Baby’s and BeyondTM
babys beyond TM
Volume 6 • Issue 1
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Buckle up – saves lives!
How parents can prepare for the
back-to-school
The Bump
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How to cut expenses during pregnancy www.babysandbeyond.co.za
VolUME 6 | Issue 1 ISSN 2311-5467
What is a parenting plan?
Sneaky nutrition tricks
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ED’S NOTE
Elroy van Heerden, Editor
P
arents, are you ready for the New Year? Especially those of you preparing for back-to-school. Going back to school or going to school for the first time is always a big transition, not only for children but for parents too. While children are filled with excitement, parents are filled with thoughts of ‘’Am I prepared enough”? To help eliminate these thoughts and help both you and your child get ready for the new school year, you need to do some planning to be well prepared. Refer to page 12 for more tips on how to mentally and physically prepare for back-to-school. While on the back-to-school topic, refer to page 62 for a parent’s need-to-know guide to schooling in South Africa. As we all know, education can be very expensive and there are so many challenges that parents face if not financially prepared for the future of their child’s education. By starting early and investing in an education policy and saving money each month can make things a bit easier when schooling starts. During early December last year, I attended my sister’s children’s honours evening at school and I was amazed at how parents are so supportive of their children; the result was evident in the many awards presented to those children that night. It was indeed a proud moment to witness; while some parents wept with pride and others danced with excitement. I would like to wish all parents the best with their children’s new school year ahead; always remember that education starts at home. The extra effort at home can only be of value to your child’s end results. I would also like to thank our readers for your continuous feedback and our contributors and advertisers who all play a big part in making Baby’s and Beyond™ a huge success. Last but not least, always remember to get your kids to buckle up, whether it is a quick drive to the shop around the corner or going or coming back from school.
Regards
Elroy www.babysandbeyond.co.za
2018/12/18 3:23 PM
45803 Ba
VACCINATION SCHEDULE
KEEP YOUR CHILD’S VACCINATIONS UP TO DATE
0 BIRTH
OPV (Oral polio vaccine) Protects against: Polio
BCG (Bacillus Calmette-Guérin vaccine) Protects against: Tuberculosis (TB)
6
WEEKS
DTaP-IPV-Hib-Hep B vaccine Protects against: Diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, invasive infections caused by Haemophilus influenzae type b, Hepatitis B
RV (Rotavirus vaccine) Protects against: Rotavirus
PCV (Pneumococcal vaccine)
Measles vaccine Protects against: Measles
9
MONTHS
PCV (Pneumococcal vaccine) Protects against: Pneumococcal diseases
MMR vaccine Protects against: Measles, mumps, rubella
DTaP-IPV-Hib-Hep B vaccine Protects against: Diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, invasive infections caused by Haemophilus influenzae type b, Hepatitis B
12
MONTHS
18
MONTHS
Protects against: Pneumococcal diseases
Td vaccine
10
WEEKS
DTaP-IPV-Hib-Hep B vaccine Protects against: Diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, invasive infections caused by Haemophilus influenzae type b, Hepatitis B
Protects against: Tetanus, diphtheria
6
YEARS
Tdap-IPV Protects against: Diphtheria, tetanus, pertussis (whooping cough) and poliomyelitis
RV (Rotavirus vaccine) Protects against: Rotavirus
PCV (Pneumococcal vaccine) Protects against: Pneumococcal diseases
Td vaccine Protects against: Tetanus, diphtheria
12
YEARS
Tdap-IPV Protects against: Diphtheria, tetanus, pertussis (whooping cough) and poliomyelitis
14
WEEKS
DTaP-IPV-Hib-Hep B vaccine Protects against: Diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, invasive infections caused by Haemophilus influenzae type b, Hepatitis B
RV (Rotavirus vaccine) Protects against: Rotavirus
PCV (Pneumococcal vaccine)
Ask our nurse about our optional vaccines.
Protects against: Pneumococcal diseases
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Baby’s and BeyondTM
CREDITS babys beyond TM
Volume 6 • Issue 1
and
Editor: Elroy van Heerden editor@babysandbeyond.co.za
a family lifestyle magazine
Sub-Editor: Tessa O’Hara tessa.ohara@gmail.com Content Manager: Melanie Taylor artwork@mediaxpose.co.za
Buckle up – saves lives!
Editorial Contributors Jonathan Elcock Melissa Dolphin-Rowland Cecile de Klerk Carey Haupt Robyn Smith Sarah Gouws Alison Willems
How parents can prepare for the
back-to-school stint
The Bump
How to cut expenses during pregnancy www.babysandbeyond.co.za
VolUME 6 | IssUE 1
Design and Layout: CDC Design carla@cdcdesign.co.za
What is a parenting plan?
Advertising Sales: Allison Davids allison@babysandbeyond.co.za Lorraine Beneke lorraine@babysandbeyond.co.za Daniela Daniels daniela@babysandbeyond.co.za
Sneaky nutrition tricks
ISSN 2311-5467
Chief Financial Officer: Shaun Mays shaun@mediaxpose.co.za
for the clever natural mamma 9 772311 546706 www.babysandbeyond.co.za
INsIDE: FEaTUrEs CoMpETITIoNs KICKs For KIDs rECIpEs
Marketing & Communications Manager: Sarina Afonso sarina@mediaxpose.co.za Distribution and Subscriptions: Maurisha Niewenhuysen distribution@mediaxpose.co.za
Pictures: 123rf.com
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babys beyond TM
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6 Carlton Crescent, Parklands, 7441 Tel: 021 424 3625 Fax: 086 544 5217 E-mail: info@babysandbeyond.co.za Website: www.mediaxpose.co.za
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.
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To the dealer: Please allow the bearer a R10 (VAT inclusive) reduction on the price of any Cherubs Newborn Wipes 100’s on presentation of this coupon. A coupon obtained only against the sale of any Cherubs Newborn Wipes 100’s may be sent for a cash refund to: Coupon Clearing Bureau (Pty) Ltd, Private Bag X2, Saxonwold, 2132. Purchase of sufficient stock to cover coupons presented must be proved on request. Misuse of this coupon constitutes fraud. Valid at participating retailers and wholesalers. Expiry date: 30 June 2019. This Coupon is not exchangeable for cash, no change will be given. No photocopies of coupon will be accepted.
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babys beyond TM
43
and
a family lifestyle magazine
CONTENTS FEATURES
60
How parents can prepare for the back-to-school stint.......................12 Birth photography – capture a first meeting that will change you forever..........................................................................14 What is child development and what skills do children develop at different ages?.....................................................................18 How much is enough when ensuring your loved ones are covered?..................................................................................20 Potty training for pre-schoolers...............................................................22 Buckle up – save lives!.............................................................................24 The Bump: How to cut expenses during maternity..............................27
PARENTING Parenthood – there is no guidebook.....................................................29 What is a parenting plan?......................................................................32
PREGNANCY The early symptoms of pregnancy........................................................34
BREASTFEEDING
67
Why do we refer to breastmilk as ‘liquid gold’?...................................36 Six breastfeeding insights from parenting experts................................38 Why would you use a breast pump?.....................................................41 Advertorial: Flora Force...........................................................................44
HEALTH Vaginal laxity and urinary incontinence after child birth....................46 Advertorial: CHICCO...............................................................................50 Anaphylaxis – what is it?..........................................................................52 Advertorial: BETADINE..............................................................................56
NUTRITION Sneaky nutrition tricks for the clever natural mama............................58 Heathy kids parties...................................................................................60
EDUCATION A parent’s need-to-know guide to schooling......................................62 Children are not adults............................................................................65
REGULARS
78 6
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Social News...........................................................................................8-11 Family Fun: Summer activities for family fun.........................................66 Promising Products: Cherubs Sensitive Wipes, Earthsap, Oils from Africa, Clean and detoxify your skin with salt, Bodycare from Africa, Hynex Touch......................................................68 Grab some Grubs: Malted Brownies......................................................70 Sausage Toasties......................................................................................71 Kicks for Kids: Fun puzzles and activities...............................................72 Book Reviews: This edition’s recommended reading.........................82
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Social News
Dove empowers learners in South African schools For 14 years the Dove Self-Esteem Project (DSEP) has helped more than 20 million young people across the globe to develop a positive relationship with the way they look. They do this by encouraging conversations with women and young girls, addressing issues of beauty, confidence and self-esteem. Dove is striving to reach its goal of impacting 40 million young people by 2020 with positive self-esteem messaging through DSEP.
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ove has partnered with leading experts in the fields of psychology, health and body image to create a programme of evidence-based resources including parenting advice to help young people form healthy friendships and overcome body image issues. According to educational psychologist and DSEP partner, Dr Tshepiso Matentjie, talking to a young person about beauty, confidence and self-esteem can change the way they see themselves for a lifetime. From learning how to interpret destructive messages in the media to helping young people navigate toxic friendships at school, the DSEP programme provides free, accredited educational tools and resources addressing today’s biggest barriers to self-esteem. These tools and resources can be used by anyone to have a positive conversation with the young person in their life.
Dr Tshepiso Workshop
Luc-Olivier Marquet and Student
Minister Angie Motshekha with Students and Luc-Olivier Marquet
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Luc-Olivier Marque, Executive Vice President, Unilever South Africa adds: ‘The DSEP is an initiative at the heart of Dove’s brand identity which is underpinned in the Unilever Sustainable Living Plan (USLP). This is a blueprint for achieving our vision to grow the business, whilst decoupling our environmental footprint from our growth and increasing the positive social impact of our business. It is a foundation for driving growth through brands with purpose, taking out costs from their business, reducing risks and helping them build trust’. To bring this home, Dove has joined forces with the Department of Basic Education (DBE) to work towards the common goal of fully equipping young people with localised educational tools that will help them to ultimately realise their full potential – raising the next generation of strong, confident young people.
MC Hulisani Ravele Making Her Pledge
Panel Discussion
Students in Workshop
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Social News Prefaced by the International Day of the Girl Child, a workshop with learners, key media and stakeholders was held in Johannesburg on 19 October to unpack ways in which parents, guardians and teachers alike can assist young people with selfesteem issues, while practically demonstrating the syllabus, interacting with one another and the sharing of self-esteem journeys. One of the means identified by the team to carry out the work of building self-esteem has been to encourage inter-generational dialogues between South Africans across varied race, age and class groupings. ‘This reinforces the need for everybody to take shared responsibility for offering long-term and sustainable solutions to some of the issues faced by young people,’ says Sphelele Mjadu, Senior Public Relations Manager, Unilever Beauty and Personal Care for Africa. ‘We are dedicated to helping the next generation raise their self-esteem and realise their full potential. These conversations are already happening, but today Dove brings a much-needed spotlight for all South Africans to address the difficulties and share the successes they experience in their own personal stories. We are at a turning point in South Africa, but we want to give hope to the next generation and let them know that they are not alone and that their selfesteem can only be defined by them.’ This has culminated in the partnership with the DBE geared to speak to Goal 4 of the Sustainable
Development Goals, which focuses on improving the quality of education. ‘Programmes to expose learners at the earliest stages of primary school to different various tools and resources should be supported, which is why we’re so excited to work with Unilever, through its brand, Dove, to equip learners emotionally; helping them to stay in school, build resilience to life’s adversities and aspire to be more despite these challenges,’ says Minister Angie Motshekga. Through these proactive measures, issues pertaining to sexuality, alcohol and violence, education and mentorship, sexual and reproductive health and career guidance can be addressed and alleviated. With so much work to be done, there’s room for everybody to get involved in and partner with the Dove Self-Esteem Project. Resources can be found at www.unilever.co.za/brands/personal-care/ dove to assist parents and teachers, individuals and professionals alike to ensure that low body confidence and anxieties over appearance don’t stop young people from being their best selves, affecting their health, friendships and even performance at school. Over 20 million young people have benefited from this programme. Join the conversation on social media by #ConfidentGirl and help us change the life of one more! To learn more about the Dove Self-Esteem Project visit www.dove.com/selfesteem.
BIC South Africa hands over 10 000 pens to Ithute Primary School BIC® South Africa handed over 10 000 items of stationery to Ithute Primary School, a no-fees school that educates over 1 000 children between Grade 1 and 7 in Alexandra, Gauteng.
T
his donation was part of BIC’s® “Buy a Pen, Donate a Pen” campaign where over 1 million pens were handed out in 2018 to schools across the country. ‘Education is a key priority of BIC®,’ says Karen Moodley, Brand Manager, Stationery, Southern, East & Central Africa. ‘A pen or pencil is something a lot of people don’t even have to think about, but for some youngsters stationery is an obstacle to their education because they simply can’t afford it. ‘Putting the right instruments in a child’s hand can make a significant difference to their future. With exams underway this initiative means that children of Ithute Primary School no longer have to share pencil stubs or pens. They can now #Power their Potential and focus on creating magic.’
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Karen Moodley and Mr Gwala Ithute Primary School
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Social News
kulula.com and Reach for a Dream launch Dream Room campaign kulula.com and Reach for a Dream have joined forces to create the first Dream Room for children in hospitals, with the first one opening at the Steve Biko Paediatric Oncology Clinic in Pretoria.
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he Dream Room will be a sanctuary in a hospital where children with life-threatening illnesses can escape their clinical surroundings and experience the joy of being a child. There will eventually be 30 such rooms at hospitals which provide critical care to children with life-threatening diseases between the ages of three and eighteen. ‘It was our aim to create safe spaces catered to the needs of children, for them to just be kids again and have a happy place to go to while they’re in hospital. This room, in partnership with kulula.com, is our first and we hope to create many more of these all-over South Africa,’ says Natalie Lazaris, Head of Business Development at the Reach for a Dream Foundation. ‘Reach for a Dream was established in 1988 and aims to take children out into a new environment with their families to create “dream experiences”. But for those who rely heavily on constant treatment and observation, it’s impossible to step out of the hospital, which is why the Dream Room concept is so important,’ Lazaris explains.
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Shaun Pozyn, Head of Marketing at kulula.com says: ‘kulula.com and Comair are delighted to have partnered with the Reach for a Dream Foundation to support this very important initiative. It’s part of our brand promise to champion the spirit of possibility and we hope that our Dream Room will inspire and instil courage and hope in all the little fighters, giving them hope beyond any illness and obstacle that they may face.’ The rooms will help children mentally and physically to get away from the hospital wards and their treatment. ‘Instead, they can just go and have fun, read, play and focus on activities that entertain and stimulate them. Our brand is all about fun and it is our hope that our Dream Room will be just this and allow children who get to visit it, to dream big and make those dreams a reality,’ adds Pozyn. To support other Dream Rooms around the country, contact Natalie Lazaris at natalie@reachforadream.org.za www.babysandbeyond.co.za
2018/12/18 3:23 PM
Social News
World Read Aloud Day – why reading aloud matters On World Read Aloud Day on 1 February 2019, it is well worth our while to ponder on the countless benefits of such a simple activity.
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hile children whose parents frequently spend time conversing with them already have a head start, it’s only in books, newspapers and magazines that enriching vocabulary is seen. A child who hears these types of words has a giant advantage. Reading aloud also increases a child’s attention span and when you read aloud, you’re whetting a child’s appetite for reading. Expecting your child to grow into an avid reader is wishful thinking if they see no one reading at home. In an age where the average teen spends 90 minutes a day sending text messages, it is absolutely vital to keep the habit of reading aloud, alive. There is evidence that we don’t remember information as well when we read it on a screen. Parents and caregivers have a huge responsibility to encourage a love of books and be that priceless reading role model. READ Educational Trust has a lifelong focus of promoting literacy in a country where 78% of Grade 4 learners cannot read for meaning in any language, according to the PIRLS Study (Progress In International Reading Literacy, 2016). In this context, the “Read Aloud Magic” sets, available from The READ Shop at www.thereadshop.co.za is a vital tool in encouraging reading aloud, at home and at school.
filled stories set in Africa. These stories all revolve around children and animals discovering the world in which they live. The sets are a priceless investment, not only in terms of serving to build your child’s vocabulary, but as far as spending quality time with your little ones goes. Visit www.thereadshop.co.za and www.read.org.za to find out more and join the conversations on: Facebook: www.facebook.com/READEduTrust/ Twitter: twitter.com/READEduTrust Instagram: www.instagram.com/read_educational_ trust/
‘Read Aloud Magic’ box sets Each of three box sets contains 12 beautifully designed books filled with enchanting, adventure-
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FEATURE
How parents can prepare for the back-to-school stint Going back to school or going to school for the first time is always a big transition, not only for children but for parents too.
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parent’s biggest concern is always about if they are well enough prepared, while children are filled with excitement. Parents need to organise and put some forethought into preparing for the New Year as there are many things to take into consideration.
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The holidays are now over and both parents and child need to be mentally and physically prepared to kick start the New Year with a fresh start. Here are some useful tips: • Get your child back into their sleep routine. This will help get rid of those stressful school mornings. www.babysandbeyond.co.za
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Feature Begin your usual school sleep routine about a week or so before school starts. • Shop for school supplies together. To get your child excited about starting a new grade, shop for supplies together. Allow them to pick out their own backpack, school shoes, lunchbox, etc. This is a great way to give them a little bit of responsibility too! • Re-establish school routines. Have your child practice getting back into the rhythm of their daily school routine. You can do this by having them wake up at the same time every day and eat around the same time they would at school. About a week or so before school starts, plan a few outside activities where your child will have to leave and come home around the same time they would if they were in school. This will help them be rested and ready for the big day. Set up a homework station. Sit down with your child • and together designate a time and place where he can do his homework each day. This can be somewhere quiet, like in the study or even in the kitchen while you are preparing dinner. Make sure to choose a time where you are available in case your child needs your help. • Prepare for the unexpected. Working parents know that it can be difficult to find a babysitter when your child is sick. Before school even begins it’s a good idea to have a sitter lined up in case you get that phone call from the school nurse saying your child is ill. Make an after-school plan. Make a plan for where • your child will go after school finished each day. Depending on the age of your child, figure out if they will go to a neighbour’s house, an afterschool programme, or be allowed to stay home by themselves. This will help eliminate any confusion during the first few weeks.
• Turn off the TV and video games. For a lot of children holidays are filled with endless video games and TV programmes. Children are usually in shock when they begin school and realise that six hours of their day is going to be spent learning and not playing games and watching TV. Ease your child into the learning process by turning off the electronics and encouraging them to read or play quietly. • Review school material and information. For most parents, schools send home a ton of information regarding their child’s new teacher, important dates to remember, emergency forms and transportation routines. Make sure that you read through this information carefully and mark down all important dates on your calendar. • Get organised. The best way to prepare for back to school is to be organised. With school comes a massive amount of paperwork which can consume your household. Designate a spot in your house for homework, permission slips and any other school-related papers. This can help eliminate all of that paper clutter and make your life less stressful. • Get your child’s yearly check-up. School and germs go hand-in-hand, so it’s best to get your child’s yearly check-up done before school starts. Get any required vaccinations and ask your paediatrician the best ways your child can stay healthy throughout the school year. Through preparation and organisation you can ensure that your child will have a smooth transition to the start of the new school year. By doing so, you and your child can enjoy the rest of your summer break. Source: www.teachhub.com
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FEATURE
Birth photography
– capture a first meeting that will change you forever Birth photography records a story that will only be told once. For most parents the birth of their child is one of the most important and life-changing experiences and birth photography provides them with breathtakingly emotional pictures of a first meeting that only lasts a couple of minutes and yet has the power to change them forever. What you should ask when choosing a birth photographer 1. Does the photographer tell the whole story? Anyone can have a handful of amazing images, but the skill lies in the story the whole way through. Before you make your investment ask to see a sample of photos of a complete C-section or natural birth, or a daytime versus night time birth. If the photographer doesn’t have these because she or he is still building their portfolio, that’s an
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important disclosure and conversation that needs to be had. 2. Does the photographer have experience in birth photography (both natural and C-Section)? 3. Does the photographer have a good rapport with the medical professionals and institutions in your area? 4. Is the photographer a registered member of the South African Birth Photographers Association at www.sabirthphotographers.com? 5. Does the photographer have client references? www.babysandbeyond.co.za
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FEATURE
6. Does the photographer have a code of conduct and an understanding of hospital and theatre regulations and will they share a copy with you? 7. Has the photographer’s work been published before? 8. Will the photographer provide you with a proper birth photography contract? 9. Will the photographer be 100% on-call and ready to attend your birth at any hour?
The advantages of having a birth photographer capture your birth We hire professional photographers for graduations, weddings and other special events, yet few have the foresight to hire a specialised photographer for what could probably be one of the most important, if not the most important, day in their lives. Your newborn
only takes that first breath once – there are no doovers. Traditionally the partner or husband takes some quick snapshots of the birth or first moments, but expecting them to capture all the key moments is unrealistic. Plus, freeing them from camera duty allows them to be more supportive and connect with the birth of their child. A good birth photographer will photograph a birth in a way that tells the whole story and not only highlight random moments; from labour or going into theatre, to the first hello and baby’s first hour or two in his new environment . A professional birth photographer captures moments that you might miss, like your partner’s facial expression, or grandmother-to-be sitting anxiously in the waiting room.
There will never be a day like e day your baby was born Maternity Birth nt Newborn u o disc 20% combo on
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FEATURE Birth photography allows you to see your child’s birth from a different, wider perspective and parents often discover breath-taking details which they miss at a time when they are inwardly focused. Many mothers, especially mothers who have C-Sections, find that they feel that their birth photo’s helped them connect with the birth process, even if their bodies did not go through actual labour. Clients who have had difficult births have commented that their photos were “redeeming and restoring”. Birth photography allows you to one day tell your children about their birthday. They will be able to see how much they were loved from the moment they took that first breath. Birth photography also allows loved ones “to be there”, even if they were not. If done correctly, birth photographers play an immeasurable role in addressing social and emotional wellbeing by setting the tone for transformative collaborations, narrative competence and person-centred experiences in birth.
What birth photography is not! Not explicit. Birth photography is about the moments of love connection in birth. It can be raw and real but it’s not grotesque. It’s about a father’s facial expression when he sees his baby for the first time or a mother’s tears when she hears that first cry. It should tell your baby’s birth story with integrity and tenderness. Some people are comfortable and open with some nudity in their birth stories, in which instance the photographer may be less conservative in their approach, but a strict privacy and publishing code would still apply if the photographer is a SABPA professional. Not intrusive. Privacy (or the lack) thereof, is the number one argument that some healthcare providers and even fathers sometimes cite for not wanting a birth photographer present. It is not until they actually experience a professional at work that they realise that not only is a good birth photographer not intrusive, they can actually contribute to holding the birth space for parents. Not posed. This point ties in with birth photography being non-intrusive. SABPA believes in the “flyon the wall” approach when it comes to birth photography and birth photographers should have a photojournalistic approach and style. This gives birth
photography its story-telling quality. It also means that the photographer truly captures moments and never directs in any way. Not about a shot-list. Birth knows no time. It’s unpredictable. It’s a journey. A story. Not a shot-list. A shot-list would by default lead to intrusiveness. A shotlist would mean posing and directing. SABPA’s advice is always to see how the journey unfolds and capture it truthfully and with integrity. Birth photographers are simply capturing the story, not creating it. Not cheap. Since a birth photographer doesn’t have that scheduling component, she is on-call for weeks on end. Petrol is always in her vehicle, her bag is packed with expensive gear that she risks traveling with at odd hours of the night. She has back-up gear just in case something goes wrong with her primary equipment since there’s no do-over for your baby’s birth. She’s skilled in the toughest kind of low light and unpredictable photography. When the birth is over, her work just begins with editing and post production. She’s doesn’t charge by the hour because no woman having a baby deserves that kind of pressure. Even for a scheduled C-section, she’s on-call because often babies do still decide to come spontaneously. For all these reasons, there is a wide range of price points for a birth photographer in South Africa to suit each client’s budget. However, it’s unrealistic to expect her to be “cheap”. If she is, you should be concerned.
The role of the South African Birth Photographers Association The South African Birth Photographers Association (SABPA) aims to encourage the development and growth of the professional birth photography industry in South Africa. It was born out of a desire to grow birth photography as a professional service within the healthcare realm in South Africa – successfully integrating the profession into the healthcare community. The association is guided by an independent advisory board consisting of various medical professionals. The SABPA Oath of Conduct is the cornerstone of the association and provides a benchmark for the industry in South Africa. SABPA is not an accreditation or regulatory body, but instead empowers parents, photographers, hospitals and healthcare providers by providing them with the necessary tools and resources to uphold the
Sherra-Lyn Breebaart • 082 9218244 • sher@breebaart.co.za facebook/sherra-lyn breebaart photography • www.breebaart.co.za
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integrity, safety and privacy of the birth space and its role players whilst allowing parents to have their birth stories captured in a beautiful and professional manner. SABPA ultimately strives to bridge the gap between medicine and the humanities by integrating existing clinical excellence with patience experience.
certain pre-approved conditions. Since then SABPA also has established relationships with hospitals from Netcare and Life Healthcare.
Working in association with hospital groups
SABPA registration can be checked in the members’ directory at www.sabirthphotographers.com, but all SABPA photographers have to have their SABPA licenses and signed SABPA Attendance Permission Agreements with them at all times. Moving forward SABPA members will also be expected to have the SABPA logo on the sleeve of their scrubs.
Mediclinic was the first hospital group to associate and work closely with SABPA in marrying clinical excellence with patient experience by allowing birth photographers in the labour ward and in theatre on
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How do I know if a photographer is registered with SABPA?
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FEATURE
What is child development and what skills do children develop at different ages?
Child development is a process every child goes through. This process involves learning and mastering skills like sitting, walking, talking, skipping and tying shoelaces. Children learn these skills, called developmental milestones, during predictable time periods. Children develop skills in five main areas of development: Cognitive development is the child’s ability to learn and solve problems. For example, this includes a twomonth-old baby learning to explore the environment with their hands or eyes, or a five-year-old learning how to do simple math problems. Social and emotional development is the child’s ability to interact with others, including helping themselves and self-control. Examples of this type of development would include a six-week-old baby smiling, a ten-month-old baby waving bye-bye, or a five-year-old boy knowing how to take turns in games at school. Speech and language development is the child’s ability to both understand and use language. For example, this includes a 12-month-old baby saying his first words, a two-year-old naming parts of her body, or a five-year-old learning to say “feet” instead of “foots”. Fine motor skill development is the child’s ability to use small muscles, specifically their hands and fingers, to pick up small objects, hold a spoon, turn pages in a book or use a crayon to draw. Gross motor skill development is the child’s ability to use large muscles. For example, a six-monthold baby learns how to sit up with some support, a 12-month-old baby learns to pull up to a stand holding onto furniture and a five-year-old learns to skip.
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What is a developmental milestone? A developmental milestone is a skill that a child acquires within a specific time frame. For instance, one developmental milestone is learning to walk. Most children learn this skill or reach this developmental milestone between the ages of 9 and 15 months. Milestones develop in a sequential fashion. This means that a child will need to develop some skills before he or she can develop new skills. For example, children must first learn to crawl and to pull up to a standing position before they are able to walk. Each milestone that a child acquires builds on the last milestone developed.
What if my child does not meet a developmental milestone? Each child is an individual and may meet developmental milestones a little earlier or later than his peers. You may have heard people say things like, “he was walking before he turned 10 months, much earlier than his older brother” or “she didn’t say much until she was about two years old and then she talked a blue streak!” This is because each child is unique and will develop at his or her own pace. However, there are definitely blocks of time when most children will meet a milestone. For example, children learn to walk anytime between 9 and 15 months of age. So, if your child is 13 months of age and not yet walking, there is no need to worry if he www.babysandbeyond.co.za
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FEATURE is crawling and pulling to a stand. He has acquired the skills he needs to learn to walk and may begin walking soon. However, if you have a child 15 months of age who is not yet walking, it would be a good idea to talk with your child’s paediatrician to make sure there aren’t any medical or developmental problems since age 15 months is outside of the normal time frame in which children learn to walk.
How can I help my child meet these developmental milestones? As parents, we all want our children to succeed and be the best they can be. We know from research that two factors influence how your child succeeds and grows: genes and environment. One of the factors that influence our child’s development is their genetic makeup or genes. Some people refer to this as “nature”. Genes are the genetic material we pass onto our children. Children are born with their genes in place. These genes act like a blueprint for what characteristics a child may have. For example, genes determine if a child will have blue eyes or brown eyes; they also determine if he will be left- or right-handed. The other factor that influences child development is the environment. This includes experiences children have in their home, school and community environments. Some people refer to this as “nurture”. The environment can either improve or harm a child’s genetic blueprint. For example, malnourished children who live in Third World countries may not
reach their IQ potential because of the impact of their environment on their brain development. We often think we need to run out and buy special toys, music and games to stimulate our child’s development, but we have to remind ourselves that it is more important to provide the following, every-day activities you can do with your child to encourage brain development. 1. Give your child lots of love and attention. No matter what a child’s age, holding, hugging and listening are important ways to show your child they matter. 2. Interact with your child by talking, singing, playing, eating and reading with your child. Your child will grow up feeling special and important to you. You will also learn a lot about your child’s interests and skills. 3. Research has shown that children who are read to by their parents have a larger vocabulary than other children. Reading also provides children with new perspectives about the world we live in. 4. Learn some simple parenting skills for helping your child to learn how to behave. The most important parenting skills are having consistent rules, rewarding behaviours you want to see your child do more of, and having consequences for behaviours you do not want your child to continue to do. 5. Limit TV time and video time to no more than 1-2 hours of educational viewing per day. 6. Ask for help when you need it from your spouse, partner, family, friends and your child’s doctor or nurse. Parenting is wonderful but it is not always easy. Source: www.howkidsdevelop.com
RIDE BIKES HAVE FUN FEEL GOOD Kickster makes teaching little ones how to ride an absolute breeze. Unlike stabilisers, this bike lets kids learn how to balance at a young age, so they’ll be confident and comfortable on a big kid bike in no time. Balance is everything when you’re learning how to ride, and Kickster is the perfect teaching tool for toddlers who are mastering this important skill. Explore kids bikes at trekbikes.com
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FEATURE
How much is enough when ensuring your loved ones are covered? By Jonathan Elcock
Why do we all voluntarily go to work every day? For many, the answer is plain and simple: to earn an income. We then spend this income on the things we view as most important; ranging from basics like food and shelter, to experiences, gadgets and entertainment. Upon becoming parents, these financial priorities shift towards ultimately giving our family – especially our children – every opportunity possible so that they can reach their full potential.
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n life, however, unexpected things happen and this income can be taken away in an instant. Jonathan Elcock, founder and CEO of CompariSure, South Africa’s first independent online life insurance comparison platform, says this is essentially the purpose of life insurance. ‘Life insurance is about buying protection for all the things you would have paid for with the income you would have earned over a 40-year working career, in the event that you are suddenly unable to earn this income, due to death or disability,’ he explains. Understandably, Elcock says that having children is therefore seen as a large driver in the psychology of taking out life insurance. ‘When you have a kid, it’s often the first time in
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your life there is someone truly and fully dependent on you. That’s probably the biggest life event driving insurance uptake, but too many South Africans remain underinsured despite this.’ This was confirmed by a recent CompariSure survey of over 1 000 South African parents earning between R12 500 and R30 000 per month, which found that over half of the respondents (53%) had no life cover in place. The exception to this, notes Elcock, is funeral cover. ‘Given the cultural significance of funerals, many South Africans have funeral cover and nothing else. As funerals can cost 10-20 times what the deceased may have been earning per month, people want to ensure their families are not saddled with large expenses should they pass away,’ he says.
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FEATURE ‘But funeral cover is only one of the big ticket items that comprehensive life insurance should cover,’ says Elcock. Here he explains the other four critical components that life insurance should cover. 1. Income When you die, any dependents you leave behind will no longer receive the monthly support you provided them from your salary. Of course your spouse might remarry or get a better job, but these things take time. As a rule of thumb, we suggest covering your dependents for five years of income, so if you earn R20 000 a month, then 20 000 x 12 (months) x 5 years = R1.2-million cover. 2. Debt If you have any debt, such as a mortgage or a car loan, you will still be liable to repay that debt. What this means is that your family members will be saddled with that debt if you pass away. Life insurance removes that risk by paying off any outstanding debt you may have. 3. Education Responsible parents want the best education for their children; leaving nothing to chance should they pass away. As we all know, education is expensive and in the event of one’s death, life insurance can ensure your children receive the education you would have wanted for them. Depending on your children’s educational aspirations, between R300 000 and R2million cover is typically required per child. 4. Estate duty If your net worth (assets less debt) exceeds R3.5million, you will be subject to estate duty which needs to be settled before you can pay any inheritance. The amount of cover required is calculated as: (net asset value – R3.5m) x 20%; so if you have R13.5-million in cash for your descendants, you will have to pay R2-million in estate duty. If you have life insurance, some of the pay-out can be used to cover this. In terms of “how much is enough”, Elcock says it’s not really a question of cover for this thing or that thing. ‘If you have life cover of R2-million, the payout can be used to pay whatever your beneficiaries choose, with the exception being credit life where the contractual debts covered by your credit life policy must be settled. To get to this figure, CompariSure has created a very simple “help me” tool as part of the online comparison that walks you through the process and suggests a reasonable amount based on your current personal and financial circumstances. ‘Following this, we will provide you with multiple life quotes from South Africa’s most-established and trusted life insurer, followed by the opportunity to speak to one of our qualified agents who will guide you through the process of finding a product that best matches your needs,’ Elcock adds. An important thing to note here is budget, he says. ‘Many people want to be as responsible as possible and may only have a few R100 to contribute towards life insurance. At the end of the day, this is absolutely fine as any cover is better than no cover, Elcock concludes. CompariSure W www.comparisure.co.za
Biography: Jonathan Elcock, Managing Director of Comparisure Jonathan Elcock (31) is the founder and CEO of CompariSure, South Africa’s first independent online life insurance comparison platform. The progressive InsureTech started writing business in November 2017 and, as of September 2018, about a year after launching, has helped over 10 000 South Africans shop for life insurance and provided over half a billion rands’ worth of cover to CompariSure customers. His passion for the life insurance industry and the potential impact it has on the lives of so many people is the driving force behind CompariSure. Jonathan created the venture after pondering his learnings from working with two pioneering financial services tech start-ups in the industry over the past eight years – with the sole mission to address the massive underinsurance issue that millions of South Africans face. CompariSure aims to create greater access to quality financial products at a lower cost, while educating consumers to make informed financial decisions by providing sound independent advice. With his background and experience in the industry, Jonathan is well placed to do just that. He enjoys getting involved with the nitty gritty everyday functions of the business, engaging directly with consumers to better understand their financial challenges. He most enjoys creatively solving real world problems with his CompariSure team and firmly believes that technology reduces the friction of doing business by improving consumer access to information and services (and loves that it also gives consumers a voice). Jonathan says that technology is a facilitator of business strategy, not a substitute for it. Prior to launching CompariSure, Jonathan was a founding member and Head of Sales and Analytics at MiWayLife, Sanlam’s direct life insurance arm, for two and half years. During his time there Jonathan was responsible for creating life insurance products together with Sanlam actuaries. His other responsibilities included business set up, managing the data team and managing the sales floor ensuring that targets were met – sales grew from 0 to over 3000 policies per month within just two years. It was here that he gained invaluable first-hand experience of all the components required to launch a life insurer. Before joining MyWayLife, he launched his career at ZestLife where he spent four and a half years – the last 18 months as Sales Manager. He filled a number of functions during his time with the company, including actuarial, administrative system development and, most notably, product development – Jonathan developed the personal loan credit life replacement product for ZestLife. Jonathan holds an honours degree in Actuarial Science from UCT (2009) and he matriculated from Bishops with a distinction in 2005. He was also on the Dean’s Merit list which earned him an academic scholarship to UCT. He counts being an initiator and catalyst for getting new projects off the ground, as well as having the grit to stubbornly pursue his objectives while overcoming obstacles, among his qualities behind his professional success. Jonathan is a firm believer in work/life balance and values spending quality time with his young family (something that CompariSure has given him the flexibility to do). He is married and has two young sons, and enjoys staying active in his spare moments – usually kitesurfing at sunset. He’s also been known to run a few marathons and half marathons, boasting some pretty impressive personal best times.
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Potty training for pre-schoolers Before selecting a preschool, ask about the potty training policy. If independent toileting is required, carefully consider if your child is developmentally ready to be potty trained. If your child is not, don’t force it. But if your child is able to keep his or her diaper dry for an hour, then she’s likely ready to begin training.
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egin by finding out if your chosen preschool requires your child to be potty trained. Many children enter preschool just after their second birthday. It’s normal for children as young as this not to be potty trained. This is why many preschools allow children to wear nappies for a few months. If the preschool does ask for your child to arrive in underwear and not nappies, ask yourself if your child is ready. Look for these signs: • Does he have words for wee and poo? • Can he stay dry for longer periods of time than previously? For example, is he dry after his afternoon nap? • Is he physically capable of pulling down his trousers and pants and getting on and off the potty or toilet? • Does he seem bothered when he has a wet or soiled nappy? • Is he showing some interest in training, such as watching his dad use the toilet? • Is he willing to sit on the toilet and potty? If you don’t think your child will be ready, talk to your preschool. All preschool staff will be prepared for the occasional accident and won’t expect children to ask every time they need the toilet. Most preschools have a policy of offering gentle reminders. They will encourage children to use the toilet after meals or half an hour after having a drink. Until potty training is well established, the preschool will probably ask that your child wears pull-ups. This is even though experts suggest that proper underwear is more effective if you’re potty training a child. If you are concerned about this, talk to your child’s key teacher and keep each other updated once preschool is under way.
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Make sure that your approach to potty training and your preschool’s approach are consistent. Some preschools will give parents potty-training handbooks to help support and reinforce toilet training and to record any accidents and successes. Dress your child in trousers and pants with elasticated waists that are easy to pull up and down. Pack two changes of clothes, including socks, pants or extra pull-ups in a named, waterproof bag that your child can hang on his peg. Children tend to learn by example and encourage each other. If your child consistently sees his friends use a potty or toilet, he’ll probably want to join in. Try not to worry. Once your child feels happy and secure at preschool and you become less anxious, it won’t be long before he’s successfully potty trained. www.babycentre.co.uk www.babysandbeyond.co.za
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Buckle up – save lives! Using the correct car seat or booster seat can be a lifesaver; make sure your child is always buckled in to an age and sizeappropriate car seat or booster seat.
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Photo Credit: CHICCO
tudies have revealed that child safety seats that are correctly installed for use by children age 0-4 years can reduce the need for hospitalisation by 69% after a vehicle accident. Adults need to be responsible and make safe decisions for their children. It is important for all road users to make informed decisions before taking to the road, especially while transporting infants (0-3) and children (3-14). Our road accident fatality data has revealed that roads are simply too dangerous not to think safety, to drive defensively and to plan for every trip, regardless www.babysandbeyond.co.za
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FEATURE • Prevent the occupant from being ejected from the vehicle on impact. • Prevent injury to other occupants (for example, in a frontal crash, unbelted rear-seated passengers can be catapulted forward and hit other occupants).
Photo Credit: CHICCO
The golden rules of car seats
of how short or slow the drive might be! Defensive driving starts with ensuring the safety of all passengers on the front and back seat!
Guidelines for parents and caregivers
• Vehicles need to be made child-friendly with car seats. • Harness belts must not be twisted or turned. • The shoulder straps of the harness must never go over and below the shoulder. At shoulder height or slightly above the shoulder is good. • Car seats must be installed with a 3-point seat belt unless they are specifically designed for a lap belt only installation. • Make sure your car seat has good side impact protection to protect your child’s head and neck. • Car seats are used to minimise risk during a collision. They do not eliminate risk. You must adjust your driving when driving with children. Be the driver you want your children to be. • Children under the age of 13 should be buckled up on the back seat. • Never place the car seat where there are air bags. Airbags deploy at 350km/h and can seriously injure your child and even cause death. • Always install your car seat as per the directions in the manual. Those who cannot afford a new car seat or wish to enquire as to the proper and effective fitment of seats are advised to contact: www.wheelwell.co.za www.drivemoresafely.co.za www.arrivealive.co.za
Restraining children and other passengers in a motor vehicle will: • Reduce the risk of damaging contact with the interior of the vehicle or reduce the severity of injuries if this occurs. • Distribute the force of a crash over the strongest parts of the body. www.babysandbeyond.co.za
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Photo Credit: CHICCO
• Rear-facing car seat (Birth up to age 2) – Buckle children in a rear-facing car seat until age 2 or when they reach the upper weight or height limit of that seat. • Forward-facing car seat (Age 2 up to at least age 5) – When children outgrow their rear -facing seat, they should be buckled in a forward-facing car seat until at least age 5 or when they reach the upper weight or height limit of that seat. • Booster-seat (Age 5 up until seat belts fit properly) Once children outgrow their forward-facing seat they should be buckled in a booster seat until the seat belt fits properly. The recommended height for a proper seat belt fit is 145cm tall. • Seat belt - Children no longer need a booster seat once the seat belts fit them properly. A seat belt fits properly when the lap belt lies across the upper thighs (not the stomach) and the shoulder belt lies across the chest (not the neck).
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The Bump:
How to cut expenses during maternity Do you know what you’re covered for during maternity leave? When you find out you’re expecting a baby, the excitement is tangible. It is an exhilarating time in many people’s lives. As preparations are made for the arrival of a newborn, however, the realisation of the associated financial implications begins to kick in. This can, understandably, dampen the mood somewhat.
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here’s no way around it – having a baby is expensive. At this time it’s important to sit down and look at your finances to determine what income you might be losing, what you have coming in and what claims you are able to make on insurance policies. It’s time to get serious and start doing calculations so you can budget for the new arrival. There are many things you will need to purchase; a cot or crib, clothes, nappies, toiletries and so much more. And maternity leave often creates a gap in income, further adding to the financial stress.
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There is a lot to think about during this time. But there are ways to alleviate some of the pressure. Here are some tips to consider.
What medical aid do you have? When you find out that a new member of the family is on the way, be sure to check your medical aid policy and contact your policy provider to check what maternity benefits you are covered for. They will let you know what cover is provided as well as when in the pregnancy you will need to officially register to receive the benefit. When choosing a doctor and hospital, you’ll also want to check what medical aid they accept and how much they charge versus the pay-out provided by your insurance provider. Some will charge medical aid rates, while others could charge significantly more than what your medical aid pays out. There might also be certain hospitals associated with your medical aid plan. It’s important to check all of these things so you can make an informed decision.
What will you receive while you’re not working? Check your employment contract about your company’s maternity leave policy. While you are legally entitled to maternity leave, your employer does not have to pay you during this time. Some companies offer maternity pay but, either way, you will be entitled to claim a portion of your salary from the Unemployment Insurance Fund (UIF). This can be a tedious process, standing in line at the Department of Labour each month and filling out paperwork, but there are also companies in South Africa that will do all of that for you for a once-off fee.
Is your child protected if something happens to you? You are now a bigger family so it is important to ensure that any life insurance and income continuation benefits you have in place will also extend to your child. Look at your life insurance policy
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and that of your partner, to determine what you are covered for and whether it needs to be amended. You should also update your will, or write one up with an attorney if you haven’t already got one.
How will you continue to pay off your debts? If you have accrued debt over the years, it might be worrying that you’re still dealing with paying off past purchases. One way you can minimise some of the damage is by claiming from credit life insurance. If you have any debt, the good news is that you probably have this cover as it is written into many debt contracts. Credit life insurance protects you if you are unable to make payments on your credit loans – anything from a cell phone contract to a retail store card. It can cover payment for a range of circumstances, including death, disability, retrenchment, unemployment and maternity leave. ‘With effective planning, women who take credit life cover before they fall pregnant can rely on this type of insurance,’ says Sasha Knott, Divisional CEO of Switch2 Credit Life. If you don’t receive a salary during your maternity leave, it’s nice to know that your home loan, vehicle or credit card payments could be covered during that time.
What else can you sign up for? Once you start looking, you’ll find that there are many small maternity benefits you might not know about. There are several retailers and loyalty schemes which offer goodie bags, product samples, discount vouchers and more, which can be useful when you have a long list of things you need for the new arrival. Most medical aid reward programmes offer additional maternity perks, including baby bags, parenting magazine subscriptions and even access to online tutorials and advice. Many major retail chains also offer baby club cards and benefits, such as Clicks, Dischem and Pick n Pay, to name a few. Some private hospitals also offer incentives. It’s worth signing up for a few of these – it all helps!. www.babysandbeyond.co.za
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PARENTING
Parenthood
– there is no guidebook By Philips Mother and Child Division
You have survived nine months of pregnancy, gone through labour and finally it’s time to head home and be a parent. Some may get help from family and grandparents, but others may not. While the birth of a new baby brings happiness to the family, it also comes with fears that can be daunting to new parents.
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eading magazines, previous articles about parenthood or even a simple Google search may provide some insight, but it shouldn’t determine how you take care of your children. Pregnancies and births are never alike; everyone has a unique experience and the same can be said for parenthood where no parenting style is the same. You just need to find your own and one that works for your family. Fortunately, children and their parents learn together. As your child grows older, your parenting
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skills will also change and adapt. You are your own guidebook and what works for you and your bundle of joy should be what you practice daily. It is fun to be a parent, but also a big job to raise a child. Here are a few myths about parenthood that we debunk to help you be the best parent for your child. Myth: Childbirth is a nightmare Truth: This is not true - everyone has a different experience. For some it is easy and for some it will be more difficult. Planning for the birth, however, is the important part. Every woman is different and every
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PARENTING
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pregnancy is different so it’s important to chat to your partner and doctor about what you want and what options work best for you. Myth: A mom should know everything (Supermom) Truth: Accept help and support where possible. You are not a superwoman and you need help to give you enough time to rest. For a lot of parents, the trick is learning as you go as things will get easier by the day. For first time moms, you can read books or blogs for help on what to do should you feel you are on a rollercoaster ride. And remember if you need help – never be ashamed to ask for it. Myth: There is a guidebook on parenthood Truth: Every mother will have a different experience as each baby’s needs are different. Create your own guidebook that works for you and your family. Speaking to other parents is a great idea for parents who feel like they are not coping and want some advice. They might have gone through a similar experience and by chatting to them you might get answers to questions you have. Give parenthood time because you will get in tune with what your baby needs – and you will be great! Myth: Parenting comes naturally Truth: Parenthood and the new way of life needs adjusting to and can be a challenge. It might take time, but just be patient. Ask your partner for help as often as you need it. Often postpartum depression affects family relationships and the dynamics with your partner will likely change. Ensure the lines of communication stay open; you share the responsibilities and should be able to work through the adjustment together.
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You are your own guidebook and what works for you and your bundle of joy should be what you practice daily. Myth: Babies should sleep through the night when they are two to three months old. Truth: Some parents are lucky, but it really depends on your baby as it is easier for some to sleep than others. Establishing good sleep habits for your baby might be difficult, but a regular bed time and routine at night are key things to consider when developing a sleep routine. Also, nap when your baby naps - this will help with exhaustion. It can take a while to learn and understand your baby’s needs, but persevere and you will soon see results. Ask for help from family and friends when you are not managing. Parenthood can be exhausting; it does not come as naturally as some might say. However, the most important thing is not to compare yourself to your neighbour or friend as you are the best parent for your child. www.babysandbeyond.co.za
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SMALLER families…. BIGGER dreams! Enjoy the experience, pleasures and challenges of becoming parents by choosing to have a smaller family!
ASSOCIATION FOR VOLUNTARY STERILIZATION OF SOUTH SOUTH AFRICA AFRICA For further information information regarding regarding sterilizations sterilizations please please contact contactus: us: SMS: 072 072 180 1803130 3130•• Tel/fax: Tel/fax: 021 531 1665 • Email: info@avssa.org.za 021 531 1665 • Email:
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2018/12/18 11:37 PM
PARENTING
What is a parenting plan? By Melissa Dolphin-Rowland - accredited family and divorce mediator
Whether you have just decided to separate or have been separated for a while, parents are encouraged to put a parenting plan in place for their children. A parenting plan is not a settlement agreement. A parenting plan determines any matter in connection with parental responsibilities and rights, such as residence, maintenance, contact, schooling, healthcare and religion. It outlines how parents will raise their children after separation or divorce. However, the scope of what may be included in a parenting plan is virtually unlimited.
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ection 34 of the Children’s Act (2005) deals with the formalities of a parenting plan that need to be followed. A parenting plan must be in writing, drafted with the help of a mediator, social worker, psychologist, attorney or other suitably qualified professional, be signed by the parties and comply
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with the best interests of the child as set out in Section 7 of the Children’s Act. The “best interests” of the child means that decisions are made with the aim of encouraging the child’s happiness, security, mental health and emotional development into young adulthood. www.babysandbeyond.co.za
2018/12/18 3:23 PM
PARENTING Regulations to the Children’s Act 38 of 2005 prescribes child participation bearing in mind the child’s age, maturity and stage of development. Regulation 11 which deals with participation of a child in preparation of parenting plans states the following: 1. Bearing in mind the child’s age, maturity and stage of development, the child must be consulted during the development of a parenting plan and granted an opportunity to express his or her views, which must be accorded due consideration. 2. When a parenting plan has been agreed the child must, bearing in mind the child’s age, maturity and stage of development be informed of the contents of the parenting plan. At Amani Mediation, whenever there are children involved, we always request that the child goes for a “Voice of the Child” (VOC) interview. The VOC is conducted to give children the opportunity to be heard in their parent’s separation or divorce proceedings. The interview provides information about what the child is feeling about their parent’s separation or divorce. The interview is carried out on children aged 4 to 17 years of age by either a registered psychologist or social worker and both parents need to give consent. The interview is not intended for forensic or legal purposes and is conducted without prejudice. The intention is for the child to communicate their emotions in a safe and confidential environment with a professional and neutral third party. The therapist uses projective tests designed to let the child respond to ambiguous stimuli, revealing hidden emotions and internal conflicts projected by the child in the test. As a result of the interview, the therapist writes a report and then provides feedback to the parents and the mediator. They explain what tests were used, their observations and information gathered and then provide guidelines or recommendations going forward.
How can a parenting plan help? One of the biggest advantages of creating a parenting plan is that it brings clarity during a time of uncertainty. When parents disagree about the practical and emotional aspects of parenting, the impact this can have on children can be devastating. Children hate nothing more than being stuck in the middle and asked to make decisions about when they want to see Mom or Dad. They want their parents to agree this between themselves. Children are not meant to make decisions like this. As co-parents it is important to know what your schedule looks like each week to help alleviate conflict. For example, if it’s your weekend to have the children, then you are free to organise activities
without having to worry about the other parent. When it comes to bigger decisions like healthcare, money and education, you can make agreements to cover these issues in as much detail as needed for you and your family’s unique circumstances. There is no one-size-fits-all solution.
What are the benefits of a parenting plan? A well designed plan is essential for effective coparenting. When everyday decisions are planned for and running smoothly, it enables you to focus on being a parent. Of course, there will always be something that isn’t planned for because life happens. It is important as parents to allow a certain level of flexibility in the plan. It cannot be rigid. Here are just a few of the many benefits to crafting your own parenting plan: • The child’s best interests are put first. • The parenting plan is unique, devised to suit the family’s circumstances. • Parenting plans help minimise conflict between parents by clearly setting out guidelines and expectations. • Parents can focus on parenting their children rather than fighting with the other parent. • Parents work together to develop the plan which helps them communicate and learn negotiation skills. • Benefits children by ensuring they receive support, nurturing and love from both parents • Effective plans can make the transition to two separate households less stressful. Once a plan has been agreed to, if the parents are divorcing the plan will first be signed off by the office of the Family Advocate before the divorce becomes an order of the court. If the parents are not married, parents can lodge the signed plan with the office of the Family Advocate and request for it to be made an order of the court. The parenting plan will only become an order of the court once the court is satisfied. If you would like to find out more about parenting plans , call Melissa on 072 590 9517, email melissa@amanimediation.co.za or visit www.amanimediation.co.za Amani Mediation is based in Rivonia, Johannesburg and specialise in family and divorce mediation. We employ a holistic approach to divorce mediation, working closely with a small network of psychologists, social workers, financial coaches and attorneys who share our philosophy.
Amani Mediation is based in Rivonia, Johannesburg and specialise in family and divorce mediation. We employ a holistic approach to divorce mediation, working closely with a small network of psychologists, social workers, financial coaches and attorneys who share our philosophy.
www.babysandbeyond.co.za
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PREGNANCY
The early symptoms of pregnancy Many women experience pregnancy symptoms within days of conception, while it takes a few weeks with others to kick in. A few women are lucky enough to feel no discomfort at all.
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arly pregnancy symptoms can be felt once implantation occurs (8-10 days from ovulation) and will lessen after the first trimester. Many pregnancy symptoms can be confused with those that occur right before menstruating. However, combined with high temperatures and a longer luteal phase, they are key indications that you are pregnant.
Nausea and vomiting! Nausea and vomiting can be experienced as early as a week into pregnancy. While most women experience illness in the morning (morning sickness), some experience it in the afternoon or evening, while others have nausea throughout the day. Eating
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small frequent meals and snacking on salty crackers seems to give some kind of relief. Eating a protein or carbohydrate at bedtime (try an apple and a glass of milk) tends to lessen the nausea that occurs in the morning.
Breast tenderness! Breasts may be very tender, swollen and start to enlarge. At times the veins within the breasts become more visible, while your nipples may start to darken in colour, become more erect and be extremely sensitive. These symptoms are due to the increasing amount of HCG hormone that begins at implantation. www.babysandbeyond.co.za
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PREGNANCY Frequent urination! This symptom is common in many women a week or two after pregnancy has occurred. Pregnancy causes the uterus to swell and start to enlarge for the growing foetus immediately, while the uterus adds pressure to the bladder which makes you feel the need for more frequent urination.
Feeling tired! When pregnant, your body is going through some major hormonal changes and being tired is pretty normal. HCG levels go from 0–250,000 mIU/ml in just 12 weeks! Your temperature is also higher because of the amount of progesterone circulating through your body which will also make you feel a little sluggish.
Missed period or only light bleeding! This can be confusing to many women. Light bleeding (spotting) may occur approximately 8–10 days after ovulation. It usually happens around the same time you would have gotten your menstrual period. Spotting is caused from implantation which is when the fertilized egg burrows into the endometrial lining. Some women assume they have started their period when in fact they are pregnant.
Dizziness or fainting Do you feel dizzy or faint if you stand in one place? The growing uterus compresses major arteries in your legs which cause your blood pressure to drop, making you extremely lightheaded. Skipping meals or going too long without eating may cause you to feel dizzy or faint. Not eating frequently enough causes low blood sugar. Blood sugar is the primary source of food for your baby, so it will be depleted much more quickly.
Many pregnancy symptoms can be confused with those that occur right before menstruating. Constipation Pregnancy hormones will slow down bowel functions to give the maximum absorption time of vitamins and nutrients. Unfortunately, this symptom usually only gets worse as the pregnancy progresses.
Irritability Raging hormones are the cause of this, along with having to put up with all the other symptoms. This symptom should decrease soon into the second trimester but until then, a healthy diet, moderate exercise and plenty of sleep should help.
Heartburn The uterus is very swollen and starts to push upward as it grows. The increasing levels of HCG will also slow down digestion, making your stomach empty slower which increases the stomach acid. Tip: A home pregnancy test is always a good option before consulting with your doctor. Source: www.standupgirl.com
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Breastfeeding
Why do we refer to breastmilk as ‘liquid gold’? By Cecile de Klerk, Registered Dietician, Munchwize*
The first 1000 days (the time from conception up to two years of age) is the most important period in a child’s life. During this crucial period 80% of brain growth and development takes place. The foundation is set during this period and having the correct nutrition can have an immense impact on a child’s ability to optimally develop and learn. Breastfeeding is the ideal strategy to ensure healthy growth and development in infants.
T
he World Health Organisation (WHO) recommends that all infants should be exclusively breastfed in the first six months of life. The term ‘exclusive breastfeeding’ means that an infant should receive nothing but breast milk - no food or drink in the first six months of life, not even water. At around six months, complementary foods should be introduced and breastfeeding can be continued for up to two years and beyond. Breastfeeding can be challenging as it is a new skill that a baby and a new mom have to learn. The good news is that new moms don’t need to go through this alone – there is support out there! A dietitian or lactation consult can help moms by equipping them with knowledge before the baby arrives. Postnatal advice, assistance and support with breastfeeding difficulty, latching, positioning and expressing breastmilk are some of the services that can be provided by a dietitian or lactation consultant. For more information or any questions related to breastfeeding or feeding of infants please visit your dietitian. Cool facts about breastfeeding • The size of your breasts is not a predictor of milk production or storage capacity. Those of you with A-cup’s don’t need to stress. • Colostrum (the first sticky yellow milk that comes out of your breasts, the liquid gold!), acts as your baby’s very first immunisation. It is loaded with antibodies to help babies fight off infections. • Breastfed babies have a lower risk of infections and illnesses, including ear infection, respiratory infection, diabetes, diarrhoea and allergies. • Breastmilk can be used as a natural cream to treat cracked nipples and nappy rash. • Your breastmilk’s nutritional composition changes as your baby grows to continue to meet your baby’s needs
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• Oxytocin (a happy hormone) is responsible for the let-down of milk; because of this your breasts could leak milk when you are happy (keeping a stash of breast pads in your bag can be handy!) • Producing breastmilk takes a lot of energy which is why proper nutrition during pregnancy and breastfeeding is crucial (a dietitian comes in handy here!) • Breastfeeding is not only beneficial to the baby, mom can also benefit from breastfeeding (bonus!) Breastfeeding reduces the risk of ovarian and pre-menopausal breast cancer and can help you shed that unwanted pregnancy weight. • Breastfeeding is the perfect time for mother and baby to bond, so enjoy the experience and ask for assistance or support to help make the experience as enjoyable as possible! *Cecile de Klerk is a Registered Dietitian at Munchwize. Her passion lies in the encouragement of breastfeeding and prenatal counselling on all aspects of breastfeeding. If you are wanting to breastfeed or if you are experiencing any problems with breastfeeding. Munchwize W www.munchwize.co.za
www.babysandbeyond.co.za
2018/12/18 3:24 PM
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2018/12/18 3:24 PM
Breastfeeding
Six breastfeeding Insights from parenting experts Expecting a baby or welcoming a newborn can be as scary as it is exciting, especially for first-time parents. And since our little bundles of joy don’t come with instruction manuals, we default to trusty old Google. Type “breastfeeding 101” into the search bar and you’ll see reams of articles on the topic, but is all of it true and how do you sort the good from the bad advice?
Photo by Leandro Cesar Santana
Y
ou can trust a partner like Pampers® who have researched baby and toddler milestones for almost 60 years and collaborated with parenting expert, Sister Lilian, to give us insights into the most frequent questions asked.
Should I eat specific food whilst I breastfeed?
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Photo by Anne-Sophie Benoit
Yes! When breastfeeding it is vital for new moms to maintain a healthy diet that is rich in fresh produce and consists of more plant-based than animal foods. These are the most important considerations: • Have a varied diet of most foods in moderation. • Add a healthy drink to every meal to keep up your liquid intake (water is best). • Eat smaller meals more often to keep up your energy levels and milk-making ability. • Avoid alcohol consumption as it does enter the breast milk. • Wash all fresh produce thoroughly before eating it and choose organic produce if possible. • Ensure your diet is balanced by including foods from most of nature’s colour groups on most days. www.babysandbeyond.co.za
2018/12/18 3:24 PM
Breastfeeding
Is it OK to breastfeed and use formula at the same time? No! The WHO (World Health Organisation) and the Department of Health guidelines recommend that the mother breastfeed exclusively for six months or even longer. Exclusive breastfeeding means nothing else – no formula milk, no baby cereal, no water, no tea. This is an evidence-based guideline and is one of the most important ways to achieve glowing health in babies (and moms). The positive impact on babies’ health should be enough motivation for moms to hang in there – breastfeeding really becomes easy after the first three-four months - so easy you’ll be doing it in your sleep!
obvious causes of discomfort and trust your instincts – you will soon learn when your baby is hungry and be able to distinguish between his or her cry for food.
Is it okay to breastfeed another child along with my own? Not really, your milk is specifically intended for your baby. However, you can very successfully nurse multiples if you have them. The more you feed a baby, the more milk you produce, so there are almost no problems with that. However, hygiene and infections are a real issue, even if breast milk contains elements that fight infection. Donating excess milk to breast milk banks for babies who have a compromised start in life is a wonderfully philanthropic thing to do. Photo by Mpho Mojapelo
As long as you possibly can; there is no set time for how long you can breastfeed. You can even breastfeed your baby until the age of two or three years old. Healthcare professionals highly recommend breastfeeding exclusively for the first six months. This will help reduce your baby’s potential health problems and promote greater cognitive functioning. Afterwards, you can start introducing your baby to solid foods until the age of one.
Photo by Mpho Mojapelo
Photo by Dave Clubb
How long should I breastfeed my baby?
When I breastfeed, do I need to stick to a time table? No, never feed your baby on a schedule! Breast milk and suckling on the mother’s breast create comfort and nourish your baby when they are unsettled or start crying. Remember to check your baby for any www.babysandbeyond.co.za
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Yes. You can’t predict when your child will be hungry and why not respond to your baby’s hunger (and need for comfort) in a public place? Nursing a baby is not a scandalous activity and mothers don’t expose themselves while doing it – it’s all quite discreet, actually. More and more restaurants are even starting to allow women to breastfeed freely. Photo by Eibner Saliba
Photo by Kevin Liang
Is it OK to breastfeed in public?
If you have more questions and need an all-in-one resource for accurate and reputable information, visit Pampers website at www.pampers.co.za/newborn/feeding or join their Facebook page at www.facebook.com/PampersSA for interesting information for a community of new moms and dads.
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Freemie, pump anytime, anywhere, around anyone
Don’t change your lifestyle to fit your pump, change your pump to fit your lifestyle. Keep your clothes on - No privacy necessary! Truly hands free, mobile and comfortable Pump around co-workers, family and friends Cups can be purchased separately and are compatible with leading brand pumps* We deliver nationwide Funnel size customizable from 17mm to 32mm** Can be used as a double or single pump allowing you to feed your baby while you pump
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*view website for compatibility list **used in conjunction with Fitmie accessories
2018/12/18 3:24 PM
Breastfeeding
Why would you use a breast pump? By Carey Haupt
Breastfeeding directly is the most convenient way to breastfeed a baby. When you direct feed you are able to save time and manage your supply easily. However, there are a few mothers that for a number of different reasons may need to use a breast pump to express their milk. By using a breast pump a mother can effectively express her milk and help to maintain her milk supply. Some reasons why you might want to express your milk: • To have a supply of milk for when you are away from your baby. • The baby is not able to latch or feed directly from the breast. • You want to give your baby breastmilk but don’t want to breastfeed directly. • To donate your breastmilk to a Milk Bank for premature babies. • To increase your milk supply. • To alleviate pressure while you are weaning your baby, or because you are suffering from mastitis and need to drain your breasts to help healing.
What you need to know before you start pumping Firstly, you need to know why you want to start pumping. If you have a healthy full-term baby you can wait a few weeks before you start pumping and storing your breastmilk. Allow some time for you and your baby to learn how to breastfeed directly. If your baby was born prematurely or ill and is not able to breastfeed directly yet, or if you have chosen to exclusively pump you should try to start expressing within one to six hours after your baby is delivered. To get the most out of your breast pump you need to understand how it works and be comfortable with your pump. Make sure that you do research the different pumps available and check to see if the pump has different flange sizes so that the flange fits your breasts well. Also check if the pump allows easy control of the settings to help you manage your letdowns. Consider how hygienic the pump is; a closed system pump prevents bacteria, mould and viruses from entering the pump and tubing which can grow and contaminate your breastmilk. www.babysandbeyond.co.za
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Tips if you are mainly direct feeding: • A great time to pump is in the morning. You are more likely to express more milk in the morning. • Try to pump between breastfeeding. Wait for about 30-60 minutes after a feed and avoid pumping one hour before a feed. • If you your baby show signs of needing to feed just after you have expressed, let your baby drink.
Tips if you are only breast pumping • Plan to pump 8 to 10 times in a 24-hour period. You will reach full milk production once you are able to pump 750 to 1 035ml in a 24-hour period. • It is best to maintain a schedule of how often you express breastmilk once you have reached your full milk production. • Learn how your body works; plan your expressing schedule to work best around you and your baby.
Tips on how to pump Learning to pump can be a daunting process. Here are some tips to get you ready to express. 1. Before you start, read the instructions about your breast pump. 2. Find a space that you are comfortable in. This is very important if you need to pump at work. 3. Have a snack and a beverage handy. 4. Hygiene is important; wash your hands with soap and water. 5. Assemble the pump kit. Make sure all the parts are in the correct position. 6. Place the flanges over your nipples so that they are in the centre. Make sure your flange size is the correct size for you. If the flange is too small it can damage your nipples. If the flange is too big the pump will not be able to seal correctly and you will express less milk.
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Breastfeeding 7. H old the flanges so that they sit tightly on your breast so that they seal well. 8. Turn your pump on. 9. Try to imitate how your baby drinks from your breast. Most babies start with a high speed and low suction. This will help you to have a let-down where you can see your milk flowing. Once you have a let-down, adjust the speed to medium and increase the suction based on your comfort level. 10. Never place the pump on a setting that is painful. Rather decrease the suction to where you are comfortable as this will increase the amount of milk you are able to express. 11. Once milk flow decreases, increase the speed to high until the next let-down, then decrease to medium speed. The more that you use a breast pump the more comfortable you will be.
How much will you pump? Not all pumping sessions will result in the same about of milk expressed. It all depends on a few factors: your baby’s age, time since last feeding or pumping, time of day, pump type, how much practice you’ve had with your pump and whether you’re relaxed or stressed.
What volumes to expect when pumping: • Y ou produce more milk in the early mornings so you can expect higher volumes then. • As the day progresses you will produce less milk. This is normal. • Your breast may produce different amounts of milk at the same time. It’s normal to have a “lazy breast”. Aim for full milk production and then maintain your feeding or expressing schedule to maintain your milk supply.
How to reach and maintain full milk production If you need to reach your full milk production because you have a premature baby, your baby is not able to latch, or if you have chosen to exclusively breast feed, read the tips below.
Golden tip: Pump often to drain the breast completely as this activates your hormones and helps your body to produce more milk. This is where supply and demand is so critical, the more often you drain your breasts the more milk they will make. www.babysandbeyond.co.za
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Breastfeeding Birth to Day 4 • Start as soon as you are able. It is ideal to start within the first one to six hours after birth. • A hospital grade pump or a multi-user pump can be used to initiate and maintain your milk supply. • In the beginning, you will have colostrum. Only expect a few drops at first. This is normal. • As soon as you are able, start to pump 8-10 times a in a 24-hour period. This is so that you are copying what a newborn baby would do. With most mothers, the more you pump the more milk you can expect to make. Just remember that if you only pump a few times in 24 hours you can expect less milk. • To save time and help to boost your milk production, express both breasts at the same time. • Aim at pumping for about 10 to 20 minutes until your milk has “come in” on about day 3 or 4. Then, hand express any remaining milk, this may help to drain your breast after a pumping session. • By pumping at least once between 1am and 6am you can help to establish your milk supply as you will have more milk during this time.
Day 4 to full milk production You will notice that your milk production will start to increase around day 4 (sometimes sooner sometimes a bit later). Now is the time to change how you express. • Start to pump for longer. Continue to pump for about 2 minutes after you no longer see any milk or until your breasts feel soft and are no longer full. • Aim to pump between 8-10 times a day rather than wait 2-3 hours between pumping. • Never wait longer than five hours between pumping sessions if your baby is less than two weeks old • Focus on how much milk you produce over a 24-hour period rather than each session. This will give you an idea of how close you are to full production.
Maintaining full milk production Once you have reached between 750-1050ml over 24 hours, you’ve met your goal. Well done! You might
even be able to reduce the number of times you pump in a day while maintaining your total output. You can now: • Maintain the schedule that continues producing approximately 750-1050ml of breastmilk in 24 hours. • You can drop your night-time pump and sleep more. Pump just before you go to bed and as soon as you wake up. Test and see how comfortable you are. • You can start to reduce how long you pump for. You might see that you pump milk faster and then 10-15 minutes of pumping can be sufficient. • Track your production. Pick a day of the week and see how much milk you have produced over past 24 hours and compare that to a day the previous week. This way you will be able to see how your milk production is tracking.
Carey Haupt is a registered dietitian and lactation consultant who owns My Breastpump. My Breastpump offers you the high-quality Belgium-imported Ameda Breast pump range - a world leader in breast pump design. Ameda is a completely closed system pump so you no longer have to worry about milk entering the tubing and causing the growth of mould and bacteria. With Ameda pumps you have cleaner and safer expressed breast milk. Ameda is all about comfort with a full range of flange sizes to fit your body to ensure efficient expression of your breast milk. You can also change the speed and suction of the pump for total comfort. For more information visit www.mybreastpump.co.za
www.babysandbeyond.co.za
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floraBABY
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To help you breastfeed discreetly in company, FloraBABY’s breastfeeding cover and wrap-around-thearm feeding pillow are super inventions as both stay in place when you need your hands to drink your tea, wipe spillages, text a message, engage in conversation – all while feeding, Talitha Kotze, Founder of Healthy Kids are Cool
• for yo u a n d yo u r b a by ’ s pr iva cy • f lex ibl e n eck li n e e n a bl es yo u to ke e p an eye o n yo u r b aby d u r in g feedin g • li gh t co tto n fab ri c al l ows ba by to b r ea th e f r eel y
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B is for baby – and breastfeeding For first-time mums, breastfeeding may seem like walking across a minefield. Will you have enough milk? How will you know if you don’t? Stay calm, we have some advice for you.
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Become a breastfeeding pro Firstly, thumbs up if you’re planning to breastfeed. Breast is definitely best, especially in your baby’s first year. Breast milk contains easily digestible fats, cholesterol (important for brain and nerve tissue) and the vitamins, minerals and proteins that protect baby’s immune system. Most mums are able to produce sufficient milk for their babies, but if you’ve got new-mum jitters, this is what to look out for.
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You baby is getting enough milk if: • B aby seems relaxed and satisfied after a feed and produces at least six very wet cloth nappies or five very wet disposable nappies in 24 hours. • Baby is gaining weight, is alert and reasonably contented.
Signs your baby may not be getting sufficient milk: • I f your baby doesn’t regain its birth weight after five days, seek assistance. • Your baby wets fewer than eight cloth or five disposable nappies in a 24-hour period. • Your baby’s stools are small and dark. • Your baby is fussy or lethargic, falls asleep when you put him or her to your breast, or takes longer than an hour to feed.
Keeping the flow strong Your milk supply generally settles to suit your baby’s needs. Illness or stress can affect production, but eating properly should restore your supply. Add oats, salmon, fruit, leafy greens, carrots, garlic and barley to your diet. Drink 6–8 glasses of liquid a day. Sucking stimulates milk production, so try to manage at least eight feeds in 24 hours. Offer both breasts at each feed, massaging each gently while nursing to help let down the rich, higher-kilojoule hind milk.
Improve your milk supply Flora Force Fenugreek’s oestrogen-like elements and vitamins have helped moms stimulate their breast-milk supply for the past 20 years. Flora Force Fennel helps trigger the let-down reflex. Note though, avoid fennel or fenugreek if you’re pregnant and always consult your healthcare practitioner before taking a course of natural remedies. Make feeding baby super-comfortable with floraBABY by Force Force pure cotton products. Find them at www.floraforce.co.za/florababy. www.babysandbeyond.co.za
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HEALTH
Vaginal laxity and urinary incontinence after childbirth One in three women are thought to suffer vaginal laxity and urinary incontinence after childbirth – deeply personal and intimate problems – in silence.
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our first pregnancy is an exciting time filled with anticipation, a little apprehension, but mostly a time of feverish planning for the arrival of your bundle of joy. Advice is abundant; how to plan your nursery, whether you should “go natural” or opt for a caesarean birth, or whether you should bottle feed or breast feed. Close girlfriends who have been through the personal and for many, very spiritual experience of vaginal delivery may share their experience of how “things down there” change post-delivery. Perhaps you have attended antenatal classes where your midwife told you about potential pelvic floor issues you could experience after giving birth. Most women, however, go into motherhood unaware of what their pelvic floor is, let alone problems like vaginal laxity, loss of sensation during intercourse and even urinary incontinence, common conditions experienced by women post-childbirth. The female pelvic floor is a hammock of muscles, soft tissue and connective tissue that support your bladder, your vagina and uterus and your rectum, as seen in Figure 1.
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Figure 1
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HEALTH Vaginal laxity is the more common term for a medical condition known as vaginal relaxation syndrome or VRS. VRS causes several symptoms such as weakening or relaxation of the vaginal muscles, loss of voluntary pelvic floor muscle control, decreased vaginal sensation and loss of urinary control which in turn can lead to what is termed “sexual dysfunction”. Sexual dysfunction is simply when the usually intimate, deeply personal and intensely pleasurable act of sex becomes uncomfortable, or quite frankly, very sore. Women tend to start avoiding sex with their partners which can result in the couple feeling distanced from each other at a time when they need each other’s support the most. Some women become extremely anxious and tense during intercourse because they fear losing control of their bladder muscles and leaking urine. This, together with the stress many sleep-deprived couples experience having a newborn in their home, can cause feelings of resentment and depression. Vaginal relaxation syndrome is extremely common. It is caused by vaginal childbirth or aging. Vaginal childbirth is associated with four to seven times more pelvic floor disorders than delivery by caesarian section. However, having a caesarian section does not guarantee that you will not suffer pelvic floor disorders in the future. The weight of carrying one or multiple babies to term can lead to stretching and damage to your muscles and tissue in and related to your vagina.
Treatment options Your gynaecologist or midwife may recommend pelvic floor muscle exercises, also known as “kegal” exercises. You may even be referred to a pelvic
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floor physiotherapist who will help you to isolate the correct muscles in your pelvic floor. Many women do not see results from practicing kegals simply because they find it difficult to isolate and contract the correct muscles and don’t do the exercises correctly. Pelvic floor exercises only strengthen the muscles of the pelvic floor and have no effect on the soft and connective tissue. There are gynaecologists and general practitioners who offer laser or radio frequency treatments. These treatments are usually non-surgical and can be performed in the doctor’s treatment room without anaesthesia. A vaginal probe, similar to a speculum, is inserted inside the vagina. The laser uses high frequency light waves to burn targeted areas of the vaginal canal leaving areas of healthy tissue in between. The body’s process of healing causes the tissue to tighten. Radio frequency uses radio waves to heat the tissue. You would need three treatments, six to eight weeks apart and an annual maintenance treatment afterwards to maintain the result. Maintaining the results can be costly as each treatment costs between R3 000 and R5 000.
Safety and effectiveness of energy-based devices questioned In July this year, the Food and Drug Administration (FDA) issued a warning about the use of lasers and radio frequency treatment for vaginal tightening. The FDA is the United States organisation that regulates all food, medical devices and drugs being sold in the USA. They warned patients that the safety and effectiveness of energy-based devices to perform vaginal “rejuvenation” procedures had not yet been established and that these devices had
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HEALTH not yet been cleared or approved for the treatment of vaginal symptoms related to urinary incontinence and sexual function. The FDA advised patients that these devices could cause serious adverse events, including vaginal burns, scarring, pain during sexual intercourse and recurring or chronic pain. In other words, these devices could cause the patient’s sexual dysfunction symptoms to worsen. They advised patients to discuss all available treatment options with their health care provider.
Urinary incontinence and what you can do about it There are also surgical options available for those suffering from urinary incontinence. However, the American College of Obstetricians and Gynaecologists warned surgeons that these surgeries should be considered a “last option” after all conservative treatment, such as pelvic floor exercises, had been exhausted. The type of urinary incontinence most women suffer from as a result of childbirth and pregnancy is called stress urinary incontinence (SUI). A woman with this type of incontinence will accidently leak urine when she sneezes, coughs, jumps, lifts something heavy and in any situation where the abdomen exerts downward pressure on the pelvic floor structures. When pelvic floor muscles and tissues have been damaged, the urethra (the tube that connects the bladder to the outside of your body) does not close off because the muscles and tissues that usually hold them firmly in place have weakened. Surgical options for stress urinary incontinence include a procedure that most women know as a “bladder lift”. These procedures differ according to the type of “bladder lift” your gynaecologist or urologist has been trained to perform. These procedures may vary from those that are more invasive, such as the “bladder colposuspension procedure” or the “fascial sling” procedure, to the less invasive option that has become extremely popular in the last 20 years, known as the “midurethral sling procedure”. The mid-urethral sling procedure involves a small incision inside the vagina as well as two small incisions just above the pubic bone or in the inner thigh. A thin tape (usually 1cm wide) made from a plastic material called polypropylene, is inserted and positioned just below the middle part of the urethra. This provides a scaffold for tissue to grow into and recreates the firm support needed to allow the urethra to close off during activities where downward abdominal pressure is exerted on the pelvic floor. This procedure has proved to provide immediate relief for women suffering SUI and has been widely adopted worldwide. However, all surgery comes with its set of complications and according to a high level clinical paper published by Dr Blaivas, a New York urologist, and his colleagues in 2015, the complication rate can be as high as 15%. The tragedy is that a small percentage of these complications have been known to have life altering consequences for this small group of
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patients, leading to a public outcry in counties such as the USA, the UK and Australia. The life altering complications that have been reported include the mesh cutting through surrounding structures such as the urethra or the rectum and pelvic or thigh pain that never resolves. The challenge with these types of complications is that it is difficult to remove the mesh years after implantation as it becomes embedded in the tissue, making it very difficult for a surgeon to find the mesh, let alone remove it without damaging surrounding organs. A new surgical option emerging for the treatment of SUI is a peri-urethral injection or a bulking agent. This is where the surgeon injects an agent just below the tissue inside the urethra near to the bladder neck where the urethra enters the bladder. In the past these types of injections have been considered to be largely ineffective and were associated with complications in which the solution injected found its way to other areas of the body, or hardening which caused pain during intercourse. Some of the materials used for bulking in the past have even resulted in the body rejecting the material, causing the woman to passing the material and causing pain in the process. There is, however, a unique bulking agent that uses a material that is comprised of 97,5% water and 2,5% polyacrylamide. This homogenous gel allows the tissue to grow into the gel, allowing the tissue to maintain its natural elastic properties. Studies where patients have been followed up for seven years are showing extremely positive results with a very low rate of complication.
Innovative new low risk device uses light, heat & vibration An innovative device has recently become available in South Africa that can be administered safely by the patient themselves, in the privacy of their home. It is a high-quality medical device that has been registered in the category of low risk medical devices in South Africa. The device is CE-approved and is currently available in the UK and Europe and is also a licenced Health Canada Medical Device. The company who developed this product is currently going through the process with the FDA in the USA to have this product approved for use as a medical device in the USA as well. The product is called vSculpt®. It uses the treatment modalities of low-level light therapy (LLLT), gentle heat and sonic vibration to treat vaginal laxity, loss of vaginal sensation, stress urinary incontinence and even vaginal dryness. LLLT makes use of LEDs (light emitting diodes) that emit energy at wavelengths of 662nm (visible red light) to 855nm (near infrared light) on the electromagnetic spectrum, as seen in Figure 2. These wavelengths are far gentler than the radio waves used by radio frequency therapy, making this type of treatment, known as photobiomodulation, safe to use without the supervision of a healthcare practitioner. The vSculpt® comes in two models, the vSculpt® and the vSculpt® PRO. The vSculpt® is available online while the vSculpt® PRO is available through approved healthcare practitioners in South Africa. www.babysandbeyond.co.za
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HEALTH
Figure 2
LLLT, gentle heat and vibration have been used for years in the field of sports injuries by physiotherapists to heal muscle and soft or connective tissue damage. vSculpt® helps you to achieve the same healing effect inside your vagina. The red and near infrared lights work on your cells which make up the various types of tissue in your pelvic floor. You may or may not have heard of microscopic organelles that exist in your cells, called mitochondria. The mitochondria in your cells use ATP (Adenosine-triphosphate) molecules to produce energy within the cells. This energy is used to grow new collagen and elastin which are the proteins that give your tissue and skin its youthful qualities. Heat brings additional blood flow to your tissues, bringing about natural healing. Heat also breaks down collagen and allows it to reconfigure as stronger, more elastic tissue. Vibration has also been used for years for the treatment of low bone density and obesity, pretty much like the “wobble machines” you may have used at the gym? This vibration of the tissues makes use of our body’s natural reaction to mechanical stress, again increasing the body’s production of collagen and a glycoprotein called Tenascin C which brings about natural tissue healing effects.
In a study published in the International Urogynaecology Journal in 2016, 38 patients who had suffered from moderate to severe stress incontinence experienced a 90% improvement in their symptoms after using the vSculpt® every second day for 10 minutes over a 6 week period. 48 patients who had suffered from various types of sexual dysfunction were asked to complete questionnaires that measured how vSculpt® had impacted their quality of life after treatment. 81% of the patients completing the Female Sexual Dysfunction Scale showed an improvement after treatment and 77% of patients completing the Female Sexual Function Index showed an improvement. The beauty of this home-use device is that once the patient owns the device, they have it for years. They can do the initial treatment and then pack the device away until our body’s natural aging process prompts them to take it out the closet and repeat the treatment. The treatment is a deeply personal clinical treatment that can be administered by the patient themselves in the privacy of their own home. This is proving to be a very attractive option for women suffering from vaginal laxity, loss of sensation and stress urinary incontinence in South Africa. The device is easy to use, safe and pleasurable.
An innovative device has recently become available in South Africa that can be administered safely by the patient themselves, in the privacy of their home. www.babysandbeyond.co.za
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Advertorial: Chicco
Create a magical dreamtime atmosphere with Chicco Sleep time is one of the most important parts of your child’s day, whether an afternoon nap or sleeping through the night. Ensuring their comfort is a vital part of creating routine and promoting healthy growth.
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here are many theories and methods for getting children to sleep; have you ever tried driving them around in the car, singing lullabies and eventually, exhausted yourself, just giving up and putting them in your bed? You’re not alone. Make the best bedtime environment possible with Chicco and these great sleeping essentials:
Chicco Next2Me Dream The possibility of placing a cot next to your bed is very convenient for moms. It allows for easy breastfeeding whenever needed, without getting out of bed. Sleeping close together also allows you both to sleep more peacefully, especially during critical nights when your baby may be ill. The Next2Me Dream Bedside Cradle is one of the most reassuring sleep time pieces of furniture on the market. Dedicated to newborns, it attaches to every bed for long, tranquil dreams with the peaceful knowledge that mom is right by their side. The wraparound shape and small size are ideal for giving your baby that sense of protection they need, and the removable sides make breastfeeding easy for moms.
Chicco Baby Moments Bath Range Get baby ready for bed with a nice slow massage with Chicco’s new Baby Moments Massage Oil – part of the larger range of bath time cosmetics. Hypoallergenic, paraben-free and not tested on animals, the Baby Moments range is one of few baby cosmetic ranges that has absolutely no alcohol, petroleum, paraffin or nasty chemicals and keeps your child’s skin as healthy as the day they were born. Part of this stunning new skin care range is the body lotion, rich cream, body wash, bubble bath, nappy rash cream and much, much more.
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Chicco First Dreams Baby Bear Every child needs a cot companion. The First Dreams Baby Bear is a projector that provides spectacular light effects and relaxing melodies. Soft and perfect to cuddle, with a soft plastic belly, it projects with automatic colour change, making the room glow softly while your baby drifts off to sleep. It also plays 30 minutes of classical, jazz, new age and nature sounds for a soothing soundtrack to dreamland.
Chicco Physio Air Night Pacifiers A soothing night time pacifier is the Physio Air Night – for maximum ventilation while your child sleeps. The holes ensure air circulation and prevent saliva stagnation. It’s ergonomic, ensuring the correct space for chin and nose and is a gentle touch on the baby’s skin. One of the best parts of this night time soother is the fact that the adorable little dummies glow in the dark, allowing mom to find them easier when they drop out and keeping baby sleeping restfully throughout. All Chicco products are available from January at leading retailers. Chicco is distributed by Prima Baby in South Africa.
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Health
Anaphylaxis – what is it? Anaphylaxis is a severe allergic reaction that needs to be treated immediately. If you have an anaphylactic reaction, you need to get medical attention immediately.
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naphylaxis is rare and most people recover from it. But it’s important to tell your doctor about any drug allergies you have before any kind of medical treatment, including dental care. It’s also a good idea to wear a medical alert bracelet or pendant or carry a card with information about your allergy. If you’ve had an anaphylactic reaction before, you have a higher risk of having another one. You also have a higher risk if you have a family history of anaphylaxis or have asthma.
Causes of anaphylaxis Anaphylaxis happens when you have an antibody, something that usually fights infection, that overreacts to something harmless like food. It might
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not happen the first time you come in contact with the trigger, but it can develop over time. In children, the most common cause is food. For adults, the main cause is medication. Some people are so sensitive that even the smell of the food can trigger a reaction. Some are also allergic to certain preservatives in food.
Common causes Besides allergies to peanuts, nuts, milk, soy, fish and shellfish, anaphylaxis triggers in adults include: • Certain medications, including antibiotics, aspirin and other over-the-counter pain relievers and the intravenous (IV) contrast used in some imaging tests. www.babysandbeyond.co.za
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Health
• Stings from bees, yellow jackets, wasps, hornets and fire ants. • Latex, in any form.
Symptoms The first signs of an anaphylactic reaction may look like typical allergy symptoms - a runny nose or a skin rash. But within about 30 minutes, more serious signs appear, usually more than one of these: • Coughing, wheezing and pain, itching or tightness in your chest • Fainting, dizziness, confusion or weakness • Hives, a rash and itchy, swollen or red skin • Runny or stuffy nose and sneezing • Shortness of breath or trouble breathing and rapid heartbeat • Swollen or itchy lips or tongue • Swollen or itchy throat, hoarse voice, trouble swallowing, tightness in your throat • Vomiting, diarrhoea or cramps • Weak pulse, paleness Some people also remember feeling a “sense of doom” right before the attack. As many as one out of every five people may have a second anaphylactic reaction within 12 hours of the first. This is called a biphasic anaphylaxis.
Treatment You shouldn’t take an antihistamine for an anaphylactic reaction. Epinephrine is the most www.babysandbeyond.co.za
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effective treatment for anaphylaxis and the injection should be given immediately (usually in the thigh). If you’ve had an anaphylaxis reaction before you should carry at least two doses of epinephrine with you at all times. Note: Epinephrine expires after about a year, so make sure your prescription is up to date. If you have an anaphylactic reaction and the pen has expired, take the shot anyway. Epinephrine can reverse the symptoms within minutes. If this doesn’t happen you may need a second shot within half an hour. These shots, which you need a prescription to get, come pre-filled and in ready-to-use pens.
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My allergies control my choices L
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What symptoms should
Did you know?
33 % - 50 %
YOU LOOK FOR? 3
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of anaphylactic episodes can be attributed to food allergies. 1
Itching, swelling of lips and/or tongue
THROAT Itching, tightness/closure, coughing
LUNGS Shortness of breath, cough, wheeze
What is
ANAPHYLAXIS? Anaphylaxis is a sudden and severe allergic reaction that may be life threatening. The most common foods that can cause anaphylaxis are eggs, milk, peanuts, nuts, fish, shellfish, sesame, soya and wheat. Other common triggers include insect stings, medication and latex. 2,3
Shellfish
Milk
Eggs
Nuts
HEART Chest pain, weak pulse, dizziness, passing out STOMACH Vomiting, nausea, diarrhoea, cramps SKIN Itching, hives, redness, swelling
Are you and your family prepared for that potential moment when an allergic reaction becomes life-threatening? Ask your doctor about the Adrenaline Auto-injector from Mylan.
References: 1. Levin ME, Gray CL, Goddard E, Karabus S, Kriel M, Lang AC, et al. South African food allergy consensus document 2014. SAMJ. 2015:105:62-65. 2. Kemp SF, Lockey RF, Simons FER, on behalf of the World Allergy Organization ad hoc Committee on Epinephrine in Anaphylaxis. Epinephrine: the drug of choice for anaphylaxis. A statement of the World Allergy Organization. Allergy. 2008:63:1061-70. 3. Simons FER, Ardusso LRF, Biló MB, El-Gamal YM, Ledford DK, et al. World Allergy Organization Guidelines for the Assessment and Management of Anaphylaxis. WAOJ. 2011;4:13-37. For full prescribing information, refer to the Professional Information approved by the Regulatory Authority. Mylan (Pty) Ltd. Reg. No.: 1949/035112/07. Building 6, Greenstone Hill Office Park, Emerald Boulevard, Modderfontein, 1645. Tel: (011) 451 1300. Fax: (011) 451 1400. www.mylansa.co.za M2355 Oct-18.
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Advertorial: BEATDINE
Kiss it better with
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Kids will be kids and part of that is falling and hurting themselves. Because we realise not every mom is a qualified nurse, it’s good to know how to tend to an injury, no matter how serious.
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ot a cut, graze or burn? Choose your BETADINE® (antiseptic ointment, first aid cream or antiseptic solution) to treat your wound early and prevent infection. Tried and tested BETADINE® has been around for over 30 years and we all know it well. You may be adept at popping a plaster onto a small cut but ensuring the cut doesn’t become infected is paramount. Do you know a suitable way to treat those cuts, grazes and burns? If not, you have come to the right place. We’re about to give you the low-down so that you can be ready to kiss it better with BETADINE®. How do wounds become infected? We live with germs every day. They inhabit our bodies, live on our skin and inside our nose and ears. They live with us harmoniously. That is, until our skin is opened by a wound. That is why it is imperative to treat the wound, no matter how minor, to avoid those germs from filtering into the sensitive flesh under our skin. What are the signs that the wound is infected? If you think a wound is infected you will more than likely see and feel the following: • T he wound looks red around the edges and is tender to the touch.2 • The skin is warm and looks a little swollen.2 • Yellow pus is oozing from the wound regularly and may have an odd smell.2 To prevent the wound getting to this point, we suggest you attend to it immediately after the incident that caused the wound. How can I prevent the wound from becoming infected?
1. Clean your hands It’s important to have clean hands to prevent infection. We suggest you consider gloves which you can buy from a pharmacy or find inside most first aid kits.3
2. Stop the bleeding Using a clean cloth or bandage, press gently down on the wound, applying some pressure until the bleeding stops. 3 If you find after 10 minutes that the bleeding won’t stop, we suggest you get to the emergency ward or nearest GP. The wound may need stitches. Keep pressure on the wound until you see a medical professional.4
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3. Remove all debris and clean the wound This can be a painful process but is very necessary. You must use clean running water to clean the wound and remove any stubborn debris with sterilised tweezers and a little alcohol on a swab. If you cannot remove all the debris, visit your emergency ward or GP. 3
4. Apply an antiseptic solution, ointment or cream to the wound1,6,7 BETADINE® ointment, cream or solution are suitable for this as the main ingredient has bactericidal, viricidal and fungicidal properties which will help stop infection.1 Apply a small amount of the solution, ointment or cream directly to the wound, unless the wound is bleeding. This layer will help to protect germs from entering the wound and also prevent future scarring. Be mindful though that BETADINE® contains povidoneiodine which some may be sensitive to. 1,6,7
5. Cover the wound and replace the dressing regularly It is important to cover the wound with a clean bandage or plaster, depending on the size of the wound. There is some debate about covering a wound as opposed to leaving it open. For minor grazes, cuts and burns, the open air is good for healing, but when it becomes a more serious wound, you must cover it up as indicated. If you live in a wet environment the wound has more chance of healing quicker, as opposed to a dry environment.5 The dressing must be replaced at least once a day and this applies to both cuts and burns. 2 As mentioned, you must check regularly whether the wound is becoming infected. BETADINE® wound care range has a 3-in-1 action on bacteria, viruses and fungi and because germs.1,6,7 References: 1. Betadine® Antiseptic Solution approved package insert. Approved 23 September 1993. 2. Harding, M., 2016, Patient, Wound Infection, https://patient.info/ health/wound-infection, (Accessed on: July 12, 2018) 3. 2017, Mayo Clinic, Cuts and scrapes: First Aid, https://www.mayoclinic. org/first-aid/first-aid-cuts/basics/art-20056711, (Accessed on: July 12, 2018). 4. 2017, NHS, Does my cut need stitches?, https://www.nhs.uk/chq/ Pages/1048.aspx, (Accessed on: July 12, 2018). 5. Junker, J.P.E., 2012, Clinical impact upon wound healing and inflammation in moist, wet, and dry environments, Advances in Wound Care, v. 2, pp. 348-356. 6. Betadine® Antiseptic Ointment approved package insert. Approved 23 January 1987. 7. Betadine® First Aid Cream approved package insert. Approved 24 November 1992.
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2018/12/18 3:24 PM
Nutrition
Sneaky nutrition tricks
for the clever natural mama
By Robyn Smith, mom of two and founder of Faithful-to-Nature.co.za
Fussy toddlers and busy lives leave most of us feeling like we could be in better control of our families’ eating habits. These are a few of my favourite tricks to boost my very busy toddler’s health.
Invisible & tasteless omega oil Like most toddlers, Cassian loves pasta! Not so nutritious. I pour some almost tasteless omega oil over all dishes that I can, and it always goes undetected!
Dulse as garnish Dulse is a seaweed or sea vegetable with a salty flavour. Cassian is a vegetarian and given that one 8-gram serving of dulse contains more iron than a 100g sirloin steak, it is a handy ally. Dulse is also rich in iodine, calcium, iron, potassium, zinc and magnesium and it contains Vitamins A, C, E, plus most Bs, including B6 and B12. Again, it is almost tasteless and I sprinkle it over his food at every chance.
Baobab sherbet Baobab is one of those superfoods that all mothers should love. Because it tastes like sherbet and because it can be added to yoghurt, cereal, desserts and smoothies, no-one is going to complain. This creamy powder is a wonderful source of immune-boosting Vitamin C; it contains up to 10 times more Vitamin C than oranges. It’s also naturally rich in antioxidants which protect against free radical damage and easily digestible calcium to promote bone strength – a plus for a growing vegetarian boy. The high fibre content and probiotic properties help to keep the digestive system healthy, while the significant amounts of B vitamins and minerals like iron, potassium and magnesium will keep your whole body nourished and balanced.
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Nutrition
Lucuma custard for the win Some say it tastes like caramel custard and others a bit like pumpkin, but either way, this is another fab superfood that I add to our breakfast most mornings. It goes well with yoghurt, over cereals and in smoothies.
Puffed millet for a wholesome cereal Millet is an alkaline grain and one of the least allergenic, most easily digestible grains available. It is also high in protein; Vitamin B’s, copper and iron. Puffed millet is like crunchy, nutty rice crispies, just minus all the sugar. I sometimes mix it with all sorts of goodies like desiccated coconut; dried strawberries or dried blueberries.
Cheesy nutritional yeast This organic nutritional yeast is full of natural cheesy/ nutty flavours, plus it’s an amazing vegan-friendly source of protein, B vitamins and folic acid. I add it to Cassian’s eggs and flavour popcorn with it to his delight – he loves chips and this is a great alternative.
Cheesy kale chips Cassian has a savoury palette and loves his kale chips. I go into mama heaven when I see him grabbing mouthfuls of these; little does he know it’s just like eating a massive bowl of raw kale. Mom for the win!
Creating a little MasterChef - The more involved I can involve Cassian in the process of finding and making our food the better. This photo is from the most recent Heritage Day; we picked mint and strawberries from the garden and made flavoured water which he could not get enough of. That and eating the delicious organic strawberries by the mouthful which he called his “presents”.
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Nutrition
Healthy kids parties The older our little one’s become, the more they start to socialise. With this come more birthday parties, those wonderful times to celebrate with friends, fun and special food. Many children’s parties are, however, an overload of all things sugary.
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t Munchwize we believe it is possible to provide yummy, whole foods for children’s parties without depriving your child of treats. This may mean that birthday party food will be different to what you had as a child, but creating a healthy base from which children can develop healthy eating and lifestyle habits later on in life is a wonderful gift. A party setting is a great time to show kids (and other parents) that wholesome foods can be fun. Yes, providing healthier alternatives may be a bit more work than opening a bag of sweets or chips, but it is well worth the effort. The truth is that the more sugar you provide at parties, the more time kids will spend focusing on munching on these high sugar treats than the actual partying. We need to start changing the way we think about food and this includes parties – children do not need mountains of high sugar treats to enjoy themselves, they need to play and have fun. With the boom in health trends, you don’t have to look far for inspiration. There are many social media platforms promoting healthy eating for kids and activities for parties. To help you we have selected our top tips for healthier birthday parties: Make it fun - Presentation is everything so include foods that provide a variety of colours. Finger foods always go down well; use different shaped cookie cutters to cut different shapes into fruit or sandwiches. Include super fun high energy activities that will keep the kids entertained (e.g. treasure hunts, push bike races, egg and spoon races, musical chairs etc.). Health-up the birthday cake - What would a birthday be without a birthday cake! We totally agree. You can still have an awesome cake for your kids without all the junk. Cakes can be made with alternative flours and natural sweeteners. Swop out all that sugar you usually add and replace it with pureed dates or bananas. For an alternative icing and try this out: Blueberry coconut icing – it’s basically just frozen blueberries, soaked cashew nuts and coconut milk. Sticking together - children love anything on a stick and these are great options to include on a snack table: Fruit skewers, tomato and cheese cubes on a kebab stick, homemade ice lollies (blitz fruit and coconut milk in a blender and pour into ice lolly moulds). Cut the crisps - There are better alternatives to chips. Cut the fatty, salty crisps and rather make some homemade popcorn – a delicious, low fat and preservative-free choice.
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Be water-wise - Fruit juice is packed with hidden sugar. A better alternative would be to put out jugs of water with cut up fruit slices, lemon, mint or cucumber. Homemade treats - Make some homemade treats. Anything you make yourself will always be better than something that comes in a packet. Why not try some of these options instead of bowls of sweets: Home-made cookies, bliss balls/date balls or Quinoa balls. Treats, prizes and topping up - Swap treat-filled party packs with a little flower or vegetable to grow at home. Don’t use sweets as prizes for games; rather choose small toys, crayons, stickers, etc. If the party is over a meal time provide something more substantial for the little ones, for instance, wraps, sandwiches made with low GI bread, fish cakes, vegetable stick platters with cheese or hummus, etc. Munchwize www.munchwize.co.za
Sarah Gouws, Registered Dietician and partner at Munchwize www.babysandbeyond.co.za
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EDUCATION
A parent’s need-to-know guide to schooling Here you will find some frequently asked questions and answers about South Africa’s schooling system. known as grade R, the reception year), your child must be four, turning five by 30 June in the year of admission. If parents feel their children are not yet ready for school, they are allowed to admit them at an older age – five turning six for grade 0 and six turning seven for grade 1. Many schools conduct school-readiness tests to determine if a later admission would be in the child’s best interests.
What are the grades in South African schools? Schooling runs from grade 0 (the reception year, also known as grade R) through to grade 12 (known as matric). Grades 1 to 9 are compulsory and are classified as General Education and Training. Grades 10 to 12 are considered to be Further Education and Training. Grade 12 is the year of matriculation which is required (with certain minimum conditions) for tertiary education. Some private schools also offer a postmatric sixth form year which allows students to sit for A-level examinations.
What documents do I have to supply to admit my child to a school?
What are the South African government’s responsibilities regarding education? Section 29 (1) of South Africa’s Constitution reads: ‘Everyone has the right to a basic education, including adult basic education; and to further education, which the state, through reasonable measures, must make progressively available and accessible.’ According to the South African Schools Act of 1996, schooling is compulsory for all South Africans from the age of six (grade 1) to the age of 15, or the completion of grade 9.
At what age must my child start school? Your child must be five, turning six by 30 June in the year of admission to grade 1. For grade 0 (otherwise
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For public schools, the only documents parents are required to supply when applying to admit their child to school are: • The child’s birth certificate • The child’s immunisation card and, • The child’s transfer card or last school report, if the child has already been to another school. A child may be registered provisionally if these documents are not immediately available and the parents must be given a reasonable time to submit them. If you are not a South African citizen, you should also include a copy of your study permit or your temporary or permanent residence permit. If you do not yet have a permit, you will need to submit evidence that you have applied for permission to stay in South Africa. It is the responsibility of every parent (or guardian) to ensure that: • Their children are registered for the following year, well before the end of the current school year www.babysandbeyond.co.za
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EDUCATION • Their children attend school regularly and, • All children between the ages six to 15 years attend school.
Can my child attend any public school? Parents may register their children at any public school if there are vacancies. Most schools have established so-called ‘feeder zones’ which is the area the school favours when admitting students. The order of preference for admission to schools generally is: • Children whose parents live in the school’s feeder zone. This includes parents who live at their place of work, such as domestic workers. • Children whose parents work in the feeder zone. • The rest are admitted on a first-come, first-served basis and may be placed on a waiting list. However, the provincial departments of education are obliged to find a place in school for every learner. The feeder zone system does not apply to private or independent schools which have their own admission requirements.
How do I go about finding the right school? For government schools, contact the provincial department of education which keeps a comprehensive list of all registered schools. Most provincial departments have searchable school databases on their websites. For private schools, contact the Independent Schools Association of Southern Africa for its list of schools in your area.
Can a school take legal action against me if I don’t pay my child’s school fees? Yes, in terms of the Schools Act, parents have a legal obligation to pay public school fees as determined by the school governing body. But this action can only be taken if the fee-exemption criteria have been applied and the parent can afford to pay the fees. This obviously excludes no-fee schools and orphans who are exempt from school fees.
What happens if I can’t afford to pay school fees? At all government schools parents may apply for a reduction in, or even exemption, from school fees. If both parents’ annual earnings are less than 10 times the yearly school fees (before tax), the child qualifies for a full fee exemption. Partial exemptions can also
Most schools have established so-called ‘feeder zones’ which is the area the school favours when admitting students. www.babysandbeyond.co.za
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All schools must admit students without discrimination of any kind. be made for parents with financial problems. This generally requires some kind of proof of income. Schools are encouraged to form a school fees committee which should assist parents in applying for exemption. Forms for fee exemption should be available at the school office; otherwise contact your provincial department of education.
Can a school refuse to admit my child if I haven’t paid school fees? No, in terms of the Schools Act, no student may be refused admission to a public school on the grounds that his or her parent or caregiver is unable to pay or has not paid school fees. It is also illegal for a school to refuse to allow a child to take part in the school’s sporting, cultural or social activities (such as the matric dance) on the grounds that fees have not been paid, or to hold back the child’s report.
Can a school refuse to admit my child for any other reason? No, the school may not, unless the child has already been expelled from that particular school. All schools must admit students without discrimination of any kind. Schools may not administer tests or use preschool experience or language as reasons not to enrol a child. Admission may not be refused because parents or guardians: • Are unable to pay or haven’t paid school fees. • Do not subscribe to the school’s mission statement. • Have refused to sign an indemnity contract. • Are unable to afford all or part of the school uniform.
What if I’m still having trouble getting my child into a school? Call the Department of Basic Education’s toll-free hotline on 0800 202 933, or contact your provincial education department, or contact the Education Rights Project.
My child has special learning needs. Do regular schools have remedial programmes or must she or he go to a special school? It depends on the severity of the problem and on how well resourced the school is. In 2010, there were 104 633 children in 423 public special needs schools. There are also private schools for children with severe remedial problems or disabilities. South Africa has a policy of inclusive education which includes various models to integrate specialneeds children into ordinary schools. However, a lack of resources and infrastructure have meant that
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EDUCATION this policy has been slow to implement and children who have been mainstreamed don’t always get the special education they need. Some of the better-off schools, both state-aided and private, offer remedial education in one form or another. They employ remedial teachers and run small remedial classes alongside regular classes.
Do parents have a say in the running of their children’s school? Definitely; national policy on government schools requires that the school governing body (SGB) – made up of management, teachers, learners (at high school) and parents (51%) – plays a large part in how the school is run within a national framework. Dynamic SGBs capable of raising funds and offering diverse skills to their schools have managed to turn them into thriving centres of excellence. On the downside, where parents are uneducated and poor, the SGBs are hamstrung from the start. Also, many children go to school miles from home, making it difficult for parents to get involved. At private schools, parental involvement depends largely on the nature of the school.
Are school uniforms compulsory? Yes; they are compulsory in all government schools and most private schools.
Are children allowed to wear religious attire to school? In terms of the Constitution, learners may not be prohibited from wearing particular religious attire, such as yarmulkes and headscarves, to school. Schools are encouraged to have uniform policies that accommodate learners’ religious beliefs.
Can I home school in South Africa? There’s a growing trend worldwide towards home schooling and South Africa is no exception with thousands of families opting to home school their children for a variety of reasons. Some parents are keen to give their children religious or individualised tuition which they won’t receive at school; others want to avoid the institutional nature of school life. For those parents who want to send their children to private schools but cannot afford to, home schooling is a cheaper alternative. Several home schooling associations are on hand to help those who choose to go this route. Although home schooling is legal in South Africa, it is not actively encouraged by the government; permission must first be sought from provincial authorities and various requirements must be met, such as the provision of a weekly timetable and a learning programme. Source: For more information, visit www.brandsouthafrica.com
Saturday, 9th Feb 2019 09:00 – 12:00
Horwood Street, Edenvale, Johannesburg | Telephone: +27 11 457 0900 | marketing@holyrosaryschool.co.za @HolyRosaryJHB | HolyRosaryJHB | @holyrosaryjhb | www.holyrosaryschool.co.za 20_BABJan2019.indd 64
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EDUCATION
Children are not adults By Alison Willems
Children are not little adults. They learn things primarily through their experiences and modelling their parents and others around them, rather than verbal explanations. Being kind to your child is more effective in teaching kindness than an explanation of why it is good to be kind.
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llowing a child to learn a concept by exploring it and experimenting with it through play and trial and error is far more effective than telling them how something does or should work. There is a very valid reason behind why this is so. It all has to do with how our bodies were created to grow and develop. When referring to a child’s holistic development, our children develop in a specific order for a very specific reason.
Physical development First comes physical development, so that they can learn to manage their bodies according to their space and environment around them. They learn about their own strengths and what their bodies can do. This physical learning is important because neurological pathways are being developed. If this does not happen, connections for later learning are hindered.
Tell me and I forget. Teach me and I remember. Involve me and I learn. - Benjamin Franklin Communication Next to develop is communication to ensure that their survival and basic needs are met. They do this through basic language; for instance, crying and one syllable words such as “mama” and “dada”. This should progress to more coherent sentence structure later on. The development of language is the start of their cognitive development. They are therefore not yet able to cognitively understand the adult world which uses such things as sarcasm, figurative language, innuendoes, etc. Their understanding of www.babysandbeyond.co.za
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the world is literal and concrete. By the age of two they are taking more cognisance of things like tone and body language.
Social and emotional Next come the social and emotional aspects of the child, the most complex part of development which never stops developing, even into adulthood, as it encompasses all relationships and our ability to manage ourselves within those relationships. That is why children who have missed developmental building blocks struggle in this area. Children rely on their senses to give them feedback, thereby evaluating their world around them. Hence, babies put things in their mouths and children want to, need to and have to touch things around them. Our little people need at least two of their senses involved in anything you want to teach them for it to be stored in their memories for recall later. For example, if a child has an item of their mom’s clothing, the smell of her will calm them when upset. This is why kinaesthetic learning (using the body and its senses) is so important as they are moving, touching, hearing, seeing and sometimes tasting while learning. As a child effectively learns, the neurons in their brain are making connections. Neuron’s that are correctly “wired” together effectively “fire” together later in their lives.
Alison Willems has a Bed ECD and Foundation Phase Degree and has been involved in Pre-Primary Education for 12 years. She has a passion for young children and teaching.
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Family Fun Summer
Summer activities for family fun
Back-to-school shopping Start the back-to-school shopping early. Believe it or not, the kids think this is fun!
Climb trees Climb trees together. Of course, only if the kids are big enough and you are brave enough!
Build a water slide Build your own backyard water slide and have some slippery fun.
Organise a treasure hunt Create a treasure hunt for your kids. Do it in your home and garden, or in the suburb you live in where they feel safe.
Go fishing Find places where you and your young angler can learn the basics of the sport and learn to cast off.
Teach your kids entrepreneur skills Have a garage sale. Kids can earn pocket money by selling their old stuff.found on the internet.
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Family Fun Summer
Play hometown tourists Create an obstacle course Build a backyard obstacle course with hula hoops, skipping ropes, even a hosepipe and then time the kids as they race around the course.
You don’t have to leave town to go on holiday: Get to know the town you live in. Look into local landmarks, call the local historical society for some fun hometown trivia and ask friends or neighbours for their favourite restaurant recommendation so you and your family can try somewhere new.
Organise a toy swap Visit a petting zoo Nothing piques kids’ curiosity more than baby animals, so a visit to a petting zoo (or even a pet store) is a sure-fire hit.
Invite kids to come over with toys (in good condition) that they no longer want. Then, let them draw numbers to see who gets to pick a “new” toy first.
Outdoor family movies Visit an indoor play park When summer hits, the sun is out and burning. Take a trip to an indoor play park and have some fun out of the sun.
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Enjoy early evening outdoor movies on the lawn with some summer fruit and snacks.
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Earthsap Bugs Away Ward off mosquitoes, gnats, sand fleas and other pesky insects with this all-natural bug repellent formula from Earthsap.
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his is a DEET-free roll-on that’s gentle on your family’s skin and kind to the environment as well. Made with a blend of six fragrant oils known for keeping bugs at bay, Earthsap’s Bugs Away roll-on is a must-have for your next family camping trip. It’s great for the bushveld, the beach or even bedtime at home. It’s all natural, suitable for vegans and is also Proudly South African. Simply roll it on and send the pests packing. You’ll find Earthsap Bugs Away roll-on for R46.00 online at www.faithful-to-nature.co.za, or at Wellness Warehouse, selected health shops, selected Spars and selected Pick n Pays.
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promising products
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Charcoal Purifying Face Wash Bodycare From Africa - Gold Coast Charcoal - Purifying Face Wash – R99.95 (Dis-Chem) Activated charcoal acts as a natural purifier for skin, leaving it evenly toned for more radiant looking skin. It is also known to deeply cleanse and lightly exfoliate your skin to help remove impurities and unclog pores for a flawless complexion.
Hygenix Hygiene Wipes Hygenix Body Touch Hygiene Wipes Lightly Fragrance Free 40’s Hygenix Touch Body Hygiene Wipes Fragrance Free 40’s Hygenix Touch Body Hygiene Wipes are gentle and effective for head to toe hygiene. They are alcohol free and specially formulated to kill 99% of known germs and odour causing bacteria, keeping your skin refreshed, clean and moisturised at all times. No water required. They are available in both lightly fragranced and fragrance free variants. The body wipes come in a tub of 40 wipes with a clip-lid ideal for travelling and delivering effective when water is scarce. – R39.99 each (selected retailers)
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Grab some grub
Malted Brownies Makes 36 brownies This is my standby party treat. Present it on a mirror to show off the melted chocolate garnish.
You will need
2 extra-large eggs at room temperature ½ cup (125 ml) canola oil ¼ cup (60 ml) melted butter ½ cup (125 ml) fresh full cream milk 1 x 550 g Ina Paarman’s Chocolate Brownie Mix 2-3 T (30-45 ml) Milo, Horlics or Oveltine 250g malted chocolate balls 200g milk chocolate drops, melted
Method
Adjust oven rack to middle position. Preheat oven to 180°C. Prepare and line a pan 22 cm x 22 cm square (see illustrated instructions on Chocolate Brownie Mix box). Beat eggs, melted butter and oil for 1 minute on high speed until well blended. Add milk and beat for 1 minute on medium speed. Add dry mix, chocolate chips and Milo or Horlicks. Fold in carefully with a spatula. Blend until just combined, do not beat, folding in by hand gives the best result. Scrape mixture into prepared pan. Bake on middle shelf for 25-30 minutes. Brownies are done when a thin bladed knife inserted in the centre comes out clean, or cake pulls away very slightly from the sides of the pan. Leave to cool down completely. Cut into 3cm squares once cooled. Keep squares close together. Melt the chocolate disks and spread half over brownies. Position a chocolate ball on each brownie in the chocolate while still soft.
Decant remaining melted chocolate into a small sandwich bag and snip off the tiniest hole in one corner.
Arrange brownies on a mirror or platter, move them apart while the chocolate is still soft.
Pipe the melted chocolate over the brownies and the mirror in zig-zag fashion.
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Grab some grub
Sausage Toasties Serves 3 A delicious protein-rich lunch or supper dish.
You will need Equipment
pair of scissors medium mixing bowl grater spoon fork serrated bread knife baking tray oven gloves
Ingredients
4 pork, beef or chicken sausages 2 T (30ml) chopped parsley or sage 1 cup (250ml) mozzarella or gouda cheese, grated 1 short fresh, French loaf or 4-5 slices of sandwich loaf 3 T (45ml) Ina Paarman’s sun-dried tomato pesto 2 T (30ml) olive oil
Method
Adjust oven rack to one slot above the middle shelf. Preheat oven to 180°C. Using a pair of scissors, snip the sausages to open the skin and squeeze the sausage meat into a bowl. Add the chopped parsley or sage and the cheese. Use a spoon or a fork to mix everything together.
bread. Pile the sausage mixture onto each slice.
Slice the French loaf on the diagonal into 1cm thick slices. You may also use ordinary sliced bread.
Place the baking tray in the oven and bake for 15-20 minutes. The bread should be crisp and toasted, the sausages will be cooked and the cheese melted.
Place the bread onto a baking tray and squeeze and spread the sun-dried tomato pesto over the
Enjoy for supper. Delicious cold for your lunch box the next day.
Recipes and pictures courtesy of
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KICKS FOR KIDS
babys beyond and
a family lifestyle magazine
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KICKS FOR KIDS
Spot
the differences
Can you find the 10 differences between these two pictures?
Find
the route
Help take the bag to school.
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Al-Nisa Maternity Home
We are a private Midwife Obstetric Birthing Unit keen to serve women with low-risk pregnancies who seek a holistic, supportive, women only environment. Services we offer (Kindly visit our website for prices): • Antenatal Care • Postnatal care • Immunuzation & Vaccines • Breastfeeding Assistance • Delivery
• Phototherapy (for Jaundice)
• Antenatal Classes
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• Papsmears, Breast Screenings
• GP consultations
• Ultrasounds
• Dietician consultant
Al-Nisa Maternity Home 7 Rokeby Road, Rondebosch East / Crawford Tel: (021) 696 8892 • Fax (021) 696 8847 Email: info@alnisamaternityhome.co.za / reception@alnisamaternityhome.co.za
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Colour in this cool chameleon in crazy colours and share your artwork with us on Facebook @mimbeekids or Instagram @mimbee_kids
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For more information, please email us on competitions@babysandbeyond.co.za
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Exclusive Baby Accessories
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CPR and First Aid Would you know what to do in an emergency? CPR, Choking, Bumps, Bleeding, Breaks, Burns, Drowning, etc...
Qualify for 2500 Discovery Vitality Points when doing a First Aid and CPR Course
Contact: Professional Emergency Care TRAINING@PEC.CO.ZA 021 705 6459
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BOOK REVIEW
That’s not my lion By Fiona Watt There are lots of friendly lions to pet in this fun-to-touch board book. Patches of different textures and bright illustrations are combined with very simple text to help develop sensory and language awareness. Babies and toddlers will love turning the pages and touching ears that are “too soft” and paws that are “too rough”. A delightful touchy-feely book with simple, repetitive text. Bright, colourful illustrations with carefully chosen textures to touch and feel on every page. Helps very young children develop language and sensory skills. Series awarded “Best Buy” by readers of Prima magazine.
Pop-Up Peekaboo! I Love You By Fiona Watt Find out who’s sending Sheep presents in this cute baby book with flaps to lift and pop-ups to enjoy. This read-aloud children’s book encourages first learning by introducing little ones to colourful scenes and adorable cuddly characters. With the help of parents and caregivers, toddlers will have fun turning the pages, lifting the flaps to play peekaboo, and guessing who’s sending the surprises. Pop-Up Peekaboo I Love You! is the perfect gift for Valentine’s day, birthdays, and other special occasions, and is certain to make toddlers smile! Ideal for Pre-school play, this sturdy baby book will appeal to both parents and children and will keep little ones entertained time and time again.
André the Aardvark’s Adventure By Robyn Williams This charming rhyming picture book tells the tale of André, a timid young aardvark who decides to extend himself by going on an adventure. He ventures into the night but is frightened by all the night noises and scurries back to his burrow. He then realises he needn’t be afraid of the dark.
The Sandman’s Sand isn’t Working! By Elana Alberts The Sandman is a most unusual little man. Every evening it’s his job to sprinkle sand in the eyes of children everywhere to help them fall asleep. And that includes the children of Mrs Mouse, but her little ones just can’t seem to settle in for the night. After calling the Sandman more than once, she begins to wonder if there is something wrong with his sand. Have you ever wondered what would happen if the Sandman’s sand stopped working? Find out as the Sandman himself unravels the mystery of the little mice children who simply can’t stay asleep and what he does to save the day – or at least – the night.
Available at all good bookstores nationwide. 78
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