Baby's and Beyond™ - December 2020 - February 2021 by Media Xpose

VOLUME 7

INSIDE: FEATURES | COMPETITIONS | KICKS FOR KIDS | RECIPES

a family lifestyle magazine TM

www.babysandbeyond.co.za

Power-up

Back to school:

Lunchbox ideas

your ‘hands-on Dad’ function

Pregnancy and the immune system

Breastfeeding journey

Elana Afrika-Bredenkamp:

an inf luential mom-preneur

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SUMMER

Be SunSmart! What is school readiness?

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ed's welcome What a year! 2020 hasn’t been easy on any of us. Looking back at how the year started on a high note for many of us, makes one think how quickly things can turn for the worst. It has been and still is a mental challenge to keep your head above water. Who would have thought that the Coronavirus would change so much in such a short period of time? For some, it is going to take years to get back on their feet and face the reality of the scars the pandemic has left and still continues to do so. But, as parents, we need to stand strong, and think smart for the sake of our children. It might not be easy, so asking for help, whether it be financial or psychological, is important. Don’t be ashamed, this pandemic has left all of us scarred in some way or another. I’ve learnt about a few high school pupils that have committed suicide recently. What could have been the problem? The tragedy of this will remain with those parents forever. Was it the effects of the pandemic, or the interrupted academic year? It is important to make time to speak to your children about any issues they might have. Make them understand that this too shall pass. But for now, we are in the season to be jolly, even though some of us still have to work while our children are home alone to enjoy the school holidays. Make sure they are taken care of by a responsible adult. Don’t let them venture off alone to a friend’s house, shopping mall or play park. Just don’t take the risk. I would like to wish you all a happy festive season and a prosperous 2021. Remember, don’t drink and drive. Speed kills. Best wishes

Elroy 2

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contents COVER STORY

EDUCATION

PARENTING

Elana Afrika-Bredenkamp - an influential mom–preneur

What is school readiness?

Discipline: positive reinforcement vs punishment

EYE CARE

HEALTH

Literacy issues in kids? Focus on eyes

DAD’S DIARY

Skin conditions in infants

Your parenting style could affect how your child copes

PREGNANCY

Health is wealth – 4 secrets to looking & feeling younger

Power-up your ‘hands on Dad’ function

Pregnancy and the immune system

Chronic pelvic pain – what is it?

BREASTFEEDING

NUTRITION Skipping meals: Harmful or healthy?

My breastfeeding journey

Rooibos’ role in managing diabetes becoming more prominent

CHILD DEVELOPMENT

MENTAL HEALTH

Healthy eating during pregnancy & lactation

Early childhood development - building blocks for lifelong learning

Caring for someone living with schizophrenia

CHILD GROWTH

HYGIENE

Child growth awareness – How an app can help you monitor your child’s growth

Hygiene concerns for your child – what is the new normal?

DENTAL HEALTH

OPINION

DIY ARTS & CRAFTS

Facts to consider before asking your dentist to extract a troubled tooth

Do you really have too much stomach acid?

Tic-Tac-Toe

30 34

SKINCARE

Be SunSmart!

BACK TO SCHOOL

Lunchbox ideas

Sub-Editor: Tessa O'Hara tessa.ohara@gmail.com

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

Ad traffic Controller: Wadoeda Adams artwork@mediaxpose.co.za

Social Media: Kyla van Heerden social@mediapxose.co.za

Editorial Contributors: Tanith Carey Don Dinnematin Dr Amore van Greunen Anel Annandale Dr Rabeen Lutchman Catherine Clark Dr Philip Zinn Dr Gwen Tonyane Reabetsoe Buys Ilse Beer Elizda Hanekom Nicole Biondi Justine Jowell Megan Blair

Distribution & Subscriptions: Shihaam Gyer distribution@mediaxpose.co.za

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

6 Carlton Crescent, Parklands, 7441 | Tel: 021 424 3625 | Fax: 086 270 9693 Email: info@babysandbeyond.co.za | Website: www.mediaxpose.co.za

@babysandbeyond.co.za

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Picture Credit: Elana Afrika-Bredenkamp / 123rf.com / pixabay.com / pexels.com Distribution:

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snippets - editor's choice Summer is ON! After a long, cold winter behind mandatory locked doors, you wouldn’t be blamed for wondering if summer is ever coming, and even if it does, will you still be able to enjoy it? Well, the good news is, summer is on!

“

2020 has been a tough year, throwing the entire nation into unchartered territory, but once again South Africans proved to be resilient and adapt to these new circumstances,” comments Alexa Wilding, senior brand manager for skin protection brand Everysun. “And now that restrictions have been lowered, and the weather is warming up, let’s spend summer enjoying ourselves, even if it will be a different experience this time round. What’s important to remember is that while we are enjoying the sun, all COVID-19 precautionary measures in place of course, this is not the time to throw caution to the wind and go outside with unprotected skin. Having being indoors for so long means our skin has not been exposed to the same amount of sun it would have under normal circumstances, and you will need to increase your sunscreen protection, no matter your skin tone, and especially if you have sensitive skin.” Living in a country that guarantees hot summers, where outdoor living is assumed, and sunny days are constantly enjoyed; protecting your skin from harmful UV rays is a message that is often encouraged, but not always followed through. “With winter behind us there’s no time like the present to take heed and make a conscious effort to keep your skin safe and protected,” explains Wilding, and provides five tips on how to enjoy the summer sun after lockdown: 1. Don’t skimp on the sunscreen. Apply the correct amount of sunscreen to get

the right amount of coverage. If you apply too little you won’t get the SPF coverage you are looking for. Make sure that the area you are applying the sunscreen to is well covered. Wearing a high protection sunscreen is strongly advised for you and your family, and the new Everysun family size 50 SPF 300ml + 100ml FREE = 400ml lotion ensures that there is enough for everyone. 2. Ease into the sun bit by bit every day. This is a better way to approach the warm sun without causing any harm to your skin. Slowly increase the amount of time you spend outdoors every day and judge your skin’s reaction. This will determine the amount of time you should be spending outside. Even if your skin is tanning, you should still ease into it. 3. If possible, stay inside or find sufficient shade during the hottest periods of the day – 10am to 3pm. This is the time when the sun’s rays are at its strongest and can cause the most damage. If you are outside during these times, make sure to apply extra sunscreen to keep your skin protected. 4. Find shade. If you are looking to spend time outside, but the sun’s rays are too strong for your skin, look for a shady spot under a tree or an umbrella, and never forget a hat to protect your head and face. 5. Sensitive skin is experienced across all skin tones and should not be ignored as too much time in the sun can cause serious, long lasting damage. Using a sunscreen suitable for sensitive skin, including children, is highly advised.

Everysun’s new sensitive skin sunscreen Sensitive Care protects delicate skin from harmful UV rays and is formulated with Vita Lock™ which is an infusion of antioxidants, vitamins and advanced UVA and UVB filters with photo stability. This product offers 50 SPF protection, is fragrance free, supports even tone, leaves no white residue and is light and non-greasy, making it the perfect sunscreen for those with sensitive skin. “Although, we can finally say that summer is on, it is important to realise that even though we are experiencing a 'new normal' in almost every aspects of our lives, there is no new normal when it comes to sunscreen and skin protection. It is just simply the norm,” concludes Wilding. ■ • Both the Everysun Family Lotion SPF 50 300ml + 100ml free = 400ml and Sensitive Care range are available at all leading retailers and pharmacies at a RSP of R289.23, R169.87 and R159.99 respectively. For more, follow Everysun on Instagram: @everysun_sa or Facebook: @everysunsa www.babysandbeyond.co.za

snippets - editor's choice Purity introduces new range Purity has introduced their Purity Toiletries range, with the trusted expertise from Elizabeth Anne’s. Clinically tested to ensure it is mild and gentle, Purity provides only the best, gentle and effective products for parents and their little ones.

ree from sulphates, parabens and colourants, and approved by consultant dermatologists and paediatricians, the Purity Toiletries range ensures your little one’s skin and hair are protected and cared for. Launched in September, Purity’s panel of experts hosted a discussion on the significance of the improved formulation, pertinent issues around parenting and Purity as a longstanding and reliable brand. Panellists, clinical psychologist Jenny Perkel; registered nurse, midwife and childbirth educator, Lynne Bluff and specialist paediatrician and certified allergist Dr Thulja Trikamjee, led by media personality and mom, Jo-Ann Strauss, informs, supports and engages both moms and dads in their parenting milestones. The panellists discussed the importance of Purity’s improved range and provided

guidance on how to identify, treat and prevent particular skin conditions. Purity’s comprehensive range of products is suitable for the entire family. Start your pregnancy journey with their Nipple Cream and Stretch Mark Cream, proven to decrease the appearance of stretch marks within four weeks. Purity’s petroleum jelly with moisture control and aqueous creams provide 48-hour moisturisation, protecting the most delicate skin. Purity soap bars are free from sulphates and colourants and have a non-allergenic fragrance to gently cleanse and moisturise little hands and bodies. Your little one will appreciate Purity’s ‘no more tears’ shampoo and bath range, and for an after bath massage, Purity’s moisturizing oil range keeps little one’s skin smooth and cared for. Keep baby comfy and fresh all day with Purity’s baby powder range, which absorbs excess moisture without drying out little one’s delicate skin. Help prevent,

soothe and protect your little one from nappy rash with Purity’s new spray format bum range enriched with zinc oxide easy to apply and mess free. Purity’s laundry range is great for cleaning and protecting baby’s delicate clothes and blankets. The laundry wash, stain remover and fabric conditioner are tough on stains and gentle on fabrics as they are free from chlorine and colourants. The disinfectant solution is specially formulated to kill up to 99.99% of germs. It is chlorine and colourant free and thus safe to use to cleanse bottles, teats, soothers, toys, surfaces and other objects which come into contact with your baby. Purity also offers ‘Fragrance Free’ for sensitive skins, ‘Good Nights’ for bedtime calming, and the ‘Fresh’ range, suitable for the whole family with non-allergenic fragrance. “The Purity Toiletries launch is a culmination of two years’ worth of research and development. We reviewed local and international trends. We spoke to parents to get a deeper understanding of their needs and challenges when it came to the care and protection of their children’s delicate hair and skin. We were also guided by our panel of experts, which includes a dermatologist, a paediatrician, and an allergist in developing a range of toiletries that meet parents and their babies’ needs,” says Managing Director of Tiger Brand’s Baby Division, Mpho Toolo. “At Purity we want to partner with parents along their journey. We believe that our range of specially developed toiletries are a step in the right direction to helping little ones reach their full potential,” he adds. ■

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snippets - editor's choice Flaxseed oil redefines soap for health-conscious times As hand hygiene and skin health become major priorities for individuals and families across South Africa, flaxseed oil has emerged as a healthy and effective way to improve skin health.

laxseed oil has been found to enhance the skin acteria. It also has internal health benefits – flaxseed oil contains omega-3, omega-9 fatty acids, and omega-6 fatty acids, which studies have found to have positive heart benefits1. Flaxseed oil is also known to improve skin smoothness and hydration, to reduce inflammation, control sebum production, and to prevent pollutants from entering the skin. As an ingredient in new Protex Flaxseed bar soap, flaxseed oil helps to protect against germs while penetrating the skin and boosting its ability to fight bacteria. The new soap offers South Africans revolutionary health benefits, incorporating this recognised bacteriaprotection effect using pure, cold-pressed flaxseed oil, boosting the skin’s natural defences for up to 24 hours after use. “We believe an ingredient is not protecting unless it makes you stronger,” says Panagiotis Tsourapas, group President, Colgate-Latin America, Asia Pacific & Africa-Eurasia. “This is why we have added flaxseed oil to our new Protex bar soap. The new soap represents the biggest natural innovation in body care since the launch of Protex in 1985.” Tsourapas said thanks to the protection that new Protex Flaxseed provides people using it would now have greater confidence to get out and enjoy life. “Protex Flaxseed gives you the confidence and freedom to reach out and touch everything good in the world,” he said.

“New flaxseed technology protects against germs while also rejuvenating skin and making you healthier.

References: https://www.who.int/nutrition/topics/5_ population_nutrient/en/index10.html

“By combining these health benefits, Protex is looking to improve our attitude to life. It’s about going beyond regular soap, and redefining what soap does for us.” ■

Flaxseed oil has been found to:

Enhance the skin’s own ability to clean itself.

Boost natural antibiotic protection.

Provide prolonged protection against bacteria.

Flaxseed Oil has internal health benefits:

Flaxseed oil contains omega-3, omega-9 fatty acids , and omega-6 fatty acids, which have positive heart benefits1.

Flaxseed oil is also known to improve skin smoothness and hydration, to reduce inflammation, control sebum production, and to prevent pollutants from entering the skin.

As an ingredient in new Protex Flaxseed bar soap, flaxseed oil helps to protect against germs while penetrating the skin and boosting its ability to fight bacteria.

www.babysandbeyond.co.za

snippets - editor's choice Natural intimate care for daily freshness and confidence with Betadine™ To feel fresh and clean from top to toe is high on most women’s daily ‘what I want’ lists, but sometimes – when the weather is hot and humid and the day is busy and demanding – it’s not that easy. This can make women feel self-conscious and anxious about less-than-fresh odours.

nderstanding feminine hygiene needs is what Betadine™ Intimate Care range does, says Shannon te Roller, GM of Mundipharma SA, distributors of Betadine® products. In addition to their Daily Intimate Care range, the company launched a range of three Intimate Care Odour Control1,2 products designed to maintain the health in women’s intimate area and provide protection from unwanted odour, itch, or irritation. The range consists of Betadine™ Odour Control Daily Intimate Wash, Betadine™ Odour Control Daily Intimate Foam, and Betadine™ Odour Control Daily Intimate Wipes.1,2

“Everyday realities such as perspiration, periods, and even some foods can lead to undesirable feminine odour, often making women uncomfortable,” says Te Roller. “Our Odour Control1,2 range has a unique TRI-CARE+™ formulation (Immortelle, Sensiva™ SC 50 and Citrofol™ Al), and Witch Hazel, that provides advanced deodorizing effects to keep unwanted odours at bay and added prebiotics to help maintain the pH balance of a woman’s intimate flora.” All intimate care products are also soap, paraben and colourant free; hypoallergenic and tested.

“Mundipharma is continuously developing our women’s health range and is committed to women’s wellness and empowerment throughout South Africa,” adds Te Roller. ■ • The Betadine™ Intimate Care Odour Control products are available from leading retailers and pharmacies around the country. For more information, visit www.betadine.co.za

Uber Eats & Medicare launch SA-first pharmacy offering

ber Eats is now offering a South African-first pharmacy service locally with Medicare that will provide users, directly from the Uber Eats App, access to over-the-counter medication (self-medication), including schedule 1 and 2 drugs, for delivery without leaving home. Uber Eats is rolling out the new reimagined experience to users to find exactly what they are looking for, faster, in addition to offering new ordering categories such as groceries, medicines, speciality foods, and pet food. ■

www.babysandbeyond.co.za

snippets - editor's choice Jump feet first into summer with no nail shaming The first steps of open-toed freedom into the warm weather across South Africa need not be shaming for fingers and toes that have spent too long under the covers of lockdown and winter.

hannon te Roller, GM of Mundipharma SA, distributors of Betadine® products in Southern Africa, says unsightly nails on feet and hands are a real part of the social anxiety of stepping out into summer weather.

thickening, discolouration, brittleness and softness. Results are noticeable after one week of treatment.

“But feet can now be prepared to put their best selves forward with our exciting new Betadine™ Emtrix™ Fungal Nail Solution. The product is clinically proven to improve nail appearance in one week – and it’s the number one nail solution in the USA, Sweden and Taiwan.” Betadine™ Emtrix™ Fungal Nail Solution is used to treat discoloured and deformed nails resulting from fungal infection or psoriasis – and within eight weeks, it improves nail

Fungal nail infections affect 19% of adults across the world, 50% of the elderly, as well as children8. Psoriasis affects 2-3% of the population, 80% of whom could have nail psoriasis. Betadine™ Emtrix™ Fungal Nail Solution is applied directly to the site of infection and changes the nail itself, improving the surface and keeping it in good condition. “Fungal infections and nail psoriasis can be painful and far more than a cosmetic nuisance,” adds Te Roller. “Betadine™ Emtrix™ Fungal Nail Solution is another innovative product from Mundipharma which keeps putting its best feet forward in its efforts to meet medical needs in South Africa.” ■ • Betadine™ Emtrix™ Fungal Nail Solution is currently available at selected Clicks stores and leading pharmacies across South Africa.

BlueironFe3 Liquid Iron

n iron supplement suitable for pregnant and breastfeeding moms, children and vegans. Easy on the stomach with maximum absorption as the body only uses what it requires. No unpleasant gastrointestinal side effects or constipation usually associated with iron supplements. Reduces tiredness and fatigue, boosts energy and performance and tastes good. ■ • Available at selected Dis-Chem stores, Wellness Warehouse, pharmacies and health shops, Faithful-to Nature, Takealot.com and Blueiron.co.za/shop

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snippets - editor's choice iS Clinical No more drying or stripping

Cleansing Complex is an award-winning lightweight daily cleansing gel that thoroughly cleanses the skin without stripping or drying. This multi-tasking treatment minimises the appearance of pores, removes makeup and helps control breakouts. Cleansing Complex is great for all ages, skin types, genders and safe to use while pregnant or nursing.

Replenish hydration

Shield Recovery Balm is an ultra-rich protective formula that dramatically replenishes hydration to dry, sensitive, or severely compromised skin (including burns and open wounds). This bio-nutrient and antioxidant rich balm helps support optimal skin barrier function while helping to soothe the discomfort of dry, distressed, and postprocedure skin. Excellent moisturizer for harsh, cold or dry climates. ■

Shoo bugs!

eep the bugs away naturally! Effective, all natural and non-toxic, and made with organic Aloe Vera. Travel-sized for adults and children.

Calming gel for inflamed skin

100% all-natural, lightweight, non-greasy, unscented gel that calms and hydrates dry, irritated skin due to sunburn, shaving, waxing and laser treatment, eczema, psoriasis, bug bites and abrasions. ■

Go Education • Inclusive stress-free schooling environment • Individual Educational Plans (LEP) adapted • CAPS or external curriculum providers • Spectrum friendly and pressure free, benefitting learners with high anxiety Cottage School: From Grade 3, 4:1 class ratio, highly trained educators. Situated in Plumstead, tel: 083 683 8356, email: info@goeducation.co.za, website: www.goeducation.co.za

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marks

sticky notes

Prevent stretch

Does breastfeeding

The simplest way to prevent stretch marks from forming in the first place is to lose or gain weight slowly over time. Moisturising your skin regularly can also help to prevent stretch marks from forming.

How to stay cool inside

during summer

• Turn unnecessary lights off in your home at night • Keep your windows closed during the day • Block windows with two-layered curtains or sunshades • Use a dehumidifier to keep moisture down during hot days • Avoid turning on appliances that can heat your home

Pregnancy

exercise

Experts agree that pregnant women who exercise more have less back pain, more energy, a better body image and, postdelivery, a faster return to their pre-pregnancy shape.

benefit the mother?

Breastfeeding burns extra calories, so it can help you lose pregnancy weight faster. It releases the hormone oxytocin, which helps your uterus return to its pre-pregnancy size and may reduce uterine bleeding after birth. Breastfeeding also lowers your risk of breast and ovarian cancer. It may also lower your risk of osteoporosis.

Cot deaths -

did you know? Cot deaths occurs normally between midnight and 9am. However, it can also happen at any time of the day. There is usually no noise or evidence of struggle.

Pros and cons

of home schooling Pros 1. One-on-one teaching 2. Flexible schedules 3. Learning for knowledge, not grades 4. Control of the curriculum 5. Saves time 6. Parent-child bonding 7. Safe learning environment 8. Less paperwork 9. Focus on child’s talents

Cons 1. Expensive 2. Lack of structure 3. Limited coverage of subjects 4. Absence of skilled and trained teachers 5. No time apart 6. Justifying to family and friends 7. No socialisation 8. Limited access to sports

Breastfeeding tip - did you know? The more your baby nurses, the more milk your body produces

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sticky notes

Sunburn

Why a nutritious lunchbox

Sunburn is the skin’s reaction to too much UV light exposure. Melanin is the pigment in the outer layers of the skin that gives us our natural colour. When exposed to UV light, our bodies work overtime to produce more melanin, creating a darker tint to the skin, known as a tan. The tan is the body’s natural defence mechanism to prevent deeper skin damage from the sun’s rays. That protective barrier only works for so long, though. Prolonged UV light exposure will cause the skin to eventually burn, leading to pain and redness. Some people can burn in as quickly as 10 to 15 minutes. Wear sunscreen at all times, especially when out and about.

is important for your child Lunch is an important meal. Without a nutritious meal, your child’s energy levels could drop off and fade – as opposed to them being at their best for homework or after school activities. Fruits, vegetables, nuts, tuna, chicken and cheeses are some of the healthier options to consider.

Why bedtime stories

are important for children

Listening and reading bedtime stories routinely can improve the attention span and listening skills of children. Most of these stories for children have a good moral at the end and they can be helpful in inculcating life skills like honesty, courage, respect, generosity, etc. It also boosts parent-child bonding.

Why pets are great

1 2 3 4 5

for toddlers

Teaches them the importance of life - this is the most important lesson that having a pet can give your kids.

Makes them responsible - caring for a pet also requires them to become responsible. They will understand that if they don’t take good care of their pet, it will get sick, run away or die. Helps them practice caring for others - having a pet will teach your child to care for others. Not only for animals but for plants, people and even material things. Teaches them how to create a routine - let them create a daily routine to take care of their pets with your guidance and supervision. This will teach them how to organize things in the future and will let them understand the importance of time. They learn the importance of cleanliness and good health - when they properly care for their pets, they will see that their pets will grow to become big, strong and healthy.

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Beach

packing CHECKLIST Swimsuit Sunscreen Beach towel Umbrella Sunhat Sunglasses Water bottle Snacks Kids toys Floaties Body board

cover story

Elana AfrikaBredenkamp, 40, wife to Ian Bredenkamp, 44, well-known voice on South African radio and entrepreneur, spoke to BABYâ&#x20AC;&#x2122;S & BEYOND.

Elana Afrika-Bredenkamp an inf luential mom-preneur 16

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cover story You and Ian have been married for a few years with two beautiful children, Esther Beth (5) and Annabelle (3). Please tell us more about your family.

I chose my husband because I knew he would be a wonderful father. We have two older children and I can see how he parents them and I really envy the way he does this.

My career is mainly broadcasting and since becoming a social media influencer for good, I believe that I can use my influence online to change the world for good, hence the fact that I have also started an online platform called Baby Brunch.co.za. This has helped many people and we’re very lucky to be the No.1 parenting podcast in the country.

We are on all the major podcast platforms, Spotify, Apple, etc. I’m very lucky that in every form of broadcasting that I’ve done, whether it was on stage, TV or radio, or digital, I've always used strong messages about support, using my talent to do good and to inspire people, mentor and educate.

I knew he would be a great father and I’m lucky enough to have two daughters who are only 22 months apart. Esther is a very confident little girl and Annabelle, although she is very shy, is also very confident. What makes our family unique is the fact that Ian and I read a lot of books and listen to a lot of podcasts and have a lot of chats about how to raise successful individuals and how to make sure that our children always feel that they belong and that they can do anything and that they are courageous. Affirmations in our family play a big role and it’s something that we start our day with. So is prayer; we do a lot of affirming through prayer and conversation with our little kids.

Please tell us more about your career.

There’s a lot to say about my career because I have been working professionally for 21 years. However, the short version is that I finished Stellenbosch University in 2000 but was already on stage as a professional actor, singer and dancer. I knew that I wanted to work in television and radio as well because I wanted to try my hand at all other media. That is when the MNet & Kyknet team visited Stellenbosch University and I was headhunted by the channel and had to move from Cape Town to Johannesburg. Initially I moved up for TV but also landed a radio stint with Jacaranda FM. Even though I have travelled to many other radio stations since 2000, I’m back at Jacaranda FM where I’m still a broadcaster. www.babysandbeyond.co.za

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I have to be honest with myself and therefore have to be honest with them. What I love most is that I have to teach values to someone and also live them.

How do you manage being a family-orientated wife and mom in between your busy schedules?

I don’t think one separates it. I think I was born to be a family-orientated person and then I became a family orientated mom and wife. At the moment I’m at the office but also do things that mom’s do. I have just booked a holiday for my family and I also planned a meal while sitting here, but I’m also running my business.

What do you love most about being a mom?

The one thing I told our moms when we talk at Parent & Baby Brunch events, where we bring in our experts, is that we should stop being afraid to ask for help; put your hand up. So, at the moment my husband is at the office and I’m here and even though my children have been collected from school, they are with an amazing au-pair for a few hours before we get back and take over.

I have learnt so much about myself raising children and especially raising daughters. I have to be honest with myself and therefore have to be honest with them. What I love most is that I have to teach values to someone and also live them. At home we talk to our girls about the 'little girl that doesn’t have'. It makes me want to give more and so charity and supporting other people is a big thing in our family. My daughters are learning from this too.

I think sometimes one drops the ball, but you just get up again and continue because that is what life is about making mistakes, but it is also about seeing what works for you. I don’t think I will ever stop being a family-orientated mom and wife and we’re busy people, we’re a travelling family, we live between Johannesburg and Cape Town and my children understands that if mommy doesn’t work, she can’t buy nice things and if mommy and daddy don't work, we cannot go on holiday. The same applies to living between Johannesburg and Cape Town. In Gauteng they know this is where mommy and daddy work and

Cape Town is also where we work – the bonus is we get to see Ouma and Oupa!

I LOVE BEING A MOTHER – it is my highest achievement in life. I’ve always wanted to be a mom. What I love the most is that life is about self discovery - you have to learn more about yourself every step of the way.

You are also founder of a project called Parent & Baby Brunch which is very close to your heart. Please tell us more about the project and how it influences other parents and moms-to-be. We have support platforms, podcasts, blogs and written work. I don’t call Baby Brunch a 'project'; I call it a support network. It is close to my heart because it started because I didn’t have the support I really needed and wanted when my baby was born and I didn't want other parents to feel like that.

I’m proud to say that in 2015, when we started this project, we were the very first parent and baby support network; even before the corporates thought about it. We were the first group that said, “Do you have a breastfeeding room at work because the mom that you just employed has a baby 3-month-old baby. Have you thought about that?” We want to influence people positively and create awareness, that is our aim and we will continue telling stories through our podcast. We’re not in the business of preaching; we are in the business of telling people "you’re not alone" and showing them that anyone can do it by raising a hand, and that their feelings are valid and real and that we believe them. Parenting is a tough gig but the reason we want it is that it teaches us so much about ourselves. If you’re able to have a child, it’s a big privilege and a massive gift.

In April 2020, you launched a clothing line called ELANA by Glare, in partnership with Glare Modern Vintage. Tell us more about the inspiration behind this venture and its success to date. Elana by Glare was launched during South Africa's lockdown and it gave people hope. We could easily have said we wouldn't launch because of lockdown, but we decided to launch because it gave people inspiration online and the pictures are really beautiful. There are a lot of themes around motherhood, especially with daughters looking to their mothers for guidance and inspiration. Our children look up to us and they want to be like us; girls especially want to look like mommy. Spending time with them singing, playing and chatting, as well as the idea of dressing like them and them dressing like me was just another part of it all. Also, being the best that they can be or having the kind of mentorship in their lives if they don’t have a mother that inspires them and helps them. That is why Elana by Glare started to inspire www.babysandbeyond.co.za

cover story people to seek out the one woman in their life they want to be like because they have so much to learn when they have good mentors in their lives.

You also love cooking. What type of food do like cooking most and why?

My love of cooking sparked the development of my meat-free recipe series online. To pair with fine food, I launched my own wine range in 2014 – Elana Wine. This boutique Shiraz range, produced in the Durbanville wine route region, went on to collect a gold Michelangelo Award.

Ian is also a busy dad and entrepreneur. How does he keep up with and make time for the family?

Ian is the best dad I can have for my family. I also have to say that COVID-19 has taught us that we can work from home. He is close to the children’s school and fetches them from school and we make time for our family. I think that early on we learnt something valuable; that even if two days goes by where you haven’t had playtime with your children, when you do have the opportunity, put your phone away and spend time with them. What I do often is I ask them questions, as if I’m interviewing them, and will ask questions like, “What does your mommy like doing

with you?” and they will say, “My mommy likes playing with me and we play dollies and Lego.” Even though sometimes I haven't managed to spend as much time as I want with them, what I find is that because I wasn’t on my phone or distracted when I was with them, it was really quality time and they remember that time as valuable. When you have your children, spend time with them and really engage with them. Children just love having you around and knowing that even though you are not actually playing a game that they have your undivided attention.

How do you stay fit and healthy?

Healthy is not even a choice, it’s just what we do. We want to live a good life, we enjoy good food and red wine and we understand that we have to respect food and wine. I cook fairly healthy meals and there are always vegetables or salad with every meal. I stay fit by running three times a week. I also have an indoor step machine, so on the days that I don’t run and while my children are in bed, and I will probably do 45 minutes on the step while listening to a podcast. I don’t need to be outdoors to stay fit but I think I’m very lucky I’m able to exercise and be healthy and be able to run after my children. 

Elana’s favourites Movie: I don’t have a favorite movie. I haven’t watched a movie in a long time. I had a series on TV that I really liked called 'Hollywood'. My favorite show that I starred in is a series called 'Fynskrif' that I really enjoyed. It ended in lockdown and the reason I enjoyed it is that life is actually a full circle. The people who wrote the series, Albert Snyman and Louis Pretorius, were all at school with me 20 years ago when I met my husband, so how’s that for full circle! Music: I listen to a lot of local music and also because I work with Jacaranda FM. I play a lot of instruments and the music I play is ‘boere musiek’ and a lot of gospel because I was the pianist in church, so yes that’s the music I make. Food: My favorite food is Indian food, Chinese food and my mother’s food. Hobbies: I enjoy running, walking and I love making music. Holiday destination: My favorite destination is Greece. What I always teach my daughters: I teach them that they are my MIRACLES! May you raise beautiful, courageous children. Always ask them for their opinions so that they feel you are collaborating with them and not just parenting them. They need to have a voice, not just in their homes, but when they are with their peers and other people.

NOTE: Ahead of this Christmas my friend Kate Shepherd and I launched a new venture named Bag of Joy (www.bagofjoy.co.za). It's a range of experience-based gifts in a bag for children… perfect for Christmas! The bags contain pyjamas, advent calendars and more to set the tone for the perfect festive season.

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eye care

Literacy issues in kids?

Focus on eyes

Children experiencing problems with reading could be experiencing problems with their eyes. Problems with vision can affect reading, learning and overall performance at school. In South Africa, poor vision is impacting young people. A Cape Town University study shows that some 450 000 South African youths have problems with their vision, with visual impairment at 4% the main problem affecting their general health and functioning.

“P

oor vision could be thwarting your child’s reading abilities. Several studies link uncorrected vision problems with poor levels of literacy, but it goes beyond a stifled ability to read. Children who battle to see properly can also suffer in other areas such as on the sports field as well as emotionally," says Ruahan Naude, CEO at Dynamic Vision. "Young children may not even realise that they are struggling to see clearly, because it is how they have always seen the world and know no different. If your child’s reading abilities or performance levels at school are poor, it is well worth having their eyes checked as part of your investigation into the reasons why," he adds. Naude recommends that children have an eye exam by the age of three and again just before they start primary school. School-aged children should have their eyes checked every two years if they have no visual issues.

Signs to look out for

Signs that could indicate vision issues in a child; include sitting to close to the TV, using a finger to guide their eyes while reading, complaining of sore eyes or www.babysandbeyond.co.za

headaches, difficulty concentrating, and introverted behaviour, amongst others. He goes on to say that young people spend a vast amount of time on electronic devices. Tablets and mobile phones are held close to the face, placing strain on developing eyes. “We increasingly see Computer Vision Syndrome (CVS), or digital eye strain, in children and teens because of prolonged exposure to computer screens and other devices. Screens emit blue light which causes damage to the back of the eye and increases the risk of degeneration and permanent vision loss later in life," says Naude. “Young people who spend a lot of time looking at screens can suffer from the symptoms of digital eye strain. This includes headaches, sore and tired eyes, fatigue, vision fluctuation and reduced concentration. These too can impact reading and school performance, so it is important to have your child’s eyes rechecked if they are showing any of these signs,” he adds.

Accommodative support lenses A solution for young people who spend

a lot of time looking at screens is accommodative support lenses. These are designed to relax the eyes when using a screen for long periods and then focussing on objects in the distance. Accommodative support lenses, in combination with blue light, support young eyes and reduce digital eyestrain and its associated symptoms. “Even if your child already wears glasses and appears to be suffering from digital eye strain, it is a good idea to have their eyes checked. This will help to make sure that the prescription is still appropriate,” advises Naude. He concludes that parents should look for signs that their children are struggling to see to prevent other underlying issues. With an early diagnosis, the most common refractive errors can be corrected to avoid strain and further damage to their developing eyes.  Reference: 1. Farber, T. (2017, 06 16). Almost half a million SA youths have problems with their vision. Retrieved from Times Live: https://www.timeslive.co.za/news/southafrica/2017-06-16-almost-half-a-million-sayouths-have-problems-with-their-vision/

Be a big kid yourself and play!

– it could be the best way to de-stress By Tanith Carey, author of 10 parenting books

Any adult, parent or grandparent can recognise the look of delight in a child’s eyes when they are fascinated by a favourite toy. Over the last few years, research has found that playtime is much more than fun for kids. Whether it’s playing ‘peek-a-boo’ with your baby, ‘let’s pretend’ with your toddler or 'airplanes' with your three-year-old, play has been found to stimulate their social skills, imagination and language development. But it turns out that playtime isn’t just important for little ones. A growing number of studies are finding that it’s surprisingly good for you too. In fact, as parents lead increasingly busy lives, entering your child’s imaginative world could be the single easiest thing you can do to de-stress. Dr Jacqueline Harding is a leading child development expert and a senior lecturer at the University of Middlesex. She has just finished the first review of the evidence on the effects that playing with children has on grown-ups, to coincide with the launch of Fisher Price’s new campaign, Let’s be Kids, which celebrates seeing the world as kids see it. And she says the science is finding it’s the ultimate two-way street. Indeed, Dr Harding, who has looked at more than 100 research papers, says that far from seeing playing with kids as a ‘guilty pleasure’, we should see it as an essential ‘antidote’ to adult stress.

"There’s tons of research out there on the value of play to children. But less is known about the mutual benefits," says Dr Harding. "By looking at research across a range of disciplines around play, we are starting to join the dots and recognise that grown-ups reap huge advantages too." It seems the timing of the findings couldn’t have come at a better time. As a parenting author of 10 books, many of which examine how stress can suck the joy out of parenting unless we take steps to mitigate it, this is welcome news. In books like Mum Hacks and What’s My Child Thinking?, I have charted how economic uncertainty, long working hours and rising child costs, as well as the pressure to feel like the perfect parent, has made the parental balancing act feel tougher than ever.

So why is playtime such a powerful de-stressor for adults?

The secret is the feedback loop that happens when you connect through play. "Entering a game with a child increases levels of well-being chemicals in both your brains ¬ moodenhancing endorphins and the bonding hormone oxytocin. This, in turn, reduces the levels of stress hormones, like cortisol, which can build up when we lead busy, stressful lives," explains Dr Harding. "Playing with your child also seems to tap into adults’ memories, recalling times when for some perhaps, life felt simpler and more joyful."

Dr Harding’s conclusions that play can be as stress relieving for adults as it is for kids, feels like the ultimate win-win. Dr Harding also believes the review is timely. "It’s widely agreed that humans are carving out a way of life that is characterised by unprecedented levels of stress. The Mental Health Foundation found that 74% of adults felt very stressed. That rose to 81% in women," says Dr Harding. "Until now, we had a hunch that play can also

All play is good for you, but to get the best benefits, Dr Harding advises taking steps to really be in the moment with your child. "If you feel shy at first, try some practical steps to get going, like getting down on the floor with them. That helps take us away from that adult world where we can sometimes feel like the weight of the world is on our shoulders. "The other important thing is sit face-to-face so you have eye contact. Put aside your phone too, so your

Fisher-Price® Giant Rock-a-Stack®

Chatter Telephone®

At 38cm tall, the Fisher-Price® Giant Rock-a-Stack® takes classic stacking play to new heights. Your baby can grasp and shake the six colourful rings, then stack them up high on the wibblywobbly base. And the littlest ring has swirling beads inside for your tot to shake and explore!

With its friendly face, spinning dial, fun ringing-phone sounds, and eyes that move up and down as you pull it along, the Fisher-Price® Chatter Telephone® helps get your baby chatting—and strolling—like a pro!

Where development comes into play™ Gross Motor: Standing up to drop the rings on the base helps strengthen your baby's balance and coordination skills. Fine Motor: Grasping and stacking the rings helps strengthen dexterity and hand-eye coordination. Thinking Skills: Figuring out how to sort and stack the rings from biggest to smallest helps promote problem solving! The classic Fisher-Price® stacking toy gets supersized at 38cm tall! 6 colourful rings for your baby to grasp, shake, stack, and explore Shake the top ring for fun rattle sounds Wobbly, bat-at base For babies ages 12 months and older

calm an adult’s physiological responses, but now we are seeing the big picture to show that more conclusively."

Babies can sit & play or pull it along Chatter Telephone® features fun ringing sounds and eyes that move up & down Dial introduces numbers 0-9 Encourages early role play For infants and toddlers ages 12 months and older

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child feels secure in the knowledge that nothing will interrupt your time together. "When you are both on the same level, making eye contact and focussing on a third thing, like a toy, that sends out the message: 'We’re both really interested in this together'," she adds. This is a process Dr Harding calls ‘play triangulation’, or joint enjoyment of a plaything. "‘This can start as soon as between nine and twelve months when babies start to shift their attention for longer periods and enjoy sharing an interest in an object," she says. While it may not happen every time, the best playtimes come when you and your child enter a state of ‘flow’, says Dr Harding. This is when you are both so engrossed that you lose track of time and it feels as if your imaginations are flying away together. "As your emotional states start to match, your brain network starts to get in synch too. When you are both completely in the moment, this evokes a fabulous sense of wellbeing in both of you. Your heart rate goes down; your breathing relaxes and that’s a good place for both of you to be," she adds.

Get grandparents involved too

The research also uncovers benefits for older generations, which is a good reason to get grandparents involved in playtime as well. Positive interactions with others not only reduce social isolation of older adults but can promote health and well-being. In addition, active play has the potential to prevent cognitive decline that can happen as people age by activating processes that help maintain individual brain cells and stimulate connections between neurons

to try and things get done –and as the new Fisher Price research review suggests: "Spend less time growing up and a little more time growing down." Instead, look for an on opportunity to step off it for a play session with your child. However long you have together, far from being a waste of time, picking out their favourite toy and inventing a game around it could be the best use of your time. "Research shows that children laugh about 600 times a day, while adults laugh about five, if we are lucky. We need to bring playfulness back and who better to show us how than our kids? Sitting down and playing could be not only the best thing you can do for your child. It could also the best thing you do for yourself as a parent," Dr Harding adds.

Dr Jacqueline Harding (MA Cert ED) is an internationally known leading child development expert. She has extensive experience of advising programme makers and web and interactive media designers how to match content to the needs of the developing child. Tanith Carey is a British journalist and author of 10 parenting books including What is my child thinking? Practical Child Psychology for Modern Parents. She is a former US correspondent for the Daily Mirror and a former Consumer Journalist of the Year.

Dr Jacqueline Harding’s

playtime tips

Sit down with your child

Getting down on your child’s level sends the message you are ready to bond over a toy or activity. Match your child’s play style as much as possible so they know you are travelling with them into their play-world. Celebrate the world as your child sees it by remembering what it was like to be little. The magic will rub off on the way you feel.

Maintain eye contact

Find a toy you can both share and look your child in the eye and smile as you play. The mutual gaze will send the message. "We’re in this together."

Be imaginative

Use your imagination to introduce lots of pretend play. As well as inspiring your child, letting your mind wander can help your own brain become more creative both at home and work, long after you’ve left childhood behind.

So, next time life seems a little too rushed, don’t look for ways to speed up on the hamster wheel

Get creative

Corn Popper® Get ready for ball-popping fun, baby! As your baby pushes the Corn Popper® toy along, the brightly coloured balls excitedly pop around, encouraging your little cruiser to keep going. And the faster your baby goes, the faster the poppity-pop action! Where development comes into play™: Gross Motor: Little muscles get a big workout as your baby pushes the Corn Popper® toy along. Sensory: Bright colours and exciting popping sounds stimulate your baby's developing auditory and visual senses. Curiosity & Wonder: Little ones are introduced to cause & effect as they discover how to make the balls pop around by pushing the toy along. Push along for exciting ball-popping sounds & action Encourages baby to walk with fun popping sounds & action Requires some assembly. Helps strengthen gross motor skills and introduces baby to cause and effect Requires some assembly. For infants and toddlers ages 12 months and older

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You are never too old to have a go at making something with your child. Be spontaneous and set aside your inhibitions. Don’t try to ‘teach’ a lesson. The end result doesn’t matter. It’s the together time and the fun you have that’s important.

Make a play triangle

Forming a play triangle – between you, your child and a toy or activity will reassure your child you are sharing their fun with them. Your child will love to watch your reactions and ideas and they are bound to trigger some of his or her own.

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dad's diary

You have to create your own bonding time with a new baby. Mom and child are so physically close that their connection is easy.

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Power-up you r

dad's diary

‘hands on Dad’ function By Don Dinnematin

The detached dad, turning up his nose at parenting duties, has changed dramatically over the years. Do you still even get dads like this these days? Be hands-on from the beginning Getting involved in the daily activities of your baby – dressing, calming, playing, bathing and nappy changing – is the best way to build your skills and confidence. These everyday activities also create lots of oneon-one time with your baby. Another bonus is that it gives your wife a well-deserved break. Trust me, I’m still learning the ins and outs of this parenting role, but I have quickly come to realize a few important things.

Learn to understand your baby

Babies give ‘cues’ or signals to what they need through their behaviour and body language. By really paying attention to your baby’s cues, over time you’ll learn how to work out what your baby needs. Talk to your baby Communicate with your baby while you’re carrying or changing them. For example, “Let’s get this nappy changed”, “That feels better, doesn’t it?” I have read that every word baby hears helps develop their language and learning. Telling stories, reading books or singing songs has the same effect. Bath time for us has turned into a mad karaoke session.

If baby is breastfed , help with breastfeeding

Your attitude and support for breastfeeding is extremely important during this time in your baby’s life. You could give practical support – another pillow, a back rub or a glass of water (tea and biscuits at 3am is our favourite. The extra kilos from them, not so much!)

Housework

We all hate it! Take charge and just get it done. This isn't the time to dust behind the washing machine. Just make sure your house is liveable and that your wife is comfortable.

Educate yourself

One of the best ways to learn is by doing! There are many books available, and then there is Google of course.

Get out

Infants are surprisingly portable. Don't be afraid to travel. Every outing gets easier and easier, trust me. With your proud ‘dad face’ on, you'll get loads of attention too!  www.babysandbeyond.co.za

For more information visit www.medela.com/breastfeeding Source: Medela AG

breastfeeding

Breastfeeding journey

0-1 week:

Pregnancy:

1-4 weeks:

1-6 months:

The first week of breastfeeding is like no other, and your first milk – called colostrum – is the perfect food to nourish and protect your newborn. Whether your baby’s birth went to plan or not, find out how to initiate your breast milk supply, when your milk will ‘come in’, the benefits of breastfeeding, and what to do if things don’t go as expected.

From the moment you conceive, your body starts making an amazing new feeding system as well as an amazing new human. Learn how your breasts change along with your growing bump as they get ready to feed your baby. Plus, get advice from experts and mums to support you with breastfeeding right from the beginning.

Your breast milk supply should increase throughout the first month as you and your baby get to know each other and familiarise yourselves with breastfeeding. Find out what to expect during the first few weeks and how your milk’s composition changes. There’s also support on overcoming common difficulties, such as sore nipples, milk leakage and engorgement, and how pumping can help increase your supply if you need to.

Your breast milk is now fully mature, and your supply is established. In fact, did you know your baby drinks the same amount of milk each day between one and six months? Discover the amazing health benefits of breastfeeding for you and your baby, as well as how to maintain your supply by pumping if you’re apart.

Get breastfeeding off to a great start

2 where your milk production journey starts

Building your milk supply in the first month

Maintaining established breastfeeding

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6 months plus:

Mother’s milk:

Breast milk still has an important role in your baby’s life after he reaches six months and you start introducing solids, no matter what other people may say. Find out how breast milk is still a key part of his diet and the health benefits that will protect you both throughout your lives, along with tips on pumping to help you continue breastfeeding for as long as you both like.

How does your body make breast milk? What exactly does it contain? And how does it affect your baby’s health and development? We’ve pulled together the latest scientific research, with guidance from the world’s leading experts on lactation, to give you the lowdown on the incredible science of breast milk. Our articles, videos and free eBook will help inform you so you can make your own feeding choices.

Continuing your breastfeeding journey

The amazing science of breast milk

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MEDELA SWING ELECTRIC BREAST PUMP

Pumping:

Back to work:

Whether you have a baby who can’t feed directly from the breast or you have to spend time apart, expressing means your baby can still benefit from your breast milk. Find out how to choose the breast pump that suits your needs and lifestyle, the benefits of double pumping and handsfree expression, and how to store, freeze and thaw your breast milk.

There’s no need to stop breastfeeding because you’re going back to work. In fact, this might be when you and your baby need the extra closeness and health protection it provides. Whether you’re returning after a few weeks or you’ve had a year off, find out how to keep up your milk supply, and get expert advice and working mums’ tips on pumping, storing and transporting your breast milk. 

Giving your baby breast milk

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2-phase expression technology mimics baby’s sucking.

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child development

Early childhood development - building blocks for lifelong learning By Nicole Biondi, Justine Jowell and Megan Blair 30

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child development South Africa aims to have universal access to a full range of early childhood development (ECD) services in 10 years’ time. To meet this target, we will need more than 100 000 additional early learning teachers and 40 000 new venues for three- to five-year-olds, say education experts.

outh African children are surviving rather than thriving, it was agreed at the recent Trialogue Business in Society Virtual Conference in October. ‘Breaking Barriers to Quality Education’ was the key theme, with these sessions presented in partnership with Old Mutual. Panellists Nicole Biondi (Strategic Head of Marketing and Communications at Innovation Edge), Justine Jowell (Programme Design Lead at SmartStart) and Megan Blair (CEO Earlybird Educare@Work) discussed how to accelerate access to, and drive the enrichment of, ECD. Moderated by Kanyisa Diamond, Senior Project Manager at the Old Mutual Foundation, the session unpacked different early learning models. Participants considered which ECD interventions are most effective, and what needs to be done differently to achieve the goal of the National Development Plan (NDP) - universal access to a full range of ECD services for all children from birth to the age of eight by 2030. The South African Early Childhood Review 2019 shows that we have made some progress in terms of ECD. Maternal and child mortality rates are on a downward trend, but we still struggle with nutrition (27% of children under five suffer from stunting), support for primary caregivers, and the stimulation of early learning.

Models for social impact

Justine Jowell of SmartStart said systems intervention is needed to close the provisioning gap. Some 1.2 million children aged three to four years are not www.babysandbeyond.co.za

attending an early learning programme, 900 000 of them from poor households. “To achieve universal access to quality early learning for all three- to fiveyear-olds, we need more than 100 000 additional early learning practitioners and 40 000 new venues. To reach these high numbers of excluded children, system capacity must be expanded. This needs to happen fast to bring children in sooner,” says Justine. SmartStart is an example of a national early learning delivery platform that operates under a social franchise model. SmartStart currently includes 13 organisations (independent, locally based NPOs) across nine provinces in the country that form part of the SmartStart delivery platform (as franchisors), enabling SmartStart’s rapid acceleration of reach to new children in a locally relevant and responsive way. This model helps to create direct employment and support microenterprise development, especially for women. In the five years since set-up, this model has allowed SmartStart to reach more

than 75 000 children, with nearly 4 000 active early learning social enterprises (franchisees) supported to run quality early learning programmes. Earlybird, a social enterprise, provides on-site educare services to companies that want to attract and retain top talent, particularly women. “There is a good deal of evidence that employer-sponsored educare improves productivity, reducing singleday leave-taking and enabling greater female labour force participation and progression,” said Blair. A portion of net income from the for-profit side of the business crosssubsidises the non-profit side, which funds young black women to set up Blue Door Educare Centres as entrepreneurs. These high-quality educare centres serve low-income environments and also partner with social housing developers, with the goal of bringing quality learning to all young children. Innovation Edge, an innovation catalyst and social impact investor, believes in supporting early learning programmes and ensuring that caregivers get support

Training is the most effective way to improve child outcomes

child development to equip children for lifelong success. In one of their projects, they work with design and manufacturing company, Barrows, to print and distribute early learning materials to under-resourced communities, using blank production space available on existing client print runs. The posters and flash cards they create at minimal cost are distributed at their nine business hubs in each province of the country – and they provide more than 50 000 pieces of educational material to children in under-resourced areas each month. They have also partnered with Out There Media on the '3 Little Minutes' mobile SMS campaign, which provides caregivers with data-free access to roughly three minutes of songs and stories located on a mobi-site. The campaign is delivered via the Mobucks™ platform, which links the mobile operator with businesses wanting to advertise to specific audience (thus content is sponsored).

“The pilot was in English, but the next stage will include more languages,” said Biondi. “Content on the system is provided by Book Dash and Nal’ibali, and they do have content in various South African languages, in the form of songs and stories.” Biondi said that Innovation Edge is working with government on compiling data sets of national early child assessments to understand how literate, numerate and school-ready children may be. “We really want to get South Africa excited about how children enter school, because if we can shift the way they enter schools we can surely shift the way they are leaving school.”

Effective interventions

A snap poll during the session asked delegates which ECD interventions they think are the most effective. The majority (62%) said training teachers works best, followed by providing nutrition (12%) and providing equipment (12%). A further 6%

listed helping with registration and 6% said building infrastructure was most effective. Blair pointed out that preventing exposure to violence is also an important factor, as toxic stress has a huge effect on development. Assuming nutrition and infrastructure are in place, training is the most effective way to improve child outcomes, she said. “There is broad agreement that in-service training is crucial – just-in-time pedagogical support – that involves meeting a teacher on a weekly or monthly basis and finding out what the child is battling with.” She said this type of intervention is exponentially more effective than preservice training. Biondi suggested that companies think about subsidising their employees’ children so they can receive quality educare, as well as considering parental leave. “Don’t just support external ECD providers. Look inside as well as outside,” she recommended. 

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child growth

Child growth awareness

How an app can help you monitor your child's growth The growth of a child is a significant indication of the childâ&#x20AC;&#x2122;s health. Irregular growth can be an early warning sign of medical problems1. These kinds of medical problems first show themselves in a childâ&#x20AC;&#x2122;s irregular growth pattern. Growth hormone deficiency has been identified in about one in every 3 800 children.

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child growth

t is important for parents to understand the significance of regularly checking their child’s growth development. This can be done during visits to your healthcare practitioner. For additional support and tracking, an easy to download growth App was launched in September this year to help parents easily track their child’s growth. Growth is one of the fundamental differences between child and adult health care. Physical growth is an indicator and predictor of both present and future health. Among the numerous measures of growth, height and weight are perhaps the most important measures in childhood. While weight may change in adult life, height changes from conception to shortly after the end of puberty. Human growth hormone is a chemical messenger that is vital for normal growth and development. It is responsible for making us grow and our bodies produce it naturally. When a child is diagnosed as growth hormone deficient, it means his or her pituitary gland is not producing enough growth hormone. This could be due to hereditary or genetic conditions. Without enough growth hormone, a child does not grow the way he or she should to reach his genetic potential or height and to attain well-being. Changes in patterns of growth may occur during any of three different growth phases through childhood and may be due to numerous different causes. These phases are: 1. The period between conception and the end of the first year of life (the infant phase),

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2. From approximately one year of age until the start of puberty (child phase), and 3. Between the start and end of puberty. There are different causes that may change growth in these phases and thus the timing of the change in growth may offer important clues to the underlying cause. For example, nutrition both in the womb and after delivery may result in changes in patterns of growth during the infant phase. Congenital abnormalities (particularly bone abnormalities) and genetic disorders may also be causes. During the child phase many more possibilities may influence growth, including genetic disorders (e.g. Turner Syndrome), severe chronic disease (heart disease, severe asthma, kidney, etc), severe malnutrition and hormonal disorders. Growth in puberty is due to effects of the hormones of puberty viz. testosterone in boys and oestrogen in girls.

How to measure growth and treat a possible growth hormone deficiency

The typical growth of a child, which would be considered normal, is as follows: • From birth, infants grow about 20cm in the first year of life. • From 1 to 2 years of age, babies and toddlers grow about 10 to 13cm. • From 2 to 3 years of age, toddlers grow at a rate of about 7.5 to 10cm. • From 3 years to puberty, growth is stable at around 5 to 6cm per year until puberty. Most of a child’s growth occurs before puberty, but the pubertal growth spurt accounts for more than 20% of adult height. When puberty occurs, there is a fast phase of growth. With this guide, parents can easily notice whether their child reaches

child growth the growth requirements. If, however, your child does not meet the growth requirements, he or she might need to consult with a healthcare professional, undergo tests and possibly undergo growth hormone therapy. Growth hormones are also vital for the healthy development of essentially all tissues in the body, including muscle and bone. It is important that children who are growth hormone deficient are diagnosed and treated as early as possible to aid their bones in growing and developing at a normal pace. Children with severe growth hormone deficiency show increased body fat, subnormal bone mineral density, and reduced lean body mass and could potentially develop lipid abnormalities. Once a child is tested for growth hormone deficiency related disorders such as short stature, a methodical approach is necessary. An evaluation of growth failure is needed and if there is no evidence suggesting growth hormone deficiency, then other tests are done. If there are abnormalities suggesting growth hormone deficiency, then growth hormone stimulation tests and an MRI of the brain could be suggested. If a child does not undergo treatment once diagnosed with growth deficiency, he or she might not attain a normal height when becoming an adult. Once a child is on a treatment plan, strict adherence is important to achieve the maximal benefits of growth hormone therapy. Early initiation of growth hormone treatment in children with isolated growth hormone deficiency improves their chance of achieving their genetic height potential. Once a diagnosis of growth hormone deficiency has been made, it is recommended that treatment with GH is initiated as soon as possible. The first year is a crucial indicator. Children who are on hormone treatment typically grow more over the first year of treatment, and further over the next two years.

Growth hormone continues to play an important metabolic role in adulthood long after the completion of linear growth, so growth hormone may become a lifelong therapy for children with childhood growth hormone deficiency whose condition persists into adulthood,” says Professor Thandrayen, Paediatric Endocrinologist at Chris Hani Baragwanath Academic Hospital. If effective, therapy should be continued for as long as there is a clinical benefit (defined as ongoing catch-up growth or maintenance of a normal growth velocity).

The Growth Journey App

To aid parents in checking their children’s growth, Novo Nordisk has launched an app for growth monitoring called the Growth Journey App. The Growth Journey App is a free growth-tracking app that uses a phone’s camera to help you track a child’s growth regularly. Parents can easily track their child’s growth as the app automatically measures a child’s height and records it in the growth book with a visual record of all the measurements. It also shows the child’s growth over

time and compares it to those of other children in his or her age group. The aim for the launch of this app is to enhance awareness regarding growth and short stature, remove obstacles for diagnosis and support early referral to specialists, enhance compliance on treatment and loyalty for existing patients and to establish initial screening of patients. This innovative digital solution is intended to provide simplicity and empower parents to take their children’s growth journey in their hands. The app is available on PlayStore on Android and iPhone at no cost. It is important for parents to know what their child’s growth rate is and what it should be at any age. If a child is not growing as he or she should, it could be the first sign of a possible medical condition. Parents should consult with their doctor for more details. It is impossible to manage what cannot be measured; therefore, it is crucial that children are measured frequently. This is especially important when children visit their health care providers and parents can now also monitor their child’s growth through the Growth Journey App. 

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The Growth Journeyâ&#x201E;˘ app makes tracking the height of your child simple and fun.

Growth Journey

Novo Nordisk (Pty) Ltd, 150 Rivonia Road, 10 Marion Street Office Park, Building C1, Sandton, Johannesburg, 2196, South Africa. Tel: 011 202 0500 Fax: 011 807 7989 www.novonordisk.com ZA20GH00012

editor's choice baby Vital Baby Breast Pads - R103.02 (56pk) / R23.55 (6pk) | Available at Clicks, Babies R Us, Baby City and online at Babies Africa, Loot and Takealot or www.vitalbaby.co.za Philips AVENT Breastmilk Storage Cups - R471.70 | 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

Organix Just apple, pineapple & coconut pouches – R32.49 | Available at Clicks, www.takealot.com and www.babiesafrica.com Organix Just Oatmeal, apple, banana, raspberry & blueberry pouches – R32.49 | Available at Clicks, www.takealot.com and www.babiesafrica.com

Silverlab Kiddies Hand, Face, & Mask Sanitiser – R39.59 | Available at most leading pharmacies, Dis-Chem, Clicks, Wellness Warehouse, Faithful to Nature and Takealot. Happy Tot Super Smart Pouches R42.50 | Available at Baby City, Babies R Us, Wellness Warehouse, Clicks, Spar, Pick n Pay, Baby Boom, Dis-Chem, Medicare Pharmacies, Takealot, Babies Africa, Faithful To Nature

vital baby® NURTURE™ 2 in 1 combination steriliser – R390.25 | Available at Clicks, Babies R Us, Baby City and online at Babies Africa, Loot and Takealot or www.vitalbaby.co.za

Happy Baby Organic Yogis R88.29 | Available at Baby City, Babies R Us, Wellness Warehouse, Clicks, Spar, Pick n Pay, Baby Boom, Dis-Chem, Medicare Pharmacies, Takealot, Babies Africa, Faithful To Nature

Baby

Aquaphor 110 ml – R185.95 | Available at Clicks & Dischem

Mustela Very High Protection Sun Lotion 100ml – R299.95 | Available at selected Babies R Us stores and pharmacies as well as online at www.cosmetiquesdefrance.co.za

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editor's choice baby

Aquaphor 45 ml – R107.95 | Available at Clicks & Dischem

Sun Kids Spray – R299.95 | Available at Clicks & Dischem

Sun kids lotion – R259.95 | Available at Clicks & Dischem

BoostApak car booster seat that doubles as a backpack – R999 | Available at www.trunki-sa.co.za

Trunki Kiddies Suitcase, 18L – R1 099 | Available at www.trunki-sa.co.za

Fisher Price Penguin Potty – R229.99 | Available at Babies R Us, Baby City, www.thekidzone.co.za, www.takealot.co.za,

Mustela Cradle Cap Cream 40ml – R189.95 | Available at selected Dis-Chem stores, selected Babies R Us and pharmacies as well as online at www.cosmetiquesdefrance.co.za

Mustela Cicastela Recovery Cream For Irritated Skin 40ml - R189.95 | Available at selected Dis-Chem stores, selected Babies R Us stores and pharmacies as well as online at www.cosmetiquesdefrance.co.za

Mustela Vitamin Barrier Cream 50ml - R199.95 | Available at selected Babies R Us stores and pharmacies as well as online at www.cosmetiquesdefrance.co.za

Fisher Price Magic Mixing Bowl – R499.99 | Available at Babies R Us, Baby City, www.thekidzone.co.za, www.takealot.co.za, Johnson’s Extra sensitive wipes 56’s – R31.95, may vary across retailers | Available at Clicks, DisChem & Pick ‘n Pay

Johnson’s Top-to-Toe Wash 500ml – R64.95, may vary across retailers | Available at Clicks, Dis-Chem, Pick ‘n Pay Johnson’s Baby Cotton Touch Lotion, 500ml – R69.95, may vary across retailers | Available at Clicks, Dis-Chem & Pick & Pay

Johnson’s Baby Cotton Touch Bath & Wash 500ml – R69.95, may vary across retailers | Available at Clicks, Dis-Chem & Pick ‘n Pay

Johnson’s Baby Shampoo 500ml – R64.95, may vary across retailers | Available at Clicks, Dis-Chem & Pick ‘n Pay www.babysandbeyond.co.za

dental health

Facts to consider before

asking your dentist to extract a troubled tooth

By dentist, Dr Amore van Greunen, Medicross Parow, Cape Town

Anyone who has experienced severe toothache can probably understand the desire to remove the cause of that pain by having the tooth extracted. Before taking this course of action, however, consider the numerous benefits of retaining your own teeth.

toothache can be extremely unpleasant, and many patients who visit dentists because they are experiencing toothache will ask for the tooth to be extracted, or ‘pulled out’, without considering the full implications of such a decision. We only get one set of adult permanent teeth and saving your own teeth should be a priority as this offers many advantages over artificial or ‘false’ teeth such as implants or dentures, which although useful, should only be a last resort.

Reasons why it is best to look after and retain your own teeth

• Natural teeth are stronger than artificial teeth. • Natural teeth are better for chewing food and are easier to take care of than false teeth. Even with all the advances in dental technology, the materials used for false teeth do not have nearly comparable benefits to natural teeth. • When a tooth is extracted, it leaves a gap and the adjacent teeth tend to gradually drift into this space if it is

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dental health

not filled with an artificial tooth. This creates space between the remaining neighbouring teeth where small pieces of food can accumulate over time, leading to tooth decay between the teeth and potentially progressing to periodontal gum disease. In addition, even though it takes time, the unfilled gap can also lead to problems with bite alignment, which may cause difficulty chewing and even interfere with nutrition. • Pulling out a tooth causes the supporting bone below that tooth to collapse. This can have an effect on the overall fullness and appearance of the face, which can have cosmetic implications and may eventually cause the person’s face to appear older. • Extracting a tooth can affect one’s self confidence, particularly if it leaves a noticeable gap in your teeth when you smile. • Some patients experience pain for several days after an extraction. On the other hand, when a tooth is saved by a filling or root canal therapy, there tends to be less pain as the pain is addressed immediately. • Once a tooth is extracted, ideally it should be replaced with a prosthesis or false tooth to restore function and aesthetics. This often costs more than the measures that can be taken to save your own tooth, and it will involve more time in the dentist’s chair.

When can a tooth be saved?

The extent of the tooth cavity and associated infection are the factors that dentists take into account when deciding whether a tooth can be saved or if it will need to be extracted. It is important that people are made aware of all available options before deciding on the way forward. If the decay is shallow and has not yet affected the pulp chamber, which contains the nerves and blood vessels of the tooth, www.babysandbeyond.co.za

a dental filling is often all that is needed. In this case, all of the decayed areas of the tooth will be removed and be replaced with material to fill the hole – this is what many people know as a filling. If the decay has progressed into the pulp chamber of the tooth, however, a root canal treatment could be used to save the tooth. This involves removing the blood vessels and nerve of the tooth. If there is not enough of the tooth structure left for a durable filling to complete the tooth surface after a root canal treatment, then a crown or cap can be placed over the tooth. 

Dr Amore van Greunen, Medicross Parow, Cape Town

When will it be necessary to extract a tooth?

Even though a dentist will always try to save your tooth, there are times where an extraction would be the best option. If a tooth is cracked vertically or below the gumline, extraction is usually the best option. A tooth should also be extracted if there is not enough tooth structure left to support a durable crown, cap or filling to restore tooth function, or when the decay has entered the roots of the tooth. Dr Billy van der Merwe, Managing Director of the Netcare Group’s primary care division, says that dental appointments at all Medicross family and dental centres adhere to the provisions set out in South African Dental Association’s clinical protocols. This is in addition to the Netcare Group’s own stringent COVID-19 precautionary protocols that are aligned to the guidelines of the Department of Health and the National Institute of Communicable Diseases. “Maintaining good oral health is crucial to overall health, and for this reason we have given particularly careful consideration to the COVID-19 precautions required for dental care appointments to make it as safe as possible for patients, dentists, oral hygienists, dental assistants and supporting staff alike. These are of course over and above the usual strict hygiene precautions that are integral to the safe practice of dentistry that have always been in place within our facilities,” Dr Van der Merwe adds. Always ask your dentist to explain all of your options thoroughly, and feel free to ask questions if there is anything you may not understand, because extracting a tooth is not always the best option in the long run. As dentists, it is our aim to restore and help preserve your natural teeth for as long as possible.

education

What is school

readiness? By Anel Annandale, Educational Psychologist at Childpsych

uriosity and an eagerness to learn is an important first step, but school readiness requires that a child is guided to achieve certain skills and social competencies and to understand certain basic concepts – this then forms the solid foundation upon which all future knowledge is built.

In a nutshell, school readiness means that a child is ready to learn. As confusing as it may sound, keep in mind that a child who is eager to learn is not necessarily ready to learn.

If children enter formal schooling without being school ready, they are likely to start falling behind in their literacy and numeracy development from the very start and may never be able to catch up. This leads to gaps in a child’s knowledge and causes academic difficulties that compound as a child moves through the grades. Attaining school readiness is a process and requires positive and consistent input from caring adults and other children in the child’s community. The first five years of a child’s life are the most important years for brain development and experiences during these early years have a lasting impact on the brain.

In broad terms, the aspects that school readiness focuses on are:

• Gross and fine motor development: This will impact on whether a child is physically strong enough to carry his own school bag, play with other children his age or maintain a good posture at his desk without tiring too soon. It will impact on his ability to manipulate a pencil or a pair of scissors efficiently

and dictate whether he is able to learn to write. • Concept development: For instance, knowing the basic shapes will help a child learn to recognise and copy letters and numbers. Having a basic understanding of time will help him know what to expect during the school day and understand when he is required to transition from one activity to the next. Knowing basic colours will help him follow instructions more effectively, etc. • Perceptual development: Is the child’s brain able to effectively perceive and manipulate the information it receives from his eyes and ears? • Emotional and social development: This impacts on a child’s ability to separate from his parents, to form a

bond with his teacher and peers and to get on in relative harmony with his classmates. A child who is not socially mature enough to tell the teacher when something is wrong or share with his classmates might have a very difficult time at school. • Self-care: Is the child able to look after his own belongings? Can he go to the bathroom by himself, feed himself, blow his own nose when it runs, etc? • Self-control and executive function: This impacts on a child’s ability to concentrate and not be distracted by what is going on around him. It impacts on his ability to plan and execute tasks and to not act impulsively, but to delay immediate gratification so as to obtain bigger rewards later.  www.babysandbeyond.co.za

Really Decent Books

Really Decent Books Pearson is proud to distribute this wide range of stimulating books for newborns, toddlers and preschool children. These books will inspire creative learning which include baby book towers, baby board books, wipe clean activity books, lift the flap books and storybooks.

Available at all good bookshops and online retailers.

home remedies

How you can relieve your baby’s constipation

fast

Use water or fruit juice. Offer your baby a small amount of water, or a daily serving of 100% apple, prune or pear juice in addition to usual feedings.

How to avoid

headaches

Fibrous foods - if your baby is eating solid foods, try pureed peas or prunes, which contain more fibre than other fruits and vegetables.

• Avoid medication overuse • Get enough sleep • Don't skip meals • Exercise regularly • Reduce stress • Reduce caffeine

How to relieve heartburn during pregnancy Chew a piece of sugarless gum after meals. The increased saliva may neutralize any acid coming back up into the oesophagus. Eat yogurt or drink a glass of milk to quell symptoms once they start. Drink some honey in chamomile tea, or a glass of warm milk.

How to get rid of an

earache fast

Use a cold or warm compress. People often use ice packs or warm compresses, like a heating pad or damp washcloth, to relieve pain. The same can be done for ear pain. This method is safe for both children and adults. Place the ice pack or warm compress over the ear and alternate between warm and cold after 10 minutes.

sunburn How to treat

• Take frequent cool baths or showers to help relieve the pain. • Use a moisturizer that contains Aloe Vera or soy to help soothe sunburned skin. • Consider taking aspirin or ibuprofen to help reduce any swelling, redness and discomfort. • Drink extra water. • If your skin blisters, allow the blisters to heal.

How to treat a

bladder infection

• Drink more water as this helps to flush out the bacteria in your bladder. • Urinate frequently • Place a heating pad across your abdominal region and back. If you don’t own one, heating pads can be created at home by soaking a small towel in warm water. • Appropriate dress - clothes play a big role in making the perfect breeding ground for infections. Tight clothing that traps moisture increases chances of a urinary tract infection. • Cranberry juice, cranberry extract, or cranberry supplements may help prevent repeated UTIs in women.

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home remedies

How to get rid of a

How to get rid of

a toothache at night • Keep your head in an upright position. • Try using mouthwash. • Take pain medication such as aspirin, acetaminophen (Tylenol), ibuprofen (Advil, Motrin). • Try not to eat cold, hard, or acidic food just before going to bed. • Apply a cold ice pack to the part of your face where the pain is.

stomach ache

in min

Before you reach for an over-the-counter medication, try one of these holistic, natural remedies to help cure a stomach ache, including apple cider vinegar, bananas, mint, fennel and ginger, for a natural approach to easing stomach aches and pains in just 5 minutes.

How to control nausea

How to

soothe a cough

Mix 2 teaspoons of honey with herbal tea or warm water and lemon. The honey does the soothing, while the lemon juice can help with congestion. You can also simply eat the honey by the spoonful or spread it on bread for a snack.

• Drink clear or ice-cold drinks. • Eat light, bland foods (such as saltine crackers or plain bread). • Avoid fried, greasy, or sweet foods. • Eat slowly and eat smaller, more frequent meals. • Do not mix hot and cold foods. • Drink beverages slowly. • Avoid activity after eating.

How to reduce the

symptoms of tonsillitis

• Salt water gargling - gargling and rinsing with warm salt water can help sooth a sore throat and pain caused by tonsillitis. • Liquorice lozenges • Warm tea with raw honey • Popsicles and ice chips • Humidifiers

How to treat

haemorrhoids (piles) • Try a sitz bath, often recommended for people who have irritation to their perineal or bottom area. A sitz bath is a warm and soothing made with water and baking soda (sodium bicarbonate) or salt. Add ½ to 1 tablespoon of baking soda or 1 to 2 teaspoons of salt to the water. Swirl the water until the baking soda or salt dissolves.

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• Witch Hazel • Tea Tree Oil • Aloe Vera Gel • Coconut Oil • Organic Radish Juice • Garlic • Eat High-Fibre Foods

health

Skin conditions in infants By Dr Rabeen Lutchman, paediatrician

There are many skin conditions that are specific to newborns that present either during the first few days of life or in the first few weeks. Most of these conditions are benign (not serious or threatening) and require no specific treatment. They are, however, important to recognise and distinguish from more worrisome lesions that need specific, sooner-rather-than-later, attention. Below are some common skin conditions. Normal peeling (desquamation) Most babies will experience a bit of dry skin or peeling of the skin within the first few days after birth. This is especially common if the baby is born after the due date. The underlying skin is normal, and the peeling disappears after a few days. This generally just needs a good moisturizer.

Erythema toxicum

This is a common, innocent rash that presents as single or multiple small red blotches with a centre that is white or yellow. The rash usually presents over the face, torso and limbs. This rash does not need any treatment and disappears on its own within the first few weeks of life.

Milia

These are small white pinpoint lesions most commonly found on the nose and the chin in the first week of life. They look like little whiteheads and are caused by blocked oil glands. They disappear within the first few weeks without any treatment as the glands open up.

Infant eczema (seborrheic dermatitis) and cradle cap

This presents as greasy, crusty, yellowish

scales over the scalp and also affects the sebum-rich areas of the face- over the eyebrows, behind the ears and in the neck. It commonly occurs in the first three months after birth and does not usually persist past six months of age. Treatment includes the use of a good emollient over the affected skin areas and a natural oil over crusty parts of the scalp. This is followed by removal of the crusts with a soft comb or brush the next morning. This condition can sometimes take up to three months to completely disappear. In some cases there is a superimposed fungal infection and in severe cases a superimposed bacterial infection â&#x20AC;&#x201C; in which case your doctor will prescribe an antifungal or antibacterial cream to apply to the affected areas.

Atopic eczema

This presents as red, dry, itchy patches that sometimes have white scales and is typically found on the cheeks, trunk, behind the knees and in the elbows. The skin is also extremely sensitive and is commonly associated with certain allergies. It is important to have this condition assessed by a doctor and the treatment goals are to hydrate the www.babysandbeyond.co.za

health

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health

skin, reduce the inflammation, ease the itchiness, avoid any irritation factors and treat any superimposed infection. This condition may continue through childhood and is regularly associated with other childhood conditions like asthma and allergic rhinitis.

Nappy rash (diaper dermatitis) A nappy rash can be due to irritants that are in contact with the skin in the nappy area, or a fungal infection. Multiple local factors results in an irritant nappy rash. These include diapers that contribute to chafing of the skin and prevention of moisture evaporation, ammonia in the urine that is an irritant to chafed skin, as well as enzymes in the stool and urine that contribute to the breakdown of the skin barrier. A barrier cream helps to prevent this, together with exposure to air and avoidance of excessive moisture by regularly changing soiled nappies. For a fungal nappy rash, an antifungal cream will be needed to treat the rash.

Baby acne

This rash usually presents around four weeks after birth and looks like pimples or blackheads on the face, mainly the cheeks and the forehead. It is due to mild elevated hormone levels from mom and the baby. This usually resolves within one to three months after the hormone levels return to normal. No specific treatment is required.

Salmon patches and Mongolian spots

These are common birthmarks. Salmon

patches (vascular stains) or commonly called ‘stork bite’ or ‘angel kiss’ are pinkred, faint flat patches that are commonly found in the nape of the neck, eyelids and in the middle of the forehead between the eyebrows. They usually become quite prominent with crying and generally fade with time. It is caused by dilated blood vessels in the specific area and requires no specific management. Mongolian spots are blue-black flat spots usually found just above the buttocks or on the back and shoulders. They are more common in darker skin types and fade away by the second birthday. They require no treatment. In general, a good skin regime for your baby includes using a gentle soap that contains no harsh chemicals and a good moisturizer which keeps the skin well hydrated. No specific brands are preferred, as long as they are mild and generally fragrance-free. It is also

important, as part of the skin regime, to have a barrier cream for the nappy area to prevent any diaper rash. Natural fabrics e.g. cotton for clothes are ideal and remember to choose a gentle detergent that avoids unnecessary irritation.

When to be concerned and seek medical help:

• Any rash that is accompanied by fever, poor feeding or lethargy. • Skin blisters – fluid filled lesions that are either clear, white or yellow. • If gentle pressure is placed on intact skin and this causes erosion of the skin. • Small red or purple lesions (petechial rash) that are present anywhere on the body. • Lesions which have a lack of pigmentation - loss of the skin colour. • If the rash is accompanied by marked tenderness or had a rapid onset. • Extensive or severe lesions with a pungent odour. 

Dr Rabeen Lutchman is a paediatrician working at the Paediatric Unit at Life Kingsbury Hospital. He runs a multifaceted paediatric practice with a wide range of paediatric services. He is dedicated to providing a paediatric service that upholds the best interests of the child. T +27 (0)21 685 0336 E paedrabeen@gmail.com W www.paediatrician-capetown.co.za www.babysandbeyond.co.za

health

Health is wealth secrets to looking & feeling younger

By Catherine Clark, owner and founder of The Harvest Table

www.babysandbeyond.co.za

health The secret to looking and feeling younger not only lies in eating healthily, but it’s also in your ability to create balance in your life. You don’t have to wait for the ageing process to take a toll on your body before you do something about it.

here is no quick fix. It is in our daily habits, including what we eat and how we manage stress, which has an impact on how we look and feel. The 'fountain of youth' is as simple as taking care of yourself internally and externally. Taking care of yourself is essentially an investment. It should not just be about your looks, but also about achieving all-round wellbeing. When you feel good, it shows — you look more vibrant, and that in itself makes you look younger.

4 Secrets to looking and feeling younger

2 3 4

Eat a healthy balanced diet: Ageing cannot be completely avoided, but you can improve early signs by consuming nutrient-dense foods that repair your body from the inside out. A diet that is high in refined carbohydrates, sugar and salt can reduce skin elasticity and cause inflammation in the body. If you incorporate foods that are rich in antioxidants and anti-inflammatory properties, you help your body’s repair process and rejuvenate your skin, leading to a more youthful appearance. Learn to let go: When you hold on to negative emotions and stress, your body will respond. One of the signs is an uncomfortable feeling in your stomach when you’re under pressure. When you don’t learn to let go, you will experience this daily, and it can cause gastrointestinal symptoms such as acid reflux, ulcers, diarrhoea and irritable bowel syndrome. Another way your body responds to constant emotional distress is by speeding up cellular ageing, which means your body’s ability to eliminate worn-out cells is compromised. Although these are mostly symptoms that cannot be seen, they can make you feel run down. Embrace the idea that you cannot control everything and learn to let go. Take supplements: Eating healthy is a good start to ensure that your body functions optimally. However, as you age, your body doesn’t absorb nutrients as it should, so you don’t often get all the daily nutritional requirements from your food. Supplements like collagen granules reduce the signs of ageing, improve your immune system, contain high antioxidant properties, and promote gut and joint health. Collagen granules are the perfect all-in-one supplement that will help you unlock unlimited benefits on the journey to a healthier, younger-looking you. Get better quality sleep: Many people find themselves chasing deadlines which can lead to high levels of stress that affect the quality of their sleep. This can have an impact on your physical health and emotional wellbeing. Sleep also plays a very important role in helping your body recharge, repair cells, fight off disease and can significantly boost your overall health. You can improve your sleep by making sure you create a calm environment before bed by limiting distractions, avoiding caffeine, and going to bed earlier so that you have at least six to eight hours of sleep per night.

When you prioritise your health, both mental and physical, you look your best, you feel your best, and most importantly, you can fulfil all the things you set out to achieve. Ultimately, health is wealth! 

Catherine Clark, owner and founder of The Harvest Table www.babysandbeyond.co.za

References: 1. https://www.healthline.com/health/food-nutrition/anti-aging-foods 2. https://www.psychologytoday.com/us/blog/the-athletes-way/201404/emotional-distress-canspeed-cellular-aging 3. https://www.psychologytoday.com/us/blog/culture-in-mind/201806/stress-and-the-body 4. https://www.sleepfoundation.org/articles/why-do-we-need-sleep

health

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health

Chronic pelvic pain – what is it? By Dr Philip Zinn

Pain is a natural defence mechanism and is required for survival. When you feel pain, your brain has labelled a nerve signal as coming from something that can cause you harm. Your brain may direct you to get away if you can or fight if you can’t. The immune system directs the fighting by increasing pain signals as damage increases, and reducing pain with healing.

hronic pain is pain that lasts longer than three months, beyond the normal healing period. The immune system has adjusted your nerve responses in the area of pain and in the brain, such that your body responds to harmless feelings as if they can be harmful. So, painless becomes painful and a little pain becomes a bigger pain. This can spiral out of control and have a serious effect on your quality of life. Many women who suffer from chronic pelvic pain spend a lot of time and resources trying to find a cause and cure without success. Persistent pain can lead to anxiety and depression, which makes coping more difficult and also amplifies the painful experience. Most pelvic pain comes from the bladder, the bowels, the uterus, tubes and ovaries and the pelvic floor muscles. All these organs send their pain signals through the same nerves and so the central nervous system gets confused and misinterprets the messages. This is why when you suffer from chronic pelvic pain you may have more than one complaint and your pain can vary in site and intensity. Pelvic pain may present as bowel spasms, bladder pain when full or when emptying, bad period pain, aching or heaviness in the pelvis and painful sex.

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It may be worse when sitting for a long time or standing and better when lying down.

What can cause this?

Often the underlying cause is long gone and forgotten. Genetics seems to play a role in who is more likely to develop a chronic pain syndrome, and this may be due to the way the immune defence system of the body reacts. Endometriosis is a condition where menstrual tissue grows in the pelvis around the uterus and causes irritation as it also sheds some blood during a period. This can lead to cysts and to fibrous bands called adhesions, which may anchor and pull tissues together as a result of the immune system working to heal the irritation. Recurrent bladder infections may sensitise the bladder to feel painful when full or during emptying, even when the infection has gone. Irritable bowel syndrome – bloating, spasms, constipation or diarrhoea – can lead to a deep ache in the pelvic floor or around the anus that is more painful when passing a stool or trying to hold back wind.

Tense painful pelvic floor muscles can be both a cause of pelvic pain and a response to pain elsewhere. Often this becomes a cycle where the muscles tense because of pain nearby and then become painful themselves. Tense muscles make it difficult to empty the bladder and the bowel, increasing bladder pain and constipation. Muscle tension pain is the most common reason for painful sex. It can be felt as a burning or aching sensation. The vaginal entrance may burn, feel rough or sting as if there are ‘paper-cuts’. It may feel like there is a wall that is preventing sexual penetration.

Chronic pain is real

Chronic pain is real and not psychological, but your state of mind can modify how you feel pain. A bad or painful experience may condition the brain to feel pain more easily with any sensation which can be associated with the past experience. This means when period pain causes tense and tender pelvic muscles, sex can be painful or impossible because the muscles are conditioned to tighten to protect from further pain.

health Recurrent pain can lead to fear and anxiety which heightens the experience of further pain and continues the pain cycle.

So, what can I do about it?

A full history and gynaecological examination with special investigations, including an ultrasound, is the first step. Urine infection and vaginal thrush should ideally be diagnosed with a laboratory test as, when chronic, these symptoms are often due to abnormal sensitivity and not infection. It is helpful to have a pain diary which highlights how the pain starts, what may

trigger it and what makes it better. It is common for there to be multiple factors that play a role, so building a picture of all the possible contributors, which include biological, psychological and social factors, means that a better approach to treatment can be formulated. Surgical investigations and procedures may be necessary but usually will not solve the chronic pain problem on their own. Treating endometriosis properly, including surgery and medical treatment for example, is an important start but breaking the cycle of pain by looking

at pelvic muscle responses, bowel and bladder function, general body physical and psychological tension, and the many factors that influence all of these is essential to achieving full control and recovery. Successful treatment comes from a combination of approaches that treat an underlying cause as well as reducing triggers and predisposing factors. For example, this may mean surgery to treat endometriosis as well as medication to prevent periods, physiotherapy to manage pelvic muscle tension and psychological support for psychosocial and psychosexual assistance as required. There are many medications and procedures which can reduce nerve sensitivity. Finding the approaches that help and dispensing with those that do not is a process that takes time to get right. Lifestyle changes can play a big role in achieving long-term success.ď&#x20AC;ź

Preventing acute pain from becoming chronic Equally important is preventing acute pain from becoming chronic. Bad periods from a young age may be the starting point for chronic pelvic pain, often with bladder and bowel complaints. Menstrual pain that keeps you in bed, regularly missing school or getting worse over time needs attention. Pain from something that is not harmful has no purpose and may itself be harmful.

Dr Philip Zinn is a specialist obstetrician and gynaecologist working at Life Kingsbury Hospital. Dr Zinn has pursued interests in complicated obstetrics, recurrent miscarriage, infertility, contraception, menopause and urogenital prolapse. Laparoscopic surgery, the management of advanced endometriosis and chronic pelvic pain have special focus. T 021 683 0453 E info@capegynae.co.za W www.capetowngynae.co.za

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Get constipation relief as predictable 1,3 as clockwork.

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Bisacodyl 5/10mg *Constipation in children should be diagnosed by a Healthcare Professional References: 1. Dulcolax® suppositories package insert. September 2013. 2. Nicholas Hall’s Global OTC database, DB6, 2019. 3. Dulcolax® tablets package insert. September 2013. S0 DULCOLAX® Tablets. Each tablet contains 5 mg bisacodyl. Contains sugar. Reg. No. E/11.5/531. S0 DULCOLAX® 5 mg Suppositories. Each paediatric suppository contains 5 mg bisacodyl. Reg. No. E/11.5/534. S0 DULCOLAX® 10 mg Suppositories. Each adult suppository contains 10 mg bisacodyl. Reg. No. E/11.5/532. For full prescribing information refer to the package insert approved by the medicines regulatory authority. sanofi-aventis south africa (pty) ltd, Reg. no.: 1996/010381/07. Sanofi House, 2 Bond Street, Grand Central Ext. 1, Midrand, 1685. Tel: (011) 256 3700, Fax: (011) 256 3707. www.sanofi.com. MAT-ZA-2001027-1.0-11/2020

Health

Rooibos’ role in managing diabetes

becoming more prominent

Decades of local and international research into Rooibos’ anti-diabetic properties confirms its effectiveness at improving sugar levels when used in conjunction with a healthy lifestyle and should form part of a holistic strategy to tackle the disease, say experts.

ccording to the International Diabetes Federation (IDF), an estimated 4.5 million South African adults are likely to have diabetes. What’s even more frightening is that diabetes rates in the country have increased by an alarming 155% in the last decade alone – making it the second most common cause of death in SA. Prof Christo Muller, Chief Specialist Scientist at the SA Medical Research Council (SAMRC) says approximately 463 million people suffer from diabetes around the world – 90% of which are Type 2 diabetics. “Diabetes is possibly the biggest noncommunicable (NCD) epidemic of the 21st century. It’s a major public health threat everywhere in the world and there is a growing incidence of Type 2 diabetes among adolescents and children as well, which is of grave concern. “In most cases, Type 2 diabetes is as a result of poor eating habits and sedentary living, aggravated by other detrimental lifestyle behaviours, such as smoking and excessive alcohol intake. Research has shown that in many cases the disease (if caught early) could be reversed by making the necessary dietary and lifestyle modifications. Rooibos tea could play an important role in this approach.

(plaque build-up inside artery walls) that occurs as a result of high blood sugar levels. Due to Rooibos’ rich antioxidant activity and potential for clinical use, it is gaining more attention worldwide.

“Aspalathin – a unique phenolic compound found only in the Rooibos species – has been shown to improve blood glucose levels and therefore could help to reduce the risk of Type 2 diabetes. Our research found that green Rooibos, which is more abundant in Aspalathin, was especially effective at lowering raised blood glucose levels in animal studies. In these studies Aspalathin enhanced insulin activity, the hormone that controls blood sugar levels, by reducing inflammation and oxidative stress, which are factors that underlie the development of metabolic diseases such as obesity, Type 2 diabetes and cardiovascular disease,” explains Prof Muller. Diabetics are two to four times more likely to die from heart diseases or stroke. Here, Rooibos can be of benefit too. Aspalathin also protects the heart by suppressing vascular inflammation and atherosclerosis

Joe Swart, Research Director for the SA Rooibos Council (SARC) says in view of the limited access, long-term inefficacy and side effects of oral antidiabetic medication in Africa, plant-based therapies for the treatment and prevention of NCDs are gaining considerable prominence. “Scientists have already developed a method for the synthesis of Aspalathin into an active pharmaceutical ingredient and for use as a nutritional supplement. “Aspalathin-rich green (ARG) Rooibos extract can be used in novel therapeutic preparations for the treatment and management of metabolic dysfunction, including the control of glucose and cholesterol, which in turn reduces the risk of heart disease. The products have application in the complementary medicine, nutritional supplement and veterinary markets. "However, Rooibos shouldn’t be viewed as a panacea, but in conjunction with a healthy lifestyle, it could significantly improve health outcomes,” he says.  www.babysandbeyond.co.za

www.tibbhealth.com | Toll Free: 0800 22 8422 |

Mental health

Caring for someone

living with schizophrenia

By Dr Gwen Tonyane

People living with schizophrenia deserve to live a happy, fulfilled life. To do so, they often need assistance from caregivers. While this may seem daunting at first, if carried out with the highest levels of love, affection and care, being a caregiver can be rewarding.

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Mental health

chizophrenia symptoms are tough to handle if a caregiver isn’t familiar with the disorder. Schizophrenia affects one in every 100 people in South Africa, and the symptoms include : • Hallucinations: People living with schizophrenia may experience hallucinations of a visual, auditory and tactile nature. When they experience these hallucinations, it’s important to accept that this is their reality and not be dismissive. • Delusional behaviour: A person living with schizophrenia may experience delusions that seem strange to most people, but in actual fact is part of their thought process. The nature of these delusions may include: - Persecutory delusions: The feeling that they are being stalked or that someone is after them. - Referential delusions: A person will believe that songs, TV shows or gestures from public figures are

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messages aimed at them. - Somatic delusions: The feeling that a person has a bizarre illness such as worms under their skin or damage from cosmic rays. - Erotomanic delusions: People living with schizophrenia will often be convinced a celebrity is in love with them or feel that people they don’t know are attracted to them. - Religious delusions: A person living with schizophrenia will often think that they are aligned to a deity or that they’re possessed by demons. - Delusions of grandeur: The feeling that they are a global figure on the world stage; this could include the thought that they are an entertainer or politician. • Confusion and disorganised speech: People living with schizophrenia often have trouble organising their thoughts and may zone out with a blank stare on their

face. When they eventually talk, their speech patterns are unclear and rarely make sense as the words often come out jumbled. • Trouble concentrating: A person living with schizophrenia will have trouble concentrating and lose track of activities that are usually easy to keep up with. This prevents them from focusing and absorbing information. • Movement disorders: Some people with schizophrenia experience catatonic behaviour, meaning they are jumpy and repeat the same movements over and over again. Other times, they sit completely still for hours. While these symptoms are common, it’s important to note that not all people living with schizophrenia will experience the same symptoms and just as crucial, not all people living with schizophrenia are violent.1

Mental health To help you assist someone living with schizophrenia, here are a few tips from medical professionals • Learn about schizophrenia: This can include learning about the symptoms, treatment options and their prognosis to be better informed about caring for a person living with the disorder. • Basic daily needs: Depending on the severity of their symptoms, a person living with schizophrenia may need assistance with simple tasks. This may include scheduling appointments, transportation to these appointments, creating routines and setting up a peaceful environment that prevents stress to a person with schizophrenia. • Treatment needs: People living with schizophrenia will need to have a treatment plan that manages their symptoms and allows medical professionals to track their progress. Treatment options may include: - Therapy: Appointments with medical professionals are of utmost importance as these medical professionals will prescribe a treatment that assists in managing the symptoms of schizophrenia. - Daily medicinal treatments: Some therapists may recommend a daily

dose of medication. As a caregiver you may find yourself in a position where you need to encourage the person living with schizophrenia to take their medication daily and stick to a routine. - Monthly injections: Therapists will sometimes recommend long-term injections, minimising the need to constantly remind a person living with schizophrenia to take their medication. The injection manages symptoms for up to a month and is administered by a healthcare professional, who can then also track a person’s progress.

While these tips from medical professionals are a good starting point for caregivers, there are additional resources. • The www.schizophrenia24x7.co.za website is a useful resource on breakthrough treatment options, tips on managing schizophrenia and advice on how to best assist a person living with schizophrenia. • The "Our Mental Health" Facebook page is a community of like-minded people, coming together to help people living with schizophrenia and other mental health challenges. This community also shares useful information on treatment options and support programmes. 

Dr Gwen Tonyane is a specialist psychiatrist with experience working with youth and adults. She has residency teaching in child, adolescent and adult psychiatry. This includes training in psychotherapy in CBT, DBT and supportive psychotherapy. She completed her postgraduate studies through the University of the Witwatersrand. Dr Tonyane also holds an honours degree in Aerospace Medicine from the University of Pretoria. Her previous work included working as a medical assessor, for the South African Civil Aviation Authority. She has worked in both state and private hospitals in Cape Town and Johannesburg. Her interests are biological psychiatry: Depression, anxiety, bipolar illness, schizophrenia spectrum, trauma and stressor related illness and women mental health. She is currently in private practice based in Rivonia, Sandton. References: http://www.sadag.org/index.php?option=com_content&view=article&id=1442:schizophrenia-facts-and-statistics&catid=38&Itemid=181 https://www.verywellmind.com/caregiving-for-schizophrenia-4773764

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hygiene

Hygiene concerns for your child -

what is the new normal? Good hygiene practises are more important than ever before. An unhygienic environment can affect your baby’s development and physical health and with the current COVID-19 pandemic, parents are urged to be on even higher alert.

ost parents have a list of typical (but very important questions) such as: When is the right age to let my child explore the garden? Which bath soaps should I use for my baby to prevent skin irritation? What does a good nappy comprise of ? And many more. Luckily, here are a few tips to help every parent cope a little better through the transition of the ‘new normal’.

Pampers South Africa gives parents five practical tips to help them cope with hygiene concerns for their child during these times:

We’re a few months into the national lockdown and parents have had to create a new routine spanning everything from home-schooling to solo playtime. They have also had to introduce an additional element of hygiene practice for their child around the house. Besides the usual hand-washing practice, parents can look into introducing sanitizing ‘booths’ around the home and in the play areas (in/outdoors). This is one of the best ways to educate children about proper hygiene even after playing.

Whatever your baby can see they will want to touch, smell, and eventually taste. Their hands, eyes, and mouth are the most active senses at their early stages of development, so remember to keep their hands and objects around them sanitised and sterilised. Also, parents should play a frequent role in keeping themselves clean and sanitised before any interaction with their baby. Remember to also remove objects which are heavily sanitised in alcohol from baby’s reach to avoid infections or illness caused by being in frequent contact with these objects.

It is also important to remember that children grow rapidly, especially as infants. Grooming should be done more frequently during this time. Their nails are a good place for germs and bacteria to hide, and the longer the nails the more dirt they can hide. It is advisable to trim your child’s nails twice a month at least to limit germ and bacteria build-up.

Breast-feeding has also become a matter of caution with a virus that is airborne. Moms are encouraged to change their clothes regularly as well as take a bath before breastfeeding, this

ensures a limited risk of passing on the virus to your baby. If you have a toddler it’s a great exercise for them too to practise hygiene and cleanliness.

Parents must also ensure that the surfaces or objects that their children come into contact with outside their home are kept hygienic. Parents should ensure that the toys their children use at day-care are properly and frequently disinfected, alternatively, they can provide their kids with their own toys to take to school, and that they do not have to share with others. These will still need to be disinfected, along with other items like their schoolbag. We are currently living through tough and ever-changing times, which also hugely affects environments that children have to live, learn, and thrive in. However, there is no need to neglect playtime in the garden, a walk in the park, or a trip to get some ice cream. The best thing parents can do is create a ‘new normal’ for their children, introduce new hygiene practices as a new way of life and routine. Eventually, the new normal will just be normal.  www.babysandbeyond.co.za

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opinion

Do you really have too much

stomach acid? By Catherine Clark, owner and founder of The Harvest Table

Here’s a simple test you can do at home to determine your stomach acid levels.

igh levels of stomach acid or acid reflux, known as Gastroesophageal Reflux Disease (GERD), is possibly one of the most misunderstood ailments of modern-day medicine. GERD occurs when stomach acid, created by the body to aid digestion, frequently flows back into the tube connecting your mouth and stomach (oesophagus), which then irritates the lining of the oesophagus and may cause a burning sensation in your chest (heartburn) or the regurgitation of food or sour liquid (acid reflux). According to the World Health Organisation (WHO) more than $10 billion is spent globally every year on antacids. In addition, according to the US National Library of Medicine, approximately 25% of adults in the Western world say they have struggled with GERD. Stomach acid is created by the body to assist with digestion – largely of the proteins that we consume. But do so many of us really have too much acid?

Many modern-day doctors don't believe that this is the case

I am one of those people diagnosed with GERD or acid reflux. I was prescribed medication to reduce the production levels of stomach acid and ended up having to have an operation to fix my hiatus hernia. However, after doing some research, I began to wonder whether I really did in fact, have too

much stomach acid. I felt a burning in my throat each night from what I thought was acid and even started losing my voice. I actually thought that over-production of stomach acid was damaging my vocal chords. But what I eventually discovered was actually quite the opposite. I found a simple test online that is designed to see how much acid you actually have, and for me, the results were quite surprising – it turned out that my body wasn't producing nearly enough! The stress of modern living and our rushed lifestyles has resulted in the dramatic decline of our bodies’ production of stomach acid. When we eat protein, our bodies can no longer

Catherine Clark, owner and founder of The Harvest Table digest it properly and the food begins to ferment. In addition to this, our stomach valves are designed to only open to allow food out of our stomach when the right level of acidity is achieved. A lack of stomach acid, therefore, hinders the entire operation of your stomach. As the food that you have eaten ferments, it creates a burning sensation that often moves up your throat, especially as you sleep, creating an acid reflux effect. This extremely easy, at-home test, though not scientific, is a great way to check your stomach acid levels. It is also safe and cost almost nothing. 

The bicarb test Before you go to bed at night leave 1/4 teaspoon of baking soda (bicarb) and a small glass of pure water (120ml) next to your bed. 1. When you wake the next morning, immediately mix the bicarb in the water and drink it before doing anything else. 2. Wait for a few minutes. 3. Record how long it takes you to burp. 4. Check your results: • If you burp within 1 minute - your stomach acid level is good • 1 to 2 minutes - not bad • More than 2 minutes - on the low side • More than 3 minutes - low If you discover that your acid is low, you should possibly see a doctor or homeopath so that they can prescribe some lifestyle changes to improve your acid levels. www.babysandbeyond.co.za

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editor's choice health

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Health Health www.babysandbeyond.co.za

parenting

Discipline:

positive reinforcement punishment

By Reabetsoe Buys, Counselling Psychologist Discipline remains one of the topics which evokes many different thoughts and opinions. While each family is open to exploring and using whichever discipline strategies work for them, there are some methods which have been proven to be more effective than others.

‘T

raditional’ discipline usually refers to the practice of training children to obey rules and expect punishment if they are not followed. These methods usually use punishment to correct disobedience and misbehaviour. Positive reinforcement, however, is the encouragement of behaviour using positive responses, rewards and motivation. While rewarding a disobedient child may seem like a complete contradiction, positive reinforcement has been proven to be one of the most effective behaviour modification techniques. This is because instead of instilling fear and apprehension, you are focusing on positive behaviours which your child is in control of. This not only yields positive results but also longer lasting changes in behaviour.

Why you should reward good behaviour

As parents, we instinctively reward good

behaviour and punish bad behaviour, which works most of the time. However, rewards work better than punishment in changing behaviour, because of the positive emotions which are associated with them. Punishment elicits negative emotions, and these can have dire consequences. That being said, rewards don’t have to be monetary or involve anything drastic outside of your usual family routine. An example of a reward system is to create a token system in your home. This is why token systems work: • You’re giving your child points for good behaviour which can be exchanged for a bigger reward once a certain number is reached (e.g. 15 stars equals a special surprise). • It is easy to implement and can involve almost anything (e.g. getting a star for helping with the tidying up after dinner). • It leads to immediate gratification as stars are received on the spot for good

behaviour. • Smaller, regular rewards work much better than bigger ones which take longer to achieve. • Smaller rewards are also more motivating. • Make sure you encourage your child to take part by explaining what it is about and getting them to set daily goals for themselves But also remember: • The rewards must be realistic and achievable for your child based on their age and interests. • Keep your word and follow through with what you say you will do. • You cannot take away rewards which have been earned – this is discouraging and can lead to disinterest. • Reward good habits (e.g. doing things without being told), not just the good outcome . • There is a big difference between bribing and rewarding good behaviour! www.babysandbeyond.co.za

parenting

Positive reinforcement and why it is more effective than punishment This behaviour modification technique promotes good behaviour by focusing on what your child is doing right, rather than on what they are not doing or on what they are doing wrong. This leads to a higher chance of the positive behaviour being internalised and repeated. Remember, not all positive reinforcement involves giving tangible rewards – a lot of it can be encouragement and acknowledgement. Some examples include: • Giving your child a high five or a thumbs up when they do something good or right. • Lots of smiles, hugs and kisses. • Verbalising to them when they have done something good. • Talking to another adult about their good behaviour in the presence of your child. • Avoid focusing on the negative (e.g. I can’t believe you still haven’t picked up your clothes). • Avoid linking it to your child’s personality (e.g. you’re such a good child because you picked your clothes up off of the floor).

So which behaviours should you be reinforcing? • Sharing with others (e.g. “Thank you for sharing so nicely with your sister.”). • Being kind and gentle to siblings and peers. • Completing tasks without a fuss (e.g. brushing teeth). • Effort put into doing something hard (e.g. “I’m so proud of you for not giving up easily.”). • Remembering their manners. • Practicing something new. • Responding to a request immediately (e.g. “Thank you for picking up your toys so quickly.”).

When you’re focusing on encouraging desired behaviour, remember that you also have to foster a safe environment, model positive behaviour and give space for your child to communicate what they are going through. Follow through with your promises and apologise when you are wrong, and they will learn to do the same.

If you decide to use punishment:

• Decide, as a family, what the repercussions are for not following the rules. • Avoid using extreme punishment, which will actually do more damage than good. • Do not use corporal punishment as this incorrectly communicates that anger and violence are appropriate to resolve issues and communicate frustrations. • Rather take away privileges (e.g. TV time and devices). • Under no circumstances should you humiliate or shame your child as this can cause long-lasting emotional distress. • Make sure you’re aware of your own emotions towards your child’s behaviour – wait until you’re rational if you need to. • Discuss your reason for punishing them so that they can think about ways to avoid getting into trouble in the future. • Avoid labelling your child (e.g. “Why are you so mean?”). At the end of the day, depending on the age of your child, think about methods and strategies which suit your parenting style and your family. However, make sure that they are healthy and will lead to your child developing and maintaining a safe relationship with you as their parent, and with the rest of the family.  www.shrinkmama.co.za www.babysandbeyond.co.za

Reabetsoe Buys, Counselling Psychologist

parenting

Your parenting style

could affect how your child copes By Ilse de Beer, Psychologist

Your parenting style influences your childâ&#x20AC;&#x2122;s emotional and mental health. Just how much is becoming increasingly evident in some young children emerging from almost six months of social isolation during the COVID-19 pandemic. 70

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parenting

naddressed anxiety, boredom, social isolation and lowered physical activity can lead to emotional and mental health troubles in children. We also know that parenting styles have a profound influence on children’s mental wellbeing and ultimately how they develop into young adults. During the unprecedented lockdown, many children were anxious, isolated, inactive and bored. Being at home for such an extended period with an either overly authoritarian or neglectful parent has been emotionally debilitating for some. Faced with going back into the world, these young people may struggle and could possibly become withdrawn, anxious and even depressed.

Inconsistency in parenting practices is harmful to children’s mental health

There are four main parenting styles; authoritarian, permissive, democratic/well-balanced and uninvolved. Often, parents don’t fit into just one category. However, during lockdown, parents faced unique challenges in home schooling, entertaining and disciplining their children, which may have contributed to an overemphasis on the manner in which they parent.

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Lack of structure is also detrimental

Children need good routine and boundaries, but within these structures, they should have some leeway to experiment and make independent choices. Children need a safe and supportive home environment, but with enough space and opportunity to be age-appropriately independent and responsible. This will contribute to their development into well-balanced young people.

Adaptability and balance are critical

Adaptability and balance are two of the important ingredients for good ego strength. During the COVID-19 pandemic the whole world, including your family’s day-to-day life, has been unpredictable and even chaotic. If parents and children are able to be adaptable during these kinds of situations, it reduces daily stress and promotes healthy functioning. Parents should remember that their children will mirror their behaviour and the way in which they handle difficult situations. Children, like adults, have experienced worry and anxiety during the pandemic. They may have worried about their loved ones getting sick, missing out on schoolwork, getting to grips with online learning and venturing out into the world again. They may have missed their grandparents, social excursions, their friends and extramural pursuits. If their feelings of fear, anxiety and uncertainty have not been acknowledged or comforted by a supportive parent or adult, they are more likely to be emotionally impacted by COVID-19 crisis.

Look out for signs of stress and anxiety because many children are unable to articulate how they are feeling.

On one extreme, authoritarian parents have demanded strict obedience from their children, while on the other hand; uninvolved parents have left their children to their own devices, with no structure or consequence whatsoever. Neither is particularly healthy for a child that has been thrown into an unfamiliar world where routines such as going to school, as well as social and extramural activities outside the home, have been removed. Inconsistency in parenting practices is harmful to children’s mental health. If

children know and understand what to expect, as well as what is expected of them, they feel safe and secure. In other words, predictability is very important for children’s mental health.

Discipline should also be consistent. General rules in your home should not be negotiable and parents should be on the same page when it comes to discipline. The concept of cause and effect is important for children to learn. Children need to learn and understand consequences for their actions. All of these factors play a role in developing a child’s ego strength (also referred to as grit). Children (people) with good ego strength have healthy ways of satisfying their needs and coping with difficult situations.

The importance of spending quality time with children, especially at a time like this, cannot be dismissed. Children struggle when their parents are not emotionally available to them. This will have a negative influence on their sense of security, their self-confidence and their courage to venture into the world again. So, while you strive to bring predictability to your children’s lives through good structures, routines and discipline, it is also important to be accessible to them. Make time for small talk every day and take an interest in your children’s feelings and daily activities. Look out for signs of stress and anxiety because many children are unable to articulate how they are feeling. 

pregnancy

Pregnancy and the

immune system

The role of nutrition in strengthening the immune system has been the focus of many studies over the years1.

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pregnancy

he immune system is your body’s natural defence system. It is an intricate network of cells, tissues, and organs that work together to defend your body against invaders that can include bacteria, viruses, parasites, or even fungus, all with the potential to make you sick2. Your immune system works all year round to ward off all kinds of illnesses2. But what happens to the immune system when you fall pregnant? Are there ways to naturally boost your immune system during pregnancy? The immune system and pregnancy are very much interconnected, with your immune system undergoing some very intense changes when you are pregnant3. So fascinating are the highly orchestrated changes in the immune system throughout pregnancy, that the Stanford University School of Medicine conducted the firstever study into the meticulously timed immune system changes in women that occur during pregnancy. The results, which were published in 2017, revealed that there is an immune clock of pregnancy and that the timing of immune system changes follow a precise and predictable pattern in normal pregnancy. These results may be a step towards understanding why some babies are born prematurely and how this can be prevented, by researching why someone’s immune system is not adapting to pregnancy the way it is expected to4. While these immune system changes can help you to fall pregnant, stay pregnant and deliver your baby, they ironically can also make you more susceptible to illness3. This is because changes in hormone levels and immune system function can make you more vulnerable to infections and complications. During pregnancy, different parts of your immune system are enhanced while others are suppressed5. These changes also help protect your baby from your body’s defences and means that during pregnancy, your immune system www.babysandbeyond.co.za

has to work harder since it’s supporting two of you. This makes you susceptible to certain infections5. These changes in the immune system during pregnancy make pregnant women (and women up to two weeks postpartum) more prone to severe illness from flu, which is why many healthcare experts recommend that pregnant women get the flu vaccine6. Consuming the right nutrients is important at every stage of life, but it is especially critical during pregnancy, as pregnant women need to nourish both themselves and their growing babies6. Vitamins and minerals support maternal and foetal growth at every stage of pregnancy and are required to support critical functions such as cell growth7. Hannelise Rademan, a registered dietitian currently volunteering at Worcester Provincial Hospital in the Western Cape, reiterates that vitamins and minerals can be seen as building blocks to strengthen your immune system. “These building blocks include vitamins A, C and D, minerals such as zinc and omega-3 fatty acids,” she says8. When you are pregnant, a healthy diet should include the right balance of carbohydrates, proteins, and healthy fats, as well as micro-nutrients like iron, folate, calcium, and vitamin9. Many health experts globally recommend that all pregnant women take a prenatal vitamin and folic acid supplement. This is

advised to fill nutritional gaps and also to prevent birth defects like spina bifida7. A prenatal vitamin, such as PregOmega Plus, which is South Africa’s No.1 prenatal choice10, not only contains 500 micrograms (mcg) of folic acid, but also added Omega 3, Calcium, Zinc, Vitamin D, Vitamin C, Magnesium and other vitamins and minerals which all have many benefits for both the mother and her growing foetus, some of which are mentioned below11.

Calcium for strong teeth and bones Calcium’s key function is to ensure the proper growth and structure of teeth and bones. Low calcium intake throughout life, and particularly in periods of rapid growth such as pregnancy, increases the risk of osteoporosis later in life, particularly after menopause11.

Vitamin C for healthy gums During pregnancy, women require an additional 15mg of Vitamin C a day. Vitamin C is an essential micronutrient for ensuring good dental health for the pregnant woman and her foetus, as it plays an important role in the development of healthy gums11.

Vitamin D for healthy skin & muscle strength Vitamin D has an important function in assisting the body to absorb calcium and

The immune system and pregnancy are interconnected, with your immune system undergoing some very intense changes when you are pregnant.

pregnancy phosphorus. It is also an important nutrient for optimal immune function, maintaining healthy skin and muscle strength. Vitamin D deficiency in a pregnant woman is an important risk factor for the development of osteoporosis later in life.11

Magnesium for overall good health Magnesium is a micronutrient that plays a role in regulating the function of other minerals including calcium and potassium11. It is associated with a maintenance of overall good health and plays a role in helping to metabolise carbohydrates, fats and proteins as well as contributes to the reduction of tiredness and fatigue12.

Zinc for normal cognitive function Zinc plays a role in regulating how genes and genetic traits are replicated in the DNA11. It also importantly plays a role in the maintenance of immune DISCLAIMER: This editorial has been commissioned and brought to you by iNova Pharmaceuticals. Content in this editorial is for general information only and is not intended to provide medical or other professional advice. This article includes views and opinions of the named Healthcare Provider and not reflect the views of iNova Pharmaceuticals, nor is it intended as medical advice. For more information, speak to your healthcare provider. This unregistered medicine has not been evaluated by the SAHPRA for its quality, safety or intended use. Health supplements do not replace a healthy diet and lifestyle. For more information speak to your healthcare professional. Further information is available on request from iNova Pharmaceuticals. Name and business address: iNova Pharmaceuticals (Pty) Ltd. Co. Reg. No. 1952/001640/07. 15E Riley Road, Bedfordview. Tel. No. 011 087 0000. www.inovapharma.co.za. IN1225/20

function and contributes to normal cognitive function12.

Omega-3 for cell development Omega-3 fatty acids play a role in the maintenance of overall good health13 and are important components of cell membranes, including the membranes of cells which form the eye, and the central nervous system11. Rademan recommends that pregnant women stock up on a variety of foods according to their nutritional benefits. These include8: • Vitamin A: Sweet potato, kale, broccoli and bok choy, spinach • Vitamin C: Red peppers, berries, citrus fruits • Vitamin D and Omega-3 fatty acids: Fatty fish (salmon, trout, sardines, anchovy) • Zinc: Lean meat, chicken, whole eggs, fatty fish, wholegrains and pumpkin seeds • Magnesium: Green leafy vegetables (e.g. spinach and kale), figs, avocado,

banana and raspberries, nuts and seeds, black beans, chickpeas and kidney beans, peas, broccoli, cabbage, green beans, artichokes, asparagus, brussels sprouts, salmon, mackerel, tuna “It is also important to keep in mind which foods not to consume in excess during pregnancy, including too many Vitamin A rich foods”, says Rademan8. While a healthy diet can certainly boost your immune system, remember too that plenty of sleep, moderate exercise and staying hydrated is also very important9. “Sleep is the time our bodies need to rest and repair, particularly in deep sleep,” Rademan adds8. Speak to your doctor or a dietician about your nutritional needs and a suitable supplement to take when pregnant.  Visit www.pregomega.co.za for more information.

References: 1. American Institute for Cancer Research. Can Your Diet Boost Your Immune System and Provide Better Protection Against COVID-19? (2020) at https://www.aicr.org/resources/blog/can-yourdiet-boost-your-immune-system-and-provide-better-protection-against-covid-19/(website accessed on 24 May 2020) 2. Web MD. How to Use Your Immune System to Stay Healthy (2009) at https://www.webmd.com/ato-z-guides/features/how-use-your-immune-system-stay-healthy (website accessed on 24 May 2020) 3. Family Education. The Immune System and Pregnancy: A Step-by-Step Guide (2019) at https:// www.familyeducation.com/immune-system-pregnancy-step-step-guide (website accessed 24 May 2020) 4. Stanford Medicine. Immune system changes during pregnancy are precisely timed (2017) at https:// med.stanford.edu/news/all-news/2017/09/immune-system-changes-during-pregnancy-areprecisely-timed.html (website accessed 24 May 2020) 5. Parenthood by Healthline. Infections in Pregnancy (2016) at https://www.healthline.com/health/ pregnancy/infections#prevention (website accessed 24 May 2020) 6. Parenthood by Healthline. Supplements During Pregnancy: What’s Safe and What’s Not (2020) at https://www.healthline.com/nutrition/supplements-during-pregnancy#bottom-line (website accessed on 24 May 2020) 7. CDC. Flu Vaccine and Pregnancy (2019) at https://www.cdc.gov/flu/highrisk/qa_vacpregnant.htm (website accessed on 24 May 2020) 8. Q&A with Hannelise Rademan – 25 July 2020 (unpaid) 9 Premier Health. Healthy Advice About Nutrition, Pregnancy, And COVID-19 (2020) at https:// www.premierhealth.com/your-health/articles/healthnow/healthy-advice-about-nutrition-pregnancyand-covid-19 (website accessed on 24 May 2020) 10. IMS: TPM Data (A11A, A11E, V6D, V3X/Constructed Class). MAT December 2019 \ 11. Health Engine. Vitamins and Minerals: What’s needed during pregnancy (2010) at https:// healthengine.com.au/info/vitamin-and-mineral-requirements-and-supplements-duringpregnancy#C77 (website accessed on 24 May 2020) 12. Medicines Control Council - Complementary Medicines - Health Supplements Safety and Efficacy June 2016 13. Medicines Control Council - Complementary Medicines - Health Supplements Safety and Efficacy Annex G February 2017 www.babysandbeyond.co.za

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nutrition

Get an inside look at what happens to your body when you skip a meal

Skipping meals:

Harmful or healthy? E

ver got sucked into a never-ending to-do list at work or home and forgotten to eat? You are not alone! All of us at some point or another have skipped meals. For some, it’s accidental and for others, it’s a deliberate strategy to lose weight. Either way, according to Angela Leach, the Head Dietician for FUTURELIFE®, while strategically skipping meals with carefully planned eating (as done in intermittent fasting) can

have benefits if done correctly, randomly skipping meals on a regular basis is not a good idea. “Whether you are trying to lose weight, working on building muscle or simply trying to maintain a healthy diet, missing a meal will do your body more harm than good,” she says. Angela explains what happens to your body when you skip meals and offers advice on how you can stay fully fueled throughout the day: www.babysandbeyond.co.za

nutrition

You’ll feel weak, sluggish and irritable

By skipping meals and not eating enough throughout the day, you deprive your body of the nutrients it needs to run efficiently. As a result, you may see your blood sugar drop, leaving you feeling sluggish and weak, with poor concentration and quite possibly in a foul mood. If you’ve ever been ‘hangry’ – then you know the feeling. Blood sugar (or glucose) is the number one fuel for our brains so when our stores are low, we may get irritable. The solution: Carefully plan your meals ahead of time to make sure you are eating no less than three nutrient-dense meals a day. Keep a healthy, easy-to-prepare or instant option for a snack in your lunch bag or purse. This ensures that you can have a healthy snack or meal even when you have those busy days.

You are more likely to overeat at your next meal

Skipping a meal often leads to overeating at your next meal. When you deny your body food, it only wants it more and, because you are ravenous, you will be more likely to cave into your cravings and binge on unhealthy foods. Solution: Eat a protein-rich breakfast and have a nutritious snack if you’re hungry between meals. This will ward off cravings and avoid overeating later.

You will start to look lousy

Each meal you consume gives you an opportunity to provide your body with the nutrients it needs to maintain healthy muscles, organs and other tissues. By limiting your meals, you might be missing out on vital nutrients which could lead to a nutritional deficit. And, the long-term impact will be all too visible! A nutrient-dense diet will not only help keep your body hydrated and healthy, it will also make you feel good and look great. Nutrients, especially protein, keep your hair shiny, your skin radiant and builds lean muscles. Found throughout your body, protein helps to build, maintain and repair body tissues. So if there’s insufficient protein in your diet, you’ll not only start to lose muscle mass, it will start to show in your physical appearance too. Solution: Ensure that your diet includes at least three portions of protein a day, starting with breakfast.

You’re more likely to gain weight

If you think skipping a meal is a smart way to maintain weight loss, think again. Though skipping meals may lead to a reduced calorie intake in the short term, it is not an effective weight loss technique in the long run! Skipping meals will result in a drop in blood glucose levels. With low blood glucose levels, you are bound to start craving unhealthy foods that are high in sugar and fat. This can lead to overeating at the next meal which not only impedes your weight loss goals, but can make you gain weight instead. This dietary pattern can lead to a dangerous cycle of yo-yo dieting. It messes with your metabolism, which can hinder weight loss in the long term. Solution: If you are trying to lose weight, focus on daily energy control, good food choices and regular physical activity. Have smaller meals more often as this will help to reduce the number of calories consumed while keeping cravings at bay. “The bottom line is that skipping meals is not beneficial for your health. Not only does it take a toll on your system, it is setting you up for a slower metabolism, foggy thinking and crazy hunger pangs. So, the next time you want to bypass breakfast or ditch dinner, think about your body first and maintain your healthy diet by eating smaller, nutrient-rich meals throughout the day,” Angela concludes. 

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nutrition

By Elizda Hanekom

Healthy eating

during pregnancy & lactation

Expecting a bundle of joy? This is certainly an extremely exciting time in one’s life, but it can also come with many questions and concerns. However, this shouldn’t be the case when it comes to nutrition. Eating a healthy balanced diet is vital for good health and even more so when you are a mom-to-be. Many moms say they are ‘eating for two’. Should this be the case? Are there certain foods which are off the menu? Let’s take a closer look. 78

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nutrition General healthy eating

Most guidelines on healthy eating include the following: • Eat your five-a-day for fruits and vegetables1. • Include whole grains and choose more poultry, fish and lean meats1. • Opt for low-fat, calcium-rich dairy options, drinks lots of water and lastly, limit fat and sugar intake1. Whilst these are key recommendations, they are, however, very general. For an expecting mom, there are important dietary changes that need to be made. During pregnancy and lactation a woman has additional nutritional requirements which help to support the growth and development of their baby2. It is, however, important to note that it is possible to reach these increased levels without drastically increasing the amount of food they consume. The reason for this is that our body is truly incredible – it becomes more efficient at absorbing nutrients which allow you to start building up vital vitamin and mineral stores2. Keeping all of this in mind, you will see that there is no need to ‘eat for two’ but rather a need to place a vast amount of focus on eating a high-quality diet.

fats are particularly important during pregnancy3.

Protein

Our protein needs increase during pregnancy and lactation because it is essential for the growth of your baby and your own tissue growth during pregnancy. It is also essential for breastmilk production. Exact requirements vary according to your weight and stage of pregnancy and lactation, but special care should be put into reaching these requirements. It is advisable to include a protein source at all or most meals and snacks.

Making great healthy choices is no longer only important for yourself, but also for your baby.

What more?

Following general healthy eating guidelines is great but what else do you need to know? Firstly, you need to eat a variety of foods. This will ensure that you are getting many different vitamins and minerals, all of which play a vital role in the development of your baby. It is best to get vitamins and minerals from the foods we eat, however, sometimes this isn’t possible, and supplementation can be beneficial to provide peace of mind that you are meeting your needs. Speak to your healthcare provider to best advise you on your supplement requirements. Certain nutrients such as protein, folate (folic acid), calcium, iron and omega-3 www.babysandbeyond.co.za

you to do so3. Give special attention to this guideline if you are vegan. Vegans are at risk of a vitamin B12 deficiency and taking too much folic acid would make it hard to diagnose this deficiency3.

Calcium

Calcium helps with the development of healthy teeth and bones. It also plays a role in heart health, muscle and nerve development5. Getting enough calcium and iodine throughout your pregnancy is important for both mom and baby as calcium gets taken from your bones and given to your baby3. Aim to include at least two servings of dairy every day. Dairy products also contain iodine which assists with the brain development of your baby. It is important to note that non-dairy milk such as nut milk, soy milk and oat milk contain virtually no iodine3. Iodine is also important during breastfeeding. Sources of iodine include seafood, iodized salt, eggs, fortified bread and margarine.

Iron

Folate (folic acid)

Folic acid falls in the B-vitamin group. The synthetic form is vitamin B9, also called folate. This helps your body to make new cells2,3. It helps to make normal red blood cells and to prevent a type of anaemia. It is essential for the functioning, production, and repair of DNA4. Getting enough folate is important for the rapid cell growth of the placenta as well as your developing baby. It also helps prevent Neural Tube Defects (NTDs) 4. The part of the embryo from which your baby's spine and brain develop is called the neural tube. It is often difficult to obtain the right amount from diet alone. Consider taking a daily multivitamin that has 0.4mg (400mcg) of folic acid. Do not take more than 1mg (1000mcg) per day unless your healthcare provider advises

Iron plays an important role during pregnancy and lactation as it helps build new red blood cells and also helps them to carry oxygen. When you are pregnant the amount of blood you carry increases to support both your and your baby’s needs7. The iron you consume during pregnancy will help your baby store enough for when he or she is born3. The Centres for Disease Control and Prevention (CDC) recommends 27mg of iron per day for all pregnant women4.

Omega-3 fatty acids

Omega-3 fatty acids play many important roles in the body. They help support the immune system, heart, and inflammatory response3. They also help support the brain, eyes and central nervous system, which makes it so important during pregnancy and lactation.

nutrition Getting your omega-3: • Have two servings of fatty fish like salmon, mackerel, herring, canned tuna in oil, light canned tuna, sardine, hake, rainbow trout, anchovy, mussels. Two servings equate to 150g of fish per week. NOTE: Most fish have low levels of mercury. For healthy individuals, low levels of mercury does not cause harm. High amounts of mercury can, however, harm an unborn baby or young child’s developing nervous system. It is therefore

important for pregnant or lactating woman to limit their intake of mercurycontaining foods. It is recommended to limit fish intake to no more than two servings of fish per week. Avoid shark, swordfish, marlin, fresh or frozen tuna and any dried fish as these have higher mercury levels. Include ground flax seeds, walnuts, chia seeds, soy products and canola oil more often. Certain foods are fortified with omega-3 fats – look out for eggs, yoghurt, juice, soy beverages and margarine3,4.

Enjoy every moment of pregnancy and lactation

During this exciting time, I urge you to enjoy every moment of pregnancy and lactation. Little sleep and sacrifices will soon be replaced with countless laughs, memories, and love. Making great healthy choices is no longer only important for yourself but also for your baby. I hope this article has eased your mind and made you excited about your and your baby’s healthy and happy future. 

General do’s and don’ts during pregnancy Enjoy regular physical activity, however, this should be managed by your healthcare practitioner, particularly if you are starting a new exercise routine or experience any complications. Cook certain foods thoroughly. Foods such as meat, fish, poultry, seafood, unpasteurised cheese and eggs may have harmful bacteria therefore cooking these foods thoroughly is important to prevent harm to your baby – this means that sushi is an obvious no-no3.6. Avoid alcohol during pregnancy and lactation. Alcohol passes into breastmilk within 30-60 minutes (this is the same rate that it travels through your blood) 3. Try to limit caffeine-containing drinks such as tea, coffee, cola, cocoa and energy drinks during pregnancy and lactation. If you must have caffeine, do so in moderation. Limit caffeine to 200mg per day which equates to two cups (500ml) of coffee or four cups (1 000ml) of tea. Remember decaffeinated coffee or caffeine-free teas can be a better option.

Drink plenty of clean, fresh water. Fluids are especially important during breastfeeding as you need to replace the fluid used in breastmilk. It may be a good idea to have a glass of water or low-fat milk every time your baby feeds2. Ask your doctor about any herbal supplements you are considering. Many can be harmful to you or your baby. If you are overweight or underweight your nutritional needs may vary. Discuss these with your doctor who may refer you to a registered dietitian. If you experience any side-effects like nausea, vomiting or constipation ask your doctor or dietitian for guidance. If you are having twins or triplets your needs may be increased – speak to your healthcare provider to find out what amount is right for you. The above healthy eating guidelines will apply but may need to be adjusted to suit your specific needs3.

References: 1. Torrens K. BBC Food. [Online].; 2016 [cited 2017 April 21. Available from: https://www.bbcgoodfood.com/howto/guide/balanced-diet-pregnancy. 2. NHS Choices. [Online].; 2017 [cited 2017 April 21. Available from: http://www.nhs.uk/conditions/pregnancy-and-baby/pages/healthy-pregnancy-diet. aspx#close. 3. Practise Evidence Based Nutrition. [Online].; 2014 [cited 2017 May 21. Available from: http://www.pennutrition.com/docviewer.aspx?id=11816. 4. Rossouw DJ. Nutritional support during pregnancy. 2016 January. 5. Mahan LK, Escott-stump S, Raymond JL. Krauses Food and the Nutrition Care Process. 13th ed. Alexopoulus Y, editor. Missouri: Elsievier Saunders; 2012. 6. Practise Evidence Based Nutrition. [Online].; 2015 [cited 2017 May 25. Available from: http://www.pennutrition.com/viewhandout.aspx?Portal=VLGMKA== &id=JMfrWgU=&PreviewHandout=bA==. 7. American Pregnancy Association. [Online].; 2015 [cited 2017 May 25. Available from: http://americanpregnancy.org/pregnancy-health/diet-during-pregnancy/.

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recipes

Cheesy Nachos with Jalapeño Chillies, Avo & Salsa Serves: 4 people

Ingredients

• 1 large bag of nachos – we used Santa Anna’s Organic Corn Chips • 200g-300g grated cheddar cheese – we used Mooivallei Rigg’s Cheddar • ½ white or red onion • 1 large ripe tomato • El Burro Mercado Jalapeño in Adobo Sauce, to taste • 1 ripe avocado • Fresh coriander, to serve • Pesto Princess Fresh Tomato Soup – find our soup range on buyfresh.co.za.

Instructions

1. Preheat the oven on the grill setting. 2. Layer the nachos on a baking sheet and sprinkle over the grated cheese – don’t be shy! 3. Pop the nachos into the oven for a few minutes until the cheese melts. Keep an eye on it! 4. While the cheese melts, prepare the other toppings. Finely chop the onion and tomato, combine and season well. Dice up a few jalapeño chillies and slice the avocado. 5. Once the cheese has melted, sprinkle the salsa, avocado, jalapeños and coriander over the nachos. Serve with a steaming bowl of Pesto Princess Fresh Tomato Soup.

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Pesto, Cheese &

recipes

Garlic Bread Ingredients • 400g all-purpose flour • 1 tsp salt • 10g instant dry yeast • 250ml lukewarm water • 2 Tbsp olive oil For the filling • 3 tsp each Pesto Princess Basil Pesto & Pesto Princess Red Pesto (use any pesto sauce you have to hand!). • 4 cloves garlic, crushed • 2 Tbsp butter or olive oil • 100-150g cheese • Milk for basting before baking

Instructions

1. Prepare a loaf tin by either using a non-stick food spray or lining it with baking paper. Combine the flour, salt and dried yeast in a mixing bowl. Add water and oil and knead for about five minutes until it is a smooth dough. Cover and leave in a warm place for an hour or until the volume has doubled. Briefly knead the dough and roll it into a rectangle on a floured work surface. 2. Make the fillings by mixing three teaspoons of Pesto Princess Basil Pesto with one tablespoon butter and two cloves of crushed garlic. In another bowl do the same with the Pesto Princess Red Pesto. Spread one mixture over one half of the dough and the other over the other half. Top with grated cheese. Roll up the dough from the long side. 4. Cut down the full length with a sharp knife and twist the strands over each other into a loose plait. Put the braid in the prepared tin and let it rise for 40 minutes, covered. 5. Preheat the oven to 180°C. Brush the top of the dough with milk and bake for 35 minutes. www.babysandbeyond.co.za

recipes

Rainbow Trout

with Basil & Chilli Pesto Serves: 6 people

Ingredients

Loaded

hummus wreath

• 1 rainbow trout, cleaned and with the skin on (we bought ours from Three Streams).* • 1 lemon, sliced thickly • 20g fresh thyme • 3 tbsp olive oil • 2 fresh garlic cloves, thinly sliced • 1 jar Pesto Princess Basil & Chilli Pesto • 15g fresh basil • 1 red chilli, thinly sliced • Sea salt and black pepper, to taste * We chose rainbow trout, but you can also use any SASSI-friendly whole fish.

Serves: 8–10 people

Instructions

Ingredients • 1 tin chickpeas, drained • Olive oil • 2 tsp smoked paprika • 2 tsp cumin, ground • 300g cauliflower florets • 2 tsp turmeric, ground • 200g cherry tomatoes, finely chopped • 100g spring onion, finely chopped • 1 large cucumber, finely chopped

• 15g flat leaf parsley, finely chopped • 1 large lemon, juiced and zested • 2 tubs Pesto Princess Hummus • Pomegranate rubies • 15g mint • Sea salt and black pepper to taste

1. Season the inside of the fish generously and stuff with the lemon slices, fresh thyme and garlic. 2. Now season the outside of the fish with olive oil, sea salt and black pepper and clamp it in a braai grid, ready for the fire. 3. Assess your coals and once they reach medium heat, cook the fish and turn regularly, taking care not to overcook it. A small fish, like our rainbow trout, will be done in approximately 20 minutes. If you’re nervous about the skin sticking to the braai grid, you can oven roast the fish at 180°C on a lined baking sheet. 4. Once cooked, place the fish on a serving platter, spread the Pesto Princess Basil & Chilli Pesto on top and garnish with basil leaves and fresh chilli slices.

Instructions

1. Preheat the oven to 180°C with the grill on. Mix the drained chickpeas with a generous drizzle of olive oil, smoked paprika and cumin and season well. Place on a baking tray. 2. Toss a glug of olive oil through the cauliflower florets and toss in the turmeric. Season and place on a second baking tray. Roast the chickpeas and the cauliflower until they are crispy (the chickpeas will take a little longer). 3. Combine the chopped cherry tomatoes, spring onions, cucumber, parsley, lemon juice and zest. Drizzle over some olive oil and season. 4. Now you’re ready to assemble the wreath. On a large, round platter spread both tubs of hummus into a large wreath shape. Create an outer ring of the cherry tomato/cucumber mixture and an inner ring of crispy chickpeas and cauliflower florets. Your ‘inner circle’ can be made purely from pomegranate rubies. 5. Garnish with mint and olive oil.

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skincare

The Cancer Association of South Africa (CANSA) has cautioned all South Africans to be SunSmart throughout the year, but especially during summer.

Be SunSmart! S

unburn can occur within 15 minutes, and the damage caused is permanent, irreversible and adds up with each exposure to the sun.

work, as it is at the beach or pool. Rays can also reflect off surfaces and cause sunburn when it is overcast.

Skin cancer is the most common cancer worldwide and South Africa has one of the highest monitored ultraviolet (UV) levels in the world, resulting in one of the highest skin cancer rates globally.

According to the World Health Organisation (WHO), the incidence of both non-melanoma and melanoma skin cancers has been increasing over the past decades. WHO estimates that a 10% decrease in ozone levels will result in an additional 300 000 nonmelanoma and 4 500 melanoma skin cancer cases globally.

UV radiation is just as dangerous for outdoor labourers, sports people, children on the playground or people driving to

Skin cancer is common in SA

More than 20 000 South Africans were diagnosed with the most common non-melanoma skin cancers (basal cell carcinoma and squamous cell carcinoma) in 2014 and more than 1 500 were diagnosed with melanoma.

Fair skin tone

People with blonde or red head hair with light skin, freckles and green or blue eyes, are more at risk for sunburn and skin damage and need to take extra care to protect their skin. www.babysandbeyond.co.za

skincare

Albinism and cancer risk

People living with the genetic condition Albinism, causing them to be extremely pale, need to take extra special care when outdoors as they are at greater risk of developing skin cancer. It’s important that skin cancer is detected early on so it can be removed by surgery. People with albinism need to wear protective clothing and sunglasses to protect their sensitive eyes. It’s also important that they seek employment in a shaded environment and go for regular examinations to monitor for skin cancer. Sunscreen is available through prescription from the Department of Dermatology at public hospitals.

People with darker skin also at risk It is important to note the fact that everyone, regardless of racial or ethnic group, is at risk of getting skin cancer. Although people with darker skins are less susceptible because their skin contains more natural melanin that protects against sun damage, everyone is at risk from the harsh African sun.

Non-melanoma skin cancers mainly comprise of Basal Cell Carcinoma and Squamous Cell Carcinoma. Of these, Basal Cell Carcinoma is the most

• Actinic Cheilitis and Actinic Keratosis are pre-cancerous conditions that can lead to Squamous Cell Carcinoma. • Bowen’s Disease is a pre-cancerous condition that can lead to Squamous Cell Carcinoma. • Gorlin-Goltz Syndrome is an inherited medical condition involving defects within multiple body systems such as the skin, nervous system, eyes, endocrine system and bones. People with this syndrome are particularly prone to developing a common form of non-melanoma skin cancer, e.g. Basal Cell Carcinoma. • Solar Elastosis is a pre-cursor to Squamous Cell Carcinoma. • Xeroderma Pigmentosum (XP) is an inherited condition characterised by an extreme sensitivity to ultraviolet (UV) rays from sunlight. Most people with XP develop multiple skin cancers during their lifetime.

Skin cancer is the most common cancer worldwide and South Africa has one of the highest monitored ultraviolet (UV) levels in the world, resulting in one of the highest skin cancer rates globally.

The majority of basal cell carcinomas in people with darker skins, occur in sunexposed skin, indicating that sun protection is paramount, regardless of pigment. In darker skins, 70% of melanomas have been reported to be on the lower limb, with 90% of those being below the ankle. The most common subtype, acral lentiginous melanoma, appears on the palms of the hands and soles of the feet.

Types of skin cancer

There are two main categories of skin cancer, namely, melanoma and nonmelanoma. Melanoma, is less common than other skin cancers, but it is the most dangerous. www.babysandbeyond.co.za

It is of special importance to note that excessive ultraviolet (UV) radiation received as a child increases the risk of melanoma later in life. Melanoma is linked with short, sharp bursts of over-exposure, so even one incident of bad sunburn, especially in childhood, can later on in life trigger damage and develop into a melanoma.

common and the least dangerous. These cancers are linked to long-term exposure to the sun, for example, people with professional sports careers or outside occupations. If left untreated, these can lead to disfigurement, or the loss of an eye, nose or ear, so early detection is important. Other skin cancers include Kaposi Sarcoma, Merkel Cell Carcinoma, Sebaceous Gland Carcinoma. The following conditions can give rise to cancer or be mistaken as cancer: • Spitz Naevi (usually present in toddlers and children), can mistakenly be thought to be Malignant Melanoma because of the close resemblance.

Myths • The sun is only dangerous in summer or on a hot day. • Sunscreen will protect me completely from the harmful effects of the sun’s rays. • One or two cases of sunburn won’t result in skin cancer. • People with darker skins are not at risk for getting skin cancer. • Sunbeds are a safer alternate to obtain a tan.

How to lower your skin cancer risk

skincare How to lower your skin cancer risk

1. Do a monthly ‘spot the spot’ check: Always seek medical advice as soon as possible when concerned about a particular spot on your skin. Check your skin carefully every month and ask a family member or friend to examine your back and the top of your head. If you notice any of these warning signs, see a doctor or dermatologist immediately. Follow the A B C D E warning signs: 2. Get screened at your local CANSA Care Centre • Visit your local CANSA Care Centre for screening with their FotoFinder Dermoscope machine – be sure to make an appointment as the machines ‘roam’ between Care Centres. • If you are concerned about your symptoms, please do not wait, contact your Care Centre, doctor or dermatologist immediately. 3. Avoid the following • Stay out of the sun between 10am and 3pm. Stay under the shade of trees or an umbrella as much as possible. • Avoid sunbeds and sunlamps. 4. Use an effective sunscreen • CANSA has raised its Seal of Recognition standards and requirements for sunscreens. In addition to current SA standards, as of 1 April 2013, sunscreens bearing CANSA’s seal need to comply with the European Colipa Standards. • CANSA’s new Seal of Recognition logo (CSOR) appears on approved sunscreen products and is a guarantee that the manufacturers of these UV protective products have complied with CANSA’s strict set of criteria. • Read the list of CANSA’s SunSmart sunscreen partners. • Be sure to use a sunscreen with an SPF of between 20 and 50 for fair to very fair skin. • Products usually expire two years after manufacture, so don’t use a product that has been opened and used after a year has passed.

ABCDE warning signs

A-symmetry - a mole or mark with one half unlike the other - common moles are round and symmetrical

B-order irregularities - scalloped or poorly defined edges - common moles have smooth and even borders

C-olour variations and inconsistency - tan, brown, black, red, white and blue - common moles are usually a single shade of brown or black

D-iameter - larger than 6mm D

E-volving - changes in shape, colour or border of a mole E

5. Apply sunscreen correctly • It’s important to know the best SPF for your skin-type. • Always apply sunscreen 20 minutes before you go outside and re-apply at least every two hours, after towel drying, perspiring or swimming. 6. Wear protective clothing • Wear sunglasses with a UV protection rating of UV400. • Wear protective clothing and swimsuits, as well as thickly-woven fabric hats with wide brims. Avoid caps where the neck and ears are exposed. • Buy SunSmart garments and apparel. Look out for CANSA’s swing tags and SunSmart Choice logo on clothing, hats and summer fun accessories.

Educate and protect children

Our youth should take special precaution when spending time in the sun. Two blistering burns before the age of 18, can dramatically increase the risk of getting skin cancer later in life. Parents and schools need to play an increasingly important role in educating our youth about being SunSmart. Babies younger than one year should never be exposed to direct sunlight. It’s getting hotter, so be SunSmarter!  For more information visit www.cansa.org.za

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editor's choice beauty

Dermagen Formulated Skincare, 30 capsules – R468.00 | Available at www.fusionlabsonline.com or accredited stockists nationwide

Beaucience Moisturising Day Cream with SPF 15 - R219.99 | Available from www.beaucience.co.za

Bodycare from Africa Rosehip Hand and Nail Cream -R49.95 | Available at www.bodycarefromafrica.co.za and www.takealot.com

Bodycare from Africa Hemp Seed Hand and Nail Cream -R49.95 | Available at www.bodycarefromafrica.co.za and www.takealot.com

SKNLogic Detox Charcoal Masque – R290 | Available at www.sknlogic.com and selected salons

Wet n Wild’s Megalast Stained Lipgloss - R99.95 | Available exclusively to Clicks

Earthsap Foam Bath Range (500ml) – R69.00 & Earthsap Mustard Seed Foam Bath (500ml) – R79.95 | Available at www.faithful-to-nature.co.za

The Perfect Hairline Repair Serum – 100ml – R129.99 | Available at Clicks stores or online www.clicks.co.za/ theperfecthair

Mango & Marula Sulphate-Free Shampoo – 250ml – R89.99 | Available at Clicks stores or online www.clicks.co.za/the perfect hair

Crème of Nature’s Argan Oil Perfect 7™ - R199.95 | Available online at www.cantubeauty.com

Beauty

Grow on the Go Growth Oil 200ml – R149.99 | Available at Clicks stores or online www.clicks.co.za/theperfecthair

Mango & Marula Detangling Deep Conditioner – 250ml – R89.99 | Available at Clicks stores or online www.clicks.co.za/ theperfecthair

Grow on the Go Edge Tamer – 100ml – R59.99 | Available at Clicks stores or online www.clicks.co.za/theperfecthair

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editor's choice beauty

Cantu Shea Butter Curling Cream - R199.95 | Available online at www.cantubeauty.com

COLAB’s Unicorn Dry Shampoo R79.95 | Available at Clicks stores

COLAB’S Original Dry Shampoo R79.95 | Available at Clicks stores

Lamelle Correctives Recharge CE – R795.00 | Available at skincare therapists and doctors or www.lamelle.co.za

Creighton’s Argan Smooth Conditioner – R99.95 | Available at Dischem Creighton’s Argan Smooth Shampoo – R99.95 | Available at Dischem

Crème of Nature’s amazing Perfect Edges™ - R139.95 | Available at Clicks and selected products at Dis-Chem.

Lamelle Clarity Active Body Spray - R410.00 | Available at skincare therapists and doctors or www.lamelle.co.za

be.bare’s Tame That Mane – Cacao Butter & Coconut Shampoo Bar for dry/damaged or unruly hair – R130 | Available in over 100 Clicks stores nationwide, at selected Wellness Warehouse stores as well as in many independent retailers

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Lamelle Clarity Active Control R130.00 | Available at skincare therapists and doctors or www.lamelle.co.za

be.bare’s Easy Tiger – Lime & Cedarwood Conditioner Bar for hair prone to dryness – R130 | Available in over 100 Clicks stores nationwide, at selected Wellness Warehouse stores as well as in many independent retailers

St Moriz Gradual Tanning Lotion R119.95 | Available at Clicks

St Moriz Golden Glow Tanning Moisturiser - R119.95 | Available at Clicks

Back to school checklist

Use this helpful checklist to help your child get ready for the school year.

Writing essentials Exercise books Pencils Pens Erasers Pencil sharpener

Crayons Coloured pencils Calculator Sellotape Book covers

Plastic sleeves Book labels Highlighters

Stapler Ruler

Drawing paper

Craft supplies Blunt-end scissors Glue stick

Organisational essentials Diary Ring binders

Backpack or school case Pencil case

School wear Uniform Shoes

Socks Sports wear

Sport shoes

Tissues Sunscreen

Lunch box

Health essentials Hand sanitizer Face mask

Note: Always check with your childâ&#x20AC;&#x2122;s teacher to find out if any additional items are needed.

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Keep them e

y h t l hea

Children love the bear shaped jelly babies.

Back to school

Lunchbox Ideas

A good starting point is to make sure your child has a healthy lunchbox daily to avoid obesity and maintain a healthy mind.

unch boxes can be exciting and enticing if you vary the content by including food from the different food groups and prepare food differently to avoid boredom.

A balanced and healthy lunchbox can include the following:

Take action:

• Plan ahead and buy healthy for the week ahead. • Don’t opt for sweets, chips and other unhealthy snacks. • Ensure you add a variety of foods so your kid’s diet is balanced. NOTE: A healthy lunch keeps active kids alert and focused.

• Fresh fruit • Crunchy vegetables • A meat or protein food such as slices of lean meat, hardboiled egg, peanut butter or nut paste • Dairy food such as cheese sticks or sliced or grated cheese, milk or yoghurt • Starchy food such as bread, a roll, pita or flat bread, fruit bread or crackers • Water

Preparing a healthy lunchbox:

• Portions are an important factor when planning your child’s lunch box. • Read food labels to ensure that you chose products low in saturated fats like coconut oil and butter. • Avoid foods with high sugar content. • Since children like fizzy and flavoured drinks, rather add cordial or squash to children’s water instead of giving them artificially sweetened options. • Try to use mashed avocado (add a bit of lemon juice to prevent browning) or low-fat mayonnaise instead of high fat spreads on their bread. 

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FRESH EGGS NOURISH THE BODY AND MIND

DIY arts & crafts

Arts & Crafts

Tic-Tac-Toe Start with your game board using your chalkboard spray paint: Shake your can for 1 minute and then stand 30cm away from the board and spray slowly, moving your hand left and right.

You will need:

• 10 flat stones or rocks from your garden, similar in size • A flat smooth piece of wood or board • Sandpaper • Rust-Oleum Painters Touch Plus Gloss spray paint in two different colours • Rust-Oleum chalkboard spray paint • White and black sharpie or permanent markers • Drop sheet, you can use a dustbin bag or newspaper

Before you start:

• Set up your workstation outside so you don’t breathe in the paint fumes. • Protect your mom’s table from paint by completely covering it with a drop sheet. • Wash your 10 rocks so they are clean and dry. • Sand your wood or board so the surface is smooth.

While your board dries for 20 mins – spray-paint your first five rocks in one colour, followed by the other five rocks in your second colour. Don’t wait longer than 1 hour to spray-paint your second coat.

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Leave your rocks to dry for 20 mins and get back to your board. Give it a second coat in the same way. While that coat dries you can give your rocks a second coat.

DIY arts & crafts

When your rocks are dry, flip them over and paint the other side in the same way.

20min

Now use your markers to add a ‘O’ to five rocks and an ‘X’ to the other five. Or get funky and add smiley and scary faces – anything goes!

Finished

Before you draw a grid on your board, you must leave it to dry for 3 days. Then take a piece of chalk and rub it on its side all over the board. Wipe it clean with a damp cloth and you are ready for your first game.

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Baby’s and BeyondTM Volume 7

VOLUME 7

INSIDE: FEATURES | COMPETITIONS | KICKS FOR KIDS | RECIPES

a family lifestyle magazine

Power-up

Back to school:

Lunchbox ideas

your ‘hands-on Dad’ function

Pregnancy and the immune system

Breastfeeding journey

Elana Afrika-Bredenkamp:

an inf luential mom-preneur

December 2020 R29.90 Incl. VAT 20010

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SUMMER

Be SunSmart! What is school readiness?

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Stay informed and educated with parenting, pregnancy, health and other thought-provoking articles. www.babysandbeyond.co.za

INTRODUCING MYLIFE BABY CLINIC A convenient and affordable addition to the range of services we offer. Designed to provide scheduled baby immunisations and premium primary healthcare to mom and baby, MyLife * Baby Clinics are your go-to for all you need to know about caring for yourself and your little one. Visit a MyLife Baby Clinic near you or go to www.mylifeclinic.co.za for more information.

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Immunisations consultation fee R160.

*Vaccines are charged for separately at the pharmacy.

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2020/11/13 10:30

Stimulate your brain with a classic game of Word Search! c

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lucky reader

How to enter: 1. Complete the word search puzzle 2. Take a photo and WhatsApp it to 063 689 3131 together with your email address.

will WIN a Little Learners Series Book set from Pearson valued at R960

Competition closes 28 February 2021. The winner will be announced on 1 March 2021. Refer to competition T&Câ&#x20AC;&#x2122;s on page 106

100

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kicks for kids

Colour me in

102

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kicks for kids

Help the cat find the milk

Find 8 differences

Answers:

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103

Celebrating years of Two Oceans Aquarium magic In November 2020, the Two Oceans Aquarium turns a whopping 25 years old. That’s two-and-a-half decades of the things that matter: family, friendship, and fish! Isn’t it hard to believe that the aquarium has been part of South Africans’ lives for a quarter of a century already? For us, the time has flown. The best part of our job has been watching you, your children and your grandchildren grow up in front of our eyes. Some of you came here as children – with your parents, or as part of a school group visit – and now you are bringing your own children to experience and explore the magic of Southern Africa’s underwater world. We are incredibly proud to be a part of these personal journeys. We’ve also been so privileged and honoured to be custodians for the ocean. On every visit we aim to educate and inspire so that the sea may be protected

and pristine long after we’re gone. From tiny schooling fish to large ragged-tooth sharks – and octopuses and penguins in between – every animal has been so important to us, and to our visitors. Above all, our goal is that every single person – baby or grandparent – who visits the aquarium, leaves with a little bit more love for our life-giving ocean. Since our opening on 13 November 1995, we have welcomed more than 10 million people to bear witness to the incredible marine wildlife found on our shores, and we look forward to another 25 incredible years of inspiring change for the future wellbeing of the ocean. Long may we journey together! We’d love to ‘sea’ you every single day of the year, whatever the weather.

WIN!

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Each SMS is charged at R1.50 – Free minutes do not apply

SMS the word ‘Pearson’ and your email address to 33903 and stand a chance to win a Little Learners Series book set to the value of R960.

SMS the word ‘Protex’ and your email address to 33903 and stand a chance to win a Protex hamper to the value of R600.

SMS the word ‘Lamelle’ and your email address to 33903 and stand a chance to win a Nourish hamper to the value of R2 395.

SMS the word ‘FisherPriceGym’ and your email address to 33903 and stand a chance to win a Fisher-Price gym hamper to the value of R639.99.

SMS the word ‘Soil’ and your email address to 33903 and stand a chance to win a SOil hamper to the value of R585. The hamper includes Baby Massage Oil, which can be used on a baby over 3 months old; Pure Tissue Oil for stretch marks; Sleep Essential Oil Blend for Mom in a diffuser; DeStress Essential Oil Blend for Mom in a diffuser; Lavender Essential Oil for Mom and a baby over three months old (must be diluted for topical use).

SMS the word ‘FisherPriceWMB’ and your email address to 33903 and stand a chance to win a Fisher-Price World Massive Biter to the value of R449.99. By entering any competition, you agree to receive further communication from Baby’s and Beyond™. The competition is only open to South African citizens. The judges’ decision is final and no correspondence will be entered into thereafter. All entries close on 28 February 2021 and winners will be announced on the 1 March 2021 on our Facebook page and via email.

106

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We do from Sewing to Woodwork

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Play schools for toddlers between 2 and 5 years daily from 8:00-13:00 (Maximum 6 learners per educator)

Baby skincare for sensitive skin This baby skincare range for sensitive skin is developed to protect, soothe, nourish, and calm your baby’s problematic skin. All hand made right here, in South Africa with natural ingredients formulated with love. Baby Soap - 100% Coats’ Milk

Baby Balm with Olive & Shea Butter Aqueous Cream soothe dry, itchy and flaky skin

Nappy Cream with Coconut Oil & Shea Butter

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Pienkvoet-Pret 2.0 Play schools provide high quality care with innovative and educational activities, speciﬁcally focussed on each learner’s age and development. Groups are limited to 6 learners to ensure individual attention in a safe, child-centred and stimulating environment.

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AFTER

Pearson books SERIES Little Learners

TITLES

for review

All the things I can do Colours My Body

Numbers Mummy and Me Sounds

My Day Farm Animals

Each of the eight books in this series focuses on an important ability personal, social, musical, linguistic, physical, artistic, mathematical and scientific explaining the use of the book and suggesting additional activities that can be done with the child. Common to all the books is their purpose of helping the child name recognisable items and situations from daily life, thus supporting the childâ&#x20AC;&#x2122;s early development of language and conceptual understanding. The books are characterised by their simple presentation and lifelike pictures as pedagogical research shows that very young children understand these best.

Format: Hardback Extent: 10pp Size: 150x150mm

110

Publisher: Globe Publishing Price: R120 Available at various bookshops

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GUARD AGAINST ALLERGIES1

NOT YOUR REGULAR SALINE SPRAY. A nasal allergy spray which forms a Hydro Barrier1,2,3 • PROTECTS AGAINST ALLERGENS1 • CLEANSES THE NOSE1

SNEEZING

ITCHY

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BLOCKED NOSE

SPEAK TO YOUR PHARMACIST ABOUT RUPANASE ® References: 1. Rupanase Allergy Nasal Spray Package Insert. July 2016. 2. Ectoin® scientific information. [cited 2020 July 28]; Available from: http://www.ectoin.net/EN/wirkweise. 3. Eichel A et al. MetaAnalysis of the Efficacy of Ectoine Nasal Spray in Patients with Allergic Rhinoconjunctivitis. Journal of Allergy. 2014. Proprietary name (and dosage form): Rupanase Allergy Nasal Spray. Classification: Medical Device. Name and business address of applicant: iNova Pharmaceuticals (Pty) Ltd, Co. Reg. No. 1952/001640/07. 15e Riley Road, Bedfordview. Tel. No. 011 087 0000. www.inovapharma.co.za. For more information speak to your healthcare professional. Further information is available on request from iNova Pharmaceuticals. IN3736/20.

Does your little one experience symptoms like a runny or itchy nose, sneezing or itchy skin? 2,3 They might suffer from allergies. Give Telfast® Suspension for non-drowsy allergy relief for children 2 years and older for the relief of hay fever symptoms and children 6 months and older for the relief of symptoms associated with hives. 1 Hives: 6 months+ Hay fever: 2 years+ *Treatment of allergies in children should be diagnosed by a healthcare professional.

Is your little one struggling to poop? 5 They might be constipated. Give Dulcolax® 5 mg Suppositories for relief from occasional constipation and irregularity. 5 These comfort-shaped medicated suppositories are a for rectal use only. 4 Just one suppository produces a bowel movement within as little as 15-60 minutes. 4 1 - 12 years *Treatment of constipation in children should be diagnosed by a healthcare professional.

References: 1. TELFAST® Suspension package insert, July 2009 2. American College of Allergy, Asthma & Immunology ACAAI. [online] [cited 2019 Jul 1]. Available from URL: https://acaai.org/allergies/types-allergies/hives-urticaria 3. ASCIA Society of Clinical Immunology and Allergy. Is it allergic rhinitis? [online] [cited 2019 June 18]. Available from: URL: https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/allergic-rhinitis-or-hay-fever 4. Dulcolax ® Suppositories 5 mg package insert, 20 September 2013. 5. Sibanda M, Meyer JC, Maponya M, Motha T. Chronic constipation in adults. SA Pharm J 2018;85(1):34–42. 6. ViralChoice ® Junior Syrup package insert, December 2017. 7. Flu or Cold Symptoms? WebMD [online] [cited 2020 Jul 22]. Available from URL: https://www.webmd.com/cold-and-flu/flu-cold-symptoms 8. Buscopan ® 0,1% Syrup approved package Insert, April 2013. 9. Buscopan ® 10 mg tablets. Package insert. 19 April 2013. 10. Lacy BE, Wang F, Bhowal S, Schaefer E; study group. On-demand hyoscine butylbromide for the treatment of self-reported functional cramping abdominal pain. Scand J Gastroenterol. 2013 Aug;48(8):926-935. S1 TELFAST® SUSPENSION, Fexofenadine hydrochloride 6 mg/ml. Reg. No. 42/5.7.1/0339. For full prescribing information refer to the professional information approved by the Regulatory Authority. S0 DULCOLAX ® 5 mg Suppositories. Each paediatric suppository contains 5 mg bisacodyl. Reg. No. E/11.5/534.

Fexofenadine HCl

Bisacodyl 5/10 mg

Hyoscine butylbromide

Is your little one experiencing symptoms like sore throat, congestion or sneezing? 7 They might be suffering from seasonal cold or flu. Give ViralChoice® Junior Syrup to help boost their immune system. 6 A strong immune system minimises the severity of infections and reduces the risk of invasion from viruses. 6 1 - 10 years

Is your baby’s tummy sore and uncomfortable? 8 They might be suffering from colic. Buscopan® Syrup can provide relief from infant colic & stomach discomfort. 8 Buscopan® Syrup is banana flavoured and sugar-free. 8 1 month+

Is your little one struggling with a painful or uneasy tummy? 10 They might be experiencing belly pain. Buscopan® works directly where it is needed, and targets the source of abdominal pain and discomfort by relaxing the muscles in the belly quickly and effectively to provide relief. 9, 10 6 years+ *Treatment of belly pain in infants and children should be diagnosed by a healthcare professional

For full prescribing information refer to the professional information approved by the Regulatory Authority. S1 BUSCOPAN ® 10 mg tablets. Each tablet contains hyoscine butylbromide 10 mg. Ref. No. E 501 (Act 101/1965). For full prescribing information refer to the professional information approved by the Regulatory Authority. S1 BUSCOPAN® 0,1 % syrup. Each 5 ml of syrup contains 5 mg of hyoscine butylbromide. Reg. No. Z/11.2/93. For full prescribing information refer to the professional information approved by the Regulatory Authority. VIRALCHOICE ® JUNIOR SYRUP. Each bottle contains Enchinacea Ext. 50 mg; Green Tea 2.5 mg; Rosehip 15 mg; Vitamin C 50 mg; Vitamin A 667 I.U; Vitamin E 3 I.U; Vitamin D 120I.U; Vitamin B6 0,75 mg; Vitamin B12 1 µg; Follic acid 75 µg; Boitin 30 µg; Pantothenic acid 1.5 µg; Selenium 15 µg. This unregistered medicine has not been evaluated by the SAHPRA for its quality, safety or intended use. Applicant: sanofi-aventis south africa (pty) ltd, Reg. no.: 1996/010381/07. Sanofi House, 2 Bond Street, Grand Central Ext. 1, Midrand, 1685. Tel: (011) 256 3700 Fax: (011) 256 3707. www.sanofi.com. MAT-ZA-2000295 – 1.0 – 07 2020