Baby's and Beyond - Volume 9 l March -May 2022

VOLUME 9

INSIDE: FEATURES | COMPETITIONS | KICKS FOR KIDS | RECIPES

a family lifestyle magazine TM

www.babysandbeyond.co.za

Bump up your fitness

Developmental delay – when to start worrying?

Top 5 questions

parents ask about online learning March 2022 | R29.90 Incl. VAT Other Countries R26.00 22015

9 772311 546706

Top 10 beauty trends

2022

EmoMeet andtheMichelle Adams family

AUTUMN

PCOS: Dispelling the myths & looking at facts What to expect during the first trimester 3 Tips to slow down ageing

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Ed's welcome

BABY BABY BABY CLOTHES, CLOTHES, CLOTHES, LINEN,TOWELS, LINEN,TOWELS, LINEN,TOWELS, NAPPIES, NAPPIES, NAPPIES, SURFACES, SURFACES, SURFACES, SCHOOL SCHOOL SCHOOL CLOTHING, CLOTHING, CLOTHING, CHEF CHEF CHEF JACKETS JACKETS JACKETS

2022 is shaping up to be an exciting year, where we have become more used to our new way of normal.

N

ormal is such a weird word… what is “normal” for one is not necessarily “normal” for someone else.

In the article “Doing motherhood my way”, the writer talks about feeling she wasn’t winning at motherhood because of preconceived ideas about what construes a “good mother”. The reality is that we are all individuals – we are unique and have different circumstances. We all need to ensure we take care of ourselves so that we can be the best version of ourselves, which will then extend to the rest of our lives.

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Parenting is not for the fainthearted – there are many books, guides and specialists on hand, but even with all the information on hand, your child has unique needs. The article on delayed development gives some insight and highlights a key point – children develop at their own pace and there is no need to panic if there is a slight delay in reaching milestones.

In this edition we also touch on home-schooling and how it is gaining popularity. Going to an actual physical school building and being taught with lots of other children was the norm for decades. However, with the onset of the Covid pandemic, home-schooling and online schooling is gaining popularity.

However, home-schooling may not be the option for some – do what works for you and your child.

As parents, the best that can be done is to equip yourself with enough information and not compare yourself to others.

Putting extra pressure on yourself does more harm than good overall – take a breather sometimes and pat yourself on the back for doing the best you can.

Parenthood is a blessing but also a scary journey. Take the time to savour yourself, your partner and your child. Celebrate the achievements and find inventive ways to address the challenges. Planning is key but so is balance.

Tashne www.babysandbeyond.co.za

Because nutrients matter

Developed with the help of pediatricians, lactation consultants and biomedical engineers, the Nanobébé Breast Milk Bottle prioritises the preservation of breastmilk nutrients

PUMP The Nanobebe breast pump adaptor fits most breast pumps on the market

COOL Fast cooling prevents bacterial growth

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designed to preserve breastmilk nutrients Shop online at nanobebe.co.za or in store at Baby City and selected Dis-Chem stores @nanobebeZA @nanobebe_za

FREEZE Stackable storage saves space and helps track pumping order

contents NUTRITION

Meet the Adams family!

10 Tips for parents of fussy eaters

16

57

PREGNANCY

3 Tips to slow down ageing

Maximise your money in 2022 – 8 tips from JustMoney

60

What to expect during the first trimester?

FINANCE

90

EARLY CHILDHOOD DEVELOPMENT

24

Choosing an early learning programme for your child

RECIPES

26

FINANCIAL PLANNING

Mediterranean Fish Parcels

BREASTFEEDING

Education – a gift for life that takes a little planning

Help for cracked nipples

ONLINE LEARNING

HEALTH

Top 5 questions parents ask about online learning

FITNESS

64

Bump up your fitness!

30

PCOS dispelling the myths & looking at facts

38

Ringworm – a fungus, not a worm!

44

EDUCATION Homeschooling can save you money – here’s how

48

Doing motherhood my way

74

MOTIVATION

52

78

TRAVELLING

BEAUTY

Making travelling easier with your potty training toddler

Top 10 beauty trends for 2022

55

Tips for staying motivated to reach your goals

82

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

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babysandbeyond

Front Cover Credit: Nelis Engelbrecht Picture Credit: 123rf.com / pixabay.com Distribution:

ON THE DOT Printed by:

Disclaimer: The views expressed in this publication are not necessarily those of the publisher or its agents. While every effort has been made to ensure the accuracy of the information published, the publisher does not accept responsibility for any error or omission contained herein. Consequently, no person connected with the publication of this journal will be liable for any loss or damage sustained by any reader as a result of action following statements or opinions expressed herein. The publisher will give consideration to all material submitted, but does not take responsibility for damage or its safe return.

Ultimate French toast

Put the hop-petti-hop back in your garden

REGULARS

72

PARENTING MENTAL HEALTH

Surviving weather changes with your little one

96 98

How to manage your little one’s eczema Developmental delay – when to start worrying?

94

DIY

68

34

4

86

COVER FEATURE

Snippets

6

Sticky notes

12

Home remedies

20

Editor’s choice health

22

Editor’s choice baby

42

Editor’s choice beauty

80

Word search

102

Kick for kids

104

Competitions

106

Book reviews

110

Publisher: Elroy van Heerden elroy@mediaxpose.co.za

Editorial Assistant: Maurisha Niewenhuys maurisha@mediaxpose.co.za

Head of Editorial: Tashne Singh editorial@mediaxpose.co.za

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

Sub-Editor: Tessa O'Hara tessa.ohara@gmail.com Content Manager: Wadoeda Adams artwork@mediaxpose.co.za Editorial Contributors: Dr Latiefa Vinoos Thania Enous Emma Numanoglu Dr Lizle Oosthuizen Professor Claudia Gray Dr Lara Smith Louise Schoonwinkel Lara Magnus Jenny Morris Design and Layout: Anja Bramley artwork1@mediaxpose.co.za Shaun Mays artwork2@mediaxpose.co.za

Social Media: Kyla van Heerden social@mediaxpose.co.za Distribution & Subscriptions: Shihaam Gyer distribution@mediaxpose.co.za Retail Distribution: On The Dot Chief Financial Officer: Shaun Mays shaun@mediaxpose.co.za Receptionist: Daniëla Daniels receptionist@mediaxpose.co.za

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FREE FROM THE BIG 8 ALLERGENS DAIRY

info@coconathi.com www.coconathi.co.za

snippets – editor's choice

Goodness comes naturally for your whole family Delicious, refreshing and full of natural goodness, Freshpak is South Africa’s No. 1 Rooibos tea!

Looking for a healthy alternative to sugary drinks? Freshpak has created an exciting junior range especially for kids, blending the health benefits of Rooibos with delicious flavours that kids will love. The range is naturally caffeine free and contains polyphenol antioxidants suitable for your child’s diet.

Enjoy hot or as a refreshing iced tea. Freshpak Junior is available in the following flavours: • Freshpak Junior Rooibos • Freshpak Junior Organic Rooibos • Freshpak Junior Strawberry & Vanilla • Freshpak Junior Apple • Freshpak Junior Peach & Apricot • NEW Freshpak Junior Naartjie

Woolworths launches its first Ecocertapproved, organic baby range “The delicate Wooliesbabes organic baby care range is one of the few baby ranges to be Ecocert approved,” says Shaheda Sayed, Head of Woolworths Brand Communications. Ecocert is the world’s leading specialist in the certification of sustainable practices.

“Our Wooliesbabes range includes everything parents need to take care of their tiny tots, including body wash, moisturiser, barrier cream and bath oil. The range is approved by Beauty without Cruelty, is dermatologically tested, paediatrician-approved and contains a no tears formulation. It is 100% vegan, contains no dyes and sulphates and is formulated with ethically-sourced ingredients,” Sayed concludes.

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Stuffy, sore nose?

Wash nasal congestion blues away with Sea Water Nasal Spray QUAZZIISO* Sea Water Nasal Spray with Aloe and Chamomile is a non-medicated spray made using sea water collected from the Northern Sea on the west coast of Sweden.1,2 New QUAZZIISO...

Relieves congestion associated with sinusitis, colds, hay fever, allergies and post-operative nasal care1 Contains trace elements from the sea water that promote healing and limit inflammation3 With Aloe and Chamomile for soothing sore noses due to its calming and hydrating properties4 Can be used in adults, children from 2 years of age, and during pregnancy1,2 Can be administered at any angle2 Is affordable

Ask for New QUAZZIISO by name*.

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QUAZZIISO SEA WATER NASAL SPRAY. MOISTURISES AND SOOTHES SORE NOSES. NATURALLY.

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References: 1. Data on file: Glenmark Pharmaceuticals South Africa (Pty) Ltd. 2. Data on file: Aurena Laboratories AB, Sweden 2020. 3. Bastier PL, et al. Nasal irrigation: From empiricism to evidence-based medicine. A review.

European Annals of Otorhinolaryngology, Head and Neck Diseases. 2015;132(5):281-285. 4. Data on file: Aurena Laboratories AB, Sweden 2018.

Distributed by: Glenmark Pharmaceuticals South Africa (Pty) Ltd, 2nd Floor, Building D, Stoneridge Office Park, 8 Greenstone Place, Greenstone, Edenvale, Gauteng, 1609. Tel: (011) 564 3900. www.glenmarkpharma.co.za.

QUAZAD02/2022.

Inhale & Exhale with

RESPIRATORY

snippets – editor's choice

Boost your child’s immunity with NutriPure Kids range of gummy vitamins CHUX® Non-Scratch Scourer Scrubs CHUX® offers an extensive range of cleaning utensils to help you tackle cleaning challenges around your home.

After cooking and eating, cleaning up should be quick and easy.

Use the CHUX® Non Scratch Scourer Scrub to wash all non-stick surfaces.

They are tough on mess and gentle on delicate surfaces! The unique angled shape is great for reaching deep into corners and hard to clean areas.

To avoid leaving your CHUX® Non Scratch Scourer Scrub soaking wet after use, hang it on your tap faucet, using the unique tap hang feature.

For more information on Chux® visit www.chux.co.za or www.facebook.com/ChuxSA/.

NutriPure’s range of gummies, free from preservatives and artificial additives, help kids to get their vitamins and minerals.

and teeth, normal muscle function, and the absorption of calcium and phosphorus.

NutriPure Kids Vitamin C (R110) – Each of these yummy gummies gives your child 80mg of Vitamin C, which is equivalent to the recommended daily amount.

NutriPure Kids Probiotic (R153.95) – NutriPure Probiotics are formulated with Bifidobacterium infantis and Lactobacillus rhamnosus, scientifically tested bacteria strains that promote healthy gut bacteria.

NutriPure Kids Multi-Vitamin Complete (R110) – These multivitamin gummies offer a complete health supplement that contributes to the normal function of children's immune systems and the normal function of many other systems in the body contributing to general wellbeing.

What sets NutriPure Kids products apart from other supplements?

NutriPure gummies are made using real fruit juice, making them extra soft and juicy.

• gluten-free • no artificial flavours • no artificial colours • no milk, wheat, eggs, nuts • no artificial sweeteners • no GMA ingredients • no preservatives

NutriPure Kids Immune Support+ (R110) – These gummies contain a unique blend of essential vitamins and minerals that contribute to the normal function of the immune system. Vitamin C, B6, and B12 help to metabolise carbohydrates, fats, and proteins and are essential in the maintenance of good health.

NutriPure Kids Vitamin D (R109) – These gummies contribute to normal bones, teeth and the immune system.

It supports the normal function of the immune system, maintenance of bones

Supplements are not a substitute for a balanced diet, and should only be used to top up any nutrient shortfalls in people's diets.

NutriPure products are available at Clicks, Dis-Chem, Takealot.com, Faithful to Nature, Spar and Pick n Pay. www.nutripure.co.za

Chux® can be found at selected Spar, Pick n Pay Family and OK Foods stores nationwide and now Dis-Chem too.

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snippets – editor's choice

New children’s book aims to boost mental health in little kids South African-born actor, producer, drama teacher, and now first-time author, Marlisa Doubell, launched a children’s book intended to help improve mental health in young kids. The book is titled ‘Ms Mol’s Favourite Things’ (for ages 2-7yrs).

“Kids are simple little creatures, they just need to feel secure in their world to grow, develop and learn. They do this through play and exploration, and a lot of this was taken away from them overnight. This age group is too young to understand why grownups around them are stressed or anxious but may still absorb these negative emotions. This book aims to uplift our little ones and uses a very simple prompt to help trigger joy,’’ says Doubell.

‘Ms Mol’s Favourite Things’ follows the journey of Ms Mol, a friendly and relatable young character who shares all her favourite things with the readers, like grasshoppers and butterflies, rainbows, baking yummy treats, painting, and more.

She then encourages the young reader to engage with her by asking if they like these things too. Repetition is used throughout the book to add a sense of playfulness. At the end of the book, Ms Mol includes a page for the kids to write a list of their own favourite things. “One of the easiest ways to engage with a young child is to ask them what their favourite thing is. You can see their little face instantly light up when they tell you,’’ says Doubell.

biggest impact fell on the most vulnerable, 6 years and younger.

Doubell says that Ms Mol asking the young reader to write down their favourite things, is similar to compiling a ‘gratitude list’, which is a common mental health task set by life coaches and therapists.

“Focusing on what brings joy and gratitude is proven to raise your vibration.

This is why it’s such an effective tool to help caregivers engage with children and elevate mood,’’ she says.

Since the soft launch of the book in December 2021, ‘Ms Mol’s Favourite Things’ has received positive response from children, parents, and educators too.

Doubell is currently working on the next few books in the Ms Mol book series, to include Ms Mol’s favourite games, her favourite foods, favourite animals, and more.

‘Ms Mol’s Favourite Things’ is available on Kindle, as well as in paperback on Amazon, Loot, and select stores.

Website: www.msmol.com

Male fertility We don’t always think of fertility as possibly being a male issue. However, studies show poor sperm health is very common. Of the 10% of couples who struggle to conceive, 50% is due to male fertility concerns. Prelox® is specially formulated to improve male fertility, thanks to a patented complex blend of Pycnogenol® and L-arginine.

During trials of Prelox Fertility, these remarkably encouraging results were evident after one month: • Improved sperm concentration by 83% • Increased sperm health by 60.9% • Increased sperm motility (movement) by 55.5% • Safe, with no known side effects

Rise in Covid-induced PTSD among very young children According to Child Development Specialist, Kathy Rautenbach, it’s noticeably clear that there has been a rise in Covid-induced Post Traumatic Stress Disorder (PTSD) among very young children, with research showing that the

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CURAPROX KIDS TOOTHPASTE BUILD THE RIGHT HABIT FOR A LIFETIME Fun, fresh, healthy.

Flavours: Watermelon, Strawberry and Mint

Boosts antibacterial effect of saliva, strengthens the teeth

No SLS, no triclosan, no bleaching agent, no microplastics.

No ingredients derived from animals.

Fluoride strengths: zero, 950 ppm and 1450 ppm

Shop online www.curaprox.co.za

sticky notes

Miscarriage and your partner

• Communication is important between you and your partner to understand what each other is going through.

• Find a way to keep the memory alive of your baby.

• Joining a support group helps – you can speak to others and hear how they dealt with their loss.

• Agree to give each other some space to deal with your emotions if needed.

• Allow yourself to be comforted and held.

• Don’t feel guilty about feeling moments of happiness again.

• Last but not least, be patient with one another.

Family safety code words

Keeping our kids safe is our main priority in life.

Teach your children to not go with anyone who claims they were sent to fetch them if the person doesn’t use the 'safe word' that your family created.

You can also teach the family what to do if you use a certain phrase or word if a situation feels unsafe.

Keep the words easy to remember.

Getting rid of ticks

on your pets • Speak to your vet about an appropriate medicine for their weight.

• If your pet has ticks or fleas, try using a tick/flea shampoo.

• It is also useful to use a flea comb to help brush out ticks/fleas.

• Bear in mind that if your pet has tick/fleas, you would need to sanitise and wash everything to prevent the eggs from hatching – this includes bedding, couches, carpets etc.

Causes of ingrown

toenails

• Toenails that are not cut properly • Socks or shoes that are tight • Injuring a toenail • Nail infections and certain medical conditions

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sticky notes

Migraine

triggers

• Food that contains too much salt or processed foods • Trauma or stress • Hormonal changes in women • Not eating or skipping meals • Lack of sleep or too much sleep

Parenting after a divorce

• Staying connected and involved in your child’s life after a divorce can help with the transition period.

• Explain the two-house situation.

• As a rule, never badmouth the other parent and don’t discuss issues that you have with the other parent with your kids.

• Don’t use the children as a third party to communicate between you and your ex.

• Don’t introduce a new girlfriend or boyfriend to your children unless they are ready.

• Allow your children to have their friends over when they visit you to keep things ‘normal’.

• Maintain a level of respect towards your ex as it can impact the emotional state and wellbeing of your child.

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What causes

kidney stones (also called renal calculi, nephrolithiasis or urolithiasis) • Not drinking enough water • Certain types of medication such as water pills or calcium-based antacids • Certain diets that contain excessive salt or sugar • Obesity

13

Zoom Zoom

Their story ends here! because no baby should sleep with a zoom in their ears

1. The Ultramatic Fly and Mosquito Killer is made from a natural plant extract called pyrethrum for use in kitchens and living spaces.

2. Controls flying insects in an area of 180 m3 (e.g. 10x6x3m).

3. You can safely use Ultramatic Fly and Mosquito Killer in living areas and kitchens with a dispenser to control flies and mosquitoes. For use in bedrooms spray manually 15m before putting babies and children to bed for a peaceful night’s rest.

4. The dispenser has a 3 spray setting: 7.5m, 15m or 30m. Using the 15m standard setting one tin will last 2880 sprays or one month, which is equivalent to 18 tins of standard aerosols.

5. The dispenser has a 2 year guarantee, with a manual on/off switch.

6. Please note that Ultramatic Fly and Mosquito Killer is not a direct contact spray.

7. Should you have any queries regarding this product do not hesitate to contact Coopers Environmental Science for more information.

Ultramatic Fly and Mosquito Killer Aerosol Reg. No. L8409 Act No. 36 of 1947 Namibian Reg. No. N-AR 1247 Active Ingredient: Pyrethrins 15 g/kg Piperonyl butoxide 150 g/kg • Ultramatic Eco Aerosol Dispenser Product Code 810160

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cover feature

Meet the

Adams family!

Emo and Michelle Adams, a South African powerhouse couple in their personal and business life, talk to BABY’S & BEYOND about growing stronger together and raising children in a multi-racial and multi-cultural family.

Nelis Engelbrecht

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cover feature

How did you first meet and how did you know that each other was ‘the one’?

We met at a beauty pageant where Emo was the performer, and I was a contestant. It took a year before we were able to go on a first date. I didn’t have ‘the one’ moment but I did have a moment pretty early on that always stuck with me. Emo attended a charity event with me for under-privileged children and I remember watching him interact with the children. He had time for all of them and showed them so much love and care and I remember saying to my mom, “I’m going to marry this man”.

Raising kids in a multi-racial and multi-cultural family has allowed us to teach our children the importance of acceptance.

What is the key to keeping your marriage strong?

We have been married for seven years and have been together for 14 years. I think the key to a strong relationship is compromise, always consider the other person’s feelings, remember to have fun with each other and never stop communicating.

Since becoming parents, what have been the major changes and key lessons?

Since becoming parents, I think the biggest changes have been our priorities. Right now the most important thing is being able to provide our children with everything they need, but also all the love and time that we have to give. Our first and last thought in the day is always the boys. They have taught us patience, unconditional love and understanding and how to really enjoy the little things and moments.

There are more and more children being raised in multiracial/cultural families. How does coming from different backgrounds guide your parenting style and what is the impact on the children?

Raising kids in a multi-racial and multicultural family has allowed us to teach our children the importance of acceptance. We are raising boys who are able to respect and understand everyone they meet.

They are able to befriend anyone, even if they don’t look the same or pray to the same God as them. They are mindful and respectful towards all races and cultures.

Our parenting style is rather simple; treat everyone, including your parents, with respect. Our children also know that they can ask us anything at any time and we will explain things to them honestly and openly. Sometimes they may be confused about a custom or a tradition, but they know they can ask, and we will give them the answers they need. I think most importantly though, we have taught them that love is what really matters.

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cover feature

What are some of the highlights of being part of a multi-cultural family?

All the celebrations and family. I love watching the boys adjust between the Christian holidays and the Islamic traditions. Additionally, the constant learning that takes place. We certainly live with very open hearts.

What is the most challenging part of raising four boys?

Four boys, four different personalities but ALL always very hungry! I think any parent will understand that parenting multiple kids comes with challenges. They all have a variety of interests and that comes with a massive scheduling challenge.

I think we also have this constant reminder that we are potentially raising four husbands or partners, potentially four fathers, and you want them to be good, kind men one day – we want to raise them strong but also gentle. It’s a massive responsibility and we certainly don't take it lightly.

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cover feature

To work hard for what they want; nothing comes without hard work...

What is the highlight of parenting four boys?

Four times the fun, four times the stories, four times the amount of love. Boys are an adventure, and we are certainly enjoying the process of watching them grow and find themselves.

What would you say is the greatest lesson you want to impart to your sons?

To be understanding and respect everyone they meet. To work hard for what they want; nothing comes without hard work and just because your parents are potentially able to provide, it doesn’t mean that they won’t be working for it.

Have a good work ethic and love without limitations.

Michelle, tell us a bit about the series “Letters to her boys”.

It wasn’t ever a planned thing but after the first one I realised that it’s a release for me and that it helps the women who read it. I also like knowing that one day my boys will have access to these letters, and I hope that it’s able to provide them with answers they are looking for.

I also want them to know that before they were even able to understand or comprehend, that they were on my mind and that everything I do, I do to teach them and make this life and world better for them.

Tell us a bit about your joint coffee venture – how is it working together?

We have always worked well together.

Many of our businesses are joint ventures; it’s just not always known.

My Koffi brew is a passion project that has turned into a business that we hope to leave to our sons one day. As parents we understand the

absolute necessity of a good coffee and what began as a passion and absolute need has now become a need to the many people that buy coffee from us on a daily basis.

With busy schedules in the entertainment industry and business, how do you both manage to juggle the responsibilities of being partners, parents, celebrities and business owners?

We definitely try and split home and parental responsibilities. Some days one takes on more than the other, but we have excellent communication skills and know what each other’s strong points are, so we are able to manage.

Emo is incredible at running the home when I’m away and I’m really good at making lists – and he loves a list. Emo’s career keeps him away from home more often than mine, but I am able to manage it all because I have a really supportive partner. We compromise so we are able to have a full life. We also value each other’s respective careers and that plays a big role.

What does the future hold for the Adams family?

No more kids! (lol)… We hope to continue growing our businesses and building a legacy that we can pass on to the boys one day. We will continue to work hard and turn our passions into business ventures. Our boys have big dreams, and we would like to help them fulfil these, so we need to remain hustling. 

Snapshot with Emo and Michelle Adams

A typical day in the Adams household: coffee, chaos, school drops, work, school runs and extra-curricular, dinner and chill.

The neat freak: Emo & Michelle The chef: Michelle The adventurer: Michelle The romantic: Emo The panic mechanic: Michelle The joker/prankster: Emo The fixer: Michelle

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19

home remedies

Calming a cough Honey, which contains antioxidants and antimicrobials, can help soothe irritated membranes by coating the throat. A study showed that a spoonful of honey given half an hour before bedtime helps to calm coughs.

Important: Honey should not be given to babies younger than a year old as their immune systems can’t handle it yet.

Itchy skin

soak-off

For itchy skin, try out an oatmeal bath.

• Use a food processor to grind uncooked whole oats into a fine powder.

• Sprinkle the powder (about a cup) under running water that fills your bath.

• Soak in the bath for about 10-15 minutes. (Don’t soak too long or your skin will dry out making the itch worse.)

• After your bath gently pat yourself dry and use a mild, fragrance-free moisturiser.

Acid reflux – chew on this Chewing sugarfree gum promotes salivation and can help neutralise acid and soothe the oesophagus.

Avoid peppermint flavoured gum as this may trigger heartburn.

Acne face mask • Mix half a teaspoon of turmeric with one tablespoon of honey to create a paste. (Tumeric works as a natural anti-inflammatory, and honey is a natural antibacterial and antimicrobial that can assist in soothing inflamed skin.)

• Leave on face for 10-15 minutes.

• Wash your face and pat dry.

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home remedies

Mouth inflammation For mouth infections or sensitive teeth using salt can help reduce inflammation. Add ½ to ¾ tsp of salt to a glass of lukewarm water and mix well. Gargle with the mixture twice a day.

Period pain

turn up the heat

Acid reflux

in babies

Let your baby lie down flat and move his/her legs as if they are riding a bicycle. Do this for a few minutes every day and ensure that baby has not been fed in the last half hour. This way you reduce the chances of acid reflux from taking place.

The uterus is a muscle, so it is advisable to apply heat to the area or have a hot bath to relax the muscle to help relieve cramps.

Fighting fungus –

toenails

Toenail fungus (onychomycosis), is a relatively common fungal infection.

Garlic, which has some anti-fungal and antimicrobial capabilities, can be used to treat toenail fungus.

Place crushed garlic on the affected area for 20-30 minutes daily.

It is important to note that garlic can cause burns on sensitive skin. If you have a reaction, stop the treatment immediately.

www.babysandbeyond.co.za

21

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Lacti-Nose 20ml Probiotic Nasal Spray Available online at www.albiofa.com

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BETADINE™ BV Gel (40g) Available at Clicks stores

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health

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www.babysandbeyond.co.za

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Chaya Leaf Capsules (120 caps) Available online at www.nutridry.co.za or www.faithful-to-nature.co.za

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Sh’Zen Daily Omegas (30 soft gels) Available online at www.shzen.co.za

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Nutri Pure for Kids MULTI VITAMIN Complete, 60 Available at Dis-Chem & Yooper, limited items available on Takealot, PnP, Spar and soon Clicks

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Reuterina Femme Available at Clicks

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Nutri Pure for Adults Multi Vitamin Complete, 60 Available at Dis-Chem & Yooper - limited items available on Takealot, PnP, Spar and soon Clicks

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Stress Away Tablets Available at all leading pharmacies

www.babysandbeyond.co.za

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pregnancy

What to expect

during the first trimester?

By Dr Latiefa Vinoos

Congratulations Mom! You have an exciting journey ahead.

D

uring the first trimester (first 12 weeks of pregnancy), your baby grows from a tiny egg to a little foetus measuring 6cm. Despite this rapid development, your baby bump is unlikely to be visible. In most cases, it is still too early to tell the sex of your baby when performing an ultrasound.

While your body is adjusting to its newfound tenant, you may experience the dreaded morning sickness, mood swings, fatigue, breast tenderness, bloating and back pain.

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pregnancy Antenatal care

Antenatal care is best to begin at 10 weeks. Ultrasound scans are performed to confirm the pregnancy and identify any risk factors for conditions such as Downs Syndrome or other structural abnormalities.

Some of the blood tests carried out include your blood type, iron stores, immunity against Rubella and Hepatitis B, HIV status and your blood sugar levels, amongst others. Your urine is tested for any signs of infection to limit the occurrence of pre-term labour.

Your pre-existing medical conditions and chronic medication may also need to be monitored and adjusted for the duration of the pregnancy.

Make a list of all your questions and discuss them with your doctor. Pregnancy can be a wondrously overwhelming journey and it is important that you feel comfortable and supported.

What you can do

A good multivitamin that includes folic acid and iron is important in keeping both you and your baby healthy. Folic acid reduces the chance of neural tube abnormalities such as Spina Bifida.

A healthy and nutritious diet with added fibre will prevent acid reflux and alleviate constipation. Moderate exercise and an active lifestyle are encouraged.

What to avoid

Things to avoid during the first trimester include alcohol and smoking as this can affect the development and growth of your baby.

STERILISES, WHITENS, DEODERISES AND REMOVES ALL STAINS

Raw or undercooked foods including sushi are also discouraged. Changing cat litter is best avoided to limit exposure to Toxoplasmosis.

It is important to consult your doctor about all medications that you plan to continue or commence during the pregnancy, as some may be considered harmful to the foetus.

When to contact your doctor

If you experience heavy bleeding or you pass clots of blood, you should seek urgent medical attention. Severe abdominal pain should be investigated in hospital and if you are vomiting and unable to keep food or fluids down, you may need an IV fluid administered to prevent dehydration.

Severe calf pain or swelling can indicate a blood clot in the leg and severe or one sided headaches can indicate blood clots in the brain.

A high fever, rash and sore throat should be investigated. If you are uncertain, it is always advisable to contact your healthcare provider to allay your concerns.

When to make the announcement

Many women are unsure when they should announce their pregnancy to their friends and families. Some may want to reveal the pregnancy as soon as they find out, while others may prefer to wait.

The risk of early pregnancy loss is highest during the first trimester and sharply decreases during the second trimester. There is no right or wrong time to make the announcement and it only depends on when you would feel most comfortable.

Good luck Mom! You are going to be amazing. 

Dr Latiefa Vinoos completed her undergraduate training at Stellenbosch University in 2008. She developed an interest in obstetrics and gynaecology during her internship at Chris Hani Baragwanath Hospital in Soweto and subsequently completed her community service at Mowbray Maternity Hospital. Through the University of Cape Town, she went on to earn her Fellowship in obstetrics and gynaecology with a distinction in the Masters of Medicine Degree. Thereafter she worked at Groote Schuur Hospital as a consultant in the andrology lab, family planning, gynaecology outpatient, mature women and endocrine clinics.

Tel: 021 506 5500 Email: info@drlatiefavinoos.co.za / drlatiefavinoos.co.za Life Vincent Pallotti Hospital, Suite 322, 3rd Floor, The Park Building

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fitness

Bump up your

fitness!

By Thania Enous, Physiotherapist

Exercising and keeping mobile during your pregnancy is highly recommended as it has many benefits for you and your baby. Improving your general well-being is vital in preparation for meeting your new little bundle and enhancing your recovery after delivery.

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www.babysandbeyond.co.za

fitness

T

your endurance will change, and your exercise regimes will need to be adapted accordingly. Remember, exercise should not cause any pain or strain.

Bear in mind, it is best to spread your sessions across seven days and allow for rest days in-between if needed.

As the weight of your baby and belly size increases through your trimesters,

Always consult your obstetrician and gynaecologist or midwife before beginning any exercise, especially if you have experienced any health issues during your pregnancy or have any pre-existing medical conditions. This may not necessarily mean that you are not allowed to exercise but, with the help of a trained, qualified instructor, a tailored programme will be designed for you.

he recommended exercise allowance is 150 minutes a week. Yip, that’s a reasonable amount of moving around to do. Women who have been physically active should continue and adjust their programmes as needed.

For those who are waiting to take that initial step, now is a positive and exciting time to start.

Bear in mind, it is best to spread your sessions across seven days and allow for rest days inbetween if needed.

Appropriate exercises during your pregnancy and after delivery

• Light to moderate aerobic activities such as brisk walking, stationary cycling, swimming or aqua aerobics.

• Light resistance exercises using elastic bands, light weights, body weight training (e.g., mini squats, wall push-ups).

• Yoga, pilates and stretching.

• Kegel exercises to help tone your pelvic floor muscles which help to support your baby in your pelvis.

• Postural exercises.

Where to start with so many options. Firstly, don’t rush into attempting all at once. Start off slowly with walking or stationary cycling or swimming, and gradually increase your time or pace. Add stretching and light weight-training as you can manage.

Joining an ante-natal yoga or pilates class is always enjoyed and a great way to relate and share with other moms-to-be.

Avoid high impact activities which involve jumping, sudden twisting or place increased pressure on your abdomen or pelvis.

Contact sports and activities which may raise your risk of falling are also strongly discouraged.

Avoid lying on your back for prolonged periods especially in your last trimester as the weight of the baby rests on your intestines and your main abdominal vein which brings blood back to your heart. Avoid training in hot humid weather and make sure you are adequately hydrated and carry healthy snacks with you.

Health benefits of exercise

• Burning calories • Decreased risk of obesity, excessive weight gain, gestational diabetes and hypertension • Assists in reducing constipation • Reduces water retention • Improved heart and lung health • Decreases post-partum recovery time • Lessens the incidence and severity of lower back pain • Improves your posture and balance • Encourages the release of “happy hormones” resulting in improved mood, therefore assisting with managing postpartum depression Always exercise with care, even if you’ve been an active individual. As with any exercise, always start with a warm-up, end off with a cool-down and include gentle comfortable stretches. Pay special attention to your breathing technique, making sure you’re taking in slow, relaxed deep www.babysandbeyond.co.za

27

fitness breaths through your nose allowing your stomach and chest to rise as you inhale.

You should always be able to hold a conversation and exercise. If not, slow down, have a rest and continue only if it’s comfortable.

You should discontinue your training session immediately and contact your obstetrician and gynaecologist or midwife if you experience any of the following:

• vaginal bleeding • amniotic fluid leakage • difficulty breathing • dizziness or headache • regular or painful contractions • sudden onset of pain across your abdomen or pelvis • calf pain or swelling • chest pain

Practice good posture positions throughout the day at home and your workplace. Good pointers are to sit or stand tall, tucking in your chin, keep your shoulder blades back and relaxed and avoid swaying at your hips. Refrain from sitting for prolonged periods. By ensuring adequate hydration, your bladder will keep you marching to the loo regularly.

Experiencing backache and pelvic pain?

How soon to start exercising after delivery?

A common challenge faced toward the middle and end of pregnancy is backache, pelvic pain or pressure. As your baby grows and requires more space in your pelvis, your ligaments become stretched. The weight of the baby also shifts your centre of gravity forward and places added strain on your lumbar spine. In some cases, pain may be worse on one side and radiate into the buttock or down the leg, often as a result of how baby is resting.

The use of a good pelvic brace is helpful for moms who are on their feet all day as it supports the belly and stabilises your pelvis. Seeing an experienced physiotherapist may assist in pain relief. You will also be educated and advised on how to manage your symptoms and given an individualised home exercise programme.

Women who have had vaginal birth may commence exercising as early as their bodies allow. It is best to wait around three weeks if you’ve had any tearing. With a C-section, one needs to allow the area and incision to heal and wait six to eight weeks before exercising.

One can start almost immediately with relaxation exercises, seated or lying down pelvic floor exercises and practicing good posture and positioning with baby. As soon as you get the green light from your obstetrician and gynaecologist or midwife, you may start light intensity aerobic exercise and weight training.

Exercising during pregnancy and after giving birth offers many physical and emotional benefits. It can be done from the comfort and convenience of your own home. Exercising needn’t be an overpriced expense. A good supportive pair of sneakers and comfortable clothing is all your need to get going.

Walking is free, so grab your neighbour, dog or partner or all three! 

Thania Enous is a senior physiotherapist working at West Physiotherapy based in Claremont, Cape Town. She is passionate about restoring health and well-being to patients and has a special interest in assisting new moms during their initial challenges.

West Physiotherapy T +27 (0)21 671 5300 E admin@westphysiotherapy.co.za

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www.babysandbeyond.co.za

breastfeeding

Help for

cracked nipples

By Emma Numanoglu, Certified Lactation Consultant

One of the most common reasons that women give up breastfeeding is due to painful and cracked nipples. As a Certified Lactation Consultant, I receive calls every week from desperate mothers asking what they can do to be able to feed without pain. Breastfeeding should never hurt, and cracked nipples are a sign that you need urgent help from a certified lactation specialist – either a South African Certified Lactation Consultant (SACLC) or International Board Certified Lactation Consultant (IBCLC).

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breastfeeding

How to prevent cracked nipples

All pregnant women should attend antenatal classes in pregnancy that cover breastfeeding and see a lactation consultant before birth to help prepare for breastfeeding. A lactation consultant can show the mother what a good or poor latch looks like to prevent damaged nipples.

Damage occurs when the baby does not get enough breast tissue in its mouth or when the tongue is not positioned correctly. There is a lot that can be done to prevent this such as: • Making sure that your baby is positioned correctly to be able to compress your breast tissue with your nipple positioned deep in baby’s mouth.

• Wait for the baby to open its mouth very wide, like a yawn, before offering the breast. The baby’s lower lip should be fanned outward on the breast.

When you gently pull down the corner of the baby's mouth while it is nursing, you should see the underside of its tongue, which should extend over its lower gum line, cupping the breast.

• The baby’s nose should be away from the breast and the chin close to the breast.

• Try and feed baby skin-to-skin as much as possible in the early weeks.

Holding your baby skin-to-skin helps to increase your milk volume by increasing your levels of oxytocin “the love hormone” and these levels increase when you snuggle your baby close.

Tongue-tie can cause difficulties

Tongue-tie can also cause sore and cracked nipples. If the baby's tongue appears heart-shaped, it could be a short or restricted frenulum (tongue-tie) that prevents a good latch on to the breast.

A tongue-tied baby may: • have difficulty attaching to the breast • feed for a long time • have a short feed and need to feed again • be unsettled and seem to be hungry a lot of the time • not pick up weight well, or • make a clicking sound as they feed, although this can also be a sign that you need help to get a deeper latch or better positioning.

Thrush and nipple eczema can cause cracked nipples

Nipple eczema can also lead to cracked nipples. Thrush and eczema of the nipples are both treatable conditions and require a trip to a breastfeedingfriendly doctor, who will give you a script for creams to help heal your nipples quickly. You do not need to stop breastfeeding. Typical signs of thrush on the nipples are: • burning nipple pain • flaking skin on the nipple or areola • shiny skin on the nipple or areola • painful breasts without tender spots or sore lumps • stabbing pains in the breasts behind the areola • itching on or around the nipple and areola

Flat or inverted nipples

Flat or inverted nipples can make it difficult for a baby to grasp the breast in its mouth and properly latch on. With a proper latch-on, the baby’s sucking can effectively draw out flat or inverted nipples.

Gentle pumping or special exercises are sometimes recommended to draw the nipple out. If you received IV fluids for several hours during the birth process, this can be a cause of edema (swelling) in the breast and nipple.

Reverse Pressure Softening can help create a softer nipple and areola that a baby can more easily grasp. It involves using gentle finger pressure around the base of the nipple. This temporarily moves some of the swelling slightly backward and upward into the breast.

This technique is also helpful in preventing sore nipples if your breasts become engorged (swollen and uncomfortable) when your milk supply comes in several days after birth, making it difficult for baby to latch on comfortably.

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breastfeeding Correct breastfeeding position

Removal from the breast without breaking the latch

Removing baby from the breast without breaking the suction first can be painful and cause damage to the sensitive breast tissue.

If baby is latched on and sucking well, it will end the feeding itself by letting go of the breast or releasing the nipple as it falls asleep. If you decide to take the baby off the breast before it is finished, you can break the suction by inserting your finger into the corner of baby’s mouth.

Feeding bras, soaps, detergents and perfumes

Avoid bras that are too tight and made of itchy fabrics. Be vigilant about thorough rinsing of nursing bras to be sure any laundry detergent residue is removed, as this may cause nipple irritation.

Avoid perfumes, scented roll-on, hair spray, scented body lotions or talcum powder near your nipples. When bathing, rinsing breasts with clear water is all that is needed to keep your breasts and nipples clean.

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Do not scrub your breasts with soaps or apply thick layers of cream, as this can irritate nipples and is not needed. If using breast pads, change them regularly.

Your breasts are amazing. You may notice Montgomery glands (also called tubercles) that are small sebaceous glands found around the nipple and areola (the area of pigmented skin around the nipple). The secretion of an oily or waxy substance in the nipple area helps to keep the nipples soft and supple. The substance also contains anti-infective properties that help keep germs away.

How to soothe sore nipples

When your nipples are sore you can gently apply your own milk or an emollient that is safe for the baby to ingest, such as Lanolin. Either of these can be very soothing.

See a professional!

Lastly, if you are struggling with cracked nipples it is better to ask for help sooner rather than later. For lactation consultants in your area, visit the below websites: • www.salactationconsultants.co.za • www.lacsa.co.za • www.breastfeedingmatters.co.za

Emma Numanoglu, founder of www.breastfeedingmatters.co.za, is a registered nurse and midwife.

She has a BA, BSc Hons (Psych) and is a South African Certified Lactation Consultant (SACLC) and International Board Certified Lactation Consultant (IBCLC).

Emma is also an antenatal teacher and currently sees mothers at Life Vincent Pallotti hospital, provides home visits and runs a private clinic from her home in Newlands.

www.babysandbeyond.co.za

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health

PCOS

dispelling the myths & looking at facts

Polycystic ovarian syndrome (PCOS) is a common medical condition in women.

Some of the latest data estimates 8-13% of women are affected, with 70% of affected women remaining undiagnosed. With a broad range of symptoms, this condition is both misunderstood by patients and doctors alike, so let us get into some questions a lot of patients have about the condition.

By Dr Lizle Oosthuizen, MBChB (UCT) Certified Reproductive Medicine, FCOG (SA), Mmed (UCT)

What is PCOS? Polycystic ovarian syndrome is more complex than many people think, and it can cause more symptoms than just irregular periods. PCOS may present in a few ways, including irregular or absent periods, signs of increased testosterone (acne, excess body hair), and/ or characteristic appearing ovaries on ultrasound. It is NOT a condition of multiple cysts on the ovaries – many patients panic they have cysts; this is a misnomer and simply a part of the name.

What are the symptoms of PCOS? It is important to note that there are many ways in which PCOS presents, and not all women will have these symptoms. More importantly, not all women will go on to develop these symptoms. A diagnosis of PCOS does not mean a woman will definitely struggle with fertility, hair growth or weight loss.

Symptoms include irregular periods or the absence of a period, acne, and excess hair growth. PCOS can also be associated with a

34

metabolic syndrome that may include difficulty losing weight, insulin resistance or Type II Diabetes, and raised cholesterol.

Women may have difficulty conceiving as many women with PCOS have what we call an ‘anovulatory’ cycle (i.e. they do not ovulate each month). This, besides causing irregular bleeding, also makes it harder to fall pregnant – if you don’t ovulate, there is no eggs for the sperm to fertilise. www.babysandbeyond.co.za

health What causes PCOS?

We don’t fully understand this yet. There is often a trend in a family to have PCOS, so we think there is a genetic aspect, but there is ongoing research into the exact cause. We do know weight loss can improve the symptoms. Similarly, some patients may only develop symptoms after a period of weight gain.

Can the onset PCOS be prevented?

Currently, we can’t prevent the development of PCOS. Maintaining a healthy lifestyle and a healthy weight does help in the management of PCOS, so avoiding gaining weight may prevent some of the symptoms and complications.

Minimising your refined sugar intake can also be helpful in managing any insulin resistance you may develop.

How is PCOS diagnosed?

PCOS is diagnosed by having two out of three of the following criteria: 1. irregular or absent periods; 2. clinical (acne/increased hair) or biochemical (blood test proven) signs of increased androgens (androgens include hormones like testosterone); and 3. the appearance of the typical polycystic ovary on ultrasound.

We have to be sure that the problem is in fact polycystic ovaries as many things can masquerade as it. We do a panel of blood tests, but these are not to “diagnose” PCOS, rather to identify associated problems (such as insulin resistance or high cholesterol) and to exclude other conditions that can present just like PCOS.

Can PCOS be cured or only managed?

It can be managed. As the symptoms are what bother women, we can manage these and therefore it can appear to fix the problem. The symptoms can also improve with diet and weight loss, but if a patients gains a significant amount of weight, the symptoms will probably reappear. www.babysandbeyond.co.za

How can you treat PCOS?

Treatment is multifactorial and addresses the metabolic side, the future health concerns and the current symptoms.

Irregular cycles can be managed with multiple strategies. Commonly we prescribe an oral contraceptive pill to regulate the cycle in patients who do not currently want to be pregnant.

We can also use progesterone in a cyclical pattern (a few days of the month) to cause a withdrawal bleed once a month. This “return of a regular cycle” is often misunderstood as a way to ovulate – this is not true; it is simply causing a regular bleed.

We also sometimes use a Mirena intrauterine device. This is best in women not planning on falling pregnant soon or currently desiring contraception. Although it usually takes away the period, it does this by thinning the lining of the uterus and preventing a bleed. It is very different to not having a period on your own.

The reason we want to have a regular period OR a medically induced “absence of a period” is the future risks of PCOS. If a woman does not have frequent periods, she is at risk of developing cancer of the uterus lining when she is in her 40s and 50s.

The theory is that because the lining is not bled away every month, it has a

higher chance of eventually undergoing a cancerous, or precancerous change.

Most women who take a contraceptive that takes away a period will then panic – this a very different situation. When we medically take away a period using a contraceptive, the lining is not building up every month, and so there is actually a lower risk of uterine cancer.

We can treat the high testosteronelike hormones too. If a patient is on a contraceptive pill, usually these androgen levels will drop. If the patient has complaints such as acne or excessive or unwanted hair growth, we can use specific contraceptive pills (such as Diane or Ginette) which contains a special type of progesterone to act against the androgen levels.

We have multiple other medications we can also use to reduce androgen levels, but these need to be monitored closely by your doctor and should be used with contraception. If you are pregnant and taking strong anti-testosterone drugs, you may prevent a male fetus from developing normally. The best approach to excessive or unwanted body hair will always be laser treatment, as although we can prevent further hair growth and slightly reduce what is already there, we can’t completely undo the hair growth.

High insulin levels and Type II Diabetes can be managed with medication and lifestyle changes. Fertility treatment is also offered to couples trying and struggling to conceive.

It is NOT a condition of multiple cysts on the ovaries – many patients panic they have cysts; this is a misnomer and simply a part of the name.

35

health Can you make lifestyle changes to manage PCOS?

Yes, you can. Weight loss and exercise are very important. A loss of 5-10% of body weight can make a dramatic difference to symptoms and even result in a regular cycle. A diet low in refined carbohydrates should be followed. Many dieticians are well trained in the best approach to diet in PCOS. Heart health is very important and a healthy lifestyle with exercise will also help to keep the heart healthy.

What can happen if you do not treat PCOS?

Worst case scenarios are uterine cancer later in life, heart disease, diabetes, and raised cholesterol. Quality of life is a major concern and the risk of anxiety and depression as a result of the physical manifestations of PCOS and difficulty conceiving also need to be considered. It is important to consider the effect on body image, selfconfidence, sexual relationships as well as your emotional relationship.

How does PCOS affect fertility?

PCOS SYMPTOMS

In PCOS, irregular periods are often caused by the lack of reliable ovulation. Ovulation is the process of releasing the egg and should occur once per cycle. If you are not ovulating, there is no egg for the sperm to fertilise.

We have multiple medications we can prescribe to assist with inducing ovulation. This is not something that should be asked for from your doctor without correct monitoring. The medication needs to be monitored with ultrasounds in every cycle it is used. Some women may not respond at all to a certain dose, some may over respond and be at risk of a multiple pregnancy (such as triplets or quads).

Many patients expect their doctor to write a prescription for them for six months. However, fertility is more complex than this and just because you don’t ovulate, doesn’t mean there isn’t another issue with falling pregnant that should be dealt with. Drugs like Clomid, Femara and injectable medications should be prescribed by a fertility specialist.

Your fertility doctor will also be able to advise you when other strategies need to be tried.

Is PCOS becoming more common?

Recent work on improving guidelines and diagnostic criteria have meant that we are better at diagnosing it. Women are also more empowered and informed, and they are asking their doctors to look for the condition. Ultrasound machines are more available and better in quality, making diagnosis more reliable.

One aspect to consider is the fact that our society has never been more overweight. As our health is declining, more women who would have been controlled PCOS patients are probably tipping into the syndrome.

The most important message I always want readers to take home about PCOS is that if you are experiencing these symptoms, then alert your doctor to them so that you can be properly investigated. Help is available and we are able manage to improve the symptoms and quality of life of patients with PCOS, so don’t be afraid to ask for help. 

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Hair loss

Hirsutism

Pelivic pain

Infertility

Overweight

Irregular periods

Fatigue

High testosterone levels

Acne

Dr Lizle Oosthuizen is a specialist Gynaecologist in reproductive medicine. She is one of four specialists at the Cape Fertility Clinic in Claremont and works at Life Kingsbury Hospital. Her special interests include fertility, endocrinology, and recurrent pregnancy loss.

Cape Fertility, 1 Wilderness Road, Claremont, 7708, T +27 (0)21 685 0336 E loosthuizen@capefertility.co.za W www.capefertility.co.za

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health

Ringworm –

a fungus, not a worm!

By Dr Kesiree Naidoo

Ringworm is the common name for a type of fungal infection caused by a group of fungal organisms called dermatophytes. The proper name for ringworm is dermatophytosis or tinea.

Ringworm (or tinea) is not caused by worms as the name suggests, but is named for the typical appearance of a rash that is ring-shaped.

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health

D

ermatophytes can cause infection of the skin, hair and nails. They are easily spread from person-to-person contact, contact with pets and from the environment.

Dermatophytes are very resistant and contagious.

There are many different types of dermatophytes, but the most common cause of infection in humans is trichophyton rubrum and trichophyton tonsurans.

Tinea infection is named for the area of the body it affects. It is typically very itchy and can be passed on by sharing towels, clothing, or socks and shoes from a person that has the infection. Walking barefoot on wet floors and outside in soil is another way of getting the infection on your feet. Tinea thrives in hot humid

environments which is why common areas that are affected are the groin and between the toes.

Tinea corporis (of the skin on the trunk)

Dermatophyte infection of the skin on the trunk is called tinea corporis.

It typically appears as a circular or annular ring on the skin with an outwardly spreading scaly, red edge and an area of central clearing. The ‘active’ edge often has tiny visible pustules. Tinea corporis can be an isolated patch or multiple coalescing patches and can occur at any age.

Tinea corporis can be treated with a topical antifungal for minimal infection, but more widespread disease needs oral medication. While it is easily diagnosed by a doctor or dermatologist,

it can sometimes appear atypical and be confused with eczema. Patients with eczema often get secondary infection with fungus which makes it more difficult to differentiate the eczema from the fungal infection.

Another very common fungal infection on the trunk is pityriasis versicolor caused

by Malassezia yeasts. It is not usually itchy or inflamed, but presents as flat hyper pigmented or hypo pigmented, lightly scaling patches on the trunk which are frequently recurrent in hot, humid weather.

Tinea facei (of the face)

Dermatophyte infection of the face is called tinea facei and typically occurs in children from close contact with pets.

This type of fungal infection is often mistaken for eczema and treated with topical steroids, which then distorts the clinical picture so the doctor is no longer able to see the typical pattern and the active edge with pustules to identify a fungal infection.

When eczema on the face seems resistant to treatment it may be that there is a secondary fungal infection and a skin scrape with examination of the cells under a microscope can help to make the diagnosis.

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39

health

Tinea cruris (of the groin)

Dermatophyte infection of the groin is called tinea cruris or ‘jock itch’. It occurs mostly in men and boys and is associated with sweating in the groin area and tight clothing, creating a humid environment.

The typical well-defined edge may spread out onto the upper thighs. Yeast infections caused by candida can also cause an itchy rash in the groin. Candida infection typically presents with a white skin discoloration.

Tinea capitis (of the scalp)

Dermatophyte infection of the scalp is called tinea capitis. Tinea capitis generally affects children before puberty. It can appear on the scalp as a patch of hair loss, scaling white or grey patches, yellow pustules or black dots. It may also be a red and inflamed patch and sometimes even a large pus-filled boil called a kerion.

It typically affects just one foot, or two feet and one hand. This asymmetry in presentation points to ‘moccasin type’ tinea pedis and not just dry skin.

The subtype of athlete’s foot that occurs between the toes may be treated by easily available over-the-counter creams, though recurrence is the norm.

It can be spread by close contact with pets and by sharing hairbrushes, bedding and towels. Tinea capitis may be mistaken for eczema, but eczema does not cause hair loss. Tinea capitis is uncommon in adults, usually only affecting those that are immunocompromised.

Tinea unguium (of the nails)

Scalp fungal infections always need oral medication for at least 6 to 8 weeks. The hair usually grows back once the fungus is treated.

Tinea pedis (of the feet)

Dermatophyte infection of the feet in called tinea pedis, commonly known as ‘athletes’ foot’. This type of fungal infection is common in sportsmen or any occupation that needs to spend a prolonged time in closed footwear, like safety boots.

Tinea pedis occurs more in older children and most often occurs in the toe web spaces. It may also present as tiny itchy blisters on the feet or a thickening and scaling of the entire foot, also called ‘moccasin type’ tinea pedis, which can only be treated with oral medication.

40

Dermatophyte infection of the nails is called tinea unguium or onychomycosis.

This most often affects the big toe nails with subsequent spread to the adjacent toenails. An injury to a toenail can predispose you to nail fungal infection.

This is the most difficult type of fungal infection to treat.

Oral treatment is most often needed and the maximum success rate with all treatments available is 60-70 %.

Some patients with very minimal nail involvement, which we call distal lateral onychomycosis, can be treated with topical prescription nail treatment. Treatment is always for prolonged periods and success is not guaranteed.

Fungal infections are sometimes difficult to differentiate from other skin rashes like eczema, but once a diagnosis is made most fungal infections can be treated successfully. Parents and caregivers should make careful observations as rashes develop and seek advice early from your paediatrician or dermatologist. 

Dr Kesiree Naidoo is a Specialist Dermatologist based at Life Vincent Pallotti hospital in Cape Town.

She completed her medical degree at Nelson R Mandela School of Medicine at the University of Natal and worked in hospitals in England and Canada before specialising in Dermatology at the University of Stellenbosch.

Dr Naidoo has a special interest in treatment of acne, eczema, skin cancers, mole mapping and anti-ageing.

She has completed cosmetic dermatology training accredited by the University of Stellenbosch and the practice also offers a range of aesthetic treatments and services. In 2017 Dr Naidoo founded Skinsmart, her online specialist skincare site, where clients and patients can purchase dermatologist strength skincare across premium brands delivered anywhere in South Africa.

Dr Naidoo believes in a comprehensive approach to Dermatological care encompassing skin health and aesthetics.

www.babysandbeyond.co.za

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health

How to manage your

little one’s eczema

By Professor Claudia Gray, Paediatrician and Allergist, Kidsallergy Centre, Pinelands, Cape Town

Eczema (otherwise known as atopic dermatitis) is a chronic itchy skin condition caused by many factors. The underlying cause is a disrupted barrier of the skin, usually due to genetic reasons. Several things can aggravate eczema, such as heat, sweating, illness, irritants, and in some cases, certain foods.

E

czema causes a very itchy rash, with red inflamed patches, often against a background of dry skin. Acute flare ups can be wet and weepy. Scratching is often unavoidable but in itself leads to the eczema flaring up more, leading to a vicious cycle (the “itch-scratch” cycle).

Eczema cannot be cured, but it can generally be managed very well. It may come and go over many years, but often is outgrown over time. In babies, eczema may affect the face as well as the body; in children, eczema often tends to affect the flexure creases such as the insides of the elbows and back of the knees and neck; in adults, hand eczema is more common.

Management of eczema by your allergist or dermatologist will include: • Identifying and reducing triggers.

• Regular use of emollients, chosen carefully for each patient (special bland moisturisers).

• Avoiding soaps and scented products.

• Using anti-inflammatory agents such as topical steroid creams and ointments.

• Other creams with anti-inflammatory action, and occasionally oral drugs in the very resistant cases.

• Occasionally, hospital admissions for wet-wraps will be needed.

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health

Is eczema caused by food allergies?

It is a common misconception that eczema is usually caused by food allergies. Indeed food allergies are far more common in eczema patients than in patients with a normal skin, but usually not the cause of eczema.

Up to 40% of patients with moderate to severe eczema have a food allergy of sorts, most commonly to eggs, peanuts and cow’s milk. This is more common in children with early onset eczema less than six months of age, and in those with severe, treatment-resistant eczema. However, in less than 20% of cases does ingestion of these foods actually lead to the eczema.

More commonly, these foods cause a typical immediate reaction in eczema patients, such as immediate hives and rashes, and even more severe reactions such as breathing difficulties. In the minority of eczema patients such foods actually cause eczema flares.

have a proper assessment by an allergist, who can determine exactly which foods may be involved.

Interestingly, although many people believe that food allergies cause eczema, which we have now learned occurs in the minority of patients, it is true that the opposite relationship is more common: eczema can cause other allergies such as food allergies and also respiratory allergies. This is because a broken skin barrier can let allergens through the skin and set up an immune response which can lead to allergies.

Therefore, effective treatment and prevention of eczema is an important step in trying to reduce the development of other allergies such as food allergies or asthma.

Blanket elimination diets are not to be used in eczema patients.

Therefore, if the patient or clinician is concerned about a food allergy contributing to eczema, rather

Why does eczema frequently flare up during summer?

Watch out for the S’s: • Sun and heat • Sweating • Sunscreen (find one that suits your child’s skin; it may need to be a mineral sunscreen rather than a chemical one).

• Sand and sea: irritants such as the saltwater in the sea, sand and chlorine can really flare eczema.

• Sickness: any illnesses stress the immune system and often flare up eczema.

• Stress itself can be a cause of eczema flares, especially in adolescents and adults.

• Seasonal allergens: suffering from a grass pollen allergy can flare up the whole system during summer and thus contribute to eczema flares.

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mer? r skins during the sum e ou t ec ot pr to do we n in som What ca is includes emollients and your basic eczema care. Th

1. Stay with tments. flammatory creams and oin cases maintenance anti-in t and sweating, and hea as us trig gers such vio ob the , ble ssi po ere 2. Avoid, wh ticularly harsh. midday hours when it is par avoid the sun during the ually one for sensitive (us n that suits your ski een scr sun te ria rop app 3. Find an y. skins) and use it judiciousl ollient as often as rise! Use a good quality em istu mo , rise istu mo , ise 4. Moistur ly or more. possible, ideally twice dai ol and then apply the sea of a swimming po in im sw a er aft r we sho 5. Ideally, to salt or chlorine, n is particularly sensitive ski the If n. ski the to t emollien swimming too. sickness or apply a moisturiser before ema treatment in times of ecz the up p ste to e hav y stay on top of 6. You ma g up. Also, remember to yin pla are es rgi alle al son when sea asthma) treatments.  your allergic rhinitis (and www.kidsallergy.co.za www.drclaudiagray.com

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child development

Developmental delay –

when to start worrying?

By Dr Lara Smith, MbChB (US), DCH (SA), FCPaed (SA), MMed (UCT)

Developmental milestones are behaviours or skills seen in infants and children as they grow and develop. The milestones are different for each age range, with a normal range in which a child may reach each milestone.

It is important to remember that each child will progress at their own rate, in each skill area and it isn’t unusual for one area to be stronger, and hence develop faster, than another area.

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child development

K

nowledge of the basic milestones in young children is important before one can establish if it is necessary to worry about a possible delay.

Developmental monitoring or screening observes how your child changes over time and checks to see that your child meets the typical developmental milestones for playing, learning, speaking, behaving, and moving. It is used as a guide to a child's developmental progress from infancy through to adolescence.

The four main areas of development that need to be assessed are: 1. movement skills (such as crawling and walking); 2. fine motor skills (such as drawing and stacking blocks); 3. speech and communication; and 4. personal-social development (this includes thinking, behaviour or emotional development, cognitive skills and self-help skills).

At your routine visits your paediatrician will ask questions and/ or use a checklist, together with observation, to ensure your child’s development is up to date. There are also guidelines in your baby’s clinic booklet (vaccination book) as well as reputable online guidelines, such as the WHO and CDC’s Developmental Milestones. If there are any concerns, a formal developmental assessment will be needed.

Screening tests, usually done at routine visits, only try to identify children who may have one or more problems. A screening test is not a diagnosis, but it may indicate that a child should be referred for formal developmental evaluation. The developmental tests available range from passive evaluation of an infant to more complex testing, particularly for older children and adolescents.

A developmental assessment is a structured lengthy, in-depth evaluation of the child's skills and development and a comprehensive assessment to review the key areas of physical, social, emotional, moral, and intellectual ability. It provides a profile of a child's strengths and weaknesses in all developmental areas.

These tests are administered by trained professionals and may be used to determine if the child is in need of an early-intervention or treatment programme.

Who is at risk?

High risk children include those with preterm births, complications around birth and certain syndromes and it is important that these children should have more frequent developmental monitoring and screening in all areas of development.

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Why is it important to do developmental screening?

Developmental screening is particularly important for children under the age of three years, as the sooner problems are detected, the better the response to therapy will be. The screening identifies high risk individuals needing regular review or referral for further diagnostic evaluation.

Although early intervention is extremely important, intervention at any age can be helpful. It is best to get an evaluation early so that any needed interventions can get started. Most developmental delays are not serious and usually correct themselves.

Examples of disorders that could cause developmental delays

• Generalised developmental delay, isolated or part of another condition; • Autism spectrum disorders; • ADHD; • Cerebral palsy; • Syndromes such as Trisomy 21 (Down syndrome) and Fragile X; • Hearing problems; and • Learning difficulties.

When should you worry

It is important to be vigilant and aware of normal milestones. If your child is not meeting the cut-off for achieving milestones, it is best to see your healthcare provider. In the early years children should have regular well-baby checks, where development is screened. As the child gets older the playschool or schoolteacher may well be the first person to realise that there are developmental delays.

There are many online tools available to help with normal developmental milestones, but the internet can often increase your stress levels if you try and diagnose problems on your own.

Therefore, use the resources available to guide you for when you should seek further help. Milestones are a guide, not a rule.

49

child development Useful apps and checklists

• Milestone tracker (see the free app from the CDC at www.cdc.gov/ ncbddd/actearly/milestones-app.html) • Your child’s Road-To-Health booklet includes broad milestones • Online CDC checklists at www.cdc. gov/ncbddd/actearly/pdf/checklists/ all_checklists.pdf • American Academy of Paediatrics at www.healthychildren.org/English/ MotorDelay/Pages/default.aspx • Children’s league at www.tclny.org/ developmental-red-flags If there are consistent delays, in other words there seems to be no “catch-up”, then you should seek help. Additionally, if two or more milestones are delayed it should prompt a visit to your doctor or clinic.

Any child who presents with regression must be seen sooner rather than later.

This means your child has attained a milestone and then seems to have lost the skill again. This is typically found with speech and could be a sign of autism. However, there are a number of other causes, so before jumping to conclusions it is best to book an appointment with your paediatrician.

Warning signs at any age

• Loss of skills; • Lack of response to sounds or visual stimuli; • Poor interaction with parents or siblings; • No, or limited, eye contact; • Obvious differences or preference for one side (left/right) in strength movement or tone; and • Marked low tone (floppiness) or increased tone (stiffness).

Speech and language delay in toddlers are one of the most common forms of developmental delay. Early language development is often uneven and happens in spurts, so not all children follow the milestones exactly, often raising parental concerns.

Red flags for speech & communication include the following: • No babbling by 9 months.

• No first words by 15 months.

• No consistent words by 18 months.

• No word combinations by 24 months.

• Slowing or loss of speech.

• Not showing an interest in communicating.

These could be problems relating to development only, but a hearing evaluation may be needed, to exclude a potential hearing loss.

Signs of an early motor delay (physical development) include: • delayed rolling over, sitting, or walking; • poor head and neck control; • muscle stiffness or floppiness; • speech delay; • swallowing difficulty; • clumsiness; and • muscle spasms.

Important to listen to your gut

It remains important to remember that the vast majority of children showing a mild delay do not have a serious medical condition and there is no need to panic.

In these cases, all that may be needed is to simply intensify the stimulation your child receives from the environment around him or her.

Play is an important part of development, so make time to do this with your child.

And remember to show-and-tell during play. Start reading from an early age, and simply talking to your child is a great way to stimulate speech and communication.

It is also during these times that you may detect a problem.

The bottom line for parents is that it remains important to listen to your gut.

Rather than worrying about it being ‘silly’, it is better to talk to your doctor. Usually, the earlier a problem is addressed, the better the outcome.  Dr Lara Smith a paediatrician based in Claremont and works at Life Kingsbury Hospital. Her interests are in developmental problems and ADHD, but she also spends time doing general paediatrics and neonatology.

She also particularly enjoys helping new parents with feeding problems and managing children with chronic conditions, but works with all ages of children, as each bring their own challenges and personalities. www.copperfieldchildcare.co.za

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• Boosts immune function.

• Improves mood and concentration.

• Reduces ADD symptoms.

• Improves brain messaging function.

• Encourages healthy sleep patterns.

For more information call: 042 293 1278 E-mail: valuedlife@epweb.co.za

health

Surviving weather changes with your

little one

There are few things worse than a miserable, sick little one. Nadia Jansen van Rensburg, co-founder of Rooted Natural and a clinical dietitian with a special interest in paediatric nutrition, elaborates on some of the best ways to build up kids’ resistance.

F

irst up, she says it’s important to note that the ‘nasties’ – those pesky bugs – will always make their way, but a healthy, balanced diet can lessen the severity and duration of symptoms.

“Ideally, a balanced intake should include the ‘five a day’ – two fruits, with the rest being vegetable portions. It’s important to include adequate protein, healthy fats, fluids and fibre to ensure a healthy gut microbiome.

Include fresh, seasonal foods to boost immunity when you can. Try to keep foods healthy – but also fun.”

Here are tips that can assist you with looking after your littles ones when the weather changes.

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health

2. Opt for seasonal food pick-me-ups: It can be great to introduce your child to a range of seasonal foods to boost immunity. All-year round options include bananas and pears. Summer fruits comprise things like avocado, mango, pineapple and grapes. Winter delights could be berries, strawberries, oranges and naartjies.

1. Keep cool with a bath: When it’s warm and humid, a lukewarm bath is a lovely way to cool your baby or toddler down. Pick a gentle moderate temperature, add some bubbles and a toy or two, and you’re good to go!

Combine the fruit, veggies and legumes to get the best from them all. You can also freeze fruit and veg to have them on-hand the whole year round. Fruit and vegetables can also be a great way to avoid too many added-sugar treats; try presenting it in an ice-lolly or fruit-veg shake. If you want an easy way to ensure your mini me is getting immune-boosting options, Rooted Natural products are designed to give kids the best of the season – plus, they’re delicious. Who said fruit and veg can’t be tasty too?

When little ones are feeling poorly, they often lose their appetite. Choose nutrient-dense foods that are easy to eat and ensure your child stays hydrated.

Consider making purees or smoothies. Fortified milk – formula or full cream milk – can help fill the nutrient gaps during these times. Remember, it’ll pass. Try not to force food on your child. Visit your paediatrician if you’re worried.

3. Keep immunisations up to date: Proper immunisations are one of the best ways to protect your child from dangerous diseases that can cause serious harm and have long-term ramifications. Keep your little one’s vaccination sheet up-todate for their age and stage.

4. Protect soft baby skin: When it’s hot, change your baby or toddler’s nappy often to avoid a rash. The combination of sweat and moisture can increase an infant’s chance of getting nappy rash and prickly heat sensations. If a little one has dry skin, consider skipping the daily bath every so often.

5. Keep clothing cool: When the weather changes and the sun starts shining, it’s important to keep kiddies comfortable in light, breathable fabrics. Choose layers, so you can dress up or down as appropriate. Remember to carry changes of clothes – especially for puddle and mudloving little ones. Consider a full-body costume to protect children from the sun when they’re in the pool, and remember sunscreen.

“Go with your gut. As a parent, you know what’s best. If you ever need a second opinion, don’t hesitate to contact your local GP, paediatrician, nurse or registered dietitian. If you want to feed your child the best of immune-boosting, locally-sourced, seasonal ingredients, Rooted Natural has your back with our selection of wholesome meals designed especially for baby or toddler,” concludes Jansen van Rensburg. 

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53

travelling

Making travelling easier with your

potty training toddler Travelling with a toddler who is still potty training can be overwhelming on both parent and toddler. But as the saying goes, ‘practice makes perfect’.

Hopefully the tips below will make the process less stressful and more fun!

1.

Try and plan your route Work out a scheduled time to be in the car and some possible places to stop in case of emergency.

2.

Always have backups Even if you are just travelling to the park or heading to your vacation, you'll want to carry an extra set of clothes for your child.

3.

Explain to toddler beforehand We don’t always know how scary the big world seems for our toddler, therefore its best to talk to them and explain the different routine in the potty training to prepare them.

4.

Public bathrooms can be overwhelming Train with your toddler to prepare by visiting public restrooms to make it less daunting for them and to make travelling with them easier. Remember to have wet wipes and sanitiser on hand.

5.

Make it fun Try and make the process fun and less frightening by making them wear headphones with their favourite tunes or a sing along to distract them.

When flying with a potty training toddler

Visit the toilets often: It’s important to take them to the toilet when you get to the airport and before boarding, even if they say they don’t have to go.

Have a Plan B: Have pull-up nappies ready (even over underwear) just in case you can’t get to the bathroom in time or if they have an ‘accident ‘whilst sleeping, especially on long flights or drives. Dealing with a soiled car seat on a road trip is not fun!

Pack a travel potty for toddlers on the airplane: Some toddlers are not comfortable with big toilets therefore it’s best to invest in a small travel potty to make the process less stressful for them.

Washing soap: Pack a small container of laundry detergent in case of emergency if you quickly have to wash a soiled item in the sink.

Last but not least. Reward little one for being such a good sport and for putting on their ‘big’ boy/girl pants. 

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55

Constipation can leave your little one’s tummy feeling

bloated and uncomfortable.1 When in need of relief from constipation, trust LACSON.

1. Healthline. Wells D. Abdominal Pain And Constipation. [updated 2019 March 07; cited 2020 July 31]. Available from https://www.healthline.com/ health/abdominal-pain-and-constipation 2. Nielsen’s Total SA, Liquid Laxative data by brand in value, June 2020.

S0 LACSON. Reg. No.: Z/11.5/0055. Each 5 ml of syrup contains

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Marketed by Aspen Pharmacare www.aspenpharma.com Hotline 0800 122 912

nutrition

10 Tips

for parents of

fussy eaters

Having a fussy eater is more common than you think and there’s nothing like a food battle with your offspring to raise your stress and anxiety levels. Paediatric dietician, Kath Megaw, says that fussy eating in children isn't just common, it’s completely normal.

“W

hile we don't know exactly why kids become fussy, neophobia (the fear of novel foods), seems to be part of the answer. A fear of trying new foods is hard wired within us from prehistoric times when some of our food choices may have proved poisonous,” explains Megaw.

Fussy eating generally starts after the age of one, a time of empowerment for a little one where they feel the need to assert their authority and eat what they want. Around this stage the growth spurt slows, and so the demand for energy is

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less, which means their appetite may be lower, escalating the fussiness. Finally, food may be fuel to us, but to a toddler it is also power; power to play up to your parents and get their undivided attention.

Megaw recently worked alongside UCOOK to develop a range of nutritious, nononsense frozen kid’s meals. She says that witnessing the battles of parents daily inspired her to help develop a range of foods that are attractive to fussy eaters but contain essential vitamins and minerals from a large quantity of hidden vegetables in every dish.

Finally, food may be fuel to us, but to a toddler it is also power...

57

nutrition Megaw offers 10 tips for parents of fussy eaters: 1

ou are not alone: 30% of children go through a fussy eating phase. Remind yourself of this every time dinner erupts Y into a full-on food fight. This is a phase and like teething and colic it too will pass, be patient.

2

Try not to get frustrated: Most children will eat when they are hungry. Whilst feeding your offspring might seem the most natural and basic duty of a parent, it can be a battle. However emotional you feel about your child’s eating habits, keep it to yourself as they will only play up if they feel they are getting attention.

3

et an example: Mealtimes are important for a family as a focus for communication and bonding. Aim to have everyone S eating the same thing in the same sitting. Children mimic their parents, so try to eat all the vegetables you’d like to see them eating.

4

Have a routine: Schedule three meals and a few small snacks throughout the day and stick to it like clockwork. Allocate 30 minutes for meals and then lift the plate whether it’s finished or not, without making a fuss. Making them sit and stare at a cold plate of food creates negative associations and ultimately adds to your own frustration.

5

on't let them fill up on liquids: Over drinking is one of the main causes of fussy eating. The tiny stomach of a child D is easily filled up with fluid reducing their appetite for food.

6

Keep trying: As we are hardwired to fear new foods, similarly we favour sweet foods over bitter ones as our instinct tells us the latter might be bad or even deadly. Children like foods that are most familiar to them. If at first you don’t succeed you may need to try 10-14 times before they will actually taste it.

7

ide the goodness: Hide your healthy foods in clever ways so that children get used to eating these foods H unknowingly. This will train their taste buds without them even knowing about it.

8

Start small: Avoid offering large portions of food. Aim for small portions, which enable them to ask for more, the holy grail for the parent with a fussy eater. Limit their choices. A huge array of food on a plate will only put them off.

9

Make it fun: Encourage your kids in the preparation of food and make it fun. Dinosaur pasta and fairy mash sounds much better than boring bolognese and potatoes. Be adept at sneaking vegetables in, concealed in pasta tubes, grated, diced or pureed.

10

eware the bribe: If you offer an alternative of chips, biscuits or lollies, then they are B sure to perform at the next mealtime knowing you will cave in. Praise a clean plate and avoid confrontation if they have only picked at the food.

Megaw says that many parents feel isolated and alone in these struggles, which is unnecessary.

“Ultimately, if your child is displaying worrying symptoms like behavioural issues, fatigue, digestive problems or weight loss, seek advice from your paediatrician, GP or paediatric dietitian,” says Megaw.

UCOOK Kids Beef Rump Bites & Root Veg Mash, and Mushroom Bites & Root Veggie Mash as well as old favourites like Mac & Cheese, and Chicken & Broccoli Bake.  See more at www.ucook.co.za/craft-kids

The new UCOOK Kids Frozen range launches with delicious options including

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Specially formulated for cool kids, Freshpak Junior Rooibos is naturally caffeine free and can be offered to children at any time of the day. Rooibos is a natural source of polyphenols, a beneficial antioxidant.

early childhood development

Choosing an

early learning programme for your child The uncertainty since the start of the pandemic has delayed many parents and caregivers from enrolling their three-to-five-year-olds into an early learning programme. However, with 90% of the human brain developed by the age of five, access to sufficient support and stimulation is critical to a child’s future success. For those concerned about safety and effectiveness, knowing what to look out for can provide peace of mind while finding the perfect fit.

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early childhood development

“L

ockdown restrictions and Covid-19 protocols have limited the opportunities for interactive play. As a result, young children across South Africa have missed out on socialisation and experiences that are critical to their early development.

Understanding the importance of early learning and then choosing the right early learning programme can assist with making up for lost time – setting children up for a successful future,” says Sane Mdlalose, Acting CEO at SmartStart, a non-profit organisation that focuses on increasing access to early learning.

First five years of a child’s life are crucial to development

The first five years of a child’s life, especially in the learning phase, between three-to-five-years, are crucial to developing social, cognitive, emotional, and language skills that form the foundations for learning, school performance, and overall life success. The extent to which these skills develop depends on whether or not children have access to certain types of experience and interactions – which should be provided by an early learning programme.

“The most important thing for parents and caregivers to remember is that play is fundamental to a child’s early growth. It’s crucial to find an early learning programme that values play as a learning tool. Play is something that children do naturally, making it the easiest and most effective way for them to learn new skills,” says Mdlalose.

Mdlalose breaks down the most important factors to consider when selecting an early learning programme.

Curriculum

Based on research and best practice, SmartStart has identified five elements that are key to a successful early learning programme: nurture, talk, play, storytelling, and parent partnerships. Before selecting a programme, parents should ask about their early learning centre’s curriculum and ensure each of these elements are covered.

Safety

As children grow and become Parent involvement more curious, they require safe Parents are children’s spaces in which to exercise their first and most important independence and build a positive teachers. The programme relationship with the world around you choose should value them. In terms of ratios, for every your capability and work to six to 10 children, there should be involve you in your child’s one practitioner responsible for development outside of their care. This ensures that each the classroom. child is closely supervised and receives the attention they need to feel calm and comfortable – without compromising their safety.

Registration and compliance Choose a programme that meets the minimum health and safety requirements as set out in the Norms and Standards for ECD Programmes, issued by the Department of Social Development. 

SmartStart, which operates as a social franchise, is working to close the gap in access to early learning for local children. The NPO operates in all nine provinces and has built a network of over 90 000 parents and caregivers, whose children are enrolled and active in one of SmartStart’s programme formats. By 2030, SmartStart aims to reach 1-million children between the ages of three and five annually. For more information, visit www.smartstart.org.za.

www.babysandbeyond.co.za

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Fisher-Price toys to help your child catch up The Covid pandemic has caused huge disruptions to families' routines across the globe. From parents working from home, schools and nurseries closing, mask wearing and social distancing, each measure taken against the pandemic has had an impact on caregivers and their children. This has led to concerns about how the pandemic may have impacted children from reaching important milestones.

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aediatrician and Fisher-Price advisor, Dr Laura Jana, discusses some of the negative effects the pandemic has had on children and how helping your little one to catch up and thrive may be as simple as child’s play!

Time for bed!

“Sleep is much more than just the absence of being awake. A lot goes on during sleep for children; it’s an information processing period during which new information is processed, and all the learning children experience through engagement with the world around them while awake is solidified,” says Dr Jana.

Fisher-Price top choice to help with bedtime

Fisher-Price Meditation Mouse (from 2 years +): The Meditation Mouse is a cuddly plush toy that gives toddlers the tools to calm themselves to go to sleep. It also has a daytime mode to help little ones regulate their emotions during the day too.

www.babysandbeyond.co.za

How to improve social skills “I often emphasise the importance of social emotional development by pointing out that it's as important for young children to learn how to read people – their facial expressions and understanding people’s moods, and body language – as it is to read books. This plays a big role in children’s ability to feel empathy, to take someone else’s perspective or take turns, those sorts of things,” says Dr Jana.

Fisher-Price top choice to help improve social skills

The Little People House: As toddlers play with the house, they can pretend the friends are working together, taking care of one another, and playing throughout the house. The Smart Stages learning content teaches the alphabet, counting, and opposites.

Choose a mix of toys

As parents and caregivers take on greater responsibility for enhancing their children’s early learning during the pandemic, it can help to make use of a variety of toys.

Getting back into the classroom

Children may have been a bit more freeform at home for the past year during the pandemic without much routine or structure, so it shouldn’t be surprising that some Fisher-Price top choice for will need a bit more developing and practicing help getting back executive function skills into the routine of Baby's ready to play and learn from home (or going to school or wherever they go) with the Laugh & Learn® childcare, says Dr Let's Connect™ Laptop electronic toy Jana. “Play that’s from Fisher-Price®. Between pretend video structured can help chats with Puppy and friends and sliding kids learn to fit to 'unmute,' baby can press the buttons on in when there are the keyboard or spin the musical roller to going to be rules.” activate fun multi-color lights and 55+ songs, sounds and phrases about the alphabet, colors, counting and more. And with 3 Smart Stages® levels, you can switch up the learning fun as your little one grows.

Fisher-Price top choice for interactive play with your child

DJ Bouncing Beats: In the Play Lab we observed how excited and engaging DJ Bouncing Beats was for babies, toddlers, and caregivers. Families were bouncing, smiling, and engaging with the fun music and motions. It teaches early academics while helping to develop fine and gross motor skills as well as following directions with Smart Stages Technology.

It’s not just child’s play!

“When thinking about the types of toys parents can enlist, there are two overarching categories. The first involves age-appropriate toys that your child can play with and enjoy independently. And then there are the toys that you can play with alongside your child (in reality, the same toy can serve in both instances),” says Dr Jana.

Fisher-Price top choice to offer children a mix of toys

2-Sided Steady Speed Walker (from six months): This innovative walker boasts Smart Stages Technology with three levels of learning and grows with your baby. With a steering wheel and shape sorter at its base, it’s perfect for engagement, whether it’s with a sitting baby or a curious toddler. Then when babies are ready, they can pull themselves up, making the first move on the gradual journey of learning how to walk.

www.babysandbeyond.co.za

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financial planning

Education –

a gift for life that takes a little planning As South Africans settle into 2022 with hopes for a year not overshadowed by lockdowns and other Covid-19-related disruptions, households are watching their budgets very closely as beyond coping with the cost of living, parents need to make provision for school and university fees.

Education is the gift that keeps on giving.

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financial planning

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hile expensive for most people, an investment in education is one of the surest ways parents can safeguard their children against future unemployment, says Old Mutual’s Strategic Retail Marketing Manager, Karabo Ramookho.

The country’s unemployment figures indicate that youth unemployment has reached a staggering 66.5%. The value of education becomes clear when one considers that the graduate

unemployment rate in South Africa is 12.5%, the rate for those who have a post-matric qualification but not a degree is 23.2% and matric leavers is 35.5%.

“Education is the gift that keeps on giving,” says Ramookho. “South Africa has an unsustainably high unemployment rate, and the latest figures show that statistically, those with an education are more likely to be employed.”

Provision of good education is a long-term investment

The provision of good education is a long-term investment not only in the children’s lives, but also in the country at large. Ramookho says that investing in quality education requires discipline and long-term planning, all which is possible when you partner with an accredited financial adviser from a reputable financial institution.

According to Old Mutual’s research, a child starting Grade R this year will cost R875 000 on average to be put through the public primary and high school system, while parents would need to account for R1.89-million on average to put the child through private schooling.

“Public primary school fees are currently about R22 600 a year, while private primary schools cost about R66 200 on average per year. Sending your child to a government high school will cost around R33 400 per year. At today’s prices, a private high school is likely to cost you R97 200 per year,” says Ramookho.

“With the right planning, advice and focus, it really is possible to make provision for a child’s education.

The sooner you start, the better, and affordability is key. It’s best to start with what you have now, than to not start at all.”

Ramookho says by following three simple tips, parents can go a long way towards making provision for their children’s education.

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financial planning

1. Start saving as soon as possible “The best time to start saving is when a child is born, whereas the second-best time to start is today,” says Ramookho. Besides, she says, if you start when a child is born, you will have at least six years for your investment to earn growth before they start school.

Don’t forget to factor in things such as school clothes, books, stationery and extra lessons.

3. Speak to an adviser Seek out a qualified financial adviser from a reputable company who can help you choose the right solution for your family's circumstances," says Ramookho.

She adds that an adviser can help families with budgeting to help them make their financial resources go even further.

“There are a range of solutions available in South Africa. Old Mutual has qualified financial advisers to help you select the right education solution for your situation”, says Ramookho. 

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2. Find the number and stick to it Ramookho says that it is important to start understanding the cost of education, and to look at schools that you’d like your children to attend. She says you need to calculate a few important things, such as the cost of a full year’s schooling, how many years the child will need to be educated, whether you have time to save before they start and whether you’ll be contributing financially during their studies.

“Old Mutual has an Education Calculator tool that makes it easy for parents to find the figure they need to be saving,” says Ramookho.

“Don’t forget to factor in things such as school clothes, books, stationery and extra lessons,” she adds.

Expected cost of one year of education

2022

2030

2035

2038

Public Primary School

22 600

36 100

48 300

57 500

Public High School

33 400

53 300

71 300

84 900

Private Primary School

66 200

105 600

141 300

168 300

Private High School

97 300

155 000

207 500

247 100

University

51 700

82 400

110 200

131 300

*Costs are in Rands and based on education inflation of 6% per year. The amounts are rounded to the nearest hundred. The primary school costs are for Grade 1 to 7 and exclude pre-primary. University costs are for one year of an undergraduate degree.* Source: Old Mutual Research www.babysandbeyond.co.za

Scan for a virtual tour

online learning

Top 5 questions parents ask about online learning e-Learning (learning online or online learning) is not new. In fact, people have been learning online for decades. The Open University in Britain began delivering learning online in the early 1990s. This said, for a fair number of parents, online learning for their children is new territory.

C

ovid-19 has also made e-learning a more attractive option for parents who are seeking alternatives to the traditional schooling system. These alternatives could be in the form of fully-fledged online schooling or extracurricular and co-curricular online learning options for their kids. For example, if your child needs extra maths support or extension, then hiring a face-to-face tutor is no longer your only option.

Here are the top five questions put forth to Advantage Learn by parents who are considering an online learning option for their kids.

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online learning

1

Why should I consider online learning for my children?

Firstly, you should consider it because of its ability to enhance your child’s academic performance. Online learning is not a less effective or lower grade learning modality for your child, recent studies are showing that online learning is just as effective as learning in the classroom if not better in many instances. It is therefore all about the context for your child.

This means that it may be a great decision to use an online learning solution for your child to help them perform academically.

When we implemented a full distance learning option via online learning for our Advanced Programme Mathematics course, we were worried that our results wouldn’t match up to our in-person classes. We could not have been more wrong; in the first three years of the programme our online learning students on the programme outperformed our in-person students.

Secondly, you should consider it for financial reasons. While online learning is not always cheaper than traditional in-person options, a large number of online learning solutions available leverage larger economies of scale than an in-person learning solutions and usually cost a lot less. Thirdly, you should consider it for convenience.

This reason cannot be overlooked – online learning makes it possible to learn from wherever there is an internet connection and a device that can browse the web. This means you can forget the hassles of dropping off and picking up from extra classes etc. Just ensure your child has an appropriate device and internet connection and you are good to go.

2

Is online learning safe? (for learners not being supervised)

Many of our parents often ask us about the safety of their learners when they are left, quite literally, to their own devices learning online. This is a great question and an important consideration. Online learning is safe, when approached in the right way with the right controls and measures in place but can, however, be unsafe in some instances. It is safe if the online learning solution/provider you choose is reputable.

At Advantage Learn all our staff and educators go through stringent background and criminal checks so that our customers can rest assured their precious learners are in safe hands when they are online. In addition to this, we monitor all interactions over our online learning platform to make sure learning is the focus and nothing untoward is taking place. If you choose the right solution and/or provider then online learning is just as safe as in-person learning.

www.babysandbeyond.co.za

3

What are the hidden costs I should know about?

This is a great question because simply choosing the supplementary online learning solution and purchasing it is not the end of the budgetary considerations.

There are other cost areas that need to be acknowledged and accounted for. The major cost areas to remain aware of are: • the cost of the programme/solution; • The data costs to facilitate access to the internet. Most online learning is done over video media which can mean, on average, around 1GB of data per hour; • The device costs including maintenance of the device. To learn effectively a learner will need a big screen device and the necessary supporting stationery.

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online learning

4

How do I choose the right online learning solution/plan for my child?

One major challenge our parents face when considering online learning for their child is choosing the right solution from the plethora of online options that might be available. This can be extremely daunting.

Our first piece of advice for parents when navigating this is to first establish your current context. When choosing a new school for your child one would look at the location, facilities, curriculum, costs, etc.

Choosing an online learning solution should be treated much the same.

We have a high school maths learning solution (Maths Online) that helps learners remediate or extend themselves by using our deep learning library of practice questions and learning videos covering Grade 8-12 CAPS and IEB curricula.

Our target is to help students who are in high school in Southern Africa.

This solution would not be applicable to American students studying in America, so someone based there choosing our online learning solution to help their child would be making a mistake.

The first step then is to consider your child’s learning context and then to filter your options accordingly.

The second step we suggest is to actually engage with your shortlisted providers to see what they suggest and offer.

5

How do I make sure my child is actually learning and not pretending?

This is a question we are often asked, and it is a genuine concern for most parents.

A lot of parents are more comfortable knowing their children are at a physical location (like a school) learning. Online learning presents a problem where parents feel like they need to be monitoring their children constantly when they are learning online.

Parents are often worried there is too much opportunity for their child not to learn. This certainly is a valid concern if the child is not motivated to learn the material they are required to study. Thankfully, if you have chosen a reputable provider/solution then the monitoring and management of the learning will be facilitated, and parents can choose their level of involvement.

In addition, we always suggest learners develop a learning plan to follow and encourage parents to hold them accountable to it. Effective learning takes discipline and so facilitating the learning process is key to ensuring learning is actually taking place, no matter what the medium.

Using online learning to complement, supplement, support and/or enhance your child’s learning is critical in this day and age and has great benefits like convenience, affordability and accessibility.

Our current reality is that kids have to be lifelong learners to remain relevant in their skillsets and careers, so getting used to using online learning to acquire knowledge and skills is critical for a successful career and vocation.

As parents, we can play an important stewarding role to facilitate this and should be mindful of our approach and the solutions we choose for our learners, especially when they are at a young age.

At Advantage Learn we believe in the power of the partnership between parents and their children to facilitate a successful learning journey for their kids. We encourage all parents to seek guidance from experienced providers to help guide the selection and choice of the appropriate solutions for their children. 

Supplied by Advantage Learn

If you struggle to get helpful advice from your chosen provider then it is likely they are not going to support your child’s learning as well as you would hope. This is a critical point and we strongly suggest parents test this out with their preferred provider.

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education

Homeschooling can save you money – here’s how

By Louise Schoonwinkel, MD of Optimi Home

Raising children can be an expensive endeavour – between clothes, food, schooling, extracurricular activities and all the other things your child needs, the costs add up.

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hat many parents don’t realise is that there is a way to save on the cost of schooling without compromising on quality – it's called homeschooling.

Fast becoming the schooling option of choice in South Africa, homeschooling is an affordable route in comparison to most private schools and many public schools.

So, how can homeschooling help your money go further? Here are eight ways.

Save on school fees

1

Most private junior school fees range between about R60 000 to R160 000 per annum (excluding boarding). High performing public school fees range between R30 000 and R60 000 per annum. In comparison, most online schooling providers and homeschooling curriculum providers’ fees range between R6 000 and R30 000 (depending on the grade and offerings).

Resource-inclusive fees

Textbooks and other resources are included in some homeschool curriculum fees, meaning you do not have to pay for lesson materials on top of school fees. Added to this, if you or your child already have a tablet or laptop that is used for personal entertainment, this can be doubled up for educational purposes too — so there won’t be a need to buy an additional device for school.

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education

3

No uniforms required

Most South African schools, both public and private, require children to wear a very school-specific uniform. Because homeschooled children do not need to wear a uniform, homeschooling parents can save a lot of money by not needing to purchase clothing that is just for school.

Fewer transport costs

Because homeschooling parents do not need to drive their children to and from school (or pay for alternative transport options), there are little-to-no transport costs associated with homeschooled children’s education (except, perhaps, for transporting children to extracurricular activities).

5

No compulsory field trips or camps

Many schools host one-day and multi-day outings for learners, such as visiting museums and overnight camps at nearby campgrounds. Usually, these outings are compulsory and often come at an additional expense for parents. Not to mention overseas trips that sports teams and school choirs embark on, which can add undue pressure to parents to be able to afford these trips. With homeschooling, you have the freedom to choose family travel or outings you’d like your child to experience, at a timing that suits you and your budget, without incurring these extra non-negotiable expenses.

Cheaper holidays

One of the great benefits of homeschooling is the flexibility that parents have when it comes to choosing when to take their vacations. Because children do not need to attend class on campus, parents can decide to go on holiday during the ‘off-season’ months when most other children are at school, and they can teach their children away from home. Holiday accommodation is considerably cheaper during these periods.

6

No aftercare costs

8

Often, working parents cannot collect their children from school before they have finished working and end up having to pay the extra fees for after-school care (commonly known as aftercare). Homeschooling parents do not need to worry about such costs, as they do not have to collect their children from school.

www.babysandbeyond.co.za

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7

No fundraisers or development fees

Many schools host various fundraisers throughout the year, such as bake sales, for example, which require parents to spend money and time buying ingredients and preparing baked goods or buying cakes and sweets from others. Schools also often have additional, compulsory development fees that go towards the maintenance of the school. Obviously, with homeschooling, parents can avoid these added expenses.

While the financial benefits are clear, homeschooling also provides both learners and their parents with a plethora of other positive influences to their school life, family lifestyle and all-round wellbeing.

For more information about the benefits of homeschooling, visit www.impaq.co.za. 

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parenting mental health

Doing motherhood

my way

By Lara Magnus, iDream iFlourish Life Transformation Programme

In May 2016, I gave birth to my son and instead of sinking into a period of blissful bonding with my sweet baby boy, I entered a time of utter darkness as post-partum depression landed with force.

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parenting mental health

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ith the help of anti-depressants, I got through my days, but my passion for life, joy and optimism that I’d known so well had become a distant memory. I felt numb, exhausted, and most debilitating of all was the constant cloud of fuzz that hovered in my head.

Three years on, and one baby later, I hit my lowest point. My health had deteriorated, I felt trapped in a cage of motherhood, guilt for not being a good enough mother, I was disconnected from my husband, uninspired and deeply unhappy. After seeking help from various medical practitioners and living on various prescription drugs which only ever managed to take the edge off, I had lost all hope of ever recovering or feeling normal again.

Hear your heart when she speaks

I was standing in the shower one evening in September 2019 when I thought back to a conversation I had with one of my mentors whilst at university, and I could hear her clearly saying the words “You will always know the answer, you just need to get quiet enough to hear your heart when she speaks”.

With that reminder, I began a practice of what I called “heart time”. At 5:30am each morning, no matter how tired I was, I got up, made tea, and sat on my yoga mat with a journal. On one of my mornings on my yoga mat, I began thinking about how caged I felt in motherhood, and I needed to understand why. Where was I getting it wrong? What was wrong with me that motherhood didn’t come as naturally as I was told it would?

Why didn’t I feel like my children were my entire world?

I felt as though there was a switch that was supposed to have been triggered the moment my baby was placed in my arms that would turn me into everything that I thought a “good mother” ought to be, but my switch was faulty. I began considering what I thought it was to be a “good mother” in an attempt to activate those things within me and this is what I jotted down in my journal… www.babysandbeyond.co.za

What is a “good mother”?

A ‘’good mother’s” world revolves around her children, they are the air she breaths, her absolute purpose. She puts her children first in all she does, and she does it all!

A “good mother” shelves her dreams of learning to paint, running a marathon, starting a business or taking that trip. She shelves her dreams because pursuing them would mean she was selfishly directing some of her focus off of her children and onto herself.

As I wrote, my point of breakdown became increasingly clear.

We fall pregnant, prepare perfect nurseries, watch our babies grow in relation to the size of fruit in our bellies, and read all the books on how to take perfect care of our sweet babies. We then give birth, and at that moment a child is born, but so too is a mother born, and no book prepares you for that.

We are taught that motherhood comes naturally and so we take what we know it is to be a “good mother” based on what we have seen modelled by the generations before us, and we do our best to be that. The catch is that many of us aren’t “that”. I wasn’t “that”, and the more I tried to force myself into the mould of what a “good mother” ought to be, the more I lost my way.

For the rare few, motherhood lands like a piece of a puzzle. It falls and fits perfectly into place as if it were never not there. For the vast majority of us though, being a mother is something we grow into, learn and slowly become.

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parenting mental health Raising and nurturing myself into the best mother that I could be

A “good mother” is not one-size-fits-all, and so I wiped the slate clean. While I had my sights set on raising and nurturing my children into the best that they could be, I simultaneously began raising and nurturing myself into the best mother that I could be.

I allowed myself to be a mother with a large life beyond her children. I allowed myself time to fully show up in my work, my friendships, and my marriage. I created time to chase goals that excited me, even if they didn’t involve my children directly.

I created space for me to have the experiences that I longed to have. I gave myself permission to be ALL of me.

Each morning, without fail, I sat on my yoga mat with my journal, and worked at finding and healing myself one day, one extra glass of water, one good night of sleep, one lunch with a friend, one conversation with my husband, one small intention at a time.

The more I gave myself space to create a life that felt like an expression of who I really am, the more I found my home in motherhood. I now sink into the moments with my children with more presence and patience than ever before. I relish in the cuddles. I provide the love and support that they need and do all the things that need doing with far more ease and flow. I have given my children the gift of a whole and happy mother, perhaps the greatest gift of all.

I am a good mom, my way, and that is enough. 

Win!

Lara Magnus has created the iDream iFlourish Life Transformation Programme and Daily Planner for mothers that lays out the exact process that she unknowingly created over two years of 5:30am “heart time” journaling. The programme includes one year of unlimited access to the members area on her website with meditations, deep-dive life area worksheets, mini workshops and more. The undated 12-month planner includes monthly, weekly and daily planning pages to ensure mothers stay on top of their many “to-dos” while building a life that they love.

Stand a chance to win one year’s access to the programme and a planner worth R899. To enter follow @babysandbeyond and @laraleemagnus on Instagram, and comment about what makes you a uniquely good mother. Please include the hashtags #BabysandBeyond #MotherhoodMyWay Competition closes 31 May 2022.

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motivation

Tips for staying motivated

to reach your goals Remaining on track requires perseverance, a healthy dose of adaptability, and the courage to accept oneself...

“M

any of us make New Year’s resolutions, and often within a month or so the initial enthusiasm for self-improvement wears off and motivation begins to flag, particularly when the end goal still seems far out of our reach,” says Alice Gelderblom Waddilove, an occupational therapist practising at Netcare Akeso Kenilworth mental health facility.

“Too often, people become discouraged when they feel they are not making sufficient progress towards their goals, and this can affect one’s confidence. To keep going, we need to be kind to ourselves while finding workable ways that will help us remain on track without holding ourselves to unrealistic goals. For example, if you are not sporty by nature and set yourself the goal of running a marathon, accept that this may not be achievable all at once.”

Goals should not be seen as a measure of self-worth

Gelderblom Waddilove points out that goals should be regarded as things one hopes to achieve, rather than a rigid measure of achievement that supposedly reflects one’s self-worth.

“You may find it necessary to adapt your goals due to circumstances beyond your control. Rather than abandoning your plans, remain flexible within your goals and find what is workable for you,” she advises.

“Here the concept of radical acceptance, an aspect of dialectical behavioural therapy [DBT] which involves reflecting on a situation as objectively as possible, can be helpful. DBT may be used alone or in combination with other treatments, either in an inpatient or outpatient setting.

“There is a tendency to be particularly self-critical when we are feeling low. Rather than becoming discouraged, take stock of the situation and reflect on where you find yourself now without judgement,” she suggests.

“Although self-acceptance can be challenging, particularly for those experiencing certain kinds of mental health disorders, try to be fair and compassionate with yourself, focusing on the progress you have made so far towards your resolutions.

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Small steps and marking progress

“Taking better care of your physical and emotional wellbeing should always be a priority, and the key is to keep making incremental progress, focusing on what the next step is and what is within your control.”

Gelderblom Waddilove says it can be helpful to set smaller, more realistic steps that are more manageable as a series of milestones towards your ultimate goal.

“Give yourself credit for completing each of these steps and celebrate the little victories you achieve along the way. If you are coping fairly well with the demands of work within your work-life balance, that in itself is no small feat.”

“Even if we experience setbacks in pursuing our goals, remember that all is not lost. Part of life is to find meaning and a sense of purpose in the journey. The late photojournalist Dan Eldon aptly summed this up: ‘The journey is the destination’. While achieving one’s goals is wonderful, it is also important to have something to strive for, so keep setting new stimulating challenges for yourself,” Gelderblom Waddilove says.

“If we persevere, and rather than throw in the towel, continue with the building blocks towards our ultimate goal, we may find that we end up in a totally different place to the one we initially imagined, which may provide us with a deeper meaning and purpose.”

For support in coping with mental health issues and accessing care, and for professional help in a mental health crisis, Netcare Akeso is here to help. In the event of a psychological crisis, emergency support can be reached on 0861 435 787, 24 hours a day. 

www.babysandbeyond.co.za

Caring for every breath your baby takes DuoBaby 2 in 1 compressor nebuliser with integrated nasal aspirator

editor's choice beauty R35

R90

Marice Rooibos Handmade Glycerine Soap (150g) Available at Wellness Warehouse and online at www.marice.co.za

Marice Rooibos Shampoo Available at Wellness Warehouse and online at www.marice.co.za

R140

Soylites Everyday Balm Available online at www.soylites.co.za

R180

R90

Marice Rooibos Conditioner Available at Wellness Warehouse and online at www.marice.co.za

R169.95

K- LA Apricot Powder Facial Cleanser (50ml) Available online at www.k-la.co.za

Creightons H2O Boost Overnight Mask Available online at www.creightonproducts.co.za

R169

R275

Soylites Candle Range Available online at www.soylites.co.za

K-LA Nourishing Shower Oil (50ml) Available online at www.k-la.co.za

R250

K-LA Glow Oil (30ml) Available online at www.k-la.co.za

beau

ty

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editor's choice beauty R170

Umberto Giannini Scalp Scrub Exfoliating Anti-Dandruff Treatment Available at Clicks

R219.95

NIP+FAB Salicylic Fix Gel Cleanser Available at Dischem

R275

Lamelle Nourish Daily Cleanse Available online at www.lamelle.co.za

R250

Lamelle Clarity Active Cleanse Available online at www.lamelle.co.za

R169.95

wet n wild Color Icon 10 Pan Eyeshadow Palettes Available at Clicks

R425

Lamelle Clarity Active Body Spray Available online at www.lamelle.co.za

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R195.95

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beauty

Top 10 beauty trends for

2022

With 2022 underway we are still navigating an uncertain world. One thing that remains constant is the importance of selfcare, and what better place to start than to familiarise yourself with the top trends to consider for the year?

F

rom ingestible beauty to medical grade solutions and the growing importance of cruelty-free products, Toni Carroll, founder of awardwinning premium beauty supplement brand, My Beauty Luv, outlines the next hottest trends taking the industry by storm.

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Nutricosmetics are here to stay – with a focus on quality

Although nutricosmetics hit the marketplace in the 1980s, they are now on the brink of a major revolution.

“The global market for nutricosmetics was worth US$5.1-billion last year and will reach US$8.3-billion by 2027. Ingestible beauty is the future, but not all ingestible beauty supplements are created equal. Check the ingredients to ensure you get the best,” Carroll advises.

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beauty

Expect more plant-derived (rather than laboratory-created) ingredients

“New scientific methods for testing, extracting and processing plant-derived ingredients like chlorophyll are now available,” Carroll explains. “Still, be sceptical of ingredients that suddenly reach god-like status – make sure there’s enough research backing your beauty choices.”

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Homecare solutions will continue to grow

At-home skincare was a necessity in 2020 and 2021, and Carroll says it’s not going away. The game-changer will be medical aesthetic professional skincare brands (that you can only purchase through your clinic or salon) offering medical-grade solutions that consumers can use at home.

“Also, home galvanic machines, home laser and home light therapy devices have advanced significantly, so the trend to use homecare beauty devices will grow,” Carroll adds.

Some beauty staples become mainstays of comfort

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Ingredients move in and out of fashion all the time, but Vitamin E, for instance, is used in base formulas for the vast majority of skincare brands.

Says Carroll, “It’s a comfort that these staple beauty ingredients are gaining attention again – they are tried and tested.”

Kindness is essential

Vegan skincare and beauty were the fastest-growing category within beauty for 2021. Even consumers who are not eating a vegan diet, identify with the ‘cleaner, kinder, gentler’ philosophy.

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“In response, we’re extending our product range, starting with vegan-friendly products in 2022, including highly advanced antiageing products with uniquely sourced ingredients to enhance your beauty inside and out.”

More discerning beauty choices People are becoming far more discerning in their beauty choices, Carroll says.

“With the sheer volume of skincare brands available and the unbelievable choices we have today as consumers, most people have more skincare products today than ever before, but they’re focusing on quality.”

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beauty Anti-stress is the new anti-ageing

Some ranges are focusing on anti-stress rather than anti-ageing, but the two are very intertwined.

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Carroll says “Beauty has become more holistic, which is a very good thing, as we start to understand the connection between stress and ageing. It will continue to grow, and brands will start to evolve too, to accommodate this awakening.”

The ‘skinification’ of hair

9 10

“Quite a few trailblazing products are making scalp care sexy,” Carroll says.

8

Skin protectors take centre stage, but don’t be fooled by blue-light promises

SPFs and other skin protectors have been firm favourites for a while now, and people are starting to pay attention to blue-light damage from screens too.

“It is a while off, but the company that invents a topical, practical solution that stops blue-light penetrating the dermal layers will completely revolutionise the industry,” Carroll explains.

These new treatments are also transforming popular favourites, like Brazilian blowouts and other typical ‘hair beautifying’ treatments, to be safer, cleaner and greener.

The year crafted bacteria really takes off

Carroll believes firmly that the future of all beauty and health will be carefully crafted, unique bacteria strains.

“Not the half-dead ones you purchase as probiotics on the shelves, but live, edible cultured bacteria done in the comfort of your own home. We will literally be eating our beauty products.”

“As the industry continues to evolve, we look forward to seeing what 2022 has in store when it comes to new innovations that will take the beauty world to the next level,” Carroll concludes.  For more information, visit www.mybeautyluv.com, Facebook and Instagram.

Toni Carroll, My Beauty Luv

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beauty

3 Tips

to slow down ageing They say that age is just a number, that you are only as old as you feel, and that ageing is just another word for living. While we agree wholeheartedly with remaining young at heart, digital aesthetics enthusiast, Dr Sheryl Smithies, is here to tell us that we don’t have to choose one side of ageing extremism.

She believes that we have the power to enhance our natural beauty and soften the ageing process so that our external image reflects our inner beauty.

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Dr She

Here are her top insights on treatments to soften the ageing process.

Sm

hile the gradual changes in our physiology that begin at age 25 are inevitable, the preventative steps we can take to slow the ageing progress are optional. Taking good care of your skin from the beginning is essential to ageing gracefully but may not be enough on its own. Luckily, there are therapies to boost collagen in response to the natural loss of elasticity, and procedures that can hydrate skin to elevate vibrancy and moisture levels offsetting dullness and dryness. es

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beauty

Juvéderm fillers

Throughout our lives, our cells divide and multiply continuously to perform basic biological functions. The more cells divide, the older and less effective they are at carrying out their primary function. Skin cells, for example, lose elasticity and when combined with the ongoing cellular damage they are exposed to daily, results in aged-looking skin.

1

Juvéderm fillers use the same kind of natural hyaluronic acid generated at a better rate when your skin cells were younger to add fullness to certain areas of your face where the skin has begun to sag. This allows you to age gracefully by keeping the shape

of your face longer whilst your bone is changing shape and getting smaller over the ageing process.

Each procedure begins with the application of numbing cream to alleviate any discomfort associated with the injection. These fillers sculpt and support your facial tissues and skin to create a youthful and smooth look and can be used on the face, neck and just about anywhere on the body to rejuvenate and hydrate the skin.

Lip sculpting, smoothing lines on the nose and around the mouth, and adding definition to the lips and jaw are some of the most popular treatment areas.

Each treatment takes about 45 minutes,

Neurotoxin (Botox® and Dysport®)

but the duration is dependent on the amount of filler being injected and the treatment area. Each treatment lasts 9-18 months and can be refreshed according to a treatment plan worked out with your doctor.

A huge bonus is that the results from fillers are instant, with minor bruising and swelling occurring directly after the injection and dissipating a week to ten days later. It is important that you have an experienced medical professional administer the procedure to avoid side effects such as overfilling, excessive bruising and swelling and uneven results. All care is taken to ensure a safe injection technique when doing fillers.

2

We do not live our life in sheltered bubbles and with decades of exposure to elements like severe stress, tobacco and alcohol consumption, fluctuating weight and nutrition and UV exposure, we age in response to these stimuli. A common complaint is more visible wrinkles and laxity of the skin.

Among the most effective preventative treatments, this injection uses botulinum toxin which causes facial muscles to relax. During each procedure, target muscles are injected with the toxin in a relatively painless manner and each procedure takes about 20-30 minutes. Results can be seen as early as three days post-treatment with the final result settling in at ten days. The most common treatment areas are frown lines on the forehead, crow’s feet, and lips to soften a gummy smile. Results will be noticeable 3-5 days after completing the treatment, and final results will be visible after day 10 post-injection and lasts approximately four months.

These injections are most effective as a preventative measure in your late 20’s but can be used later in life to treat wrinkles. Side effects are rare but can include short-term paralysis of incorrect target muscles. These potential issues are best prevented through using a doctor you trust, the correct procedure for your desired results and careful selection of injection spots.

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beauty

3

Aptos® threads

Wrinkled, spotted skin is made worse with exposure to the sun and loss of subcutaneous support is exacerbated by gravity, daily facial movement, obesity, and even your sleep position. Following a healthy lifestyle by eating a nutritious diet, staying active, avoiding tobacco and wearing sunscreen will all help signs of ageing, but they cannot reverse or prevent it from happening.

Some of the Aptos threads contain hyaluronic acid. These are carefully inserted under the skin and attached to soft tissue in your face to stimulate collagen growth, condition the skin and lift sagging skin. They lift the skin and mitigate the effects of gravity on your ageing process. The threads can help a wide variety of

facial asymmetries from Bell’s Palsy, to drooping cheeks, jowls and necks. They have been used successfully to smooth out forehead lines, reduce bags under the eyes and thin out lips.

The thread treatment times vary depending on the type of treatment necessary, which is determined after an assessment of skin laxity. Not only does this treatment provide instant results but thanks to the collagen growth it stimulates, results are ongoing. The natural healing process may result in some swelling, and puffiness

with some discomfort for the first two to three weeks post-treatment.

Some patients experience minor side effects such as puckering where the thread is pulling the skin up. However, uneven results are normal initially and will even out over the healing period.

Despite it being far less invasive than a facelift, the results are similar if you follow post-procedure protocol like avoiding exercise and sleeping on your back during your healing.

Ageing is a complex process of life caused by a myriad of differentiating and utterly unavoidable factors. From our genetics and predispositions to how our cells will age, to sun exposure, to the food we have consumed over our lifetimes.

If the goal is to be happy instead of simply to remain young, non-invasive treatments such as fillers, Botox® and threads are excellent ways to soften the ageing process. Also, they help us slow the visible ageing so that we may have extra time to emotionally adapt to our changing appearance and ultimately bring into harmony our inner and exterior image. 

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finance

Maximise your

money in 2022 – 8 tips from JustMoney

This past year was a financial nightmare for many South Africans, with skyrocketing prices for fuel, food and electricity. This trend is expected to continue into 2022, as retailers and others in the value chain pass on their business costs to consumers.

Even if people retain their jobs and receive salary increases, these are unlikely to keep pace with the cost of living.

A snapshot of 2021 price hikes reveals:

• Fuel: Petrol increased by almost R6/litre from January to December 2021 and breached R20/litre. (Wheels24) • Food: A basket of common household foods cost 6.3% more in November 2021 compared to November 2020. Some items increased markedly, such as cooking oil (27%), eggs (15%), beef (15%) and margarine (10%).

(Household Affordability Index, Pietermaritzburg Economic Justice & Dignity group.)

• Electricity: The National Energy Regulator of South Africa (NERSA) approved an Eskom electricity increase of 15.63% for 2021. If you paid R1 000 for a set number of electricity units in 2011, and used the same number of units in 2021, the cost was R2 736.03 this year. (Cape Business News, June 24, 2021).

• Vehicles: Price increases have pushed many new vehicles over the R300 000 price point.

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“Now more than ever, it’s important to plan ahead and draw up a budget if you want to keep your head above water,” notes Shafeeka Anthony, marketing manager of personal finance website JustMoney.co.za. www.babysandbeyond.co.za

finance

Anthony offers tips for getting the most value in eight areas where we commonly spend much of our income: 1. Vehicle: Service your car regularly, ensure the wheel alignment is on point, and that your tyres are correctly inflated. Make use of a loyalty programme and earn points for every litre of fuel you purchase, for example Pick n Pay SmartShopper at BP. Accelerate gently and drive at a steady speed.

2. Grocery shopping: Avoid impulse buys, don’t shop when you’re hungry, consider switching to less expensive brands, and compare prices – the most profitable items for the store are usually packed at eye level, so look around.

3. Banking: Stick to ATMs within your banking network to save on withdrawal charges. Banking apps save time and money. Try to increase your monthly repayments on your home loan, to reduce the term and amount of interest you pay. Avoid drawing cash unnecessarily and choose the right account for your needs.

4. Data: Use Wi-Fi whenever possible at a secure, legitimate source, disable automatic app refreshing and update apps over Wi-Fi only. Look for datasaving options in app settings.

5. Electricity: Take a short shower and use an energy- and water-saving showerhead so there is less water to heat up again, use colder water settings on your washing machine and dishwasher, choose energy-efficient heaters and light bulbs, and turn down your geyser thermostat.

6. Health care: Check your medical aid plan to ensure it’s still relevant to your needs and make use of all benefits. Use hospitals and pharmacies in the approved network. If you have a fitness tracker, connect it with your medical aid scheme to collect points for your fitness.

7. Insurance: Obtain a number of insurance quotes, but keep in mind that the cheapest is not always the best. Read the terms and conditions to ensure that you are adequately covered in case of a robbery or loss. If you now drive less than 10 000km a year, due to working from home, you are probably eligible for lower premiums.

8. Entertainment: Check what you are paying for but no longer using, such as music subscriptions and gym fees.

Do a weekly shop and cut back on ordering in. Spend time in nature, gain free access to books and magazines at your local library and online, and look out for special offers.

Examining your finances now and putting some realistic goals in place for 2022 will help you prepare for the inevitable challenges that the new year will bring, says Anthony. If you have a financial advisor, this is a good time to set up an online meeting to review the year and make any necessary modifications. www.babysandbeyond.co.za

With a track record of close to 15 years, the JustMoney site is constantly updated with topical, well-researched articles written in clear language.

JustMoney also offers quick, easy access to financial products from reputable providers. Whether you aim to save, invest, get credit, rehabilitate your finances, insure your assets or monitor your financial health, you will find the right tools at JustMoney.  www.justmoney.co.za

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Ser

ves

:6

recipes

Mediterranean

Fish Parcels

By Jenny Morris

Ingredients for the savoury butter • 4 tablespoons soft butter • 1 tablespoon lemon juice • 2 cloves garlic, crushed • 2 tablespoons snipped chives • 1 tablespoon chopped black olives • 1 tablespoon chopped dill • 1 tablespoon lemon zest • salt and pepper, to taste

Mix the savoury butter ingredients together and set aside.

Ingredients for the fish

• 12 thick slices of boiled potato • 2 tomatoes, sliced • 200g washed English spinach • 4 x 250g portions thick-cut Kingklip (or any firm, white-fleshed fish) • 1 small red onion, thinly sliced into rings

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Method

1. Preheat the oven to 180˚C. 2. Cut four large squares of grease-proof paper and place them onto a flat surface.

3. Arrange three slices of potato onto each square, and top with sliced tomatoes.

4. Top the tomatoes with the English spinach, and place a portion of fish onto that.

5. Divide the savoury butter into four portions and spread all over the fish.

6. Top with the thinly sliced red onion rings.

7. Fold the paper over the fish so that it is sealed, and bake for 20 minutes.

Place a parcel onto each plate and let your guests unwrap their own. As they open their parcels all the delicious aromas will envelope them. Serve with a large green salad.

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recipes Serves: 4

Ultimate

French toast

By Jenny Morris

Ingredients for the chocolate ganache

• 1 cup (250ml) cream • 200g Lindt 70% dark chocolate, coarsely chopped • 1 tablespoon butter, at room temperature

Ingredients for the French toast • 8 slices of bread • 3 to 4 large eggs, beaten • 1 teaspoon honey • ¼ teaspoon ground cardamom

Method

• extra butter, for frying • 1 teaspoon oil, for frying • garnish • chocolate ganache

• raspberries • icing sugar, for dusting • a few mint leaves

1. Let’s get going with the chocolate ganache. Heat the cream in a small saucepan, and stir in the chocolate until it melts.

2. Remove from the heat and stir in the butter, one small piece at a time, to make sure it is properly incorporated.

3. Whisk until the ganache starts to thicken. Cool and set aside until needed.

4. Place the eggs, honey and cardamom into a bowl, and blend together well.

5. Soak the bread in the egg mixture, taking care not to over-soak.

6. Heat some butter with a teaspoon of oil in a non-stick frying pan, and fry the bread until lightly crisp and golden. Drain on paper towels.

7. To assemble, place French toast onto a plate.

8. Top with ganache and raspberries, garnish with a sprig of mint, and finish off with a dusting of icing sugar.

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Tip:

Use large simpleshaped cookie cutters to ring the changes. Place the bread onto a flat surface and cut circles, triangles, hearts, or whatever you fancy, out of the centre of each slice before soaking and frying.

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KINGJAMES 54374

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diy

Put the hop-petti-hop

back in your garden

By Life is a Garden

Making a gorgeous rustic bunny is a great project to keep little fingers busy outdoors while enjoying our beautiful weather.

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diy How to assemble your Rustic Bunny What you will need • L og or 8x log slices of various sizes • A chain saw, or hand saw if you have not purchased sliced logs or disks • Drill and screws • Wood glue

Log slices required • • • • •

2 big disks for the body 1 medium sized disk for the head 2 long ovals slices for the ears 2 small ovals/circles for the feet 1 small disk for the tail

• S tart by drilling two holes into the bunny’s body to attach the feet to each disk.

• Apply wood glue around the holes, leave to dry for a few minutes.

• Then tighten the screws to secure the bunny’s feet to the body.

You can buy pre-cut log slices at your local GCA Garden Centre or take the family for an adventure in your garden to salvage a fallen branch. www.babysandbeyond.co.za

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diy

2

• F or this next step, choose one side of the mounted body and foot wooden structure.

• Add the small disk as the tail to one side of the bunny’s body and a medium disk for its head.

• Repeat the process by drilling two holes for each body part, apply the wood glue and drill in the screws.

4

• S tand your bunny’s body upright to see if it balances on its feet. Join the second side of the bunny’s body at the base of the head by drilling two holes, securing with glue and tightening the screws.

3

• L astly drill holes and fasten the ears and you have a DIY Rustic Bunny.

• Encourage your family to decorate your bunny by adding bows, googly eyes or even paint a cute little face.

Put the hop-petti hop back into your garden and show us how your bunny turned out by sharing a photo on our Facebook or Instagram page and tag us #lifeisagarden – we’d love to see your creation!

For more gardening DIY projects. www.lifeisagarden.co.za/category/fun-in-thegarden/activities-for-the-kids/

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Paediatricians • Dr Allan Puterman • Dr Hedi van der Watt • Dr Lara Smith • Dr Rabeen Lutchman

For doctor contact details, please contact 021 670 4000 or visit our website.

7069-Life Kingsbury-DS-Paediatric skin condition advert.indd 1

2022/01/17 10:51

available at

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

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toast trimester

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kicks for kids

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kicks for kids

Find the five differences between the two pictures

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book reviews

Pearson: story time for kids Help develop your child's literacy skills and take them on an adventure journey through reading...

Animal Families: On the Farm, Under the Sea, Into the Wild Simple text and bright illustrations are stimulating for babies and toddlers. These books introduce family concepts and relationships and contain three chunky board books with die cut pages and come in a rigid tray for storage. Illustrated by Sam Meredith.

Format: Board books Extent: 10pp Size: 249x124x22mm

Cuddle Fun: Farm animals; Wild animals; Forest animals; Perfect pets First finger puppet books introducing your child to farm animals and family relationships. Perfect for your little one to share love and hugs! The board books come with plush puppet arms for cuddle fun. The series contains wonderful illustrations of different wild animals to interact with. Illustrated by Steve James.

Format: Chunky board books Extent: 10pp + plush arms Size: 200x130x17mm

110

www.babysandbeyond.co.za

STRENGTHENS THE BOND BETWEEN MOTHER & BABY

Tiny Hands, BIG Love NATURAL GALACT AG OGUE

The complete digestive tonic

Promotes Healthy Lactation

A clinically proven formulation that helps babies eat well and digest well.

Promotes healthy breast milk production and restores postpartum health

The Himalaya Drug Company (Pty) Ltd. www.himalayawellness.com

ALL THINGS

BABY.

Get everything you need for baby at Game; from strollers and camp cots to baby food and nappies at everyday low, low prices.

PRECIOUS CARGO

COMFORT

With a multi-positioning reclining back rest, your baby will be comfortable at all times.

PROTECTION

The wide cover protects the baby in changing weather conditions.

SAFETY

It features a hand locking and releasing system so you have ease of control.

From that walk in the park, a stroll through the mall, a good stroller can make all the difference when navigating day-to-day life with your baby.

The right stroller will have all the comfort your baby needs while being able to store all the essentials you’ll need. So, how do you choose the right one for you?

Full-sized stroller

What it is: A stroller that’ll wheel your baby right through their toddler years.

Benefits: The option to attach a car seat, ability to mount the seat forward-facing or rear-facing and a convertible design that grows with baby.

Jogging stroller

What it is: Perfect for the active parent, this stroller typically has larger, sturdier wheels and better suspension to take bumps and alternate terrain in stride.

Travel System

• Item no: 788359

R2200

Benefits: They come with a front wheel that can swivel (for flexibility) or be fixed (for stability at higher speeds).

Reversible Stroller Grey • Item no: 602867

Vito Cot

• Easy to assemble • Item no: 812284001/ 812284002

R899

Baby High Chair each

• 5 Point safety • Item no: 808748

R749

Deluxe 3 Wheel Jogger

• Five point safety harness • Tray incl. cup holders • Multi-position reclining back rest • Incl extra large storage basket • Item no: 746210

R1999 each

View our full range of Little One in store or online at www.game.co.za.

DEALS VALID FOR 3 MONTHS. 01 MARCH - 31 MAY 2022 Products are available in South African stores only. All prices listed are in South African rands. All prices include VAT. Game endeavours to meet the demand on all promotional lines, but stocks are limited· No Traders please. We reserve the right to limit quantities. Prices do not include insurance and delivery. Prices exclude accessories used for advertising purposes.

Vito Stroller

• 5 Point safety • 2 Position backrest • Item no: 812285001/ 812285002

R829 each

Duck Walking Ring • Easy to assemble • Item no: 578219

R599

each

Nursing Pillow

• Maintains comfortable position • Used as soft baby pillow • Item no: 812288001/ 812288002

R219 Preggy Pillow Grey Dots

• Supports tummy and back pain • Stabilizes moms hips • Item no: 786059

Play Doughnut Grey

• Raised padded edges • Prevents baby from rolling • Supports baby while learning to sit • Item no: 812287001/ 812287002

R360

R289

2 WAYS TO USE YOUR NURSING PILLOW.

We know that the most common use of the pillow is for support during breastfeeding but you can get plenty of other uses out of it, making it a versatile must-have baby product.

1. Support your back during pregnancy

A removable toy bar to keep baby entertained.

The shape and size of the pillow make it the perfect support for your sore lower back muscles. Use your nursing pillow for back support by placing it backwards, so that it rests on your back rather than your stomach while sitting in your office chair or on the couch.

A changing table to make nappy time effortless.

2. Take the pressure off of your c-section scar during healing using a nursing pillow can protect your stomach while you heal, making nursing less painful. Place the nursing cover gently against your stomach during nursing.

Side storage pockets to have all your essentials at bay.

Fancy Baby Campcot

• From birth • Easy to assemble • Removable toy bar with 3 toys • Changing table • Foldable and on wheels • Travel bag included • Item no: 800399

R1500

FIND IT CHEAPER ELSEWHERE, AND WE’LL BEAT IT BY 10% ON THE DIFFERENCE, GUARANTEED.

T’ S A N D C’

SA

PP

LY

IT’S LOVE AT FIRST TOUCH When it comes to picking out the perfect garments for your tiny tot, our Edgars OneTwoThree range has you covered. From 100% cotton fabrics to elasticated waistbands that won’t irritate you’re your baby’s soft skin, every single design is made with the little details in mind that make a big difference.

So, whether it’s new-born must-haves or special occasion outfits, we’re here for every milestone.