com/stockists/

Pure Primal Collagen R395.00, available at www.pureprimalskin.com

KOKO LIP Voltage Chamber Made Lip Plumper R595.00, available at www.ko-ko.co.za

Vani-T Liquid Radiance Highlighter Drops R895.00, available at www.ko-ko.co.za

Lovely in Lace Mood Enhancing Fine Fragrance Body Mist R36.99, available at Clicks nationwide

DW & Co Lash Construct Mascara R375.00, available at www.ko-ko.co.za

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editor’s choice beauty Lamelle Recharge CE R830.00, available at www.lamelle.co.za

Organic Peace Silk Exfoliating Soap R207.00, available at www.thesilklady.com and www.faithful-to-nature.co.za Stockists’ details at www.thesilklady.com/stockists/

Pure Primal UNDER Armor R120.00, available at www.pureprimalskin.com

Set the Tone Dark Spot Corrector R89.99, available at Clicks nationwide

Vani-T Peptide Lift – Anti-aging Crystals R595.00, available at www.ko-ko.co.za

Vani-T Brow Cushion Duo R425.00, available at www.ko-ko.co.za

Vani-T Fibre Lash Mascara Extension Kit R895.00, available at www.ko-ko.co.za www.babysandbeyond.co.za

Beauty

pregnancy

Have a healthy pregnancy with these hints and tips

Gert Coetzee, pharmacist and diet pioneer who founded The Diet Everyone Talks About, says itâ&#x20AC;&#x2122;s important that pregnant women maintain a well-balanced lifestyle. 38

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regnant women who eat well and exercise regularly are less likely to have a complicated pregnancy. Now that you’re eating for two, it’s very important to be mindful of what goes into your body. The first trimester of your pregnancy comes with changes for you and your baby. For your baby, this is a time of physical development and growth. Getting prenatal care in the early stages of your pregnancy increases the chances of having a healthy pregnancy. Having the guidance of an experienced medical professional is beneficial as no two pregnancies are the same. Below are some of the reasons why pregnant women should consider prenatal care: • Helps keep you and your baby’s health intact: Your prenatal visits will help identify any potential health concerns which can be treated when detected early. • See how your baby is growing and developing: During your appointments, your doctor will measure your belly. These measurements will indicate your baby’s physical development and how well he or she is doing in your womb. • Get nutritional information for a healthy diet: Your diet might have to change in order to meet your baby’s nutritional needs. Your doctor will

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pregnancy provide you with information regarding proper nutrition that will keep you and your baby healthy during your pregnancy. • Schedule important tests: Based on your age as well as your medical and family history, your doctor might schedule certain tests for you. These tests will help detect potential health risks that could affect your baby. Moderate exercising is also very good when you’re pregnant. However, don’t start a strenuous exercise routine while pregnant, especially if you haven’t exercised regularly before. Maintaining a regular exercise routine throughout your pregnancy can help you stay healthy, relieve stress, decrease fatigue and ease backaches. Make sure that you speak to your health care provider before starting an exercise programme as he or she can give you medical guidelines. Some of the best exercises to when you’re pregnant include:

• • • •

swimming stationary cycling walking yoga

A pregnant woman’s health is essential to the health and well-being of her baby. Eating a well-balanced diet while pregnant has been linked to a healthy birth weight and good foetal brain development. Here are some superfoods which are great to have when you’re pregnant: Dairy products: Pregnant women need extra protein and calcium which will help meet the needs of

their developing baby. Dairy is the best choice for calcium as it provides various B vitamins, magnesium, zinc and phosphorus. Salmon: Salmon is rich in essential Omega-3 fatty acids which pregnant women need. These Omega-3 fatty acids are important for the eye and brain development of your growing baby. Salmon is also very important for the healthy functioning of the immune system as well as bone health. Legumes: Legumes are foods such as beans, peas, peanuts, lentils and soybeans. These are excellent sources of protein, iron, calcium and folate. Folate is a B vitamin which is important for the health of both the mother and the fetus. It may also reduce the risks of some birth defects and diseases. Whole Grains: Unlike refined carbs, whole grains contain vitamins, fiber, plant compounds and magnesium—all of which pregnant women need. Avocados: Avocados are good for pregnant women as they contain a lot of monounsaturated fatty acids, B vitamins, fiber, vitamin C and vitamin E. Due to their high content in healthy fats, potassium and folate, avocados are great for the fetus as they help with the growth and development of the tissues, skin and brain.

BIRTH DEFECTS

Many birth defects can be prevented and treated World Birth Defects Day (WBDD) is observed on 3 March. Besides the very important aim of improving the health and quality of life of those affected by congenital conditions, one of the main goals of this annual awareness day is to share what is already known about preventing birth defects. There are many types of birth defects, which are also known as congenital anomalies, congenital disorders or congenital conditions. The most common of these severe defects are heart defects, neural tube defects and Down syndrome. Every year an estimated 7.9 million children, 6% of total births worldwide, are born with a serious birth defect. Neural tube defects (NTDs) occur when the spinal cord fails to close properly. The most common neural tube defect is spina bifida, which can occur anywhere along the spine if the neural tube does not close all the way. This can result in the backbone (which protects the spinal cord) not forming and closing as it should. This often causes damage to the spinal cord and nerves. The most serious neural tube defect is anencephaly, which is when a baby is born without a part of its skull and brain. Babies born with anencephaly will eventually die. Fortunately, some congenital disorders can be prevented, particularly neural tube defects.

Folate (vitamin B9) is important for red blood cell formation, growth and function. This nutrient is crucial during early pregnancy to reduce the risk of these birth defects of the brain and spine. The synthetic form of folate is folic acid. There is overwhelming scientific evidence linking an increased intake of synthetic folic acid to a reduced risk of neural tube defects. At least half the cases of neural tube defects could have

been prevented if women consumed sufficient folic acid before conception and during early pregnancy. Some estimates state that consuming enough folic acid, at least 400 micrograms (mcg) per day, can reduce certain birth defects of the brain and spinal cord by more than 70%. Folate is found naturally mainly in dark green leafy vegetables, beans, peas and nuts. Fruits rich in folate include oranges, lemons, bananas, melons and strawberries. Many cereals and pastas are also fortified with folic acid. Taking a prenatal vitamin containing at least 400 micrograms of folic acid daily, ideally starting three months before conception, can help ensure that women get enough of this essential nutrient. A prenatal vitamin such as PregOmega Plus, which is South Africaâ&#x20AC;&#x2122;s No.1 prenatal choice, contains not only 500 micrograms of folic acid, but also added omega 3, calcium, vitamin D and magnesium and other vitamins and minerals. While not all birth defects can be prevented, there are certain things that a woman can do before and during her pregnancy to increase her chances of having a healthy baby. Besides getting 400 micrograms of folic acid every day before falling pregnant, other steps include regular check-ups and prenatal care, not drinking alcohol or taking recreational drugs or smoking, as well as preventing infections. Also, check with a healthcare provider about any medications you are taking or think about taking, whether these are prescription, over-the-counter medications or even herbal. Please remember to speak to a doctor, pharmacist or gynaecologist about what supplements to take before and during pregnancy. Go to https://pregomega.co.za/ for more information. www.babysandbeyond.co.za

Droplet Breast Pump –

Because every drop counts… Where will you be pumping? With the Droplet double electric portable breast pump, you can pump wherever you need to! Don’t change your lifestyle to fit your pump, change your pump to fit your lifestyle. Keep your clothes on – No privacy necessary Pump around co-workers, family and friends Funnel size customisable from 15mm – 28mm* Can be used as a double or single pump Comes with a built in rechargeable Lithium Ion battery Comes with Freemie™ Closed System Collection Cups Has four preprogrammed modes with varying levels per setting We deliver nationwide *When used in conjunction with Fitmie accessories.

Contact: Yolande Meyer on 0725195384 or info@freemiesa.co.za Website: www.freemiesa.co.za

new borns

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new borns Congratulations with the birth of your baby! It does not matter how one looks at it, the arrival of your new baby after nine months (or less) is a life-altering moment. For most of you this would be a moment of intense joy, perhaps some apprehension, and for others (hopefully a minority) a great concern and even a burden. I trust that for you, your baby will be a great source of wonderment, happiness and love and that you will cherish them for the great gift that he or she is.

t’s interesting that new-born babies really only have two needs, namely being fed and soothed. It’s also our responsibility to make them comfortable, keep them warm and protect them. But it’s the two main needs I will discuss briefly. As part of the “First Thousand Days” philosophy, infant feeding is very important. I am sure that you have all heard that “breast is best”. Except in some exceptional cases, this is almost always true. There are three important reasons for this. Firstly, the nutritional contents of mother’s milk are ideally suited to the needs of the growing infant. One of the wonders of breast milk is that the nutritional composition of the milk also changes with the age of the infant and the requirements for growth. This is quite miraculous, but it really depends on the health and nutrition of the mother. Just like pregnant mothers-to-be have to look after themselves during pregnancy, the same is true in the early life of their offspring. The healthier the mother and her diet, the better she would be able to provide adequate nourishment to her baby. This is not the time to endanger your and your baby’s health with alcohol, drugs or smoking. The second important reason to breastfeed is that it sets the stage for your infant’s immunological responses for the rest of its life. Immunological responses refer to the immune system’s reactions against infections and allergens. Allergens are proteins and particles that our immune systems launch an allergic response to. Breastfed babies have far less atopical (allergic) responses in their lifetime than formula fed babies. Through the breast milk you are also providing “good”

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bacteria to your baby’s gut, which is beneficial to combatting allergies and food sensitivities in the future. Lastly, breastfeeding is crucial for the development of the mother-child bond. Breastfeeding creates intimacy and the opportunity to make eye contact. When a baby is born it’s relatively near-sighted, so it can mostly focus only on objects that are close. It’s wonderful that one of these objects is the caring and smiling face of its mother. This is one of the first steps in soothing your baby. Fathers also have a responsibility to provide a loving and stable environment through their commitment and care, which enables mothers to attend to babies in a calmer manner. Unfortunately, for some mothers this wonderful bonding experience during feeding may be delayed or may never happen. Mothers feel this instinctively and it can be a source of worry or even early feelings of depression. Causes of babies not latching to mothers’ breasts include premature birth, brain damage, illness or babies with muscle problems. This can make the feeding experience less fulfilling for mothers and babies. In these cases, do not hesitate to discuss your concern with the health professional that is taking care of you and your baby in early infancy. There could be other reasons why the bonding during breastfeeding may not happen, for example if the baby cannot see well. That is something to explore if everything else appears to be normal. As I already mentioned, babies have a need to be soothed. The reason for this is that babies experience a great deal of anxiety. Would not you also feel anxious if you were thrust into a strange environment

with no way of looking after yourself ? The mother-baby bond is very important to provide the comfort and soothing that will decrease the baby’s anxiety, and plays a role in helping them to grow optimally. Of course, this role does not always have to be fulfilled by the mother. The father could also play a crucial role here (and even the extended family). The secret, however, is that the baby’s needs should be taken care of by mostly one designated person. When babies are born they intuitively understand that they and their mothers are “one being”. In fact they demand that this “other part” of them provides for their every need immediately. That is why babies become distressed when the caregiver does not tend to them immediately. As babies’ eyesight improves and their understanding of the world expands, they begin to realise that they are in fact a separate entity and this causes a lot of anxiety, usually at the age of about 8 months. This is also when they get very upset when picked up by strangers. When this soothing is not provided the baby’s anxiety is not relieved. As some may know, anxiety releases stress hormones like cortisol. If this secretion of stress hormones in infants goes on unchecked, they become toxic to the developing brain, especially the frontal brain. The outcome of this may be symptoms of frontal brain dysregulation when they get older, such as irritability and attention deficit. As parents you have a responsibility to make sure that the baby is adequately fed and soothed right from the beginning. It puts them on the best possible trajectory for physical and emotional health.

child development

Helping your child deal with common childhood fears By Reabetsoe Buys

Watching your child grow is often filled with moments of joy and celebration. Usually parents focus on physical milestones, such as rolling over, crawling and using the potty independently, which are important indicators of development. However, developing these abilities can also come with psycho-social and emotional challenges for children. Encountering strangers, seeing a big dog for the first time or starting school are all situations which can induce fearful responses in children. Childhood fears and anxiety are not only normal but they are expected for each developmental age. This is because any perceived “threat” activates a fight-or-flight response in the body, which naturally serves to protect us from any harm or danger. This article looks at common childhood fears for each developmental age and offers tips on how you can help your child manage during those times. Babies and infants (0-2 years old) Newborn babies and infants tend to prefer their primary caregivers over unfamiliar faces and voices. Children in this age group tend to often experience stranger and separation anxiety—they shy away from people who they do not know and may even show fear towards them. You can help your child deal with this by: • Comforting and soothing them to show them that they are safe in that moment. • Helping them get to know the person

while you are there (this will take some time). • Teaching them that separation from you is temporary (peek-a-boo is a great example). • Saying goodbye to your child instead of getting away when they are distracted— this can lead to mistrust. Toddlers and pre-schoolers (3-6 years old) Children this age have developed a very active imagination and create different scenarios all the time in their busy little minds. They also may show signs of separation anxiety (“What happens to my mommy when she’s not with me?”) and refuse to be alone or sleep alone. Toddlers also worry about the dark, bad dreams, monsters and ghosts, loud noises, bad guys and bugs or animals. Children this age also struggle when there are sudden and disruptive changes to their routine.

bottle of “monster spray”). • Reassuring your child of real-life facts (e.g., there are policemen who protect us from bad guys). • Positively reinforcing the bravery that they manage to show. Middle childhood (6-9 years old) School-going children often worry about this new experience—“What will it be like?”. For the first time they are put into a situation where they will have to navigate new experiences without you by their side. They are exposed to the “bigger, real” world and may worry about their teachers, them getting sick or hurt or traumatic situations they hear about. You can help your child cope by: • Encouraging your child to talk about what they are thinking or feeling.

You can help your child cope by: • Listening to what they are scared of and helping them put their fear into words or • Playing it out with them or reading through drawing. stories with themes of risk and fear to normalise their feelings. • Helping your child face their fears (e.g., shop for a nightlight together or make a

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child development

• Showing your child that they have the capacity to cope (by using examples of when they have shown this). • Reassuring them to talk to a teacher if anything bothers them while they are at school. Pre-teens (10-12 years old) While children this age have pretty much figured out that monsters aren’t real, they tend to worry about things which can happen in real life. This includes being in danger, being caught in natural disasters or something bad happening to their parents. They may also worry about their school performance, fitting in with friends and their physical appearance. You can help your child cope by: • Gathering facts with them—they love to learn! (e.g., the prevalence of natural disasters in the area you live). • Helping them prepare for school-related things such as tests, presentations

and performances. • Advising them that if they cannot talk to • Being aware of what they are watching you about certain things, they should and listening to—is it appropriate? What have a healthy network of people who is it exposing them to? they can talk to. • Encouraging them to externalise their • Reinforcing positive behaviour, no thoughts and feelings through writing, matter how small. music or movement. Adolescence (13 years old+) Typically, teenagers become more peeroriented. Therefore their concerns tend to be around peer perceptions, as well as their relationships with friends and romantic interests. They may also start to worry about “growing up”, global issues, their health and well-being, and their life purpose as an adult.

While some of these moments may feel challenging and overwhelming for you as a parent, remember that being consistent and open is what will allow your child to better manage with their own thoughts and feelings. They need to feel safe enough to feel what they need to feel without having to worry about upsetting you or anyone else.

You can help your child cope by: • Encouraging them to talk about the challenges they are anticipating.

If your child’s worries increase in intensity, seem out of proportion to the situation or start to significantly interfere with their habits and functioning, it may help to consult with a professional who can offer guidance and support.

• Offering them the space to process their own thoughts and feelings (e.g., through journalling or art).

Reabetsoe is a registered Counselling Psychologist with over 10 years of clinical experience in the corporate sector, higher education and private practice. She has presented at conferences and written multiple articles on various topics. In 2017 Reabetsoe founded Shrink Mama, a brand which develops psychological resources which people can use outside of psychotherapy. The first three toolkits are for parents to use with their children www.babysandbeyond.co.za

to develop psycho-emotional skills and overcome common childhood challenges. Reabetsoe recently entered the nonprofit space where she develops holistic programmes for vulnerable youth. She continues to see children, adolescents and adults at her private practice in Fourways, Johannesburg.

parenting

Top tips for parents E-safety: How parents can keep their children safe online • Talk openly with your children about their online activities. • Ask which sites and apps they are using. • Make notes and go through all of them together to see which are age-appropriate. • Encourage them to be open with new sites they have visited and new apps they would like to download. • Consider parental control measures on their devices.

How to take control of your child’s behaviour • Establishing rules is key. • Make time to listen and interact with your children. • Provide consequences for misbehaviour. • Provide incentives for good behaviour. • Seek professional help should behaviour become out of control.

How to encourage personal hygiene for children • Teaching your children good hygiene habits from a young age is vital. • Tell them about germs and how important it is to wash hands regularly to avoid getting sick. • Germs can travel far with sneezing and coughing—teach them how to cover up properly when sneezing or coughing. • Encourage good dental hygiene by getting your child into the habit of regular flossing and brushing to avoid cavities and bad breath. • Set up regular bath times. • Encourage them to clean their rooms.

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parenting

How to encourage a variety of reading activities • Let them read nutritional information of certain products like cereals. • Also, encourage them to read road signs, weather report signs and other practical everyday information. • Teach them phonics (letter names and their sounds). • Listening to your child when reading is important. • It is also important that as a parent you read a lot to your children.

How to encourage healthy eating habits • First, be a role model. • Cook more home meals than buying take aways. • Make nutritious choices appealing. • Get your children involved in preparing healthy meals. • Don’t buy sugary drinks—instead, squeeze your own fresh juice.

How to raise happy kids • First, be happy yourself. • Create more play time—encouraging educational games is important. • Expect effort, not perfection. • Teach emotional intelligence and self-discipline. • Be involved.

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parenting How to know if your child is happy • Look out for verbal and body language. • Observe how they connect with others. • Observe their behaviour in class and play groups. • Normally, happy parents have happy children.

How to handle child anger • Teach your children about feelings and the consequences thereof. • Develop a plan to help your child calm down. • Talk calmly to your child to explain what caused their anger and offer a solution, comfort and affection. • Praise good behaviour and set a good example.

How to handle temper tantrums in teenagers • Teach your teen the importance of trust. • Educate yourself on how to look out for signs of stress. • Be open with them and encourage them to be open too. • Spend quality time together. • Offer rewards for good behaviour. • Be involved in their everyday activities and show that you care as a parent.

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Advertorial

Sherlock Moms and a Babies cry, a lot, particularly during their newborn days. It's their only way of communicating but it can still be one of the most distressing sounds to parents. To avoid unnecessary doctor's room visits we need to help moms sherlock their way through the tears and understand what their baby is trying to communicate, says Dr A Domingo

happy baby

Moms! You need to go through the "fundamentals" Sucking of hands: usually a sign of hunger or thirst. When a baby needs burping, they may have their tongue touching onto their upper palette or even posset (spew up some undigested milk). Little one feeling hot or cold: place your index finger at the nape of your baby's neck, if it is sweaty it probably means your little one has one too many layers on.

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Bonnycare assists with: Facilitating adequate weight gain Helping baby adapt well to feeding Improving appetite and digestion Infantile colic, flatulence and other neonatal GI disturbances

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Now that you've covered the most obvious reasons and your baby is still wailing away, then perhaps they are in pain, frustrated or experiencing the dreaded "c" word, ‘infantile colic’. Fear not! There are still many simple tricks you can try to calm your little one: Minimise sensory stimulation: Quiet, dark environments have a calming effect. Speaking in softer tones and even humming help soothe crying babies. Skin-to-skin: Babies need lots of skin-to-skin time with mom and dad. It is a simple but powerful tool that helps relieve stress and stabilise baby's temperature, heart rate, and blood sugar. Skin-to-skin also causes a release of a hormone that lowers mom's stress and promotes healing. Bath time: The quiet time helps mom and baby centre their thoughts and focus on each other. It also simulates a womb-like environment which has an immediate calming effect. Infant massage: When parents rub their baby’s skin, it stimulates the vagus nerve which slows baby’s heart rate, changes brain waves in the direction of relaxation and easing teething pain. Consider a phytopharmaceutical: Bonnycare is an alternative medicine remedy that has a combination of ingredients that aims to prevent and treat common gastrointestinal disorders in infants and children. Bonnycare helps stimulates digestive enzymes and expel trapped gases through its carminative action. This helps relax the baby and allows for undisturbed sleep.

dental health

TOOTH DECAY Causes, symptoms, diagnosis, treatment and prevention By Prof Nadia Mohamed and Dr Craig Peck

Tooth decay is caused by a number of things. Feeding habits (like allowing a child to fall asleep while drinking a bottle containing sweetened substances), the use of pacifiers dipped in sugar or honey, and poor parental attitudes towards oral health all contribute to tooth decay. Parentsâ&#x20AC;&#x2122;

attitudes towards their own oral health and diet influence a child to adopt similar habits not only during childhood, but also during adulthood. As children spend many hours a day away from the home (at school, aftercare, with grandparents or carers), parents need to educate their

children about healthy dietary practices to stop them from consuming excessive amounts of sugary foods and drinks. In order for decay to appear, a susceptible tooth and an acidic oral environment need to be present over a long period of time. www.babysandbeyond.co.za

and other factors such as the type of food, frequency of feeding, and lack of oral hygiene practices. Parents should be aware of the importance of oral hygiene and assist their children to maintain an adequate level of oral health until they have developed the dexterity to take responsibility for their own oral health around the age of 10 years. Ageappropriate fluoride toothpaste together with flossing is recommended. Fluoride supplements are not recommended in children who use a fluoride toothpaste, as excess fluoride intake could result in ugly white or brown spots forming on teeth. Bacteria feed off food and liquid leftovers that are not removed from the teeth, forming acid as a waste product and thereby contributing to an acidic oral environment. It takes about twenty minutes for the acidic environment to be neutralised by saliva. Frequency of snacking therefore also plays an important role in the development of cavities, as every time you eat something your teeth are bathed in acid for about twenty minutes at a time. For this reason, it is essential that snacking between meals, especially snacking on sugary food and drinks, should be avoided by introducing a balanced diet from a young age. Refined diets rich in sugar have been shown to have a harmful effect on oral health. A balanced diet should consist of all the four major food groups, namely breads and grains, fruits and vegetables, proteins and dairy products. Ensuring that you child eats a more substantial meal at least three times a day will reduce the desire for snacking and therefore decrease the amount of time that the mouth is exposed to an acidic environment. This directly translates to a reduction in the amount and extent of tooth destruction caused by the acid production from the bacteria, which results in dental cavities. Certain genetic conditions such as enamel defects can predispose someone to be more vulnerable to developing caries (the decay and crumbling of a tooth). Whether caries manifests is dependent upon the balance between the host resistance, aggressiveness of the micro-organisms, www.babysandbeyond.co.za

Incorporation of a reasonable amount of sugar with mealtimes is acceptable, but sugar between meals should be eliminated as far as possible. Dipping bottle teats and pacifiers in honey should also be avoided, especially in children younger

dental health

than 12 months of age as there is a risk of contracting botulism from the spores found in the honey, which can potentially be fatal.

Early childhood caries is most commonly the result of night-time feeding where the child is put to sleep with a feeding bottle containing milk, fruit juice or other sweetened liquids. Additionally, the sucking action during sleep reduces salivary flow. Bottle-feeding further restricts the saliva access to the teeth and minimises the “clearing action”, as the lips are pressed against the teeth. Similarly, the use of “sippy cups” with tips or extensions that rest against the teeth should also be discouraged, as weakening of the enamel takes place more readily where the tips of these vessels come into direct contact with the teeth. Even breastfeeding has the potential to cause cavities if the child’s mouth is not cleaned afterwards. There is no consensus regarding the ideal time for weaning off bottle- and breastfeeding. Yet, most experts regard the age of one year to be an appropriate time to wean a child, as after this age, habits are harder to break. It is recommended that the child start drinking out of a normal cup from the age of one. Cavities are infectious and can be transmitted between individuals. The risk of transmission is increased in individuals with many untreated cavities. The bacteria can be introduced into the oral cavity of the child at a very early age. This can occur as a result of transfer from the mother through habits involving salivary transfer (e.g., through sharing utensils and/or toothbrushes or sucking a pacifier or bottle teat prior to giving it to the child). This practice should therefore be discouraged. The aim of any oral health programme, especially one which is introduced at a young age, is to ensure that all teeth are well maintained and remain cavity free. Teeth that have cavities can be fixed by placing fillings, but a tooth with a filling is not as sound as a healthy, unfilled tooth. The well-known saying that “nothing lasts forever” also holds true for dentistry. Fillings sometimes

dental health fail, wear down and break and might need to be replaced over time. More extensive and expensive dental treatment might even be needed at a later stage. By saving the tooth, the need for future orthodontic treatment due to space problems is reduced or prevented. In severe cases where the teeth cannot be fixed due to a poor remaining tooth structure, the teeth may need to be extracted, which could affect function and aesthetics as well. The unfortunate reality of tooth loss, especially at a young age, is that it has implications on a child’s quality of life. Issues such a low self-esteem and self-confidence, speech problems, lack of adequate function, a change in the appearance and altered development of the jaws impact on the psycho-social development of a child during the formative years of life. It should be noted that government facilities are not able to cope with the demand to have their children’s dental work completed under general anaesthesia. The waiting lists

Bio: Prof Nadia Mohamed and Dr Craig Peck work in the Department of Paediatric Dentistry at the University of the Western Cape’s Dental faculty as lecturers and clinical supervisors. Prof Mohamed heads up the department which caters to the dental needs of all children under the age of 12 years.

are extremely long and pain and sepsis cases are given priority. Prevention is better than cure and emphasis should therefore be placed on preventing cavities from forming so that children are not traumatised by the need for more complex dental treatment. There are many benefits of adopting optimal oral healthcare practices (by both the parent and child). Not only would this reduce the overall burden of disease in the community, thereby saving costs and valuable resources, but it directly improves overall health. It is well-accepted that poor oral health is intrinsically linked to a number a systemic illnesses later in life, like diabetes, irritable bowel syndrome, stroke, Alzheimer’s disease, premature births and lower birth weight. The outgoing message that the parent should try to bear in mind is that a child with a healthier mouth is more likely to become an adult with a healthier mouth, and hence have a healthier body as well.

Qualifications: Dr C. Peck: BMedSc, BChD, MPhil HPE (email: cpeck@uwc.ac.za) Prof N. Mohamed: BChD, BScHons, MSc, PhD, MPhil HPE (email: namohamed@ uwc.ac.za)

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NEW Granola range from Canderel Canderel introduces a healthy range of locally produced Granola products – with zero added sugars! Ideal for breakfasts, desserts, baking or even as a tasty snack. Canderel Granola is packed with goodness, allowing you to indulge while caring for your health. In addition to being lower in calories and carbohydrates, the range is also high in ﬁbre, low in sodium and vegan friendly – a quality product that is healthy and delicious. Canderel is available at all major retailers in 500g bag to have at home and a convenient 4 x 40g strip pack to have on the go.

Canderel Four Seeds

Canderel Nuts & Seeds

Oats enhanced with a selection of healthy and delicious seeds. From the nuttiness of chia seeds, the crispness of linseeds, the earthiness of pumpkin seeds and the crunchiness of the sunﬂower seeds – it’s a perfect combination of taste and ﬂavour.

A combination of oats, pumpkin seeds and sunflower seeds, enhanced with the flavours of natural flaked almonds and cashew nuts. Enjoy the sweetness of Canderel, together with the nutritional value of nuts and seeds.

Canderel Original The best quality oats, baked to perfection, with a sweet and pleasant taste.

Delicious Home-Made Granola Bar Recipe Ingredients: • 4 x Canderel Milk Chocolate Slabs • 2 x Canderel Granola 500g Nuts & Seeds Instructions: 1. Melt 3 ½ slabs of chocolate in a Pyrex dish over a pot of boiling water. Be sure to keep an eye on your chocolate as Canderel chocolate melts quicker than other chocolates 2. In a separate dish, add 750g (1 ½ packets) of Canderel Granola Nuts & Seeds 500g 3. Add the melted chocolate to the Granola and mix in thoroughly 4. Once thoroughly mixed, transfer to a Pyrex dish/8x8-inch oven pan lined with Wax Paper/ Cling Wrap. Press the mixture down ﬁrmly until it is uniformly ﬂat in the pan 5. Melt the remaining ½ slab of Canderel Milk Chocolate and drizzle it over the top of the chocolate granola mixture 6. Refrigerate for 15-20 minutes 7. Remove the Granola Bars from the pan and cut into 8-12 cubes and leave to sit Enjoy this delicious snack without consequence with your whole family!

health

DO’S AND DON’TS TO KEEP THE WEIGHT OFF THIS WINTER Longer nights, shorter days, colder weather and decreased exercise can all contribute to winter weight gain. Add the temptation of rich comfort food and it’s easy to see why so many of us battle to keep to our health goals during winter. 54

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health According to Dr Riekie Smit, an aesthetic medicine practitioner from Pretoria with a special interest in weight management, women tend to gain an average of between two and four kilograms every winter and generally only lose half of what they gained in the upcoming summer. Unless it’s stopped, this pattern will result in gaining more weight every year. We feel sorry for ourselves when it is cold outside and opt for comfort food, and then regret it when summer arrives. However, Dr Smit recommends that we should all make an effort to eat healthier food and increase our intake of vegetables, especially green ones. “This will not only keep the weight off, but also keep your immunity levels high,” she says. Dr Rosetta Guidozzi, a general practitioner from Johannesburg, says that in order to boost immunity during winter it is important to follow a healthy diet, including lots of vegetables and citrus fruits. Foods should be enhanced with herbs such as sage, rosemary, oreganum and coriander as they have powerful antioxidant effects and are flavour enhancers, which can help you to eat less. The same applies to spices such as curry and peri-peri, which flavour foods and induce a decrease in consumption. Clinical psychologist and cognitive behavioural therapist, Dr Colinda Linde from Randburg, Johannesburg, also agrees that eating for immunity is important. “Winter tends to be when we get sick, so make sure to include immune boosting foods like citrus, garlic, herbs, mushrooms and a dose of probiotics. Winter is also a great time for ‘slow food’—casseroles, soups and stews that are easy to put together, warm and hearty to counter the cold,” she says. Although it can be more difficult to exercise in winter, Dr Smit says that if the cold is putting you off your walk or cycle, opt rather for indoor exercise programmes, either at the gym or at home. She says that there are now multiple apps to help you with this.

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Dr Guidozzi reiterates that continuing exercise and eating correctly in winter is a priority. This includes the preparation of healthy stews and soups using lots of herbs and spices. “The trick is to remain motivated during winter,” she says. Even if you change the type of exercise you do during the winter months, it is important to at least continue with activity. Dr Linde says that while she would definitely recommend including exercise in winter, it is also important to be realistic about it. She recommends possibly starting the day with stretches, which warm you up and can be done on a yoga mat in your bedroom at home. She says in this way you consciously include exercise in your daily routine, with the option to also add something outside of home such as the gym, a walk or a run. Dr Guidozzi says that winter can also trigger the “winter blues” in some people, an onset of lowered moods. “To prevent this, it is necessary to exercise and also to spend time outdoors, and absorb the sunlight when one can,” she says, and reiterates the importance of maintaining good sleeping habits. She says that sleep deprivation will lower immunity and can lead to making less favourable food choices. While healthy eating and exercise is important, so too is taking time for yourself. Dr Linde, who is launching the second edition of her book entitled Get the balance right—Coping tips for working moms, which was first published in 2005, says that winter is associated with hibernation in nature, where animals and many plants slow down, and renew themselves by spring. “We have a short winter here, only three months really, so it could become an annual stocktake, going inward by meditating quietly or journaling for a few minutes daily”, she says. The time saved by putting a stew in the slow cooker can be used to curl up on the couch with a magazine.

Another tip to remember in winter is to care for your skin, which can become dry and irritated during the winter months, leading to loss of collagen and wrinkling. Dr Smit recommends using a milk cleanser and rich moisturiser to stay hydrated. Keeping up an adequate intake of water is also essential. “In winter you could opt for hot herbal teas or hot water with lemon or mint leaves,” she suggests. Some healthcare practitioners suggest taking a supplement with added vitamin C and zinc in winter, although this should not replace a healthy diet, especially a diet which includes fruit and vegetables with adequate vitamin C. Adding probiotics to your daily routine can also help your immunity to resist viral infections. Remember also that hand hygiene is vital to avoid germs. Instead of associating winter with comfort eating, hibernation and a bowl of creamy pasta on the couch, be proactive. Spice up your winter menu with healthy vegetable soup, download an app to start getting more active in the comfort of your home and remember that while summer bodies can be made in winter, eating healthy foods, exercising and upping your immunity can help you to enjoy a healthier winter. Whether in winter or summer, some people trying to lose weight will struggle too much with hunger, especially at the start of their weight loss journey. These people might benefit from a prescription medication which, together with appropriate lifestyle adjustments, can help kick-start a weight loss journey, or can help someone get back on track. If you are worried about your weight, speak to your doctor for advice about how to lose or manage your weight. Visit www.ilivelite.co.za for tips, support and further information about weight loss.

health

Take kids’ worries to heart By Ilse de Beer, psychologist

Today’s fast-paced and pressurised lifestyle places tremendous demands on children, and they are not as carefree as most adults would like to believe.

“

ids have worries,” says Ilse de Beer, a psychologist at Ilse de Beer Psychology, “They worry about fitting in with their peers, about tests and marks, about their performance on the sports field, and about what is happening at home. These worries can make them feel stressed, anxious and even depressed. “Something that might not seem like such a big deal to an adult is an overwhelmingly massive deal for a child. Don’t dismiss a child’s feelings or emotional stress. Instead,

let them know that you acknowledge how they feel, that you understand and that you care.” Stress manifests differently in young people than it does in adults and can make it difficult for parents, teachers, and caregivers to notice the signs. These can include mood swings, difficulty sleeping or changes in sleeping patterns, poor concentration, tearfulness, and withdrawing socially. “Younger children aren’t always able to articulate their feelings. Frequently, they might be feeling sad or angry, but they cannot pinpoint why. Their feelings of anxiety or stress can manifest www.babysandbeyond.co.za

health as physical complaints, and we often see children who are stressed complain about tummy aches, headaches, or being tired. Look out for these signs. If your child has a mysterious tummy ache every Wednesday before an extramural activity, it might be time to consider that it is the activity that is causing your child stress, and that is what he or she is trying to tell you. “Older children who are experiencing stress might start acting out, become emotional, sad, or withdrawn. Their schoolwork and relationships with their parents, teachers, and peers can also suffer. Don’t perceive all behaviour as ‘just normal teen behaviour’. Indeed, teenagers can be awkward, but don’t dismiss the possibility that your child could be struggling with stress,” explains de Beer. Sources of stress and anxiety for children can include studying for exams, tight extracurricular schedules, problems socialising and fitting in, peer pressure, bullying, illness, and conflict in the home, amongst others. De Beer warns parents to be careful about having conversations in front of their children about finances, crime, and other subjects that could be internalised by their children and cause them stress. She says that the use of technology is another source of undue stress on children and can lead to over-stimulation. Technology has an adverse effect on auditory concentration and memory. “Battling to concentrate becomes a problem in the class environment where a teacher stands in front of a class explaining work. Children can easily fall behind, which can contribute to stress. It is also important to note that the overuse of technology has a significant social impact because relationships can easily become superficial and distant. Children can struggle to relate naturally to their friends. The effects of technology use can also include not being able to make eye contact and have normal physical contact. In this way, children lose their support network www.babysandbeyond.co.za

and developmental benefits of belonging to a healthy and normal peer group, which can add to their stress.” De Beer says that staying connected to children is the best way for parents to recognise the signals of stress. “Make time for small talk every day and take an interest in your children’s daily activities. Enquire about what influenced their day, whether it was positive or negative. Be specific in your questions while remaining upbeat and subtle. A vague ‘How was your day?’ will warrant a vague response, and you are unlikely to find out if anything could have happened during the day to upset your child. When your child opens up, take the time to ‘unpack’ what is worrying them and look for a solution with them.”

• Keep the morning routine calm. Wake up earlier to allow your children more time to get ready. • Spend time doing “fun stuff ” with children. Tight schedules and overregulation can cause them stress. Quality time is essential, even as children get older. • Teach children to be consistent in their schoolwork and other tasks. Teach them the value of being prepared and sticking to deadlines. Leaving things to the last- minute puts them under pressure, destroys routine and structure, and results in stress. • Ensure that your child has the correct balance of healthy exercise, relaxation time, extramural activities, and playtime.

De Beer offers these tips for managing school and lifestyle stress in children:

• Offer constructive criticism, praise, and encouragement. Children who are anxious and stressed can become • Always find time to talk to your child and overwhelmed with negative thoughts and be approachable and accessible to them. be very self-critical. • Look for signs of stress. Don’t shrug off mood swings as your child “being difficult.”

• Try to be positive rather than focusing on the negative.

• Inform your children that it is healthy and okay to feel lonely, sad, or anxious sometimes—and that it is also okay to share these feelings.

De Beer says that most parents can deal with their children’s stress. However, there are times when it may become necessary to seek professional help.

• Help them with relaxing techniques and coping strategies.

“When children become withdrawn, aggressive, or start acting out regularly, and it is outside of the norm, it is time to seek help. In older children, it is important to seek counselling when schoolwork and school results drop. Also, trust your intuition. When your gut tells you there is something ‘off ’ with your child, take these concerns to heart.

• Limit the use of technology. • Have a good routine at home for homework, downtime, activities, meal times, playtime, and sleep. This structure will provide healthy boundaries and makes children feel secure. Talk to your kids—connect. • Establish a good sleep routine. Bedtime during the week should be age-appropriate and non-negotiable. Children need adequate sleep to cope with their day. Over the weekend, there can be some flexibility.

“As adults, we can battle with managing stress, so it is naive to expect children to be able to manage their stress on their own effectively. We need to help and guide them. Stress is real for kids,” concludes De Beer.

health

ENDOMETRIOSIS By Dr Gary Groenewald

What is it? A disorder in which tissue (endometrium) that normally lines the uterus (womb) grows outside the uterus. Endometriosis may occur in various locations including the ovaries, fallopian tubes, bowel, vagina and lungs. It is one of the most common gynaecological diseases and is characterised by progressive growth and a tendency to reoccur. How common is the condition? Endometriosis affects between 10-15%

of all women of reproductive age but its incidence can be as high as 50-60% in women suffering with infertility and chronic pelvic pain. It is important to note that the disease appears to start in the adolescent years and that as many as 50% of teenagers complaining of painful periods have been found to suffer from the disease. Unfortunately, for many of these women, there is often a delay in diagnosis resulting in unnecessary suffering and reduced quality of life. In patients aged 18

to 45 years, the average time to diagnosis is approximately seven years. What causes endometriosis? The exact cause of endometriosis is not known. Backflow of menstrual blood through the fallopian tubes at the time of menstruation is currently thought to be the most likely cause. Other possible causes include genetic factors, immune irregularities and surgery (such as caesarean section).

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What are the signs and symptoms? The clinical presentation of endometriosis varies in women.

health • painful bowel movements (dyschezia), • heavy menstrual periods and • painful urination (dysuria).

The most common symptoms include: • painful periods (dysmenorrhoea), • painful intercourse (dyspareunia) and • infertility.

Often, a person with endometriosis can be completely asymptomatic (show no symptoms), only coming to a clinician’s attention during evaluation for infertility.

Other symptoms include: • chronic pelvic pain,

What are the risk factors? • Family history of endometriosis (1st°

relative with endometriosis) • Early age at onset of menstrual period (< 10 years) • Short menstrual cycles (< 27 days) • Long duration of menstrual flow (> 7 days) • Heavy menstrual periods • Delayed childbearing • Congenital abnormalities of the fallopian tubes and uterus • Low body mass index (<20 kg/m²)

How is endometriosis staged? Varies based on the duration of the disease and the depth of endometriotic lesions.

Stage

Classification

Description

Minimal

A small number of superficial implants and mild adhesions

The staging of endometriosis is determined by the volume, depth, location and size of the implants. It is important to note that staging does not necessarily reflect symptom severity.

Mild

More, slightly deeper implants

III

Moderate

Severe

Small chocolate cysts on one or both ovaries, with many deep implants and more severe adhesions Large chocolate cysts on one or both ovaries, with many deep implants and more severe adhesions; rectum may adhere to posterior of uterus

Diagnosis Endometriosis remains difficult to diagnose. It is estimated that the delay in diagnosis can be as long as 8 years. The preliminary diagnosis of endometriosis is made on the basis of a thorough clinical history and physical examination. There is currently no specific blood test that can diagnose endometriosis. www.babysandbeyond.co.za

Transvaginal ultrasound (TVS) can be performed at the time of physical examination in women who are sexually active in order to better visualise the uterus and ovaries. TVS is a readily available, inexpensive and reliable tool in diagnosing moderate to severe disease. A normal ultrasound however does not exclude the presence of early-stage disease.

Magnetic resonance imaging (MRI) is also used in certain centres but its high cost limits its use. Gross visualisation and biopsy of the endometrial implants via laparoscopy (keyhole surgery) remains the definitive method of diagnosis

health Treatment There is no permanent cure for endometriosis. Treatment entails nonsurgical (medical) and surgical approaches to facilitate symptom alleviation. Various factors such as patient’s age, response to previous treatment, extent and location of the disease and desire for fertility play a role in deciding on the appropriate treatment plan. The management of advanced stage endometriosis often requires the input of a multidisciplinary team which could include gynaecologists, colorectal surgeons, urologists, pain specialists and psychologists. Approximately 50% of women with endometriosis have recurrent symptoms over a period of five years, irrespective of the treatment approach. Medical treatment: The dependence of endometriosis on the woman’s cycle production of hormones provides the basis for medical therapy. The use of first-line therapies such as nonsteroidal anti-inflammatories (NSAIDs), the combined oral contraceptive pill, progestin agents (Mirena intrauterine system; DepoProvera three-month injection; Visanne and the Implanon contraceptive device) and gonadotropin releasing hormone agonists (GNRH-a) serve to suppress normal female hormone production and the associated inflammatory response and therefore slow

Transvaginal ultrasound the progression of the disease and relieve pain. The choice of medical therapy is often determined by patient choice, cost and the side-effect profile of the medication. The oral contraceptive pill in combination with nonsteroidal anti-inflammatory drugs are often the first drugs of choice. Treatment is then tailored according to its efficacy with regards symptom alleviation and tolerance of side-effects. Surgery: Surgery in women with endometriosis represents an effective alternative to medical therapy. The choice between the two depends on the anatomical location of the disease, the response to medical therapy, the patient’s desire for fertility and the severity of symptoms. The most common reasons to perform surgery are in patients who are struggling to conceive and in patients who have ongoing pain despite optimal medical therapy. The surgery is typically performed laparoscopically with the goal of removing or destroying all visible endometriosis lesions, restoring normal pelvic anatomy and relieving pain. In doing so fertility may be enhanced. More radical surgery is often reserved for patients whose families have been completed and often includes the removal of the uterus (hysterectomy) which on its own will not necessarily relieve pain.

Laparoscopy Endometriosis surgery is typically high risk and is associated with a large degree of complications. It should therefore be performed by skilled endometriosis surgeons working as part of a multidisciplinary team. It is also important to remember that surgery performed incorrectly can adversely affect a patient’s ability to conceive. Despite surgery these patients often still require the expertise of a fertility specialist in assisting them to conceive. Recurrence rates after surgery are high and patients who have had had surgery for endometriosis often need to continue hormonal suppressive therapy to decrease recurrence rates. Conclusion In summary, endometriosis is a debilitating disease that negatively impacts the quality of life of millions of women. Diagnostic delays are common and may lead to a decrease in fertility and long-term suffering. The current treatment options for endometriosis are limited and the disease has a high rate of recurrence. There is a significant need to optimise the management of women with endometriosis to improve diagnosis, endometriosis care and reduce both the personal and societal costs of this disease.

Dr Gary Groenewald is a specialist gynaecologist, obstetrician and advanced endoscopic surgeon. He specialises in minimally invasive surgery and has a special interest in the treatment of endometriosis. www.capegynaecologist.co.za

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Acino Health

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Eating disorders the silent killer Eating disorders are real illnesses that don’t discriminate according to race or class, have little to do with vanity and can have life-long after-effects About Professor Christopher Paul Szabo Professor Szabo is the Head of Department of Psychiatry at the University of the Witwatersrand and Head of Clinical Department at Charlotte Maxeke Johannesburg Academic Hospital. He also works in private practice at the Wits Donald Gordon Medical Centre in Parktown, Johannesburg. His work in the field of eating disorders covers more than 20 years, since his first appointment as a consultant in the eating disorders and adolescent unit at Tara Hospital in 1993. He has published widely on the topic in books, academic journals and mass media, and wrote the authoritative text on the subject, the book “Eating Disorders” (2009, Reach Publishers). He was recently awarded a DSc for his published work in eating disorders and the content for this article is based on the DSc content.

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and attitudes irrespective of race—and weren’t limited to urban or “Western” settings. This mirrors findings in other African countries and other societies undergoing social and political changes.

norexia nervosa, bulimia nervosa and binge-eating disorder are “silent diseases” that impact on sufferers’ physical health and quality of life, their ability to function in daily life and their relationships with family and friends. Anorexia nervosa has the highest death rate of all mental health conditions. The South African Society of Psychiatrists (SASOP) says media stereotypes of beauty and “ideal” body types have long been implicated as contributing to eating disorders, especially for those already vulnerable or at-risk. SASOP member Prof Christopher Paul Szabo, a leading expert on eating disorders, says there is a “real vs ideal” disconnect between average body sizes and types in real life versus the oftenunattainable ideals portrayed in the media and by social media users. “This potentially creates incorrect perceptions that being underweight, meaning below healthy norms, is desirable and contributes to the unhealthy attitudes and behaviours around weight, food, dieting and body image that are central to eating disorders,” he says. Prof Szabo says the causes of eating disorders are complex and their treatment is specific to each individual. While body www.babysandbeyond.co.za

image concerns were central, eating disorders are also “powerful indicators of distress that goes beyond food and body issues alone. Every sufferer has an individual story.” He warns that dieting should be added to the list of risky behaviours for teenagers, along with the more usual concerns of unprotected sex and abuse of drugs and alcohol, especially when there was no clear health reason for dieting. Eating disorders are most prevalent in teenage and young adult women and are broadly defined as an unhealthy preoccupation with eating, food, weight, exercise or body image (together with behaviours such as restriction of intake, excessive exercise, binge eating or purging) and impacts quality of life and the ability to function in daily life. There are also increasing concerns for pre-teens, with the physical changes of puberty such as increased body fat and girls maturing at younger ages interacting with social pressures for “thinness” and dieting, creating a risk for eating disorders to develop. Prof Szabo says his research since the early 1990s has found that eating disorders affected both black and white young women—resulting in similar behaviours

He says it is important for families, schools and medical professionals to be aware that eating disorders are possible in all cultures, socio-economic groups and races, so that symptoms aren’t dismissed or misdiagnosed, and sufferers can get help. Prof Szabo says the stereotype of eating disorders being limited to females is also changing—teenage boys and young men are increasingly at risk due to pressures to achieve perceived ideal male body types, usually involving exercise to lose weight and build muscle. This leads to possibly excessive exercise and the use of nutritional supplements (or anabolic steroids, or both) to replace healthy eating habits, but there could also be underlying medical conditions and that medical professionals should be careful of assuming an eating disorder diagnosis before excluding other possibilities. The root causes of eating disorders are complex but often linked to the pressures of contemporary life and culture, “with the body as the vehicle for expression of conflicts of identity,” Szabo says, adding that “the causes are best understood as an interaction between the individual and their environment”. Perfectionism is a personality trait associated with eating disorders (but not exclusively so) and combined with a preoccupation with diet and exercise regimens, it should be an early warning signal.

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The role of parents and family in the development of eating disorders has been highly controversial, and can contribute to the guilt associated with eating disorders, but Prof Szabo says no specific causal relationship has been identified.

in school or sport, leading to feelings of a lack of control or disrupting the suffererâ&#x20AC;&#x2122;s sense of self-esteem and self-worth. The area of eating and body becomes the one place where the sufferer feels in control over their emotions and circumstances.

However, he says families should pay as much attention to healthy father-daughter relationships as to the relationship of mother and daughters. Unrealistic expectations of high achievement or perfection from either parent were associated with feelings of guilt and shame that could potentially lead to expression in eating disorders.

Prof Szabo says warning signals of an eating disorder include a history or preoccupation with dieting, weight and eating habits dominating conversation, and a personâ&#x20AC;&#x2122;s perception of being overweight not matching their actual weight

Further possible precipitants of eating disorders can often be linked to stresses such as changes in family circumstances, abusive situations (either directly or witnessing abuse), or pressures to perform

On treating eating disorders, Prof Szabo says treatment generally needs the help of a specialist in eating disorders as sufferers tend to deny there is anything wrong and resist treatment. However, the family physician is often the starting point.

medication is the primary method of treatment, eating disorders are treated with a combination of psychotherapy, usually also involving therapy sessions for parents and family, as well as nutrition or dietary counselling. Medication may be prescribed to treat related symptoms such as sleeping problems, anxiety or mood disorders. Treatment for anorexia could likely include hospitalisation, with a focus on nutrition counselling and weight restoration, which has been proven to aid also in improvement in overall psychological and emotional health. Hospitalisation may also be a requirement in certain instances for bulimia nervosa.

Unlike many psychiatric conditions where

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Himalaya EveCare tablets R69.00, available at www.faithful-to-nature. co.za & www.himalayaherbals.co.za

Viridian Pregnancy Complex (60 capsules) R339.00, available at www.faithful-to-nature.co.za

Nordic Naturalsâ&#x20AC;&#x201D;Nordic Berries Multivitamin (120 gummies) R399.00, available at www.faithful-to-nature.co.za

Vitamin C 1000 (20 effervescent tablets) R85.99, available at Clicks and Dischem

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editorâ&#x20AC;&#x2122;s choice health Hempy Natural Body Oil Eczema (100ml) R100.00, available at www.faithful-to-nature.co.za

Himalaya Stress Wellness Ashvagandha (60 capsules) R109.95, available at www.himalayaherbals.co.za

Multivitamins & Minerals (20 effervescent tablets) R79.95â&#x20AC;&#x201C;R86.99, available at Clicks and Dischem

Natura Magen drops (25ml) (morning sickness) R129.00, available at www.faithful-to-nature.co.za

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health

Fight colds and viruses with Buchu

At the heart of fighting off viruses and infections is a healthy immune system. To help build your and your family’s immune systems, turn to a natural, family-friendly supplement with a long history as South Africa’s miracle herb. Buchu grows only in the Western Cape of South Africa and is well-known for its incredible health properties. Buchu boasts natural antibacterial and antiinflammatory properties which assist in keeping infections and inflammation at bay. It also has significant diuretic effects which helps flush out harmful toxins. The first step in bolstering your immune system is to clear your body of toxins and unhealthy substances. Gentle detox practices can assist in restoring a weakened immune system. Add cleansing ingredients to your diet to help reduce the amount of toxins your organs are processing and allow them to protect your body from illnesses. This will also allow you to absorb immune boosting nutrients, like Vitamin C, faster. Natural cleansing ingredients, such as Buchu, can be used long-term with no side effects, allowing you to maintain a healthy immune system all-year-round. Buchu has been linked to a host of other medicinal benefits and has natural anti-inflammatory and antiseptic properties which can help you strengthen your immune system. Inflammation is a known trigger

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of a range of ailments that suppress the immune system. It also helps to maintain healthy blood sugar levels, lowers blood pressure and promotes a healthy cardiovascular system. Cape Kingdom Nutraceuticals ensures the delivery of safe nutraceuticals, branded BuchuLife™, Detox Tea and Ricky Litchfield™ to the public and professional industry through extensive scientific research supported by on-going clinical trials in partnership with Synexa Life Science and the University of Cape Town. The active ingredient in all product ranges produced by Cape Kingdom Nutraceuticals is Buchu, an indigenous South African herb with potent natural anti-inflammatory properties. Buchu is recognised as South Africa’s most valuable medicinal plant, and its use and

benefits have been documented for over three-hundred years. In this respect, Cape Kingdom Nutraceuticals has entered into a benefit-sharing agreement with the South African San Council and the National Khoisan Council as a befitting acknowledgement of the wealth of knowledge that was collected from the San and Koi, who introduced Buchu and its various medicinal benefits to the world. Discover the massive variety of Buchu benefits with the BuchuLife™ product range (for humans) which includes: Sparkling Herbal Water, UTI Relief Capsules, Joint Health Capsules, First Aid Gel and Derm-Active Moisturising Cream available from Food Lover’s Market stores and Wellness Warehouse stores countrywide. In addition, the Organic Detox Tea range combines Buchu with other aromatic flavours to produce four variants: natural, green rooibos, cinnamon and ginger. They are available at Dis-Chem pharmacies nationwide, as well as Food Lover’s Market stores and Wellness Warehouse stores. Cape Kingdom Nutraceuticals also produce the Ricky Litchfield product range (for pets), comprising of: InflaActive Capsules, Topical Gel, Hot Spot Spray, Conditioning Shampoo, Smart Health Supplement and Good Dog Treats.

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Food intolerance testing New test provides 222 reasons to test for food intolerances

here is a common misconception between an allergy and an intolerance. While allergies can appear almost instantly, food intolerance symptoms can take up to 72 hours to appear. And while allergies can be life threatening, food intolerances are quite common, affecting approximately 45% of the population. Food intolerances can however have a negative impact on many aspects of a person’s daily activities and cause significant discomfort. Proving the old adage that not all good food is good for all people, a new intolerance test, OptiWay, now scans a full menu of no less than 222 different types of food. If you’ve ever suffered from migraines, eczema, skin rashes, fatigue, joint pain, bloating, IBS, diarrhoea, nausea, sinusitis, anxiety, constipation, acne or depression, to name just a few, and you’ve battled to understand why, you could have an intolerance towards a specific food or drink. Food intolerances occur when a person experiences an adverse physiological response to a particular

food. The symptoms are very specific to the individual and the type of food in question. When you take into account that such a large part of the population is affected by food intolerance, as opposed to only 2% affected by food allergies, the OptiWay test is the most effective and accurate way to determine which foods trigger negative reactions and which foods can be enjoyed freely. This way, you can optimise your eating plan by eliminating foods that initiate symptoms that could have a negative influence on your quality of life. Not to mention it going a long way to helping you achieve your weight loss or fitness goals, by ensuring that your diet does not work against you. Being tested for food intolerance with the OptiWay test is easy. The test is done by medical practitioners and dieticians by administering a quick finger prick that will provide a blood sample. The sample is then analysed by a laboratory, which generates a colour-coded, tailor-made report, which is first presented by the medical practitioner, and then given to the

person to take home. The OptiWay Food Intolerance Support Guide will assist you to remove or reduce reactive foods from your diet, avoid nutrient deficiencies when eliminating reactive food, substitute with similar alternatives, strengthen your immune system and reintroduce foods responsibly. You will finally have the answer as to whether it’s the aubergine you had yesterday or the tuna from earlier this week that’s lead to your uncomfortable cramping, or whether you really should have that slice of toast with your eggs. And just imagine the immense benefits involved for moms when it comes to children’s lunch time and possible reactions to a recipe that’s been handed down through generations! If certain symptoms or general reactions to food have you baffled, then OptiWay is really the only way. There will finally be no more guesswork at meal time. For more information or to find an OptiWay practitioner, visit www.OptiWay. co.za

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FRESH EGGS NOURISH THE BODY AND MIND

recipes

4 delicious vitamin C recipes Being stuck at home during the lockdown period can make cooking three meals a day quite a challenge. What’s more, finding ways to create healthy balanced meals can get tedious after a while. Fruits and vegetables are a great source of Vitamin C, and fruit juice high in vitamin C can give you an extra healthy boost. These easy recipes from Rhodes Quality 100% fruit juices are all high in vitamin C so you can ensure you’re getting some goodness, with a lot of deliciousness. Pineapple and passion fruit smoothie (serves 2) A perfect refreshing morning start packed with vitamin power

Ingredients ● 250 ml Rhodes Quality Pineapple Fruit Juice Blend ● 30 ml (2 Tbsp) Rhodes Quality Granadilla Pulp ● 2 frozen bananas ● 125 ml (½ cup) plain yogurt Instructions 1. Place the Rhodes Quality Pineapple Juice and the Rhodes Quality Granadilla Pulp into a blender. 2. Add the bananas and the yoghurt. 3. Blend until smooth and frothy. Serve well chilled.

Apple and kiwifruit salad dressing (serves 4) Fruity and sweet dressing to finish off a green salad

Ingredients ● 125 ml (½ cup) Rhodes Quality 100% Apple Fruit Juice ● 30 ml (2 Tbsp) apple cider vinegar ● 15 ml (1 Tbsp) olive oil ● 15 ml (1 Tbsp) water ● 3 ripe kiwifruit, peeled and chopped ● 1 garlic clove, crushed ● Salt and freshly cracked black pepper ● To serve: fresh salad greens, sliced cucumbers, sliced avocado, sliced spring onions

Instructions 1. Place the Rhodes Quality Apple juice into a blender along with the remaining ingredients. 2. Process until smooth and well blended. 3. Season to taste. 4. Chill until serving. 5. Mix together all the salad ingredients in a large bowl. 6. Pour over the desired amount of dressing. 7. Toss lightly to mix.

recipes Mango sunrise (serves 6)

Non-alcoholic fruit juice punch—a sweet and refreshing drink Ingredients ● 200 ml Rhodes Quality Cranberry Fruit Juice Blend ● 65 ml (¼ cup) sugar ● 500 ml (2 cups) Rhodes Quality Mango Fruit Juice Blend ● 250 ml (1 cup) Rhodes Quality Pineapple Fruit Juice Blend ● Squeeze of lemon juice ● Ice ● Fresh mint leaves Instructions 1. Place the Rhodes Quality Cranberry Fruit Juice and the sugar into a small saucepan. 2. Bring to heat, stirring until the sugar is dissolved. 3. Simmer for about 15 minutes or until the cranberry syrup coats the back of a spoon. 4. Cool. Mix together the Rhodes Quality Mango Fruit Juice and the Rhodes Quality Pineapple Fruit Juice. 5. Add the lemon juice and stir well. 6. Place the ice into a tall glass. Drizzle in the cranberry syrup to lightly coat the bottom of the glass. 7. Fill with the mango-pineapple juice. Serve immediately.

Apple juice granola (serves 4)

A crunchy and delicious granola snack with a fresh apple pie taste Ingredients ● 190 ml (¾ cup) Rhodes Quality Apple 100% Fruit Juice ● 750 ml (3 cups) oats ● 100g (1 cup) flaked almonds ● 15 ml (1 Tbsp) ground cinnamon ● 65 ml (¼ cup) brown sugar ● 1 ml (¼ tsp) salt ● 45 ml (3 Tbsp) coconut oil Instructions 1. Measure the oats and flaked almonds into a baking dish and stir well to mix. 2. Add the cinnamon, sugar and salt and mix together well. 3. Add the coconut oil to the tray. 4. Pour the Rhodes Quality Apple 100% Fruit Juice over the oats mixture and stir well until the mixture is wet through and evenly mixed. 5. Bake the granola in an oven preheated to 160°C for about 15 minutes. 6. Remove from the oven and stir well to mix. 7. Continue to bake the granola for a further 25 to 30 minutes, stirring at each 10 minute interval, until the granola is golden and dry. 8. Cool completely. Store in an airtight container.

LAMB CURRY & RICE Ingredients: • Lamb stew meat, lamb shanks, and/or lamb shoulder steaks (optional: boneless) • 2 onions, chopped (about 3-4 cups) • 3-5 cloves of garlic, crushed • 1 tbsp olive oil with 1 tsp butter • 2-3 tbsp curry powder (to taste)

• • • •

1 tsp thyme, dried 1 1/2 cups (350 ml) chicken stock 680g small potatoes, quartered 2 cups Tastic Extra Long Grain Aromatic Rice • Chutney and/or yoghurt to serve

• • • • •

2 tsp salt 1 tsp black pepper 1 tsp ground coriander 1 tsp cumin 1 tsp fresh rosemary, chopped

Method: 1. Brown the lamb pieces on all sides: Heat the butter-with-olive-oil in a large, thick-bottomed pot (with cover). 2. Working in batches if necessary, brown the meat well on all sides and remove it from pan. 3. Make the curry base: lower the heat to medium low and add the curry powder to the ghee or oil. Cook gently for a minute or two. 4. Add onions and garlic and cook for 5 minutes. 5. Return the lamb to the pan, and add the coriander, black pepper, cumin, rosemary, thyme, chicken stock and salt. 6. Cook the curry: bring to a simmer, lower the heat to low, and cover the pot (you can also put the pot in a 180°C oven). 7. Cook for 2 hours. Check at 2 hours to see if the meat is falling off the bone. It should be starting to do so. 8. Add the potatoes and cook for another 45 minutes. 9. Serve over rice (refer to pack for cooking instructions) with chutney and/or yoghurt for drizzling over top.

It’s more than just rice, it’s Tastic.

PRAWN RICE CASSEROLE Ingredients: • Uncooked medium prawns, peeled and deveined • 2 tbsp butter, divided • Fresh mushrooms, sliced • 1 large red pepper, chopped

• • • • •

1 medium onion, chopped 3 tbsp all-purpose flour 3/4 tsp salt 1/8 tsp Cayenne Pepper 1 1/2 cups fat-free milk

• 3 cups cooked Tastic Soft and Absorbing Rice • 1 cup shredded reduced-fat cheddar cheese, divided

Method: 1. In a large non stick skillet, sauté shrimp in 1 tablespoon butter for 2-3 minutes or until shrimp turn pink. Remove and set aside. In the same skillet, sauté the mushrooms, red pepper and onion in remaining butter until tender. 2. Stir in the flour, salt and cayenne. Gradually add milk until blended. Bring to a boil; cook and stir for 2 minutes or until thickened. Add rice, 1/2 cup cheese and the prawns; stir until combined. 3. Pour into a baking dish coated with cooking spray. Cover and bake at 180°C for 30-35 minutes or until heated through. Sprinkle with remaining cheese; cover and let stand for 5 minutes or until cheese is melted.

It’s more than just rice, it’s Tastic.

nutrition

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nutrition

The importance of having breakfast Breakfast is an important meal, because it breaks the overnight fasting period, replenishes your supply of glucose and provides other essential nutrients to keep your energy levels up throughout the day.

t kick-starts your metabolism while helping you burn calories throughout the day. Many studies revealed that eating breakfast is good for your health, improves memory and concentration, lowers levels of “bad” LDL cholesterol, and lowers chances of getting diabetes, heart disease, and being overweight. Why is it called breakfast? If you divide this compound word into two parts, you’ll see it’s made up of “break” and “fast.” To fast means to go without food. So “breakfast” means to break the fast you’ve been observing since you went to sleep the night before.

What is a great source of breakfast? Combine fruit with eggs, cheese or Greek yogurt for a well-balanced breakfast that will sustain you for hours. Summer fruit is a good source of vitamins, potassium and fibre. It also contains antioxidants that can help reduce disease risk.

Tip: A great benefit of having protein in the morning is that it’s likely to keep you full longer.

Why is a high-protein breakfast good for you? A high-protein breakfast has been shown to benefit muscle health and support weight loss by increasing muscle mass, energy expenditure (calories burned), satiety hormones, glucose regulation and by decreasing the desire to snack at night.

A mixed bowl of oats, fruit and an egg is a high-protein breakfast that’s very quick and easy to make. Here’s the recipe: Ingredients 1/3 cup oats 1/2 cup milk 1 egg 1/4 cup chopped fruit (bananas, apples, pears, etc.) Optional toppings: chocolate chips, cinnamon, nut butter, seeds, etc.

Is cereal a good breakfast? Ready-to-eat breakfast cereal can make for a convenient, healthy and balanced breakfast, especially if it’s made with whole grains, is low in sugar and is served with fresh fruit and a low-fat yoghurt.

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Instructions 1. Combine oats, milk, egg and fruit in a bowl and mix. 2. Microwave for 1 minute. 3. Stir well. 4. Microwave another 60-90 seconds, depending on preferred consistency (longer will make it drier, shorter will make it more liquid). 5. Add optional toppings and serve warm.

TIP: Avoid sugary cereals that lack fibre and protein which can cause a blood sugar spike and crash before lunchtime.

The Bottom Line: Having breakfast or not is a personal choice. Skipping breakfast does not necessarily have negative effects, as long as you eat a balanced diet throughout your day.

nutrition

y c n a n g e r p g n i r u d n o i t i r t u N ay Walsh

orinna M By Prof C

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nutrition The first 1 000 days refer to the time from conception to the second birthday of your baby. This is a critical period during which the foundations of the best possible lifelong health, growth, and development are established. It’s important to take care of yourself and your developing baby by eating a balanced diet, avoiding alcohol and smoking, leading an active lifestyle and getting plenty of rest.

In terms of recommended weight gain, overweight pregnant women should gain about 6kg, normal weight pregnant women about 12kg, and underweight pregnant women about 19kg. You should not try to lose weight while you are pregnant, but it’s also important you do not gain too much weight. If you have concerns, ask a dietitian. It’s quite common for pregnant women to experience nausea (morning sickness), heartburn, food cravings or constipation. If you are nauseated, try to eat small, frequent meals during the day. Snacking on foods such as crackers or toast can prevent you from becoming hungry (hunger may worsen nausea). Make sure that you don’t become dehydrated by often drinking small sips of liquid or sucking on an ice cube. Cold, bland, non-greasy foods are often better tolerated. If you have heartburn, try eating smaller amounts of food at a time; avoid fatty, fried and spicy foods. Being active can also help to prevent heartburn. It’s important to wear comfortable clothes that are not tight fitting, since these may worsen heartburn. If you are considering taking an antacid, consult your doctor because some antacids can be harmful to your unborn baby. Many pregnant women experience food cravings. Most food cravings are harmless, but if you start to crave

clay or dirt you need to visit your doctor, since it can be a symptom of low iron and mineral levels. To prevent constipation, you should eat foods that contain plenty of fibre such as whole wheat bread, high-fibre breakfast cereals, legumes, fresh fruit and vegetables. Also make sure that you drink plenty of water or fluids daily (at least 8 cups). Being active is also a good way to treat constipation. The South African food-based dietary guidelines can help you to eat a balanced diet: • Enjoy a variety of foods. This will improve your chances of getting all the nutrients that you need.

• Have low-fat milk, maas (fermented milk) or yoghurt every day. Make sure that the milk you drink is pasteurised. • Eat less fat and use the healthier type of fats or oils; choose vegetable oils rather than hard fats. Try to eat fewer fried and high-fat foods to avoid excessive weight gain during pregnancy.

• Add less salt to your food and avoid processed foods high in salt; too much • Make high-fibre starchy foods part of salt can increase blood pressure. most meals. Starches include rice, mielie meal, cereals, samp, bread, potato and pasta. These foods give you energy • Eat less sugar and avoid food or drinks high in sugar that can increase your risk that is needed for your baby to grow well. for weight gain and chronic diseases. • Try to eat five portions of vegetables • Drink lots of (clean) water every day. and fruit a day. These foods contain micronutrients and fibre that you and • During pregnancy, alcohol should your baby need. Make sure you wash be avoided. fruit and vegetables properly before eating them. • Be active. Go for a walk, take the stairs or do your own housework to • Eat dried beans, split peas, lentils or soya improve your fitness. An active lifestyle at least twice a week, since these foods will improve your health and the health are good sources of protein and fibre. of your baby.

Biosketch: Corinna May Walsh Corinna Walsh is a professor in the Department of Nutrition and Dietetics at the University of the Free State, with a specific interest in Developmental Origins of Health and Disease (DOHaD). The www.babysandbeyond.co.za

• Small portions of chicken, fish, meat or eggs can be eaten every day. These foods are good sources of good quality protein. Make sure that they are cooked properly and that you use healthy cooking methods such as grilling, steaming, microwaving, slow-cooking, stir-frying in a little oil or baking instead of deep-frying.

focus of her research is on nutritional health and transitions from traditional to Western lifestyles and how these impact on health. Corinna is the president of the Nutrition Society of South Africa.

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Jungle lion bean bag R399.99, available at Mr Price Home Crunch unicorn friends laundry basket R159.99, available at Mr Price Home

Bunny glitter photo frame R59.99, available at Mr Price Home

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editorâ&#x20AC;&#x2122;s choice decor

Space canvas, 90x30 R129.99, available at Mr Price Home

Mesh heart utility box R199.99, available at Mr Price Home

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Star toy basket R199.99, available at Mr Price Home www.babysandbeyond.co.za

Decor

playtime

Sustainable ideas to keep your kids entertained during lockdown By Emirates Airline Foundation and Singakwenza NGO

It is easiest to start in the centre and cut What to do: outwards in a spiral. • Depending on the number range that your child is working in, tear your egg 3. Cut the inside part of the lid out. Leave box or tray to the appropriate size. a rim of about 1cm before the edge • Write the numbers in each cup, starting of the lid to ensure it is heavy enough at the top left just like a child to throw. would read. Below are some of the homemade toys • Cut your toilet roll inners in half. How to play: you and children can make while keeping • On one side write the number, on the Let your child start by standing quite close the earth clean: other side draw the correct number of to the base and trying to throw the ring so dots to match the number. that it lands around the cardboard tube or • Cut your drinking straws into 4 or stick. As your child gets better, you can get RING TOSS use twigs. them to throw from further back. Make • Let your child count the right number lots of different rings. It does not matter What you need: of beans, matchsticks, straws, or twigs if they are the same size or colour. Ask • Tin foil inner, toilet roll inner or stick as they put them into each cup or roll. your child to throw the red ring (colour) from a tree • The reason why we put the dots on the • Yoghurt container, margarine container or the big ring (size). Let your child count back of the toilet roll inners is to help or any plastic container with a round lid how many rings they get on. the child remember what the number • Scissors and marker NUMBER MATCHING symbol says. Let them count the dots if they forget the number name. What to do: What you need: • As your child becomes more confident 1. Place your cardboard inner or stick on • Egg box or toilet rolls with these numbers, put in the next the bottom of your plastic container two numbers. Let them be confident • Beans, stones, straws, twigs, or and draw around the base of it. with those, then add the next two. headless matchsticks • You can also use the toilet roll inners • Scissors and marker 2. Cut out inside the line you have drawn. During the national lockdown and beyond, parents and children can create toys from ordinary household recycled items. The recycled material contributes to a cleaner environment, because less material is thrown away.

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playtime

to practice counting backwards. This is the start of understanding subtraction. SOCCER BALL What you need: • 5 bread bags (or 1 plastic bag and damp magazine pages, or newspapers, or chip packets) to make a small ball (20 bread bags to make a bigger ball) • Netlon bag from onions, tomatoes or oranges (optional) • Scissors What to do: 1. Scrunch each bread bag one at a time (or scrunch your damp paper into a ball) and put it inside a bread bag. 2. Squeeze as much of the air as you can out of the bag, pushing the inside bags (or paper) as far down as you can to make a small, firm, round ball. 3. Only then close the opening of the bag. The less air you have, the less likely the ball is to pop.

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4. Tie a knot in the bag, making sure that you pull it right down onto the ball to stop the air from getting in. 5. Cut off the tail, right next to the knot. 6. The netlon bag is optional, but it does make your ball stronger and less likely to pop. Turn your netlon bag inside out, so that the knot is on the inside. 7. Put the ball in so that the knot of the ball is on the side. 8. Cut your netlon into 2 equal pieces, right up to the edge of the ball (do not pop your ball!). 9. Tie the two pieces together with 3 knots to make it very secure. 10. Cut the ends off and your ball is ready to play with! OTHER FUN IDEAS: • Play ten-pin bowling. Use whatever you have at home: empty bottles, toilet roll inners or plastic cups. The younger your child, the wider the line of pins

needs to be. Let your child count how many pins they knocked down and how many are still standing. • Put numbers on your pins. Let younger children name the numbers on the pins they have knocked down, and older children can do addition and multiplication sums with the numbers. • Let your child push the ball with their nose from one side of the room to the other. Have races. • Let your child squeeze the ball between his or her knees and jump or run from one spot to another. • Use tin foil inners to make cricket wickets and a bat. • Use a round margarine or ice cream container as a basketball or netball hoop. Cut a hole in the centre for the ball to fall through. • Let your child balance their ball on various body parts and move from one spot to another.

family fun

Fun family

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Set up The kid a hot c s ocoa b make it are likely happ ar yw a up on a super special a ith hot choco c la ll their f avourite tivity, plan a ho te alone, but t o t cocoa topping bar. Sto s: marsh and wh c k m allows, ipped c sprinkle ream. s

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r beach par ty ut on Have an indoo the heat inside. P up rn tu e, id ts ies When it’s cold ou up some smooth p hi w s, el w to ound on aybe put the shorts, lounge ar mer food, and m m su r he ot d an ! with umbrellas r some water play kids in the tub fo

you music e spa to h t g , relaxing in e r g B a s s a m your plete with ise, trim and paint m o c , n io s r ses thie. istu Plan a spa Soak your feet, mo ake a healthy smoo dm me. and chill ti ifferent hairstyle an d nails, try a

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activities Make a mov ie: Is there anyth ing more fun for kids than themselves? C watching ome up with a simple plot, g et some props and costumes together

Exercise together uats. Skate ain climbers and sq nt ou m , ks jac ng pi w fight! Do yoga, jum all else failsâ&#x20AC;Śpillo if , or s, ck so ur yo down the ally in

family fun

! rts out a e h e r u k Karao and sing yo u T be n You o s g n so araoke Find k

ion Plastic cup construct on hand? ps cu c sti Got a few hundred pla are you and ildingâ&#x20AC;Śthe only limits bu r, we to rt, fo a te ea Cr your childâ&#x20AC;&#x2122;s imagination.

Have a Dress up in your rock-s dance party tar best, fi for the wh nd a great ole family m and have e veryone sh ix of music ake what th mama gav e them! eir

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playtime

Top tips for making the most of playtime during lockdown By Dr Jacqueline Harding Practical tips for parents with children 3 and under:

to the day. It will help propel you both through the day.

is happening, will sense the anxiety of the world around them.

1. Take time together: The first three years are vital for playful and safe relationships; they build a protective factor for life even in the midst of a pandemic. The brain loves playful novelty; it causes dynamic neural activity by positively sculpting the brain.

Getting practical: Even in a small flat, parts of it can be dedicated to certain activities for particular short periods each day. For example, place an old sheet over two chairs and create a den; a plastic sheet on the floor can offer a place for tearing and pasting; washing up time at the kitchen sink offers therapeutic water play. Exercise time can take place in the hallway with an obstacle course created out of cushions. Children’s TV time can be shared (research shows that co-viewing has great benefits). Meal times can enlist the expert help of your young child too (however limited that might be). Just staying involved will keep them interested and out of mischief. Later in the day, Skype time with friends and family followed by extended bath time and a bedtime story gives the day a good “shape”.

Getting practical: Choose toys that bring you close together. Remember that simply playing is the perfect way a child learns. Education at this age is playing (and thereby feeding the developing brain). Don’t try to teach; just make sure you sit close to your child and face him or her. Smile and laugh together as much as possible. This creates a happy and healthy bond between you. Limit their exposure to the news; although they won’t understand the words, they pick up the deep feelings of anxiety transmitted.

Getting practical: Try rotating toys every two days and watch your child’s delight as they rediscover old toys. Set time aside each day to enjoy a toy with your child—just short bursts of concentrated activity (around ten minutes). Be as imaginative as possible. Cast away your inhibitions and use different voices and adopt a playful (even silly) attitude to increase the fun with the toy. It sends out the message “we are really interested in this together”. What’s in it for parents? Try to notice how it makes you feel too. Gradually, you will sense that your anxiety at a world turning upside down diminishes as you get down to joint playing. While it might not happen every time, the best playtimes are when you both enter a state of flow. This is when you lose track of time and your imaginations fly away together. 2. Routine reaps rewards: In times of chaos (such as a pandemic), humans thrive on having some sort of stability. Adults need this as much as children. Design a daily routine that gives a rhythm

What’s in it for parents? It’s a win-win for boosting that feel good factor and is just what the immune system needs.

What’s in it for parents? Routine will calm your body too: your heart rate goes down and your breathing relaxes. 3. Closeness counts: We may be in an enforced time of isolation (shielding vulnerable people), but with extremely close contact there are “proximity” benefits associated with relationships. Be a safe haven for your child, as this offers a great bonding set-up for life. A “safe haven” means that you can feel like a lighthouse to a child who, although they might not understand what www.babysandbeyond.co.za

Educare qu

Oxbridge

DESPERATE BECAUSE YOUR CHILD CAN BARELY BREATHE DUE TO:

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Available at

and selected pharmacies

kicks for kids

Colour Me In

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kicks for kids

Help the hedgehogs through the maze to the mushroom

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diy arts & crafts

DIY

Kiddiesâ&#x20AC;&#x2122; clothes or dress-up rack This clothes or dress-up rack is a wonderful project for a little girlâ&#x20AC;&#x2122;s room. The rack is made using 16mm SupaWood, which is then sanded and painted using a Bosch PFS spray system. The design of the top rail allows for hangers to be 90

used in the larger section, and round dowel hangers for dress-up or accessories in the smaller section. As an optional detail to the clothes or dress-up rack, you can have a mirror cut to size at a glass and mirror supplier to fit the closed end of the rack.

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diy arts & crafts

You will need: (All pieces 16mm SupaWood unless otherwise specified) • 1 of 400 x 1000mm - solid side • 1 of 70 x 1068mm - top rail • 4 of 70 x 750mm - frame sides • 2 of 250 x 400mm - angled top sides • 4 of 70 x 260mm - frame cross pieces • 3 of 380 x 400mm - shelves/base, short • 1 of 380 x 652mm - base, long • 4 of 50 x 652mm - top/bottom aprons, long • 2 of 50 x 400mm - aprons, short • Wood glue • Wood filler

Tools: • Drill / driver • 25mm Spade bit • Countersink bit • Jigsaw • Kreg pocket-hole jig and plugs • 32mm Coarse-thread pocket-hole screws • 3.5 x 40mm Screws • Orbital sander plus 120- and 240-grit sanding pads • Tape measure and pencil

Buy the Kreg K4 Master Jig at R2 500 (on promotion), while stocks last.

How to make the kiddies’ clothes or dress-up rack: STEP 1 All joints are made using a Kreg pocket-hole jig. The pocket holes are later filled with wood glue and plugs to make the joints almost invisible.

We use a Bosch PFS 2000 and Plascon Polvin for all our painted furniture projects. Apply a total of 5 coats, sanding between the 2nd and 3rd coats with a random orbit sander and 240-grit sanding pads. Then, sand by hand using 800-grit after the final coat and before applying 2 coats of clear acrylic sealer. www.babysandbeyond.co.za

diy arts & crafts

STEP 2 The top of the side sections needs to be cut out of a single piece to fit on top of the side frames.

STEP 3 On the centre frame, cut out a slot 16mm wide x 70mm deep with a jigsaw. This allows the top rail to fit snugly.

STEP 4 The top rail needs to have cut outs for the hangers and dowels down the centre. Use the diagram above to measure. Drill 10mm holes with your drill to insert the jigsaw blade to cut these out. The hangers slots are first drilled with a spade bit at the ends and then with a jigsaw to finish off.

The top rail is mounted on the inside of the two end pieces, and fits into the slot of the centre piece. Secure to the ends via countersunk pilot holes and 40mm screws.

5A STEP 5 The top and bottom rails are 10mm in from the edge of the base section to allow an overlap. Only the larger base section has a top rail on both sides.

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diy arts & crafts

Here you can see how to mount the smaller base section and aprons. You can use pocket holes to mount these pieces, or you can drill countersunk pilot holes through the base to secure the aprons with 40mm screws.

STEP 6 The top rail needs to have cut outs for the hangers and dowels down the centre. Use the diagram above to measure. Drill 10mm holes with your drill to insert the jigsaw blade to cut these out. The hangers slots are first drilled with a spade bit at the ends and then with a jigsaw to finish off.

The top rail is mounted on the inside of the two end pieces, and fits into the slot of the centre piece. Secure to the ends via countersunk pilot holes and 40mm screws.

Complete

FINISHING To finish off, fill all screw holes with wood filler, allow to dry and then sand smooth. Sand the entire assembled piece to prepare for painting. Pay particular attention to the raw edges, as these should be sanded with fine grit sandpaper until smooth. This will reduce the amount of paint required along these edges.

For more DIY projects, visit: www.home-dzine.co.za www.diy-divas.co.za 93

book reviews Peppa Pig: Where’s Peppa’s Magical Unicorn? | Ages 3–6 | R150.00 Peppa wants to play with her magical unicorn, but she can’t find her anywhere! Is she hiding at the castle, the beach, or the end of the rainbow? Join Peppa and Daddy Pig’s adventure and lift the flaps to find out!

Onward: My Busy Books | Ages 3–6 | R230.00 An engaging storybook and toy in one activity kit! My Busy Books offer full-page illustrations, a story, figurines, and a playmat that bring the characters to life and ignite your child’s imagination

Dog Diaries 05: Camping Chaos | Ages 6–9 | R80.00 “I can’t wait to get to the most magical place in the world— the woods! Just imagine all the adventures! But all my best plans are ruined when Iona Stricker shows up, making any fun impossible.” A perfect story to tickle the funny bone of any young reader!

A Wishing-Chair Adventure: Home for Half-Term | Ages 6–9 | R100.00 A brand new full-colour short story from Blyton’s magical Wishing-Chair series—an excellent companion to the successful Magic Faraway Tree Adventure series and perfect for readers aged 5+.

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WIN!

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SMS the word CHICCO and your email address to 33903 and stand a chance to win 1 of 2 Baby Moments hampers valued at R700 each

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ENTER TO WIN: SMS the key word and your email address to 33903. Each SMS is charged at R1.50. Free minutes do not apply. T’s and C’s apply. All entries close 26 August and winners will be announced on 31 August on our Facebook page and via email

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175 YEARS OF DOING GREAT THINGS

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budgeting app that helps you manage your money. Moneyversity offers a range of free online courses on saving and investing, credit and debt, and even financial planning. Learn to manage and grow your funds the way the experts do, at the touch of a button. ADVICE - When it comes to your finances and the best way to manage them, our team of expert financial advisers are a click away, from the safety and comfort of your home. Get in touch to find an adviser who can help you make your dreams a reality. SIMPLICITY - Saving for your child’s education and future shouldn’t be complicated. We’ve made it simpler than ever, with a wide range of easy-to-understand investment options we’ve removed the paperwork, and taken it all online. Get in touch today, and let’s get your child’s future started.

To find an adviser, scan the code or visit oldmutual.co.za/personal today.

Old Mutual is a Licensed Financial Services Provider

From the moment you wash your babies’ clothes; to the moment they smile, laugh, take their first step – we’re there for every gentle moment you share. New Sunlight baby, as gentle as your baby.

*Sunlight Baby fragrance is hypoallergenic.

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