Baby’s and BeyondTM
babys beyond TM
Volume 6 • Issue 2
and
a family lifestyle magazine
The voice of a child in separation or divorce
Childcare options
in South Africa www.babysandbeyond.co.za
VolUME 6 | Issue 2 ISSN 2311-5467
9 772311 546706 www.babysandbeyond.co.za
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Teaching children
to respect their teachers
Autism and the need to embrace neurodiversity What happens after the
pap smear?
INSIDE: Features Competitions Kicks for kids Recipes 2019/03/29 12:13 PM
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ED’S NOTE
Elroy van Heerden, Editor
A
pril already? Yes, it has arrived, the month in which we celebrate Easter and Mother’s Day to follow in May. It is also the season of autumn with warm and dry weather across the country, although the evenings are chilly. Explore and enjoy the sunny days before the winter months arrive. April is an exciting month for the entire family as we look forward to Easter holidays. The kids are obviously looking forward to the Easter egg hunt, while fish lovers look forward to their traditional pickled fish and hot cross buns on Good Friday. April is definitely a highlight for many of us. On another note, the majority of us are also looking forward to those extra days off from work and spending time with family and friends - a much-needed break. Mother’s Day in May is a chance to celebrate all mothers in South Africa. While on the subject of mothers and motherhood, we want to let you know you are always in our thoughts. I would like to encourage mothers to subscribe to BABY’S AND BEYOND™. Our content is focused on topics that will help you with all aspects of being a mother (go to page 95 for a subscription form). We wish you all a very happy Easter! Please be careful on the roads as many of you travel to holiday destinations to celebrate with family and friends.
Regards
Elroy
O
en
You’re always going to wonder if you’re doing things wrong, but that’s what it means to be a mom, to care so much about someone else that you just want to be as perfect as possible. – Naya Rivera
m
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Fo m ca
180219 - 29
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For more information, visit us on msccruises.co.za or call us on 087 630 0333
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Baby’s and BeyondTM
CREDITS babys beyond TM
Volume 6 • Issue 2
and
Editor: Elroy van Heerden editor@babysandbeyond.co.za
a family lifestyle magazine
Editor’s Assistant: Wadoeda Adams wadoeda@mediaxpose.co.za Content Manager: Melanie Taylor artwork@mediaxpose.co.za
Teaching children
The voice of a child in separation or divorce
Autism and the need to embrace neurodiversity
in South Africa www.babysandbeyond.co.za
Design and Layout: CDC Design carla@cdcdesign.co.za
What happens after the
VolUME 6 | IssUE 2
pap smear?
ISSN 2311-5467
www.babysandbeyond.co.za
Editorial Contributors: Nolene Rust Melissa Dolphin-Rowland Dr Lerato Masemola Carey Haupt Vicky Lamb Dr Tholang Khumalo Kim Rutgers Charne Nel John Luis
to respect their teachers
Childcare options
9 772311 546706
Sub-Editor: Tessa O’Hara tessa.ohara@gmail.com
INsIDE: FEaTUrEs CoMpETITIoNs KICKs For KIDs rECIpEs
Advertising Sales: Allison Davids allison@babysandbeyond.co.za Lorraine Beneke lorraine@babysandbeyond.co.za Social Media Manager: Kyla van Heerden social@mediaxpose.co.za
Pictures: 123rf.com
Distribution and Subscriptions: Maurisha Niewenhuysen distribution@mediaxpose.co.za
babysandbeyond
Chief Financial Officer: Shaun Mays accounts@mediaxpose.co.za
@babysandbeyond
Receptionist: Daniela Daniels receptionist@mediaxpose.co.za
Published By:
babys beyond TM
and
a family lifestyle magazine
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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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CONTENTS FEATURES
46
Attachment and development.............................................................15 The voice of a child in separation or divorce.......................................18 Toddler Chef – get your little one to help you in the kitchen.............21 ‘I am because you are’ – the story behind Ubuntu Baba..................24 New app empowers HIV-positive children and healthcare workers..................................................................................26 Advertorial: Mundi Pharma.....................................................................28 What happens after the pap smear?.................................................. 30 Why is my hair falling out?...................................................................... 35 Advertorial: Chicco.................................................................................33
BREASTFEEDING Not all breastfeeding looks the same – and that is OK!..................... 38 Medication and breastfeeding..............................................................40 Advertorial: Flora Force.......................................................................... 41
HEALTH
52
Autism and the need to embrace neuro diversity..............................43 Chronic Kidney Disease in children.......................................................44 The importance of taking prenatal supplements................................46
NUTRITION Choline, the neglected nutrient.............................................................49 School lunch ideas...................................................................................52 Autism and nutrition ................................................................................54
PARENTING Childcare options in South Africa .........................................................57 Advertorial: Bata Shoes...........................................................................61
PREGNANCY Embrace the marks of change with the right pregnancy skincare routine........................................................................................62
EDUCATION Tablets: The tip of the iceberg for successful digital education ........65 Teaching children to respect their teachers........................................68 Is a student loan right for you? ..............................................................71
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REGULARS Social News...........................................................................................8-13 Family Fun – Things to do over the Easter weekend that won’t break the piggy-bank..........................................................74 Promising Products: Skin Creamery, SOiL’s new Vitamin E Oil, Oneka, Sunumbra P- embrace the sunshine, Gold Collagen...... 78-81 Kicks for Kids: Fun puzzles and activities...............................................88 Grab some Grub: Bunny Cupcakes, Cauli Fish Bake.....................................................................................92-93 Book Reviews............................................................................................94
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SERVICES
AGE OF CHILD
VACCINES NEEDED
HOW AND WHERE IT IS GIVEN
At birth
BCG Bacilles Calmette Guerin
Right arm
OPV (0) Oral Polio Vaccine
Drops by mouth
OPV (1) Oral Polio Vaccine
Drops by mouth
RV (1) Rotavirus Vaccine
Liquid by mouth
DTaP-IPV-Hib-HBV (1) Diphtheria. Tetanus, Acellular Pertussis, Inactivated Polio Vaccine and Haemophilus Influenzae Type B and Hepatitis B Combined
Intramuscular / left thigh
PCV (1) Pneumococcal Conjugated Vaccine
Intramuscular / right thigh
10 weeks
DTaP-IPV-Hib-HBV (2) Diphtheria. Tetanus, Acellular Pertussis, Inactivated Polio Vaccine and Haemophilus Influenzae Type B and Hepatitis B Combined
Intramuscular / left thigh
14 weeks
RV (2) Rotavirus Vaccine*
Liquid by mouth
DTaP-IPV-Hib-HBV (3) Diphtheria. Tetanus, Acellular Pertussis, Inactivated Polio Vaccine and Haemophilus Influenzae Type B and Hepatitis B Combined
Intramuscular / left thigh
PCV (2) Pneumococcal Conjugated Vaccine
Intramuscular / right thigh
6 months
Measles Vaccine (1)**
Subcutaneous / left thigh
9 months
PCV (3) Pneumococcal Conjugated Vaccine Meningitis (1) Chicken pox
Intramuscular / right thigh Intramuscular / left thigh Subcutaneous / left thigh
12 months
Measles Vaccine (2)** Measles - Mumps - Rubella Meningitis (2)
Subcutaneous / right arm Intramuscular / right arm Intramuscular / left arm
18 months
DTaP-IPV-Hib-HBV (4) Diphtheria. Tetanus, Acellular Pertussis, Inactivated Polio Vaccine and Haemophilus Influenzae Type B and Hepatitis B Combined Hepatitis A (1)
Intramuscular / left arm
2 years
Hepatitis A (2)
Intramuscular / right arm
6 years
Td Vaccine Tetanus and reduced strength of Diphtheria Vaccine Measles - Mumps - Rubella
Intramuscular / left arm
9 years onwards
HPV (1) HPV (2) 6 months later
Intramuscular / left arm
12 years
Td Vaccine Tetanus and reduced strength of Diphtheria Vaccine Measles - Mumps - Rubella
Intramuscular / left arm
6 weeks
9 months onwards
Intramuscular / right arm
Intramuscular / right arm
Intramuscular / right arm
*Rotavirus Vaccine should NOT be administered after 24 weeks **Do not administer with any other vaccine
Call 086 111 7427 to book an appointment OR ask your Dis-Chem Nursing Practitioner for more information 21_BABApril2019.indd 7
Go Advertising 80653
2019/03/29 12:13 PM
Social News
Surgeons for Little Lives at Chris Hani Baragwanath Academic Hospital (CHBAH) Paediatric Burns Unit.
Metropolitan health donates R400k to help young burn victims Metropolitan Health has donated R400 000 to Surgeons for Little Lives to help reduce sepsis-related mortality among young burn victims admitted to the Chris Hani Baragwanath Academic Hospital (CHBAH) Paediatric Burns Unit.
D
r Solly Motuba, Chief Commercial Officer for Metropolitan Health, says in 2018, the Burns Unit at the hospital admitted 588 patients, up from 459 in 2017, an increase of just over 28%. ‘While the number of patients increased significantly, the capacity of the unit remained unchanged with 19 beds in three wards and seven isolation beds in the paediatric burns intensive care unit (PBICU). ‘Mortality amongst burn victims is caused largely by hospital acquired infection. The responsible organisms are often resistant to common antibiotics, making it even more difficult to combat the problem,’ he says. Factors that lead to the infections include the flow of patients and staff within the unit, a lack of isolation cubicles for infected patients and the lack of a decontamination cubicle at the entrance and exit to the ICU. The donation by Metropolitan Health has been earmarked by Surgeons for Little Lives, a non-profit
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company started by the Department of Paediatric Surgery at Wits University, to re-engineer the flow within the Paediatric Burns Unit at the hospital and add as many isolation cubicles as possible. Surgeons for Little Lives’ goal is to reduce infectionrelated mortality to below 6%, which is more closely aligned to the global standard of between 3 and 5%. The donation forms part of MMI Holdings and Metropolitan Health’s investment in local community projects and ongoing efforts to help address health issues affecting South Africans. Dr Mothuba says interventions such as these are important as they help reduce some of the pressure on the country’s overburdened public healthcare system. ‘Most importantly, this initiative presents an important opportunity to give children who suffer burn-related trauma, access to enhanced medical care and a better chance of survival.’ www.babysandbeyond.co.za
2019/03/29 12:13 PM
Social News About Metropolitan Health A division within the health solutions environment of MMI Holdings, Metropolitan Health’s key strategic focus is to achieve financial wellness for public sector communities by enabling and delivering sustainable integrated outcomes-based healthcare solutions as a transformed organisation. Metropolitan Health looks after the administration of the Government Employees Medical Scheme and provides wellness services to a number of clients, covering over 1.8 million lives. Through its strategic relations with key industry bodies and players, Metropolitan Health is actively involved in crafting the future of health in South Africa by playing a pivotal role in South Africa’s health reforms and contributing meaningfully to development and implementation of NHI and universal health coverage. The ability to integrate with and leverage efficiencies in the broader MMI Holdings environment ensures that Metropolitan Health not only provides value for money but also keeps abreast of the latest developments in the industry and abroad; positioning the company as a cutting edge and knowledgeable strategic partner to deliver health and financial wellbeing to our clients. As a well-entrenched, cost-effective healthcare solutioning partner with a proven track record, Metropolitan Health’s key differentiators include enhanced customer experience, flexibility and scalability of systems and excellent data warehousing and analysis capability. Its fully integrated in-house-developed healthcare value proposition includes membership management; claims processing; comprehensive premium management services; client services; scheme marketing and communications; governance, secretarial, financial and actuarial services; customised e-tools and wellness services.
About Surgeons For Little Lives Surgeons For Little Lives is a Johannesburg registered non-profit organisation committed to saving the lives of sick children. Established in 2015, the organisation is run by a group of paediatric surgeons and lay volunteers and is chaired by Professor Jerome Loveland, Head of Paediatric Surgery at Chris Hani Baragwanath Academic Hospital and The University of the Witwatersrand, Johannesburg. Surgeons For Little Lives is focused on raising the level of care given to patients in the paediatric surgery wards of state hospitals so that it matches the level of expertise of the medical professionals working within these environments. The organisation relies entirely on its own fundraising initiatives and donations from individuals and corporates to meet this aim. In the short time that the organisation has been in existence, it has started two significant projects. In July 2016, a world class paediatric surgery and outpatient clinic (including a sleepover facility for caregiver) was launched at Soweto’s Chris Hani Baragwanath Academic Hospital. In September 2017, it launched an initiative to raise funds for a Lactation Unit and Milk Bank at Chris Hani Baragwanath Academic Hospital. The unit will have four components: an educational facility for antenatal and postnatal education, a lactation facility where mothers and donors can express in a supported environment, a milk pasteurising plant, and a breast milk bank. Visit www.surgeonsforlittlelives.org for more information.
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CONTACT:
021 424 3625 elroy@babysandbeyond.co.za
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Social News
Home-grown online reading programme wins at London Book Fair A home-grown online remedial reading programme developed by speech therapist, Elizabeth Nadler Nir and her partners, David Lewis and Natalia Pereira, the Virtual Reading Gym (VRG), has won the Educational Learning Resources Award at the London Book Fair (LBF) International Excellence Awards 2019.
T
he awards, held in partnership with the UK Publishers Association (PA), celebrate publishing success in 17 categories, representing the best publishing ambassadors, innovative publishing and ground-breaking initiatives in the industry. In each award category, the judging panel was comprised of experts in that sector. ‘We are absolutely thrilled; when we started this journey, we would not have imagined that VRG would have this impact. VRG is dedicated to the thousands of delayed readers who helped to conceptualist this intervention,’ says Elizabeth NadlerNir of VRG. This online reading programme has found a unique way to teach the challenged reader how to be a better reader. VRG’s uniqueness is in that it learns about the reader and it teaches them based on their reading challenges. VRG was developed for the delayed reader of any age who can cope with a basic Grade 2 text. Readers are not born with ready-made reading circuitry in the brain – this needs to be developed through a great deal of practice and encouragement. For many this process is painless, but for others, it is fraught with struggles. Delayed reading can result in a wobbly academic self-esteem and a lack of confidence about learning.
The VRG treats errors as treasures because the programme is tailored to the area of need and the reader gets rewarded for choosing to work on their errors. Readers work with a more experienced reader mentor who can create a supportive environment to practice targeted reading skills. The reading partner can be a parent, peer mentor or therapist. The mentor is also supported through video demonstrations of every part of this reading tool. ‘The International Excellence Awards always remind us of the innovative, important and inspiring work being done by all those in the global publishing community. From translators in India and librarians in Finland, to literary festivals in Ukraine and literary agents in France, these awards show the breadth of talent working in the publishing industry around the world today. It is absolutely brilliant to recognise and celebrate individuals and organisations here at The London Book Fair, in the creative capital of the world,’ says Jack Thomas, Director of The London Book Fair. For more information about the awards, visit www.hub.londonbookfair.co.uk/the-london-bookfair-international-excellence-awards-2019-winnersannounced/ For more information about VRG, visit www.virtualreadinggym.co.za/.
Pictured at the London Book Fair International Excellence Awards were Orna O’Brien, Conference Manager at The London Book Fair (Reed Exhibitions), Elizabeth NadlerNir, Executive Director of VRG who won the Educational Learning Resources Award, and Wang Xi (London Book Fair).
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Social News
MACAH Foundation’s ‘Make the first 1000 days Count’ initiative takes off The MACAH Foundation, together with the University of the Free State, has started their awareness campaign called ‘Make the first 1000 days Count’ initiative. This is in line with their key strategic priorities for 2019 in highlighting the wellbeing of mothers and babies in central South Africa.
T
he first 1000 days of a child’s life is defined as the period from conception up to the second birthday. This period of 1000 days is recognised as a critical window of opportunity to secure optimal development of children. The MACAH Foundation, in partnership with the UFS, is placing a dedicated focus on their awareness programme through the promotion of the importance of this concept because of its consequences on child and maternal health. ‘We need to ensure our children not only grow and are well, but that they grow well from the time they are conceived. Providing optimal neonatal and maternal healthcare allows mothers and babies to thrive beyond challenging circumstances. The best opportunity we can provide lies within “Make the first 1000 days Count” initiative,’ says Professor André Venter, Head: Department of Paediatrics and Child Health, University of the Free State. International and local research indicates there is a growing need for the awareness of childhood development in a child’s formative years before they reach two years of age. Fortifying a child’s development experience a lot earlier, lays
the foundation for their ability to progress effectively in their growth, development, and education. Our children have the chance to build a productive society, but to do so, they need to be well equipped mentally, physically and emotionally about how to manage life. Investing in nurturing a child during their first 1000 days provides for the construction of sturdy brain architecture, as well as a broad range of abilities and learning capacities. It is during this phase a child’s brain forms as many as 1000 neural connections every second, a once-in-alifetime pace that will never be repeated during their lives again. ‘Maternal health has a direct and long-term impact on infant health. The first 1000 days of a child’s growth is the period that holds the maximum developmental influence on the course of a child’s life. Collaborating with government and private organisations for this awareness campaign is critical in giving mothers and children a first class pass to life,’ concludes Venter. For more information, visit www.macahfoundation.org.za
About the MACAH Foundation The MACAH Foundation was established and officially launched in April 2018 as a legal non-profit company with three founder directors – Prof André Venter, Prof Gert van Zyl and Dr Riana van Zyl. The foundation is registered as a Non-Profit Company (NPC) and functions as an independent body to generate third stream income and cultivate prospects and investors. The project won a grant from The Carl & Emily Fuchs Foundation as part of their 50th Golden Years celebration. This grant has been used to enable the establishment of the NPC.
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Social News
Peppa Pig Live returns to South African theatres for a Big Day Out! M
ore fun than a muddy puddle! It’s going to be a big day out for fans of Entertainment One’s phenomenally successful preschool TV show, Peppa Pig, as the smash theatrical Peppa Pig Live tour returns to South African shores in Sept 2019 as Ackermans presents ‘Peppa Pig’s Big Day Out’ in association with Smile 904 FM, East Coast Radio and Hot 91.9FM. In this thrilling adventure, Polly Parrot and Mr Dinosaur have vanished, leaving Peppa, George, Mummy and Daddy Pig to embark on an incredible journey to find the missing duo. As always, Peppa’s special friends (and firm fan favourites) Suzy Sheep, Danny Dog and Pedro Pony, are on hand to help in the fantastic hunt! ‘Peppa Pig’s Big Day Out’ will open in Cape Town at the Artscape Opera House and run from 6 to 8 Sept 2019. The show then visits Durban at The Globe at Suncoast from 13 to 15 Sept 2019 before heading to Emperors Palace in Johannesburg from 20 to 29 Sept 2019. Tickets are on sale now at Computicket. This action-packed live stage show is especially designed to give young fans an unforgettable first live theatre experience and encompasses all the charming, colourful nature of the hit television series with everyone’s favourite songs! Fans will be laughing, cheering and dancing – just like Peppa! ‘Peppa Pig is one of the most loved characters by pre-schoolers and their families here in South Africa,’ says Chad Findlay, the show’s resident Creative Director. ‘The response to our last visit was incredible and we can’t wait to return! This one-of-a-kind stage show – with incredible life-sized puppets and beautifully costumed characters – brings Peppa Pig to life in a whole new way for South African audiences.’
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‘We’re so excited for local fans to once again be a part of Peppa and George’s adventure in Peppa Pig’s Big Day Out,’ says Ami Dieckman, Head of International Licensing at Entertainment One Family. ‘Fans around the country will be dancing, singing and of course jumping in muddy puddles.’ Peppa Pig is quite literally taking over the world! From the Peppa Pig World theme park attraction in England to becoming the number one television show for kids aged two to five years, the brand’s core values of family, friends, imagination and kindness, have helped earn Peppa legions of fans amongst parents and children alike. Peppa’s previous live shows have taken her around the world – from breaking records in London’s West End to sell-out tours across USA, Europe, South Africa, Australia and New Zealand. Parents rave: ‘Peppa is part of our family and watching my two-year-old daughter laughing, shouting and cheering throughout says it all!’ To celebrate Peppa’s return to the stage – and especially for her early-bird fans – a limited number of special R99 seats have been released for the production and look set to sell out fast! Book now at Computicket by calling 0861 915 8000 or visit www. computicket.com or your nearest Computicket or Shoprite Checkers branch. Limited discounted family packages are also available – book early and save! Come join Peppa, George, Mummy Pig, Daddy Pig and more in a fantastic adventure filled with buckets of surprises and plenty of muddy puddles! For more information about the show, visit www. peppapiglive.co.za or stay in touch via social media. Make it a big day out, don’t miss Peppa Pig LIVE! #PeppaPigLiveSA www.babysandbeyond.co.za
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Social News
Pampers launch world-first nappy technology P
ampers launched their new Baby-Dry™ nappy at a breezy picnic hosted by the beautiful actress and mommy, Jessica Nkosi. She invited some of her fans and their tots to enjoy a few air magic moments with her, along with other celeb mommies, media and a bundle of babies. The new Baby-Dry™ has been developed with two unique air channels to create space for air to flow freely over baby’s bum, ensuring breathable dryness overnight - a world-first in nappy technology. ‘The breathable air channels keep Nami drier for longer and we have longer hours of sleep! A good night’s sleep for us both means amazing mornings and more play time, which I can’t get enough of. The new designs are so cute too!’ says Jessica. Sister Yolanda Mpilo, a nursing and Pampers® Institute expert, says that ‘after a few hours, a fully absorbed nappy can leave little room for airflow, easily leading to a rash on the sensitive skin of a baby. A good nappy that can keep moisture locked away and keep baby’s bum dry until changing time means parents can rest easier.’
The Pampers innovation has achieved a new dimension of dryness, by finding a way to lock away more moisture for longer without creating a bulky, sagging nappy, whilst protecting baby’s sensitive skin. Pampers® Baby-Dry™ has an inner layer with Micro Pearls™, that can absorb up to 30 times its own weight and help lock away wetness for up to 12 hours. The nappy has been specially designed to distribute wetness evenly from front to back, offering more freedom of movement and maximum dryness. ‘Babies bring out the best in us. At Pampers the best means constantly searching for what is needed, and what is possible. When it comes to creating the best possible nappy for parents and baby, dryness and comfort are the drivers behind any product development. At Pampers we are focused on ensuring baby’s happy and healthy development because those first years are the most delicate years in life and they need the best to grow and develop,’ says Zizwe Vundla, P&G Brand Director.
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2019/03/29 12:13 PM
FEATURE
Attachment and development By Nolene Rust
Over the last few years more and more research has emerged linking the crucial developmental window of biological development and diet. These studies are known for using the term ‘the first 1000 days’, referring to the period of conception to three years of age and the lasting effect that diet has on the baby’s system. Adding to this, research regarding the emotional development and the importance of a secure attached relationship proves how attachment has a fundamental influence on brain functionality.
I
t is within the context of being soothed and nurtured – on the baby’s schedule and according to the baby’s needs – that optimal brain development can take place. When the nervous system is calm and regulated, more complex brain pathways are formed. The more that these work together, the better the foundation for that specific skill, albeit
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a physical skill or a sensory one. These, in turn, set the stage for later, even more complex systems to evolve, playing a role in learning and abstract reasoning and thinking. The theory behind the science explain that the longer an infant is left in a hyper-aroused state, the more the sympathetic nervous system
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FEATURE is activated, which sets off subsequent processes in the brain, amongst others, hormonal secretion. These strengthen the development of the ‘fight or flight’ system. It is only in the context of secure attachments, through which oxytocin and serotonin, to name just a few neuro-transmitters and hormones, are released. These effects immediately calm the baby, allowing him to pendulate from ‘fight or flight’ to calm. If this is strengthened over time, ‘safe’ pathways are formed because the baby has learned through experience that there is predictability within his relationship with the attached figure and with this person, he feels good and is no longer in a state of threat or panic. When the brain is in a state of calm, learning, development and optimal growth is greatly enhanced. We know that the brain develops from bottom to top, so this very important precedent of being securely attached sets our babies up for success as it carves the way forward for future learning and development. Unfortunately, the opposite is also true. When looking at studies such as Adverse Childhood Experiences (ACE) proof that when threat and insecurity is the norm in the young age group, not only could there be vast psychological effects, but also very real and certain health problems which increase with age and shorten life expectancy. One variable that can greatly mitigate these effects is the variable of healthy attachments. Adding to the above, secure attachments will also have the following positive outcomes: • heightened resiliency • enhanced self-esteem • a growth mindset • ability to regulate and self-soothe • a positive view of themselves • a positive view of the world • learning and academic success • concentration and focus • better impulse control • better health
there is no current threat. If this means you must feed your baby an hour before he is ‘supposed’ to be fed, but he shows signs that he is hungry now, you should be feeding him now. The clear message during the perceived time of threat needs to be ‘you are safe’ and this is translated as a caregiver that literally jumps for the little newborn baby’s need. Another aspect with older babies would be to allow for and encourage independence, whilst he or she knows that their caregiver is just behind them to help or support them. This early step to independence usually only lasts for a couple of minutes, near the caregiver who is still there to help. Your focus here should be on your availability and closeness and not on pushing for independence. This is an aspect that should develop naturally. These tasks, as most parenting tasks, can be daunting and overwhelming, so when the going gets tough remind yourself that you have been chosen to be that little one’s parent and no one can do it quite like you! At the same time, drink some tea, sleep where and when you can and do not forget to stop and smell the roses.
What to focus on when building a healthy attachment with your baby and toddler The definition of an attachment reflects one person’s relationship with another. Thus, when referring to an attachment, we are referring to two people. When a third is added we are no longer talking about an attachment. This points to spending alone time with your child, just you and baby! This build the bonds of attachment. The operative word here is T-I-M-E. Timing is the second very important aspect when looking at building a secure attachment with your baby. This means the focus and your actions should be determined by the baby’s needs and timing. Not yours! Science tells us that if your baby has a need, his sympathetic and para sympathetic systems are triggered. So, in theory your little one is now in ‘threat’. You might not see it as a threat, but your baby can not distinguish! So, for the calming down to take place action needs to be taken by you to teach the panic centre of your baby’s brain that
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Nolene Rust is a registered counsellor in private practice who works with families and children towards happier and healthier hearts. You can contact her at 082 772 2974 or nolene.rust@gmail.com
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FEATURE
The voice of a child in separation or divorce By Melissa Dolphin-Rowland
When there are children involved in a separation or divorce, it is in the child’s best interests that their voice is heard. It is a traumatic event for children, regardless of their age.
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hen they are told by their parents of the decision to separate or divorce, they are afraid, are worried and have endless questions. Where will I live? Who will I live with? Do I have to leave? What about my friends? Will we still go on holidays? Will I get to see Grandma and Grandad? What about the dog? Do I have to change schools? These questions speak volumes and this is why children’s voices need to be heard. In Section 10 of the Children’s Act (2005) it reads: ‘Every child that is of such an age, maturity and stage of development as to be able to participate in any matter concerning that child, has the right to participate in an appropriate way and the views expressed by the child must be given due consideration.’ It is important to understand that a child’s right to participate does not mean that the child is faced with making the decisions about care and contact with their parents. What it does mean, however, is that the child is given the opportunity to be heard in their parent’s separation or divorce proceedings. When is a child of an age, maturity and stage of development as to be able to participate? This is not a straightforward answer. Every family and
Section 31 of the Children’s Act also emphasises the participation of a child in decisions which affect him or her and states that their views and wishes must be considered.
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their unique circumstances must be considered. For example, the child’s biological and mental age, their level of maturity which informs their ability to express how they are feeling and finally, where they are developmentally will all impact a child’s participation. Section 31 of the Children’s Act also emphasises the participation of a child in decisions which affect him or her and states that their views and wishes must be considered. Section 31(1)(a) of the Children’s Act reads: ‘Before a person holding parental responsibilities and rights in respect of a child takes any decision contemplated in paragraph (b) involving the child, that person must give due consideration to any views and wishes expressed by the child, bearing in mind the child’s age, maturity and stage of development.’ A child’s participation is achieved by carrying out a Voice of the Child interview (VOC). The interview provides information about what the child’s views and wishes are about their parent’s separation. The interview is carried out by either a registered psychologist or social worker and both parents must give their consent. The interview is not intended for forensic or legal purposes and is conducted without prejudice. The intention is for the child to be given the opportunity to communicate their emotions in a safe and confidential environment, with a professional and neutral third party. The therapist uses projective tests which are designed to let the individual respond to ambiguous stimuli, revealing hidden emotions and internal conflicts. 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. www.babysandbeyond.co.za
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FEATURE
Examples of guideline or recommendations include: ‘It may be a good idea to inform teachers about the situation as it may affect him socially or scholastically. His teachers would be in a good situation to monitor his adjustment outside of the home.’ ‘If there are to be changes in family structure, roles and routines, the adults in her life should make efforts to prepare her for this and retain some form of routine and consistency in order for her to feel safe and secure.’ ‘Creating an environment for him to feel open and safe to ask questions is important. He may need some
time before making comments and asking questions and that sense of openness should be readily available.’ This kind of feedback helps parents have a clearer understanding as to where their child is in terms of their situation and guides them for when mediating the parenting plan. It also highlights the areas that they need to focus on and adjust to so that they can start building the foundation to co-parenting effectively. If you would like to find out more about the Voice of the Child, 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.
Melissa Dolphin-Rowland
www.babysandbeyond.co.za
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2019/03/29 12:13 PM
FEATURE
Toddler chef – get your little one to help you in the kitchen Nothing beats the taste of a home cooked meal. Having toddlers wanting to explore, see, taste and experience everything, can have its challenges when it comes to cooking time, but thanks to Birnbaum Designs’ learning tower, parents can now involve the kids in the kitchen!
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ZA/54/BFC/042018/TT/BD
irnbaum Designs is the brainchild of Tara and Carl von Ribbeck. In 2015, after spending many hours at expos, baby shops and more – all in preparation for their first born – they weren’t happy with the quality and type of products that they found. They decided to create what they could not find. With Carl’s industrial background and Tara’s motherly instinct and creativity, Birnbaum Designs was born. What started with two or three products, soon became a whole range of functional, safe and unique products that help develop a child’s core motor skills, all the while also providing pleasure from play! Tara shares her toddler chef story. ‘A home cooked meal is one of my favourite things. Both Carl and I love cooking and it is only on the rare
Whatever age or level of skill your little one is, letting them help in the kitchen is a truly wonderful experience. www.babysandbeyond.co.za
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occasion that we will order in. Cooking fresh for us is best! When our boy, Kai, was old enough to start solids, it was a very exciting time in our house and we experimented with lots of different flavours and taste sensations for him to get his little taste buds excited about what he was eating. Like his parents, he has developed a love of all things food and will chow down on just about anything. ‘Kai learned to walk before he was 10 months old and was an ever-adventurous spirit. The only way to cook meals was to involve him, otherwise he would be off. Unpacking our household, looking for things to climb, opening the front door or climbing up the burglar bars, he was busy, busy, busy! None of which we could just let him roam free to do while we were cooking. So, we encouraged him to participate in meal preparation which he just loved. ‘Depending on the age of your child, they can help with different things. At around 8 to 9 months old, Kai would just sit on the counter (in a safe position) next to the breadboard where I would be chopping. He had free access to touch and taste everything I was cutting. If he mixed up all the ingredients, that was fine too. ‘It was a fantastic sensory experience for him. Surprisingly, one of his favourite things to eat off the chopping board at that age was onion. I think he liked how it felt in his mouth, all nice and juicy and crunchy. By sitting there with access to all the veggies, fruits, mushrooms and more, he experienced many different textures, colours, tastes and smells. When it was time to start cooking, I would put him in his ring sling and he would watch as everything was put into various pots and pans for cooking. As he got older, he started to help put some of the ingredients into the pans which he eyed with great curiosity as their colour and smell changed with cooking.
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FEATURE ‘From around 14 months old Kai was ready for his learning tower. All children develop at their own pace, so some may be ready for a learning tower a little earlier and some a little later. At 14 months old, Kai still needed a safety barrier to keep him safe and to prevent falls. He now could start to help a little bit in the kitchen with very basic tasks such as picking herbs and food from the garden and peeling garlic. It would take an age for him to actually peel the garlic but, peel it he would and it gave us time to quickly chop what needed chopping. ‘While helping out, he would munch at least half his supper by helping himself to whatever was on the chopping board. It is a fantastic way for children to experience food without being under any pressure to try new things. He also loved smelling spices and would sit by our spice rack opening each bottle, smelling and learning the name of what he smelt. We just made sure that the spices were on the lowest pouring level, so he could not breathe them in while smelling. To this day, he still enjoys smelling all the spices in the house and adding them to various dishes. ‘Next was learning how to cut, peel and grate between 16-18 months. He started out with a butter knife so he could not injure himself. We made sure he was always standing in the learning tower at the right level and facing the counter, not at an angle. If a child is sitting on a shelf and tries to help with cutting, their body won’t be at the right angle. That makes cutting a lot harder and could result in injury. He started out cutting foods which were very easy to cut, such as basil leaves, mushrooms, bananas and strawberries and then moved on to other foods such as onions, bell peppers, tomatoes and apples. At two-years-eight-months old, some foods are still a little tricky for him to cut, such as carrots or potatoes, but he can usually help peel or grate those. ‘Whatever age or level of skill your little one is, letting them help in the kitchen is a truly wonderful experience. It is always a happy time when Kai gets a little better at using one of the many kitchen tools and seeing the joy on his face when he realises he has managed to do something on his own after many days or weeks of trying. It’s just too gorgeous! I will never forget how proud he was when he first managed peel a carrot. The concentration on his face while keeping his fingers out the way to protect them; the laughter and excited squeak’s that came bellowing out – all were moments every mother cherishes. ‘Kai very recently cooked his first scrambled eggs. He was so excited to finally be able to cook something himself from start to finish. Cracking the eggs, beating them, cutting the tomatoes and adding a little feta, buttering the toast and using the spatula and pan he has watched mommy and daddy using for the past two years. He used all his practiced skills to make one meal. He ate every little crumb of that meal and watched wide eyed as we ate it too. Too sweet for words.’ Tara and Carl also shared a few tips for when your little one helps in the kitchen: • Start them off by just watching you cutting, chopping, baking and cooking. They will enjoy the smells and sights of everything in the kitchen. • Making sure they are safe is the priority. Remove
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Kai in his learning tower, safely helping out in the kitchen.
any sharp items or choking hazards. Do not place them in an area where they could fall, access the kettle or any electrical equipment (blenders, etc) or close to any hot surfaces. If they are close to the chopping board, never leave the knife you are using on the chopping board. This must be kept out of reach at all times. • Start naming everything you are cooking, even if they can’t talk. This will help them learn the names of the foods they taste. • Let them hold, smell and gum various foods in their whole forms. What a potato feels like is very different to what a red pepper feels like. This can be very interesting for a little one and can keep them occupied while you are busy. • If your baby is a little bigger and can eat the raw foods you are chopping, let them try everything. You (and they) may be surprised by what they enjoy and they will get used to a variety of flavours. • Let them know what a big help they are. Even if they are just moving all the food you have cooked from one side of the board to another. • Take out a few bowls for your toddler to put the various ingredients into once they have been chopped. i.e.: tomatoes into one bowl, onions into another bowl, etc. • As they start getting older it is a good idea to consider investing in a learning tower, or something similar, so that they can stand in front of the counter. Having a safety barrier at their back can help prevent falls. • Once standing at the counter next to you, they can start learning to use the various tools in the kitchen. You can start with simple tasks such as mixing ingredients, beating eggs or cutting soft foods. As they grow and their motor skills develop, you can start them peeling, grating and cutting. Go at their pace. Let them have fun and feel no pressure. If they don’t want to do something today, they may want to try again another day. • When making smoothies or other blended items, let them help if you have equipment which is safe for them to do so. • Setting the table can be fun too! You may not get your knife and fork in the right place, but they will enjoy the process and if, like Kai, will watch wideeyed to see you pick up the utensils he has laid for you. • When sitting down for your meal, thank them for helping and let them know how delicious it is. A beaming toddler is sure to be seen! www.babysandbeyond.co.za
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FEATURE
‘I am because you are’ – the story behind Ubuntu Baba
Meet Shannon McLaughlin, founder of Ubuntu Baba, the company that was recently in the news for its successful ‘David-vsGoliath’ battle with Woolworths. Her quest to design the perfect baby carrier for her son has translated into a business that ships to every corner of South Africa and around the world.
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hannon had a beautiful vision of what her life as a new mom would look like. However, after her son was born in 2014, she came face to face with reality – those first 12 weeks were far from her dream of baby bliss. If her little boy was not in her arms constantly, there were tears and an equal amount of those tears were her own. ‘We’d tried all sorts of colic cures and ways to calm him, but still he struggled to settle. Getting him to sleep was incredibly trying and he seldom slept for more than 45 minutes. I was desperate. So was he. Thankfully, a friend came over one day and gifted me with a stretchy wrap and that’s how I discovered the magic of babywearing,’ she explains. In no time her child went from snatches of sleep to three-hour snoozes and it took at most 10 minutes to
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‘get him down’. Shannon could now take relaxing afternoon strolls on the beach, meet up with friends, enjoy early dinners out and, most importantly, she could get on with her work while her baby slept, calm and content, on her chest. Both were so much happier. As her son grew, Shannon began the task of finding the perfect baby carrier – something just as soft and comfy as her wrap, but strong enough to support him. After buying six different baby carriers and struggling in one way or another with all of them, she set out to design and make her own with help from her dad (who’d been in the backpackmanufacturing business) and her mom (who’d been a fashion designer). ‘My goal was to create an easy-to-use, breathable and comfortable carrier with a supportive waistband that was gentle on a C-section healing. I wanted it to be adjustable, so it didn’t have to be replaced too often as my baby grew,’ she says. Using the finished article made Shannon aware of the added benefits for both babies and moms. The interest she received from other mothers made it clear that what had started out as an answer to a personal need could become a fully-fledged business. Shannon grew up in South Africa where she witnessed African mothers wrapping their babies on their backs from a very young age and she wanted an African name for her business. In tribute to these original babywearing moms, Shannon chose ‘Ubuntu Baba’ as the name of her new company. ‘The explanation of “Ubuntu” – “I am because you are” – evokes so well the mother-child bond, as well as the transition into motherhood and the support and comfort we receive from other moms,” she says. Four years ago, Shannon started out with just one machinist; today Ubuntu Baba employs six machinists and six in the management team. The carriers are shipped worldwide, from the most rural areas in South Africa to major cities in Australia, Dubai, the United Kingdom, Switzerland, Amsterdam, France and the United States. Join Ubuntu Baba for their inspiring ‘4th trimester’ chats every second Friday when Shannon invites moms to join her for a relevant talk on motherhood, a muffin, coffee and a massage. ‘It’s such a lovely space for new moms to connect and feel supported on their journey. It’s something I really missed out on as a new mom, so it feels great that I am able to now offer that to other moms,” Shannon adds. www.babysandbeyond.co.za
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FEATURE
New app empowers HIV-positive children and healthcare workers Keep A Child Alive and Zoë-Life, in collaboration with the Qualcomm® Wireless Reach™ Initiative, have launched the KidzAlive Talk Tool App, an innovative mobile health solution that equips healthcare workers to provide age-appropriate HIV education to children and adolescents, as well as their primary caregivers.
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reat strides have been made in the fight against HIV/AIDS globally and while this is particularly true among adults in South Africa, social and structural barriers are leaving children and adolescents behind. Primary caregivers fear getting
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their children tested because of the possibility of having to disclose an HIV-positive result and the stigma of living with HIV. Healthcare workers are often overwhelmed by the difficult task of talking to young children who are at risk and who require counselling
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FEATURE
Above: The KidzAlive Talk Tool App provides healthcare workers with the support they need to interact with children and their caregivers in an age-appropriate way. Above right: Healthcare workers use the app to engage children in the animated journey of a frog named Sibusiso as he goes for HIV testing, learns his positive status and comes to understand the importance of adhering to his treatment.
and testing – they express a lack of confidence in how to approach these conversations and often do not have child-friendly job aids to assist in the process. Innovated by Zoë-Life, the KidzAlive Talk Tool App provides healthcare workers with the support they need to interact with children and their caregivers in an age-appropriate way. Healthcare workers use the app to engage children in the animated journey of a frog named Sibusiso as he goes for HIV testing, learns his positive status and comes to understand the importance of adhering to his treatment. The app has built-in prompts to assist healthcare workers in guiding children through their own journey of HIV testing, learning their test results, overcoming stigma and learning about prevention and healthy living. The app, which is currently available in three languages, includes interactive games which keep the children focused and engaged and increases their retention of information. ‘The KidzAlive Talk Tool App demonstrates a creative and effective way to use mobile technology to improve health services and involve communities in HIV prevention and treatment,’ says Antonio RuizGiménez Jr, Executive Chairman and CEO at Keep A Child Alive. ‘We are very excited about partnering with Qualcomm Wireless Reach on this project.’ In a recent pilot study of the KidzAlive Talk Tool App, 33 healthcare workers at private and governmenthealthcare facilities in Gauteng and KwaZulu-Natal, trialled the app following in-depth training.
‘After their training, healthcare workers experienced a 62% increase in confidence and competence in providing age-appropriate counselling and care for HIV-exposed and infected children,’ says Dr Stephanie Thomas, Executive Director at Zoë-Life. ‘Primary caregivers participating in the pilot study were more willing to give consent for their children to receive HIV testing and counselling.’ ‘At Qualcomm, we believe that advanced mobile technologies have a great role to play in improving access to healthcare services, lowering costs and increasing efficiencies,’ says Elizabeth Migwalla, Senior Director of Government Affairs for Africa and the Middle East, Qualcomm International, Inc. ‘We are proud to collaborate with Zoë-Life and Keep A Child Alive to extend South Africa’s AIDS response to its most vulnerable populations and support the nation’s children in leading healthy lives.’ Zoë-Life is a non-profit organization which believes that unlocking a resilient future for the continent lies in bringing wholeness to its children and youth. To this end, its work revolves around forging pathways to a hopeful future by collectively raising a generation of healthy, productive and fulfilled individuals. The mission of their KidzAlive programme is to bring peace and comfort to children with chronic diseases and to free them from stigma and fear. Zoë-Life is the sub-grantee of Keep A Child Alive, founded in 2003 by AIDS activist Leigh Blake and Grammy Awardwinner Alicia Keys to get life-saving medication to children dying of AIDS in sub-Saharan Africa.
About Qualcomm Qualcomm invents breakthrough technologies that transform how the world connects, computes and communicates. When we connected the phone to the Internet, the mobile revolution was born. Today, our inventions are the foundation for life-changing products, experiences and industries. As we lead the world to 5G, we envision this next big change in cellular technology spurring a new era of intelligent, connected devices and enabling new opportunities in connected cars, remote delivery of health care services and the IoT — including smart cities, smart homes and wearables. Qualcomm Incorporated includes our licensing business, QTL, and the vast majority of our patent portfolio. Qualcomm Technologies Inc, a subsidiary of Qualcomm Incorporated, operates along with its subsidiaries, all of our engineering, research and development functions and all of our products and services businesses, including the QCT semiconductor business.
www.babysandbeyond.co.za
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Advertorial: Betadine
Is your bodywash responsible for your sensitive skin? Our skin literally holds us together and protects us from the harsh environment we live in. It makes sense to look after our skin. But oddly, many don’t. And of course, the result of a bad or no skin regime are skin ailments, skin disorders and generally bad health. BETADINE® Natural Defence was developed with this in mind and our mission is to educate everyone on the benefits of having a healthy skin. 1
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hile you may have a good skin cleansing routine, you may not realise that harsh, chemically-loaded washes are aggravating your skin. The very act of scrubbing your skin could be what is causing you to break out or develop skin disorders. Your skin has a natural pH balance that, when disturbed, can result in various reactions which can be painful, uncomfortable and downright irritating. 2 Back in the day, as far back as Neanderthal times, cleansing ourselves was part of an everyday, sometimes only every month, ritual. A form of soap was discovered by blending animal fat and tree ash and then vigorously rubbing it all over the body. While we shudder to think what that did to the skin, we can be thankful that they washed at all. Many people believe that if you are using soap, any type of soap, you are clean. And, while that may be somewhat true, you could also be unbalancing your skin’s pH.
What is your skin’s pH about? pH is the measurement of acidity in your skin and other organs in your body and is an important balance to adhere to. Your skin’s ideal pH balance is 5.5 and can be affected by hormones, weather, food and drink and even clothing. 3 Even the cleansers and daily soaps you use can affect your skin’s pH balance. With exposure from the sun and the weather in general, as well as makeup and shaving foams or gels, we need to wash our skin regularly. Washing removes dirt and germs. But often, it is the products themselves that are damaging our skin and causing all sorts of skin disorders.
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Some of the major factors that result in our skin being dry and irritated are from cleansers. The culprits are: • The surfactant ingredients which are responcible for lifting dirt from the skin – it is the very nature of their chemical composition that affects your skin. • The cleanser residue and rinsability factor (meaning how well the cleansing agent washes off the skin). • The pH of the cleansing agent – if the cleansing agent has a different pH to your skin, then you run the risk of it throwing things out of balance and developing skin irritations. How can BETADINE® Natural Defence assist with maintaining that optimal pH balance in your skin? No matter whether you use the BETADINE® Natural Defence Body Wash, the BETADINE® Natural Defence Foaming Hand Wash, or the BETADINE® Natural Defence Hand Sanitizer, you can be assured of a solution that is gentle on the skin, but tough on germs. We have a long list of friendly ingredients that make up our BETADINE® Natural Defence range and all are included to ensure that your skin is left clean and well-protected from germs. 4 We encourage daily usage of all our BETADINE® Natural Defence products for the entire family.
References: 1. http://sg.betadine.com/en/sg/protective-care/daily-hygieneproducts 2. How does skin work - National Library of Medicine - PubMed Health 3. Cleansers and their role in various dermatological disorders 4. https://www.health24.com/Medical/Skin/Caring-for-your-skin/ What-is-skin-pH-20120721
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FEATURE
What happens after the pap smear? By Dr Lerato Masemola
All women know about them and have them annually – or should do! However, it’s no-ones favourite thing to do and it can be quite an anxious event. So, what exactly is a pap smear and what happens after you’ve had it done?
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nce you have done your pap smear, one of the following things can happen: 1. Your healthcare practitioner may tell you your results are ‘within normal limits’ and they will see you when you are due for your next one. 2. You may be told to come in to discuss abnormal results which require treatment of an infection or a repeat of the smear immediately or in the near future. 3. You may be referred to a gynaecologist (if the gynae is not the one who did the test) for further examination and possibly other tests.
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If you receive unfavourable results it is important to keep calm. There is no point in getting worked up about ‘what ifs and should haves’. Your nurse, GP or gynae will guide you about what to do next. Let’s break down an abnormal pap result. Inadequate for evaluation: This usually means the specimen was not sufficient enough to assess for abnormal cells. Usually, the ‘endo-cervical component’ is absent or negligible. This is the inner part of the cervix where the abnormal changes usually occur, therefore it is important for this to be present. If it is absent, another sample may be taken www.babysandbeyond.co.za
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FEATURE immediately or in a few months’ time. The shift in normal flora: This simply means that there is too much of one or both types of the usual organisms that live in the vagina. There may be too much bacteria (bacterial vaginosis) or too much yeast (fungus) or Candida (what is commonly known as thrush). You may need to take medication to restore the balance, either an antibiotic or anti-fungal or a Betadine douche, which will kill both the bacteria and the fungi and may help restore the balance. Evidence of Human Papilloma Virus infection: This means that the cervix has been exposed to HPV infection that has not cleared. This is important to note as an HPV infection can lead to cervical cell changes and eventually cervical cancer (read more in the next article). HPV typing may be done to detect high-risk types that commonly cause cancer. Atypical cells: This does not mean cancer. It just means cells are abnormal and it is unclear what the type is or the extent of the abnormality. The body may clear some of these abnormal cells and subsequent smears may be normal. A repeat smear is recommended in 6 to 12 months. Squamous Intra-epithelial Lesion (SIL): This means that cell changes may be pre-cancerous. These lesions are described as low-grade (LGSIL) which means changes are mild. Some lesions may go away on their own, while some lesions may persist and take years to become cancerous. Lesions can also be highgrade (HGSIL) meaning that changes are severe or very abnormal and will most likely become cancerous quicker than the low-grade type. A repeat smear in 6 months is recommended in case of LGSIL. For HGSIL, a further examination by a specialist gynaecologist is required to check how extensive the changes are and also to do a biopsy (take a tissue sample) of the cervix. SIL may also be referred to as Cervical Intraepithelial Neoplasia and be graded into CIN 1 for LGSIL and CIN 2 and 3 for HGSIL. Squamous Cell Carcinoma/Adeno-Cell Carcinoma: This means that the cell changes are highly likely to be cancerous. Further examination and biopsy should be done as soon as possible by a gynaecologist.
procedure. This procedure can be done under local or general anaesthetic. Cone biopsy: This is a minor surgical procedure done under general anaesthetic. A cone-shaped specimen is taken to further investigate and even treat the abnormal or cancerous cells. The cone includes the whole area of the cervix that has abnormal cells and is sent to a laboratory for histology. The after effects of the LLETZ and Cone Biopsy include something that feels like period pains and mild post-procedure bleeding (if heavy please see your gynae). You also need to rest to give the cervix time to heal. No sex or heavy duty work or exercise is recommended for 4 to 6 weeks and it is also recommended that you don’t use tampons so you can avoid introducing infection. Hysterectomy: Lastly, depending on the biopsy results and menopausal status, it may be necessary to remove the whole womb along with any cervical cancer or severe changes. This is not the ultimate outcome for everyone, but in the case of confirmed invasive cancer, it may be lifesaving. Don’t panic, talk to your doctor. Younger women of childbearing age need to discuss their options with their specialist. Cone Biopsy and LLETZ don’t affect fertility or the ability to fall pregnant. However, the pregnancy may be high-risk due to the potential and likely weakness of the cervix. This weakness is fairly easy to manage, so it is important to let your GP or gynae know immediately you suspect or confirm pregnancy. Please remember to engage your doctor and be clear about what was found and treatment options available. In the third and last of this particular series of cervical cancer awareness, I will be tackling the cervical cancer (HPV) vaccination. * Dr Lerato Masemola practices at Thari Health Excellence. You can contact her at email drleratom@tharihealth.com, or visit www.tharihealth.com for more information.
You have been referred for further tests or treatment, what are these? Colposcopy: This is done in the gynae’s rooms and does not take long. The gynae will use a colposcope (a special microscope that does not go into the vagina) to look closely at the cervix and most likely also take a biopsy of the suspicious area. This examination is usually not painful. There may be discomfort from lying on your back for a while longer than it takes to do a pap smear (about 20 minutes compared to 3 minutes), but there shouldn’t be much pain. A local anaesthetic may be given if a biopsy is taken, or a patient may opt to come back at a later date and be put under general anaesthesia for this. Large Loop Excision of the Transformation Zone (LLETZ): A large area of the transformation zone of the cervix (an area just inside the cervix) is removed by laser for further examination or as treatment of abnormal cells by removing all of them during the www.babysandbeyond.co.za
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ADVERTORIAL: Chicco
Get closer to your baby naturally, with Naturally Me and Natural Feeling nursing products from Chicco A globally-respected company with 61 years as a leading baby products manufacturer, millions of people have grown up with Chicco in their lives and passed that tradition on to their children and indeed, grandchildren.
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hicco’s comprehensive range of nursing essentials is now available countrywide. A complete solution for nursing your child, this vast array of products has been proven to be some of the most popular in the world since their release. Tested through the famous Chicco Observatory in Italy by dermatologists, paediatricians, gynaecologists and parents, all the products go through a rigid testing system, ensuring that children are protected by their parents’ decisions as consumers. Chicco’s wealth of experience ensures greater bonding time, and less fuss. All Chicco nursing products are world-class quality, clinically tested to reassure parents that wherever there’s a baby, there’s the safest baby product from Chicco.
Naturally Me Electric Breast Pump Intuitive, comfortable and efficient, this top quality breast pump has the silicone ‘mum’ effect that adheres to breasts in a relaxed position. Ten settings allow mom to adjust her setting and express at her own pace, while the LED light allows her to see even in the dark. The perfect solution for modern moms on the go who are looking for a comfortable way to express with ease.
Naturally Me Manual Breast Pump A comfortable, effective solution for the natural expression of milk. With an easy grip handle for less fatigue, the Naturally Me manual breast pump fits onto all bottles and milk containers within the Chicco nursing range. The pump comes complete with a Natural Feeling angled teat and the soft silicone cup adheres perfectly to the breast for full cover. All pumps contain 0% BPA and are made in Italy. www.babysandbeyond.co.za
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Physio Soft and Physio Micro pacifier All Chicco pacifiers are designed to perfectly fit children’s mouths, no matter what age. This ensures correct, uniformly distributed pressure of the tongue on the palate. The ideal teat should be orthodontic, designed with a shape that will not hamper dental development. The neck of these soothers is small, ensuring baby’s mouth does not sit unduly open when sucking. The Physio Soft is ideal for sleep as it is made from the softest silicone. The Physio Micro is a fashion dummy, with cute buttons of personality. The small plate is perfectly designed to fit a newborn, or even premature baby.
Anti-Bacterial Breast Pads Maximum safety for the delicacy of skin, whilst providing 100% protection from leakages, the Chicco anti-bacterial breast pads understand the organic nature of milk and provide a dry breathability that ensures moms are left feeling fresh. Highly absorbent and completely invisible under clothes.
Nipple Shields Breastfeeding can sometimes get tough on mom’s delicate skin. That’s where nipple shields come in handy. Still allowing maximum closeness for the child, the thin silicone adheres to the skin and provides a gentle barrier to provide moms with much needed relief from friction. The shields have small incisions in the nipple area to allow a good flow of milk without stagnation. The shields come in packs of two in a small sterilising case. Perfect for moms that want to breastfeed for longer durations. Pick up these and many more essential nursing products from Chicco through selected retailers and online outlets now.
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FEATURE
Why is my hair falling out? It can happen when you least expect it – thinning hair. One day your hair is at its most glorious and the next day you are pulling out heaps of hair from your hairbrush. That is when you start asking the question, why?
V
igro® agrees that there are many reasons for non-hereditary hair thinning of which we are not made aware. We often don’t expect our hair to fall out and when it does, it can be a confusing and somewhat panicking moment. What you come into contact with daily affects not only your body but also your hair. Your stress levels, medication, how you care for your hair and even what your body is going through, has an impact on your hair. However, we tend not to worry about our hair as much as we do our bodies, because the effects are not instant. Vigro® offers the following reasons why non-hereditary hair thinning happens: • Over-styling. The over-use of your hair dryer or hair straightener, as well as excessive use of products, such as hair dye, can cause your hair to thin. Rather dye your hair a colour closer to your natural colour as this won’t have you running to the hairdresser too often. Also, why not find a more natural look that you can count on during your ‘no-styling’ days to avoid damage from your hair dryer and hair straightener.
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• Stress is a main contributor to non-genetic hair thinning. Lowering your stress levels can stop you from literally pulling your hair out and allow it to stay where it belongs. When you are stressed your hair can go from a growing phase, to a resting phase, to a falling out phase; however, what many people don’t realise is that the resting phase only occurs a few months after the stressful period. • Medication can have an effect on your hair, especially when used for a long time. It is important to find out from your doctor what the side effects of the medication are. If hair thinning is one, then you can be prepared for when it happens. Giving birth. Hair thinning after giving birth is • something that soon-to-be and new mothers often don’t know about. Around 12 weeks after giving birth, the new mother’s hair will start thinning, causing confusion and panic. While pregnant, the changes in your hormone levels can cause less hair to fall out, which means that the usual 100 hairs that are meant to fall out daily, don’t. However, 12 weeks after your baby arrives these same hairs start to shed, which can be very alarming. Using Vigro®’s 3-Step System can assist the scalp by cleaning and opening the hair shaft, preparing it for penetration of the active ingredient, Follicusan™ (topical products), as well as helping hair follicles to reduce hair loss. The Vigro® 3-Step System also provides a combination of vitamins and minerals needed to nourish your hair from within*. * Efficacy of support may vary between users. Consult a medical practitioner for a diagnosis or if symptoms persist. Use as indicated. Vigro®3-Step System is not indicated for genetic hair loss. The Vigro® 3-Step System is made by Nativa (Pty) Ltd. To find out more call the Customer Care Line on 0860 628 482, or email: health@nativa.co.za, or visit their website: www.nativa.co.za
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BREASTFEEDING
Not all breastfeeding looks the same – and that is OK! By Carey Haupt
One of the beautiful things about breastfeeding is that it is a relationship between you and your baby. The dynamics and how you feed can change over time as both of you grow in your knowledge of breastfeeding and each other. Breastfeeding is so intimate that your experience will be very different from other mothers. And that is OK!
I
love to hear from mothers about their breastfeeding experiences because although there may be a similar theme, all moms have their own unique story. There are so many ways to breastfeed a baby. There are many moms that for different reasons like prematurity, separation from baby, illness, pain, low milk supply, fast letdown or even engorgement, choose to express. Some mothers see this as their ideal feeding method while others have had to rise to the challenge and find a way in which they still can provide breast milk for their little one. As an exclusive pumper (while my babies were in NICU) and then a part-time pumper (while learning how to breastfeed and then later going back to work), I can say that expressing is a wonderful way to still supply breast milk to your baby – but it is also a lot of work. The time it takes to express plus the sterilization of the equipment is valuable time for any mother. My private goal for breastfeeding my children was the ‘standard’ six months exclusive and two years or longer. I can confidently say that without the initial expressing and then part-time expressing, I would never have reached my goal. As I mentioned earlier, expressing breast milk takes time and effort. Here are some tips to help you make the most of your time: • Learn how to hand express. This is an important skill that all breastfeeding moms need to know. You never know when you will need it. • Use the correct pump for your needs and affordability. A double electric pump can help you to express in less time with higher milk outcomes. • The key to a good milk supply is emptying your breast. If you are exclusively pumping, you need to remove your breast milk as often as your baby would have fed. This can be eight or more times a day. • Massage your breasts and apply warmth to them before you start expressing to help with your letdown and milk supply.
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• If using a breast pump, you can use hands-on expressing and finish with hand expressing. • Store your breast milk safely. If you are planning to continue to breastfeed once you go back to work, tell your company before you go on maternity leave. If they do not have a room and policies to help you with breastfeeding, this information will allow them time to find a space that is appropriate for you. Ask them for the policy on breastfeeding and enquire about your two 30-minute breastfeeding breaks that you will be taking to express milk for your baby. Here are some guidelines on how to express milk for your baby while at work.
Ask your company for their policy on breastfeeding and about your two 30-minute breastfeeding breaks that you will be taking to express milk for your baby while at work.
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BREASTFEEDING Step 4: Prepare for expressing Use a few minutes to disconnect from the hustle and stress of work. Focus on your baby, you can even watch a short video or look at photos of your child. Use heat pads or massage your breasts to help with the letdown. Step 5: Express your milk Express in your preferred method.
Mothers expressing breast milk can build up their milk supply and can supply milk to their baby for longer if returning to work.
Step 1: Build a stash You only really need to start to store up a supply of breast milk about two to four weeks before you go back to work. You can expect to express the following amounts: • If you are expressing in between feeds while direct feeding, expect to express about half a feed. • If you are expressing to replace a direct feed, expect to express a full feed Women have different storage capacities, so some will be able to express more than expected. All women are different so try not to compare yourself with others. Step 2: Find your work expressing spot Make it as comfortable as possible for you. Check to see if you can lock the door, or bring a sign for the door that indicates you are expressing and that you should not be disturbed Step 3: Make the place as clean and hygienic as possible If needed, clean the surfaces. Wash your hands before your start expressing. Bring sterilized equipment to the office. This way you can avoid the need to sterilize at work.
Step 6: Store your milk safely Once you have finished, store your breast milk in the container you will be freezing it in. Make sure it is closed tightly and will not leak during transportation. Depending on the facilities that you have at work, you can store your milk in a fridge or cooler bag with ice packs for the day. Once you are at home you can freeze the milk or get it ready for the next day. Remember to label the bottle with baby’s name and date that you expressed it so that you can identify your milk and how old it is. Step 7: Clean up Make sure that you leave the area clean and ready for the next mom to use. Step 8: Prepare for the next day Once you are home, wash and sterilize your equipment. Once your equipment is dry, pack it away ready to take to work again. This way you are less likely to forget it in the morning. Step 9: Decide how you will feed the expressed milk to your baby Teach the person that will be caring for your baby the method that you have decided to feed your baby. Make sure they understand how and can demonstrate that they can safely feed your child. Mothers expressing breast milk can build up their milk supply and can supply milk to their baby for longer if returning to work. This does take a lot of time and effort from the mother, something not everybody will appreciate. Whenever I hear that a mom is expressing milk for her baby, I acknowledge what she is doing and recognise her commitment.
Carey Haupt is a registered dietitian and lactation consultant and owner of My Breastpump. My Breastpump brings you the Ameda range of breast pumps and accessories which are the world leaders in pump design. The pumps are imported from Belgium and are of the highest quality. Ameda is a completely closed system pump, which means that you no longer have to worry about milk entering the tubing which can cause the growth of mould and bacteria. Ameda offer a full range of flange sizes so that the pump will correctly fit your body to ensure efficient expressing of your breast milk. You can personalise the speed and suction of the pump for total comfort. For more information visit our website www.mybreastpump.co.za
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BREASTFEEDING
Medication and breastfeeding By Philips Mother and Child
Autumn and the colder, drier weather can wreak havoc on sinuses and allergies. In fact, any change in season can be hard on the body, but the move towards winter and flu season can be particularly difficult. Sniffles, niggly throats and watery eyes can just be allergies playing up or can signal the start of something more. For a breastfeeding mom, this can be concerning as you might not be sure if you can take any medication, and if you do, what effect it may have on your baby?
H
ere is a list of tips and tricks that can carry you through the change in season without preventing you from breastfeeding: 1. The first step should always be to consult your doctor – there is medication that is safe enough for moms to take while breastfeeding and to distinguish the difference between those you can take and those you can’t, you should seek advice from your doctor. 2. Avoid a combination of medication when you can get one that will work and is safe for you and baby. 3. When you have an itchy throat, drink warm water with lemon and honey. 4. Get the flu shot – the flu vaccination is safe for breastfeeding moms and preventing flu in mothers can reduce your baby’s chances of catching it. 5. If you are not keen on taking medication orally, opt for a nasal spray as this can give you instant relief from allergies without worrying about it affecting the baby.
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6. Should you prefer not to go the medication route at all, keep hydrated and use a humidifier to moisten the air. 7. Remember to give you body time to rest. Always easier said than done for new moms, but ensure you stay hydrated and give your body the rest it needs to fight off any bacteria or viruses. Don’t let change in season steal the joy that comes with breastfeeding. Make sure you always consult with your doctor before using anything you buy over the counter, or even home remedies because you always want to make sure that what you’re putting in your body will be healthy and safe for you and your baby. And one last tip – don’t forget to bundle up before you and your baby head out as the weather changes and gets cooler. Take this time to enjoy your little one and the winter adventures that await! www.babysandbeyond.co.za
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Advertorial: Flora Force
Breastfeeding blues: help for first-time moms For first-time moms, breastfeeding can seem like a minefield. There are heaps of questions you’d like to ask, but frankly, you’re uncomfortable discussing such intimate issues. Guess what? You’re perfectly normal! Here are answers to three of the most common new-mom breastfeeding concerns.
1. I have small breasts. Can I produce enough milk for my baby? ‘The size of your breasts has nothing to do with the amount of milk you produce,’ says Flora Force’s Dr Florrie Kerschbaumer. ‘Small breasts can provide more than sufficient milk.’ In fact, small-breasted women can produce even more milk than their bigger-breasted friends. For extra help, stimulate your milk supply with Flora Force Fenugreek.
2. Why are my breasts so hard and painful? About two to five days after your baby’s birth, your breasts may feel hard, hot and achy as your milk ‘comes in’. ‘Drain your breasts frequently,’ says La Leche League South Africa’s Leani Khan. ‘A newborn should nurse every three hours, day and night. If your baby isn’t nursing, express your milk frequently by hand or pump.’ A warm compress before feeding can encourage milk to flow and a cold compress after nursing will reduce tissue swelling. ‘If engorgement is making it difficult for your baby to latch, gently massage around the base of your nipple with your fingertips to soften the area,’ Khan advises.
3. I dislike the sensation of breastfeeding. Will my baby be satisfied if I pump my milk? If your baby is happy being bottle-fed your breast milk, go ahead. If you need help triggering the letdown reflex to express, take Flora Force Fennel. ‘Trust yourself,’ says Dr Florrie. ‘Relax and enjoy your baby; being stressed will impact your milk supply. If you need guidance, ask for advice.’ Flora Force wishes you and your baby many memorable intimate moments. You’ll find more Breastfeeding ABCs at www.floraforce.co.za/ breastfeeding-abcs/
floraBABY
100% cotton accessories for you and your baby’s comfort and wellbeing help you breast“To feed 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
”
•
www.florababy.co.za Available at: mrsmilk.co.za faithful-to-nature.co.za
•
floraBABY supports local industry – our 100% cotton products are handmade by a dedicated Capetonian seamstress.
FENUGREEK & FENNEL
FOR BREASTFEEDING MOMS FLORA FORCE FENUGREEK stimulates breast milk production. FLORA FORCE FENNEL helps trigger the letdown reflex (useful for working moms not responding well to the pump). For more on breastfeeding: www.floraforce.co.za/breastfeeding-abcs/
Available at Dis-Chem, Clicks, other leading pharmacies and health shops, and online at faithful-to-nature.co.za takealot.com
www.babysandbeyond.co.za This unregistered medicine has not been evaluated by the SAHPRA for its quality, safety and intended use.
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QuatroFlora QuatroFlora QuatroFlora QuatroFlora KEEPS THE COLON HEALTHY KEEPS THE COLON HEALTHY KEEPS THE COLON QuatroFlora KEEPS THE COLON HEALTHY HEALTHY KEEPS THE COLON HEALTHY
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™ QuatroFlora QuatroFlora™ capsules capsules contain contain the the following following strains strains of of probiotic probiotic ™ bacteria for improving gastro-intestinal health and well-being: QuatroFlora capsulesgastro-intestinal contain the following of probiotic bacteria for improving healthstrains and well-being: ® ® Bifidobacterium, BB-12 acidophilus, ®, Lactobacillus ®, QuatroFlora capsules contain the following strains ofLA-5 probiotic bacteria for ™improving gastro-intestinal health and well-being: Bifidobacterium, BB-12 , Lactobacillus acidophilus, LA-5 , ™ Lactobacillus bulgaricus, Streptococcus thermophilus, ®LBY-27, QuatroFlora capsules contain the following strains of probiotic bacteria for improving gastro-intestinal health and well-being: Bifidobacterium, BB-12 , Lactobacillus acidophilus, LA-5®, STY-31 Lactobacillus bulgaricus, LBY-27, Streptococcus thermophilus, STY-31 ® bacteria for improving gastro-intestinal health and well-being: Bifidobacterium, BB-12 , Lactobacillus acidophilus, LA-5®, STY-31 Lactobacillus bulgaricus, LBY-27, Streptococcus thermophilus,
Bifidobacterium, BB-12®LBY-27, , Lactobacillus acidophilus, LA-5®, STY-31 Lactobacillus bulgaricus, Streptococcus thermophilus, ™ Lactobacillus bulgaricus, LBY-27,the Streptococcus thermophilus, STY-31 QuatroFlora capsules contain following strains of probiotic
bacteria for improving gastro-intestinal health and well-being: ® Bifidobacterium, Lactobacillus acidophilus, LA-5®,any disease. ThisBB-12 productis,isnot notintended intendedtotodiagnose, diagnose, cureororprevent prevent This Thisproduct productisLBY-27, isnot notintended intended todiagnose, diagnose,cure cureororprevent preventany anydisease. disease. This product to cure any disease. Lactobacillus bulgaricus, Streptococcus thermophilus, Clinicaldocumentation documentationavailable available request. Clinical ononSTY-31 request.
Clinical documentation available ondisease. request. Thisproduct productisisnot notintended intended diagnose, cureororevaluated preventany any disease. documentation available on request. This totodiagnose, prevent This Clinical product has notcure been by the MCC. This Clinical product has not been by the MCC. Clinical documentation available ondisease. request. Thisproduct productisisnot notintended intended diagnose, cureororevaluated preventany any disease. documentation available on request. This totodiagnose, cure prevent This Clinical product has not been evaluated by the MCC. Clinical documentation available on request. This product is not intended to diagnose, cure or prevent any disease. documentation on disease. request. This product is not intended to diagnose, cure or available prevent any This Clinical product has not been evaluated byonrequest. the MCC. Clinicaldocumentation documentation availableon request. available This product has not been evaluated by the MCC.
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9/9/15 10:10 AM Thisproduct productisisnot notintended intendedtotodiagnose, diagnose,cure cureororprevent preventany anydisease. disease. 9/9/154:51:52 10:10 PM AM 9/12/12 This Clinical documentation available on request. 9/9/154:51:52 10:10 PM AM Clinical documentation available on request. 9/12/12 2014/03/10 1:50 PM This product has not been evaluated by the MCC. 9/9/15 10:10 AM 2014/03/10 1:50PM PM 9/12/12 4:51:52
9/9/15 10:10 2014/03/10 1:50 AM PM 2014/03/10 1:50 PM
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HEALTH
Autism and the need to embrace neurodiversity By Vicky Lamb
Autism is considered a neuro-developmental condition. This means that those on the spectrum think, feel, play, learn, behave and communicate differently to a child who develops typically. Autism is a complex condition that affects each person differently.
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ypically, we will begin to see the signs from around 18 months to two years of age – sometimes parents will notice the signs earlier, but some parents only begin to see the signs at an older age. While each child will show different traits, it’s important to look at all the signs of autism and consider the child holistically. Some of the signs might include a delay in speech development, lining up toys and objects, sensory difficulties (the child might have difficulty in noisy environments, or with bright lights, or they might seek out loud noises or bright lights). These signs are going to be different for all children. When there is too much sensory information, an autistic person might experience a sensory overload which will more than likely result in a meltdown. This is often misunderstood in autism and often it is confused with a tantrum. A meltdown is not a tantrum. It is a physical response to too much information – the person experiencing the meltdown does not have rational thought and often is unable to express their needs. It’s very important to be aware of what the triggers are that might lead to a meltdown to try and prevent one. Some of the other signs that we see in autism include different ways of interacting. Some autistic children may appear to not be interested, while others may be ‘too social’ – this is not because they don’t want to make connections and socialise, they just socialise differently. We might also see some of the following signs when we work with autism: • The child appears disinterested in others around them. • Changes in the environment or the child’s routine cause distress; this is often due to anxiety. • The child may become attached to unusual objects (the child might prefer to play with light switches, or car keys, for example). • The child may display habits such as rocking or hand flapping. These are known as self-stimulatory behaviours and are often a need for the autistic person.
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• The child’s fine motor or gross motor skills may be under-developed. • The child may have difficulty sleeping. It is important to look at all the signs and all the areas of difficulties with autism and not assume that one sign means a child is autistic. There are also many strengths to autism and some of these are: • Hyper focus – if the child is interested in something, they will be able to focus intensely on it • Creativity – often autistic children can be very creative • Less judgemental • High levels of integrity • Trustworthy, reliable and honest • Unique perspective on topics, with great attention to detail There are certainly challenges with autism, including self-injurious behaviour, difficulties with sensory information, challenges with communication and the need to stick to routines and rituals. It’s important that we begin to embrace neurodiversity – the idea that people think differently and start to allow people who think differently to become active members of society.
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HEALTH
Dr Tholang Khumalo, Paediatric Nephrologist at the Nelson Mandela Children’s Hospital’s Dialysis Unit which was opened in March last year. The Dialysis Unit has since grown to become one of the biggest in the country, treating 19% of all children on dialysis across South Africa.
Chronic kidney disease in children By Dr Tholang Khumalo, Paediatric Nephrologist, Nelson Mandela Children’s Hospital’s Dialysis Unit
The kidneys are two bean-shaped organs which are located just below the ribcage, on either side of the spine. These act as the body’s filtration system, removing waste and extra fluid from the blood.
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orld Kidney Day, celebrated on 14 March 2019, aims to raise awareness about these important organs and highlight the impact of kidney disease. Chronic kidney disease (CKD) can affect people of all ages and is a condition in which the kidneys are permanently damaged and kidney function is decreased. There are five stages of CKD, depending on how much kidney function is left. CKD can progress from Stage 1 to Stage 4 and may eventually lead to
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kidney failure. This is then called end-stage kidney disease (ESKD) or CKD5 where a kidney transplant or dialysis treatment is needed to stay alive. Facilities such as the Nelson Mandela Children’s Hospital (NMCH) play a crucial role in treating children diagnosed with renal failure. NMCH is a specialist referral and tertiary public benefit organisation and only the second dedicated children’s hospital in Southern Africa. In March last year, the hospital opened its Dialysis Unit which has
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HEALTH since grown to become one of the biggest in the country, treating 19% of all children on dialysis across South Africa. CKD in children can be caused by a variety of reasons, including: • Birth defects e.g. a blockage anywhere along the urinary system • Hereditary diseases like polycystic kidney disease • Nephrotic syndrome • Systemic diseases like SLE (Lupus) • Trauma • Infection Sometimes the cause is never discovered, especially if the child already presents with ESKD. While kidney disease often goes undetected, especially in children due to the ambiguity of the symptoms, parents can look out for certain symptoms. Decreased amniotic fluid in a pregnant woman, for instance, may indicate kidney disease. It is also important for those with a family history of kidney disease to inform their healthcare provider. However, the most worrying symptoms for CKD include: • Swelling of the hands and feet and/or puffiness around the eyes • Lack of appetite • Decreased or increased frequency of urination • Children who can normally use the toilet without assistance may suddenly begin to wet the bed at night • Long-lasting changes in the colour of the urine, for instance, an unusually dark or red colour • Headaches • Stunted or poor growth compared to similar age group peers • Difficulty concentrating and poor school performance. Once CKD is suspected based on a history from the caregivers, as well as examining the child, a healthcare provider may perform urine and blood tests, among others. Although CKD is permanent and cannot be cured, it is important to use steps to try and preserve the residual kidney function. These include treating the cause of CKD to prevent progression and proper diet and medication to prevent complications and control symptoms. Children with CKD need specialist care if they
have a structural urinary system abnormality, have protein or blood in their urine or have decreased kidney function. They need to be referred by their paediatrician to a paediatric nephrologist for further investigation and management. A paediatric surgeon or urologist may be consulted too. Once children have ESKD, The South African Renal Society recommends the following treatment options: • A transplant which can be done before dialysis or after starting dialysis. • Peritoneal dialysis which can be done with a machine through the abdomen at home. • Haemodialysis during which the blood is cleansed outside the body through a machine. These treatments are usually done in a hospital, three times a week. • Conservative treatment without dialysis. The ultimate treatment for patients, however, is organ donation. We therefore need to start promoting this culture in our society and educating the public about registering as donors so we can provide more sustainable interventions for children diagnosed with CKD. For those children who are still on a waiting list, we can refine our methods for delivering treatment. NMCH, for instance, has adopted a family-centred care approach to the planning, delivery and evaluation of healthcare that is a shift from the standard model to a collaborative model that sees the family as central to the child’s care. Proven in enhancing patient outcomes and experience of care, this is ideal for CKD patients because caregivers provide the cornerstone of their child’s care; they provide emotional support and help their child follow the proper diet, restrict fluids as required and help children take all their prescribed medication. It is important that the caregivers are part of all decision-making. Because children with CKD suffer from not just the physical symptoms mentioned above, but also from a negative self-image, learning and behaviour problems as well as delayed motor and language development, it is important that the management of CKD be done by a multidisciplinary team that includes, but is not limited to, occupational therapists, dietitians and social workers to provide comprehensive care.
Dr Tholang Khumalo is a Paediatric Nephrologist at the Nelson Mandela Children’s Hospital’s Renal Unit. She graduated in medicine from the University of Cape Town and completed her training in paediatric nephrology at the University of Witwatersrand. Dr Tholang has worked in paediatrics for over a decade and her specialisation includes treating children with renal failure, those requiring dialysis and post-transplant patients. As someone who grew up in a rural area, she is passionate about ensuring that children in South Africa have equal access to nephrology services, regardless of their geographical position.
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HEALTH
The importance of taking prenatal supplements While maintaining a healthy diet is recommended at all stages of life, good nutrition is particularly important while pregnant1. During pregnancy, a woman’s macronutrient (energy) and micronutrient (vitamins and mineral) requirements increase and adequate amounts of both are needed to maintain her and her developing baby’s health1.
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HEALTH
I
n fact, the availability of nutrients is the most basic need of child growth and development. A growing foetus is totally dependent on the nutrients received through the placenta2. The effects of poor pregnancy nutrition can never be reversed3. Current research proves that what women eat while pregnant has a direct impact on their child’s future health3. However, even if expectant mothers eat a variety of foods which include meat, dairy products, fruits, vegetables, grains and legumes, it is still difficult to get all the nutrients they and their babies might need4. Most women can benefit from taking a prenatal vitamin and mineral supplement to make sure that they are getting enough of certain crucial nutrients during pregnancy4.
Good nutrition is most important immediately prior to conception and during the first 12 weeks of pregnancy, which is why it is so important for women who are of childbearing age, particularly those trying to fall pregnant, to maintain good nutrition. Prenatal vitamins generally contain more folic acid and iron than other standard adult multivitamins do. Folic acid can help prevent neural tube defects which include serious abnormalities of the brain and spinal cord. Iron supports the baby’s growth and development5 and can help prevent iron deficiency in pregnant women6. Pregnancy doubles the body’s iron requirements and puts pregnant women at an increased risk of developing iron deficiency6. Prenatal vitamins such as PregOmega Plus, which is South Africa’s No.1 prenatal choice7, contains additional Omega 3, Calcium, Vitamin D and Magnesium.
The effects of poor pregnancy nutrition can never be reversed. Current research proves that what women eat while pregnant has a direct impact on their child’s future health.
Research also indicates that taking prenatal vitamins can decrease the risk of having a baby that is small for his or her gestational age5. Good nutrition is most important immediately prior to conception and during the first 12 weeks of pregnancy, which is why it is so important for women who are of childbearing age, particularly those trying to fall pregnant, to maintain good nutrition1. Because folic acid is so important in the earliest weeks of a pregnancy, women should ideally start taking prenatal vitamins before conception, which is why many doctors recommend them for women who are planning to become pregnant4. In fact, taking prenatal vitamins for at least three months before conception could also lessen morning sickness when a woman falls pregnant4. Many doctors may also recommend that women continue taking prenatal vitamins when breastfeeding4 to make sure that they are getting enough vitamins and minerals8. Maintaining a healthy diet before and during pregnancy will help to protect both the pregnant mother and her developing baby from immediate and long-term health risks1. For more information, visit www.pregomega.co.za Note: This unregistered medicine has not been evaluated by SAHPRA for its quality, safety or intended use. Health supplements do not replace a healthy diet and lifestyle. For more information, speak to your healthcare professional. Further information is available on request from iNova Pharmaceuticals, tel: 011 087 0000, www.inovapharma.co.za
Sources: 1. Virtual Medical. Importance of Healthy Eating Before and During Pregnancy (2010) at https://www.myvmc.com/pregnancy/importance-ofhealthy-eating-before-and-during-pregnancy/ 2. Child Health Explanation. Optimal Fetal Growth Depends on Good Maternal Nutrition (2018) at http://www.childhealth-explanation.com/ fetal-growth.html 3. Kidspot. There’s no excuse for poor pregnancy nutrition. And the effects can never be reversed ...(2016) at https://www.kidspot.com.au/ health/early-life-nutrition/pregnancy-nutrition/theres-no-excuse-for-poor-pregnancy-nutrition-and-the-effects-can-never-be-reversed/newsstory/e304750fae223b48d600d38cbf8cdd29 4. Baby Center. Are prenatal vitamins really necessary? (2016) at https://www.babycenter.com/0_prenatal-vitamins-why-theyre-soimportant_287.bc 5. Mayo Clinic. Prenatal vitamins: Why they matter, how to choose (2016) at https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-byweek/in-depth/prenatal-vitamins/art-20046945 6. Mayo Clinic. Iron deficiency anemia during pregnancy: Prevention tips (2017) at https://www.mayoclinic.org/healthy-lifestyle/pregnancyweek-by-week/in-depth/anemia-during-pregnancy/art-20114455 7. IMS:TPM Data (A11A, A11B, A11E, V6D, V3X / Constructed Class). MAT Dec 2018. 8. Baby Center. Do I need to take a prenatal vitamin if I’m breastfeeding? At https://www.babycenter.com/404_do-i-need-to-take-aprenatal-vitamin-if-im-breastfeeding_2446.bc
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NUTRITION
Choline, the neglected nutrient By Sarah Gouws
When we talk about pregnancy many of us know the importance of taking enough folic acid because of its role in preventing neural tube defects. Choline, a vitamin-like compound, is equally as important as folic acid in preventing neural tube defects. (Am J Epidemiology, 2004).
N
eural tube defects are defects of the brain, spine or spinal cord. Neural tube defects can include abnormal development of the brain, spina bifida as well as spinal deformities. Choline is also needed for cellular division and methylation reactions, both of which are accelerated during pregnancy. Choline was only officially recognised as an essential nutrient by the Institute of Medicine about 30 years ago and is a lot more important to human health at all ages and stages than previously thought. During pregnancy and breastfeeding our body’s demands for choline increase. The results of a formal study found that insufficient maternal intake of choline during pregnancy was associated with a four-times increase in the risk of having a pregnancy affected by a neural tube defect, while patients who had higher choline intake had less of a risk (independent of folate intake). While choline is important for pregnant women, it is important at all ages and stages for cell development, the development and maintenance of healthy nerves and brain tissue, DNA development, detoxification and gene expression, to name just a few. Only 8% of adults around the world meet or exceed the Adequate Intake (AI) for choline. Due to the variety of important functions choline plays in the body, this forgotten nutrient should be something we should check in our diet.
How much choline do we need? Studies have shown that 92% of pregnant women do not have adequate choline in their diet. Now, the recommended intake of choline is 450mg a day. Some studies show that this should be as high as 480g a day (Yan et al AMJ2013, 2014, 2015, Lewis et al. FASEB 2018) and the recommended daily requirement may increase. During lactation, the Adequate Intake (AI) for choline is even higher than it is for pregnancy. Breast milk is rich in choline and this highlights the importance of this nutrient for babies. It is likely that breastfeeding mothers would therefore have depleted stores. Choline is important throughout life and some people will require more choline than others because of their DNA makeup. www.babysandbeyond.co.za
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Choline requirements for different ages and stages Age
Male (mg/day)
Female (mg/day)
Pregnancy (mg/day)
Lactation (mg/day)
Birth to 6 months
125
125
7-12 months
150
150
1-3 years
200
200
4-8 years
250
250
9-13 years
375
375
14-18 years
550
400
450
550
19+ years
550
425
450
550
–SOURCE INSTITUTE OF MEDICINE [WWW.NCBI.NLM.NIH.GOV/BOOKS/NBK1143081]
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NUTRITION Choline in the diet Tiny amounts of choline are found in a variety of foods, but it is mainly found in animal foods. The number one food sources are egg yolk and liver. Eggs can be included as a healthy choline and protein source into your diet. One large yolk can provide 25% and more of a woman’s daily choline needs. If you are pregnant make sure that your eggs are well cooked. Vegetable sources do contain some choline, but extremely large amounts need to be eaten to get the same amounts. For example, the choline content of a single egg yolk is equal to one of the following groups: • 2½ cups of broccoli • ½ - 2 cups of kidney beans • 3 cups of peanuts • 1½ cups of shiitake mushrooms.
Food sources of choline Food
Choline (mg) per serving
Beef liver, pan fried, 3oz
356
Hard boiled egg,1 large
147
Beef top round, lean, braised, 3oz
117
Soybeans, roasted, 1/2 cup
107
Cod fish, cooked with dry heat, 3oz
71
Shiitake mushrooms, cooked, 1/2 cup
58
Kidney beans,canned, 1/2 cup
45
Quinoa, cooked, 1 cup
43
1% milk, 1 cup
43
Broccoli, cooked and chopped, 1/2 cup
31
Russet potato, baked, 6oz
26
Peanuts, dry roasted, 1/4 cup
24
Sunflower seeds, oil roasted, 1/4 cup
19
–SOURCE NIH OFFICE OF DIETARY SUPPLEMENTS
Here are some food sources containing choline and the amount of choline they provide per serving. Remember, the daily requirement of choline for pregnant women is 450mg and during breastfeeding increases to 550g!
Vegetarian diets Following a vegetarian diet makes it more difficult to obtain enough choline from your diet, particularly if you don’t eat eggs as part of a vegan diet. As previously mentioned, certain plant foods do contribute to our choline intake (especially shiitake mushrooms, nuts, seeds, beans and cruciferous vegetables). Unfortunately, the quantity you need to eat to meet your choline requirements (especially if you are pregnant or breastfeeding), makes it virtually impossible to do with diet alone. Vegetarian moms-to-be, pregnant moms or breastfeeding mothers should seek advice from a registered dietitian to ensure they are meeting their choline requirements.
Supplements In 2017 the American Medical Association stated that the addition of choline should be included in all prenatal vitamins to ensure proper development of a baby’s brain and spinal cord. Unfortunately, many of the prenatal vitamins on the market today only provide minimal amounts (0 to 55mg) of choline. When buying a supplement, read the label carefully. Nutritional information on labels can be confusing. Read the ingredient lists on the label carefully and contact your dietician for help if you are unsure of the quality of the product. Popping pills can never replace a healthy balanced diet! But if you don’t eat eggs, I would recommend seeing a dietitian to work on including cholinecontaining food sources into your diet. A choline supplement (in the form of choline bitartrate) may be necessary for people who do not absorb choline correctly because of their genetic makeup, or those who are vegetarians and do not eat eggs.
Sarah has a BSc Dietetics Hons degree and is registered with HPCSA and ADSA. ‘Food and nutrition have always been a big part of my life. I grew up in a family where cooking delicious meals was a real passion. I love the fact that healthy food can be tasty but also has the power to change people’s lives,’ says Sarah. She enjoys cooking and developing recipes that make healthier choices easy to prepare and delicious to eat. Sarah makes use of tools such as nutrigenomics (genetic testing) and mindful eating principles during her consultations for sustainable behaviour change. She is also a keen trail runner, qualified Pilates instructor as well as a new mom and uses this background in her holistic approach to health. Being a new mom has sparked a newfound passion for childhood nutrition. She’ll be able to give you practical tips on how to wean your baby onto home-made, easy-to-prepare, wholesome foods. Sarah practices from Kingsbury Hospital in Claremont, Cape Town, where she sees patients in ICU, medical and surgical wards. She has also written several magazine articles and appeared on TV. Sources J, Weisenberger, Choline Under the Microscope. Today’s Dietitian Vol. 19 (11): 36 E, Ward. Prime the Body for Pregnancy — Preconception Care and Nutrition for Moms-to-Be. Today’s Dietitian (2008), Vol. 10 (12): 26 Choline: An essential nutrient for public health. Nutrition Reviews, Vol 67(11):615-623) L.Nichols. Choline in pregnancy, folate’s last cousin. https://lilynicholsrdn.com/choline-pregnancy-folates-cousin/
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FRESH EGGS NOURISH THE BODY AND MIND
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NUTRITION
School lunch ideas By Carey Haupt
After only three years of packing school lunches I’ve learnt that it can become a bore – and I still have a few more years to go! I often look at my kid’s lunch and I’m amazed at how much more interesting it is than what I had as a kid. I got the brown bread sandwiches with mixed jam packed in a Ziplock bag. Inevitably, they were a mashed up mess by the time that break came around. Because of all the sport I did there was no way that I could skip the red mess of a lunch that I had. I really never looked forward to lunch.
A
s a mom and dietitian now of two primary school children, I see lunch so differently. I have realised that lunch can actually be interesting and a really healthy meal. I often ask them how they liked their lunch and why they did not finish some of it. It is really interesting to hear their answers. There was a stage when my daughter did not finish her lunch. When I asked her why she said that it was too difficult to eat because she had no front teeth and it took too long to chew. So, until she had her ‘big’ teeth, I had to be careful not to give her hard food so that she was able to finish her lunch. Here are some tips that I have used with my children:
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The actual lunch box • Let your child choose their own lunch box. I really love the lunch boxes that have separate compartments. This way you can separate food that may make some of the other content a bit soggy. Or you can use smaller containers for dips, sauces or cut-up fruit. • Ensure it is a strong container that will protect the food from being squashed! This is a must as it protects the food and the school books. • When choosing a juice bottle, make sure that it will be easy to clean. Some juice containers have a removable ice pack that you can use to keep
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NUTRITION You can swop these golden oldies with some fresh ideas: Golden oldie
Fresh idea
Cheese and tomato sandwich
Use the same ingredients but serve them picnic style! The cheese can be cut with a cookie cutter to make interesting shapes and served with baby tomatoes (no more sogginess!)
Peanut butter sandwich
• Banana and honey (OR with peanut butter!) • Cream cheese and spring onions • Tuna, cucumber and carrot • Spicy chickpea and cucumber wrap
Mayonnaise
Mustard and lettuce
Leftover mince or chicken
• Toasted sandwich or jaffel • Chicken pasta salad (don’t forget the spoon).
Polonies and viennas
Turkey or chicken breasts, or sliced ham
Apple (usually packed in as it is sturdy and does not get squashed easily). Cut apples can be sprinkled with lemon juice to keep it from going brown.
Softer fruit like watermelon, kiwi fruit, grapes or berries. Cut up into smaller pieces and place in a small container for added protection.
the drink cold. This is great for milk or smoothies. I have recently come across an amazing metal flask-like bottle that is easy to clean, keeps the content hot or cold and will not break if dropped. • You can place your child’s lunch box in a soft cooler bag and use a frozen water bottle to keep the food cool. This is especially important for food usually kept in the fridge, with the bonus of cold water later in the day! I sometimes pack frozen food that can defrost during the day which keeps the lunch box cool. • Wash out the lunch box daily!
Inside the lunch box Here are some healthy and tasty staple ingredients that you should keep on hand: • Whole grain bread or crackers • Whole-wheat wraps/pitas/rolls/tortillas and bagels • Tuna, chicken breasts, sliced turkey, ham, biltong • Peanut butter packets, single serving (depending on school policy around allergies) • Fresh and dried fruits
• Fresh vegetables that can be cut up into sticks or added to fillings • Dips for veggie sticks (cottage cheese, peanut butter and plain yogurt) • Yoghurt and milk (if you are able to keep them cold)
Why not write a love note and place it in the lunch box? Remember that children like to be involved in what they eat and it is important to respect their food preferences. A great way to get kids to buy into what you are making, is to let them help choose what’s on the menu. Some children feel safe with the same predictable sandwich, while others are adventurous with their food choices and will love variety. Always make sure that your child has enough food for the day. Consider if he or she needs a meal or snack as well as if there are any extra mural activities after school. Happy packing!
Carey Haupt is a registered dietitian, lactation consultant and owner of My Breastpump which offers the Ameda range of breast pumps and accessories. The pumps are imported from Belgium and are of the highest quality. Ameda is a completely closed system pump which means milk cannot enter the tubing and cause the growth of mould and bacteria. Ameda offers a full range of flange sizes so that the pump correctly fits any breast type. The speed and suction of the pumps can also be personalised for total comfort. For more information visit www.mybreastpump.co.za
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NUTRITION
Autism and nutrition By Kim Rutgers RD (SA)
Autism Spectrum Disorder (ASD) or better known as simply autism, is a term used for a group of brain disorders. These disorders are characterised by many challenges like difficulty in speech and communication, repetitive behaviours, ritualistic movements, social interaction, sensory integration, abnormal gestures and postures, difficulties in feeling empathy and sympathy towards others, anxiety, fear and more. However, parents of children with autism know, and too well I may add, that many of these children have food aversions and sensitivities too.
M
eal times can be the most challenging for children with autism. Nutrition deficiencies and obesity have also been reported in children with ASD, raising many concerns with parents.
Receiving adequate food It becomes a hard task for children with autism to concentrate, especially during long meal times. They are usually more selective in what they eat (or not) and may therefore not finish a plate of food. Fear of eating, trying new food items and the refusal of foods are the most common traits. Other issues like difficulty in chewing, pain, reflux and dental cavities may add to the problem. This limiting of food may cause nutrient deficiencies in the autistic child’s diet. However, when calorie-dense foods are preferred it may also increase the risk of obesity.
What you can do – routine is key Schedules are imperative and meals should be served at the same time every day to reduce anxiety and stress. The hustle and bustle of a busy kitchen, bright lights,
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furniture and table arrangements need to be toned down as these are potential stressors that will impact food intake. Allow your child to be more involved in meal preparation, like choosing food items he or she would like to eat and even the way he or she would prefer it to be cooked. Start swopping bad foods for good foods but stay with similar tastes — for example, swop orange-flavoured sweets with a few segments of fresh orange. Another tip that is vital, is having the family eat together as part of your routine. Children learn from example and will follow eating cues from parents and other siblings.
Food sensitivity Too many smells, textures and flavours become
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NUTRITION overwhelming to ASD children, resulting in them avoiding certain foods. Fruit and vegetables, strong curries and stews, soft slippery foods and tough foods are common foods they may dislike. It’s important to be mindful of fears your child may have. These fears may be as significant as your fear of height, snakes or spiders.
What you can do – keep it plain and simple Introduce new foods gradually. The mere sight and colour of foods may put your child off them When trying a new food item, start with cutting a piece of an apple, for example, then let the child investigate the piece of fruit. Follow this by showing them how you eat it. They may be compelled to try it too. But this process needs a lot of patience. Once the child is comfortable with a small piece of fruit, slowly let them explore a bigger piece, until they are comfortable with eating the whole fruit.
Constipation If the child is not eating correctly and may be avoiding fruit and vegetables, their fibre intake could
be extremely low. Before the child was diagnosed with ASD and in the first year of their life, antibiotics may have been used for an ear or respiratory infection, destroying the good gut bacteria. Low fibre and low good gut bacteria will increase the risk of constipation.
What you can do – fibre, fibre, fibre Remedy the problem by serving a high-fibre diet and providing sufficient amounts of clean drinking water. Fibre can be found in many products like fruit and vegetables. But if your child is refusing these, then opt for using soluble, tasteless fibre that can be dissolved in water without the child knowing.
Tips to good nutrition for ASD children • Introduce foods with a flavour or texture similar to their favourite food. • Allow your child to discover new foods gradually. • Sensory stimulation like touch, feel and smell will help with eating. • Family interaction and routine is vital for the success of your child’s good nutrition. • Patience from all involved is imperative.
Kim Rutgers, RD (SA), CDE, is a registered dietitian in a private practice based in Cape Town. She obtained her degree from the University of the Western Cape. Kim is also a certified diabetes educator with the CDE. She provides counselling to people with genetic predisposition and provides gene testing as part of her services. She works with both paediatrics and adults in all other spheres of nutritional health. Kim is a member of the South African Dietetic Association and has been a keynote speaker, as their spokesperson, for several media engagements. She has presented on Hectic Nine 9, Hectic on 3, Afternoon Express and radio, to name but a few. For more information, visit www.kimrutgersdietitian.com Kim Rutgers RD (SA)
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SMALLER families…. BIGGER dreams! Enjoy the experience, pleasures and challenges of becoming parents by choosing to have a smaller family!
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‌.
PARENTING
Childcare options in South Africa By Charne Nel
There are several childcare options available to you as a parent. Nanny Nannies will ensure that your child is looked after, fed, changed and stimulated in your home. The number and age of the children in her care will dictate how much time she has available for housekeeping. Benefits: Nannies are ideal for young babies because you can keep your child at home while their immune systems are maturing. You also ensure one-on-one attention for your child and you have more control of the environment and activities. Drawbacks: Because of the one-on-one nature of
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a nanny, your child does not have access to other children for social development. A nanny is also a less formal and structured option as there is no one overseeing her daily activities, like that of a daycare. A nanny is also less likely to assist with homework when your child starts going to school.
Daycare or creche This is ideal for children under the age of three. It is a formal, structured environment equipped with trained child minders and the facilities are geared towards
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PARENTING optimal child development and play. A daycare has a director that oversees the entire operation. Benefits: More transparency for the parents, highly trained staff, child-centred facilities. It is also more stable in that you don’t have to work around someone’s sick days or paid leave. Drawbacks: Multiple children per staff member, higher incidence of illness in children and you are not allowed to take your child to daycare or creche if they are ill. Daycares are also a little less flexible than nannies and you are often at the mercy of their strict drop off and collection times.
School and the aftercare programme This is for children aged three or four and older. When your child is school-ready, you may have enrolled them in a school with a great aftercare programme. This is geared towards academic development in that there are teachers and homework facilitators present. Benefits: Homework is monitored by a skilled, trained professional. Your child has plenty of opportunity for social interaction. This option is usually a lot cheaper than at-home childcare. Drawbacks: There are often multiple children per staff member so homework is done but there is not enough one-on-one attention to ensure problem areas are addressed. There is a strict collection time, so if you are stuck in traffic or have a late meeting, there is no room for flexibility.
Au pair Au pairs are child minders who are able to assist with homework, drive children to and from school and extra-murals and manage children’s schedules. Au pairs a have at least a matric and are often furthering their education while au pairing. A family will usually cross over from a nanny to hiring an au
pair once their children start attending school. Benefits: The au pair becomes the parent’s representative while the parent is not there by liaising with teachers, coaches and therapists, and can drive your children to all their activities. Au pairs will be able to identify and work with any educational problem areas and will facilitate one-on-one developmentally stimulating activities. Drawbacks: Au pairs are usually young students so their au pairing career is often more of a ‘stopgap’ as opposed to a career path. This means that your au pair will usually only stay with you for one to two years before moving on to their chosen careers. Au pairs are also expensive, a family will usually pay a minimum of R6 000 per month, plus petrol costs for any driving done in the au pair’s car.
Governess This is a specialist child minder or personal home assistant who can work with children of all ages. They will ensure optimal stimulation for your child, manage the household staff (domestic worker, gardener, etc), collect your child from school and facilitate homework, liaise with teachers, bath children, prepare the family meals, etc. Benefits: Anything home and child related, they will take care of! Drawbacks: They don’t come cheap! They will earn a minimum of R12 000pm a month, plus petrol costs.
Stay at home mom, dad or grandparent This option ensures full time child care by a family member Benefits: Peace of mind! Your child is being looked after by someone who loves them unconditionally. Drawbacks: You can’t fire family!
Finding an au pair By Charne Nel
We cannot be thorough enough when it comes to choosing a person to look after our children. Luckily, there are some great tried and tested ways to ensure that you find the right person. Here are some things to look out for when you start the process of finding your au pair. We hope a CV is honest, but many times, this is not the case Sometimes you get these amazing CVs of candidates with exceptional experience and qualifications and you think ‘Wow, ok, this girl is amazing, I will probably hire her’. The problem is you are excited to meet her based on her CV and this mindset can blind you to the truth. Often, candidates add childcare experience relating to family and friends to their
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CV, which looks impressive but really isn’t. They can also say they have an early childhood development qualification when they haven’t completed it (we have seen this more times than we can count). Make sure that the au pair gives you copies of all her certificates, along with the originals. A CV without any backing documents should not be accepted. PLEASE parents, check, double check, and triple check CVs!
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PARENTING selecting your au pair is to check their social media accounts. Now parents, be reasonable. Most of these girls and guys are young students and they are likely to have a social life. So, if you see a photo of them with a cocktail in their hand, it doesn’t always mean they are unsuitable au pairs. In this case, a drink in the hand is not worth two in a bush! Aspects to look out for are things like excessive partying and the types of parties they are attending. Please make sure that you look on their Facebook wall and Instagram account to see what type of things they are posting. It does give you at least some kind of insight to who this person is.
Fake references – how can you tell? This is very tricky, but it can be done. When you call a reference, don’t reveal the au pair’s name immediately. Ask the person to give the name of the au pair who worked for them in the specific year stated on the au pair’s CV. If they say the correct name, ask them for more details e.g. how did you find her? How old were your children back then? How long did this au pair stay with you? Why did she leave you? Once you feel that the story checks out, start asking your questions about her capabilities, reliability, etc. You can also request the person email you a written reference on a letterhead, or from a business email address. Another thing you can do is search for the au pair up on Facebook, see if the listed references are friends with them on Facebook, what their relationship with them is (if they are), and check their Facebook walls for comments from listed references. So much is revealed on social media which can become a very handy tool, which is discussed in more detail below.
Social media – a good old fashioned Facebook stalking exercise can reveal many truths Without a doubt, one of the most important (and sometimes not as obvious) things to do when
Don’t doubt yourself when you feel alarm bells ringing. When this happens, it’s done, close the book, don’t ask questions, the person wasn’t right, move on. Your intuition is right. Every. Single. Time. Finally – Mother’s intuition This one isn’t really an agency secret, but worth a mention. Our intuition is the most accurate and powerful tool we have in our arsenal. Moms, you just KNOW when something is not right. You are not going crazy, you are listening to your intuition and nothing beats it. Don’t doubt yourself when you feel alarm bells ringing. When this happens, it’s done, close the book, don’t ask questions, the person wasn’t right, move on. Your intuition is right. Every. Single. Time. Trust yourself, you know what to do. This much we can guarantee. Happy hunting!
Charne Nel is Director and owner of Au Pair Extraordinaire. She graduated with a master’s degree in Psychology (cum laude) from Stellenbosch University in 2012 and walked out with a vision that not only used this intricate understanding of human behaviour, but served to create powerful families, inspired parents and nurtured children. Au Pair Extraordinaire was founded in 2007 to facilitate the placement of highquality childcare, which allows parents to give themselves the permission to lead empowered, inspired career-driven lives, knowing that their children are being fully supported in the most capable of hands.
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ADVERTORIAL: Bata Comfit
The best maternity shoes for happy feet You’re pregnant and now need to buy new clothes to accommodate your growing body – BUT, did you know you may need new shoes as well? Expect your feet to swell when you’re expecting. You need good footwear that will provide stability and support as your weight increases and your centre of balance shifts. To maximise comfort and to prevent injury, it is critical that you select the correct shoes.
T
he ideal pregnancy shoe does exist! Here is a guide to help identify the qualities that make up the perfect pregnancy shoe.
Easy to put on Reaching over your growing belly to put a pair of shoes on can be quite difficult, not to mention uncomfortable. There are many different types of shoes available, but two clearly stand out as being suitable – flats and sandals. Stick to flats and sandals as they are easy to slip on, which mean no uncomfortable bending over or having to battle with shoe laces.
Supportive As your pregnancy progresses, the added baby weight puts your joints under more stress than usual. Choose a shoe that has both ankle and arch support so that you can reduce joint pain associated with walking and hopefully eliminate the joint pain all together.
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with some extra room. It’s advisable to buy a pair of shoes half a size bigger than you usually do, as they will still give you comfort when your feet swell. Practical shoes do not have to be unfashionable. Whether you are in your first trimester or in your last, the perfect maternity shoe exists thanks to Bata. Comforting and reassuring – Bata Comfit shoes and sandals provide added comfort and reliable traction wherever you go. The super-soft uppers, cushioned insole and heel with advanced ergonomic design, gently support your feet and envelope them in comfort to soothe and relieve pregnant feet. Bata Comfit shoes provide reliable traction, wherever you go with a practical, durable, non-slip sole that makes sure you are safe every step of the way.
Bata Comfit – caring for your feet! Bata Comfit shoes are available at selected Edgars stores nationwide.
Remember, during pregnancy your feet will swell. Make sure you buy a pair of shoes that leave you
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PREGNANCY
Embrace the marks of change with the right pregnancy skincare routine It’s no secret that pregnancy changes a woman’s body in almost every way possible – from the size of her breasts to the speed at which her hair grows. One change, however, that still takes many women by surprise is the drastic impact that pregnancy can have on their skin – the body’s largest and arguably most unsung organ.
According to Sister Heike Millar, a registered professional nurse and midwife, women are often caught off-guard by the unexpected changes their skin experiences. ‘I find that the best reassurance in these cases is to explain the physiological reasons behind their skin worries. For example, changing or increased levels of hormones can cause pigmentation, then there’s stretch marks from your skin expanding and stretching to accommodate your growing baby,’ she says. Once assured that what they are experiencing is quite common, Sister Millar says that the next question is almost always about what they can do to give their skin what it needs to stay healthy during pregnancy. ‘The good news is that most pregnant women experience the same general problems with their skin and, while many of these problems are manageable, others are preventable all together if cared for correctly.’
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According to Kirstin Kruger, Marketing Director for Bio-Oil, the brand has understood the pregnancy skincare concerns of expectant mothers for over 30 years and knows that taking care of skin pre- and post-pregnancy can make a huge difference to a woman’s confidence as her body starts changing. In light of Pregnancy Education Month, Bio-Oil recommends these top tips for pregnancy skin care:
Prevent pregnancy stretch marks With up to 90% of women developing pregnancy stretch marks, it’s no wonder this pregnancy skincare concern is at the very top of the list. Over and above eating correctly, drinking lots of water and exercising regularly; boosting and maintaining skin’s elasticity is one of the best ways to take early action and prevent stretch marks. This is achieved by keeping skin well hydrated and supple through the regular application of a potent skincare oil, such as Bio-Oil Skincare Oil. www.babysandbeyond.co.za
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PREGNANCY Minimise the appearance of caesarean scars With 70% of private hospital births in South Africa occurring by caesarean section, many expectant mothers are eager to learn how best to care for their caesarean scar right from the get-go. Fortunately, the scar minimising solution is as simple as combining a skincare oil with Micropore™ tape. All new mothers must please note that they have to be given the all-clear from their gynaecologist before actively beginning a scar management routine.
Relieve itching As the blood supply to the skin increases during pregnancy, it is not uncommon for women to experience mild itchiness, especially on their breasts and abdomen as the skin stretches to accommodate their growing baby. To relieve itching, it is best to avoid the heat, take cool baths and showers and wear loose-fitting cotton clothing. Applying Bio-Oil Skincare Oil will provide immediate relief to itchy skin by hydrating and soothing it.
Improve uneven skin tone Many pregnant women also develop hyperpigmentation. This darkening of the skin as their hormone levels fluctuate, can cause great distress. Fortunately, most of these changes in the skin will regress spontaneously after delivery, however, for some mothers it may not disappear completely. Bio-Oil Skincare Oil has been shown to be effective in helping improve uneven skin tone. During a clinical trial at Stephens & Associates Inc in 2011, 86% of the subjects recorded an improvement in the appearance of their uneven skin tone after 12 weeks. Kruger assures expecting moms that Bio-Oil Skincare Oil has been clinically proven to reduce the appearance of scars and stretch marks, making it the ideal pregnancy skincare solution. ‘Its potent formulation combines four plant extracts, two powerful vitamins and the breakthrough ingredient PurCellin Oil™, to create a light and nongreasy dry oil that is easily absorbed into the skin. Our skincare oil boosts elasticity and helps skin stretch by keeping it hydrated and supple and promotes skin regeneration by supporting and restoring damaged skin,’ she says. Kruger says that pregnant women should start applying Bio-Oil Skincare Oil at the start of their second trimester. ‘Massage the oil into the breasts, abdomen and hips twice daily to help skin stretch. For caesarean scars, massage Bio-Oil Skincare Oil into the scar until fully absorbed to keep the scar hydrated and supple. For best results, we recommend using it in conjunction with Micropore™ tape to ensure the scar matures into a thin, faded line. Furthermore, we advise that you do not use it on broken skin.’
About Bio-Oil® Bio-Oil is the global thought-leader and innovator in oil-based skincare. Scientifically formulated to target and treat specific skin conditions, its award-winning products are recommended by healthcare professionals the world-over and loved by millions of repeat users. Bio-Oil products are dermatologically tested, hypo-allergenic, non-comedogenic, paraben-free and suitable for all skin types. Bio-Oil Skincare Oil is available at leading retail outlets and pharmacies nationwide in 25ml (R44.99), 60ml (R99.99), 125ml (R154.99) and 200ml (R219.99). For more information, visit www.bio-oil.com
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GIVE HER THE CONFIDENCE TO SHINE! Help your daughter live her best life... Adolescence is a difficult time for any child, especially girls. Puberty can be unsettling and dealing with all the physical and emotional changes can be daunting. Supporting your daughter during this time will help her overcome her fears and worries. So, spend time with her, talk about periods and puberty, and help her understand what’s going on with her body. You can also help her by giving her the protection and confidence she needs to enjoy her teenage years to the fullest with Comfitex Teenz! The range of Comfitex Teenz pads have been specifically designed to help keep your daughter feeling fresh, confident, and protected all day long. So, whether she’s at school, playing sports, or just hanging out with her friends, she’ll always have one less thing to worry about…and so will you!
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EDUCATION
Tablets: The tip of the iceberg for successful digital education By John Luis, Head of Academics at ADvTECH Schools and Dr Neelam Parmar, global tech-ed expert
Public schools in South Africa can look forward to joining the digital education revolution as some of their private school counterparts have been experiencing for the past few years. However, education experts have cautioned against a rush to provide tablets and other digital infrastructure before a solid strategy and fundamentals are in place.
‘I
n the rush to get on board with the 4th Industrial Revolution – a term many are invoking without truly understanding the issues involved – private schools have increasingly been offering coding, robotics and digital learning on their campuses,’ says John Luis, Head of Academics at ADvTECH Schools, which has been at the forefront of introducing tech in South African classrooms for several years.
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‘However, simply offering content that previously used to be in book or paper format, and not investing time and money in a holistic approach to content and delivery, as well as proper educator and support staff training, will render such initiatives futile and expensive mistakes,’ he says. Luis says while there is much talk about coding and ICT in schools, the key success factor when
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EDUCATION introducing technology in classrooms is the development of an appropriate and defined curriculum. And very importantly, tech in the classroom can never replace the fundamental core skills required for academic excellence. In his State of the Nation address earlier this year, President Cyril Ramaphosa announced that government would, over the next six years, provide every school child in South Africa with digital workbooks and textbooks on a tablet device.
Learning is served and not defined by technological tools While the sentiment is welcomed, there is much work to be done before the time arrives to unbox devices. ‘It is extremely important to understand that learning is served and not defined by technological tools,’ says Dr Neelam Parmar, renowned global tech-ed expert. ‘All too often we think that the technology will fix our teaching and learning problems in school but what is truly important is that the technology is embedded firmly and seamlessly within the curriculum and lesson delivery in the classroom,’ she says. The digital strategy at ADvTECH schools was designed and implemented in conjunction with Dr Parmar, whose stellar career includes leading the implementation of technology and learning across The London Preparatory Schools in South West London and now in Ashford School, one of the United Learning Trust Schools. She is an awardwinning professional, international researcher, author, thought leader and speaker on effective technology, pedagogic and content integration within education. ‘There is great potential in creating online learning systems to close the widening educational gap,’ she says, ‘but to get to this point in education, it is vital that the government first understand the relevance of emerging technologies and the means of how to offer the necessary digital literacy skills for our next generation.’
solutions, private – and now also the public education sector in South Africa – must realise that one solution does not fit all. ‘At ADvTECH, we embedded a digital literacy curriculum which follows a structured format and affords a flexible approach to adapt to the requirements of the classroom. The curriculum considers industry-wide key digital skills in areas of computational thinking and programming, creativity and communication and computer networks and collaboration. ‘There is a great deal of hype around the 4th Industrial Revolution and undoubtedly change is taking place at a phenomenal level, yet any change at this level needs to come with a vision and with a vision we need a strategy,’ she adds. The risk is often that visions are little more than ideas without substance or structure, Dr Parmar says. ‘For technology to become relevant in education, a strategy considering the grand scheme of systems, teaching and learning, curriculum redesign, teacher training, community, new partnerships and the relevant stakeholders, has to be considered. It is now time to act on delivering the right education to our students by using the technology we know can make it happen.’
Below: Dr Neelam Parmar, Global tech-ed expert
One solution does not fit all Dr Parmar says the right curriculum is essential for successful and sustainable digital transformation in classrooms, and while the market is inundated with companies that claim to offer bespoke educational
Above: John Luis, Head of Academics at ADvTECH Schools
About ADvTECH The ADvTECH Group, a JSE-listed company, is Africa’s largest private education provider and a continental leader in quality education, training, skills development and placement services. The Group reports its performance in a segmental structure reflecting the Schools and Tertiary as two separate education divisions, and Resourcing as the third division. It owns nine tertiary brands, across 28 campuses across South Africa and the rest of Africa. Its higher education division, The Independent Institute of Education, is SA’s largest and most accredited private higher education provider. ADvTECH’s Schools division comprises eight brands with over 100 schools across South Africa, including Gaborone International School in Botswana and Crawford International in Nairobi, Kenya. Its nine resourcing brands places thousands of candidates annually, assisting graduates to make the transition from the world of study to the world of work.
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Adventurous Alex Clever Carrie
Bouncy Brooke
ol is out, fun is in o h c s !
Laid-back Luyanda
Are you bouncy, adventurous and love to explore? Or are you laid-back and prefer the indoors?
Come and explore super fun times at the V&A Waterfront.
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EDUCATION
Teaching children to respect their teachers By Cindy Glass
It is common knowledge that teachers are some of the most stressed professionals in our country. They face abuse of various kinds daily and one cannot deny that this is having a profound impact on an education system that is already struggling.
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n addition, and perhaps even more worrying is the steady increase in incidents of verbal and emotional disrespect shown toward teachers by the learners in their care. Education in South Africa is being compromised and it is time for parents to step in and step up to help rectify the problem before it becomes completely unmanageable. According to Cindy Glass, owner and founder of Step Up Education Centres: ‘Education is the root of success. It is an essential tool which, when delivered and received correctly, could change the face of poverty and other challenges that face our country. The benefits of a good education can never be underestimated and ensuring that learners respect their teachers is an essential and most necessary step if we are to make positive progress in learning.’ She gives the following points to consider when teaching your child to respect their teachers: • You are your child’s first and longest-lasting teacher. Your child needs your guidance and assistance in learning the value of respecting self and others. It is important to remember that our children are likely to do what we do, rather than
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what we say. Encourage respect of teachers by respecting your child’s teachers. Avoid ‘teacherbashing’ conversations and seek to find positive solutions to challenges that present themselves. Teach your child that no matter what the circumstance, there is always a way to find a solution. • Teachers are human too. They have an enormous responsibility to assist your child in becoming the best version of themselves. Teachers make mistakes. Disrespectful comments and abusive behavior are not the solution. Open communication is needed to find ways of assisting both parties in achieving the desired outcomes in learning. • Every choice that we make defines the path of our lives. All negative behaviour is based on fear, low self-esteem, self-defeating and destructive self-talk and low self-value. We need to teach our children to own their mistakes and choices and to avoid blaming others for their shortfalls. Taking frustrations out on their teachers only exacerbates their difficulties when they could find wisdom and assistance with their teacher instead. www.babysandbeyond.co.za
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EDUCATION Learners need to recognise and acknowledge that challenges are a part of growth and learning. There are always ways to seek and receive the help that they need, without a show of disrespect to anyone. • Disrespect reflects their character, not the teachers. Teach your children that disrespecting and abusing teachers is an indication of who
THEY are, not who their teachers are. Negative behavioural choices reflect on the giver, not the receiver. It is a clear indication that the person does not respect and honour themselves. It certainly does not engender admiration from their peers. Seek to develop positive self-respect and self-value in your children and this will ensure that they give the same to others.
According to Cindy Glass, owner and founder of Step Up Education Centres (pictured above left): ‘Education is the root of success. It is an essential tool which, when delivered and received correctly, could change the face of poverty and other challenges that face our country’.
About Step Up Established in 2016, Step Up Education Centres is a dynamic after-school remediation and tutoring franchise with a difference. Step Up offers children an opportunity to succeed in a schooling system that is, at times, very unsympathetic. From the moment a child walks through a Step Up Education Centre door they feel different. They no longer feel silly or stupid. They no longer feel misunderstood. They no longer feel judged. After just one lesson they feel hope. They see possibility. After a few sessions, they walk taller, feel smarter, do better. Why? Because Step Up believes that every child has potential… and our passionate educators will not give up until they reach it!
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Practical Pregnancy, Birth & Early Parenting Guide Filled with all the childbirth knowledge and advice for expectant parents. • Preparing for conception • Latest information on tests during pregnancy • How to care for yourself and your baby during your pregnancy • Choosing the right caregivers • Pain relief and birthing options • Preparing to bring your baby home and how best to involve siblings • Practical tips for breastfeeding and the advantages • How to care for your newborn (and yourself, partner and family) • Latest South African shoppers guide and support group information.
About the author Irene Bourquin is a registered nurse and midwife. She is a South African Certified Peri-natal Educator (WITS). She holds the prestigious International Childbirth Educators Certificate as well as the International Birth & Post Partum Doula Certification. Irene has taught childbirth classes and parenting education for many years. She combines theoretical knowledge, practical experience, compassion and wisdom.
Available at all good book stores and online retailers.
Contact us T: 021 532 6008 E: pearsonza.enquiries@pearson.com
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EDUCATION
Is a student loan right for you? Can a student loan be the right finance vehicle to open the doors of opportunity? Nkazi Sokhulu, CEO at Yalu, says absolutely!
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here is no doubt that education impacts on one’s future career and lifestyle, opening doors of opportunity. However, with the challenge of daily living expenses it can be difficult to take up the oncein-a-lifetime opportunity of tertiary education. So where can you go from here? There are the lucky few who can afford to finance their education or receive a bursary, but for many a tertiary education is a pipe dream. A very real
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option that most seem to shy away from, however, is taking a student loan where a parent or guardian services the loan during the student’s term of study. The instalment payments typically become the student’s responsibility after graduation. Generally, loans are obtained from a bank which gives a grace period of up to six months after graduation, allowing the graduate to find employment before starting to repay the loan.
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EDUCATION ‘Student loans can be an effective solution to achieving the necessary education, setting you on a path which facilitates financial independence,’ says Sokhulu, Chief Executive Officer at Yalu, a company disrupting the credit life insurance market, facilitating insurance cover that pays your debt in the event of disability, retrenchment or death of the policy holder. Although it is better to start one’s workplace journey without a loan, the advance of a student loan provides you with an essential key to establishing a secure foundation of education and future employment in the workplace. While in some cases, taking out a student loan is seen as an unaffordable luxury, most people don’t do the homework to see how much a student loan would actually cost them and what alternatives are available to make this option a more affordable one. ‘Start by checking the fine print of the loan to see if you are being charged credit life insurance as part of the loan amount. Most student loan providers make credit life insurance mandatory and add the insurance premium onto the loan instalment amount. Consumers have the option to shop around for alternative credit life insurance to get the best deal,’ says Sokhulu. Credit life insurance gives one the peace of mind of knowing that should anything happen to you; the loan will continue to be serviced. This policy protects both you and the credit institution in the event of disability, retrenchment or death. It is also important that consumers read the policy carefully to find out what they are covered for and under what circumstances the policy will pay – this is not always easily understood. It is because of this that Sokhulu and his partner, Tlalane Ntuli, felt strongly about creating a policy that is transparent and easy to understand. The pair drew a lot from their own experiences to design a credit life insurance product that they believe to be the best in its class. Both have had the privilege of studying and graduating at UCT, one of South Africa’s most respected tertiary institutions. They have first-hand experience of just how financially challenging getting a tertiary education can be. Designing a credit life insurance policy therefore, that is not only affordable and transparent but also gives 10% premiums back at the end of the loan, is Yalu’s way of rewarding the right behaviour for young adults who are starting their first jobs and often tempted to get into even more debt.
Sokhulu also has these simple tips on how to get through the student loan phase of your life: • Pay extra each month over and above the instalment amount on your student loan. This reduces the interest and payment period of the loan. • If possible, remain at home as your first choice during your studies and in your first years of working so that you don’t incur additional costs on accommodation. However, if your institution or work is far away, you should consider sharing accommodation as a way of reducing expenses. • Take on a part-time job such as waitering or tutoring. While it may add extra pressure to your time and studies, it can help cover expenses, plus you have the added benefit of starting to earn your own money. • Look around for a credit life insurance that will help you pay less on your monthly student loan instalments. • Search online to find out the different loan options and repayment plans so that you can select the one best suited to your requirements. ‘It is important to plan ahead to anticipate future circumstances,’ says Sokhulu. ‘This applies specially to living expenses and when the student loan money is deposited into your account. Because it is a lot of money which can be used at your discretion, it may be tempting to use it on items other than studies.’ Pay the institution first and put the rest away into a 32-day call account from which you can draw when funds are needed for living expenses related to your studies. ‘Keep in mind why you are getting the loan in the first place; to provide you with an education and access to better life opportunities. In this way your loan becomes your passport to your desired future, transforming you into a seasoned traveller of the workplace with the world of a successful career at your feet,’ concludes Nkazi Sokhulu, CEO at Yalu. Sokhulu.
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About Yalu
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Yalu is short for the Zulu term ‘isiyalu’ – the source of a river. Yalu was born out of a passion to nourish and bring life to the world of credit life insurance. Our goal of delivering true value for money is evident in the transparency of our products, the simplicity of our process and the fairness of our pricing. Simply put, we believe in doing right by our customers. By making credit life insurance easy to understand, ensuring that you pay what is fair and rewards you when you settle your loan. We are changing the face of credit life insurance for your benefit.
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For more information go to www.yalu.co.za
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H 011
Straight teeth the natural way
Discover why millions of parents choose Myobrace® Suitable for ages 5 to 15
Pre-Orthodontics for today’s children Successfully used for almost 30 years by Dentists and Orthodontists in over 100 countries, Myobrace® has treated millions of children worldwide. Research shows that mouth breathing, incorrect swallowing, a poor diet and other oral habits cause poor jaw development and a lack of space, resulting in crooked teeth.
BEFORE
The Myobrace® System focuses on primarily addressing poor myofunctional (lips, tongue and cheek) habits using a structured program where your child plays an active role in improving their own health by promoting healthy jaw development and teeth eruption. By using Myobrace® stable results are achieved without relying on braces and extractions in their teenage or adult years.
AFTER
The Secret behind the Myobrace® Success
+
Activities
5 - 10min per day
The activities app helps your child re-train their tongue and facial muscles to perform functions like breathing, eating & swallowing correctly through a series of simple fun exercises.
Myobrace
1 hour during the day and at night during sleep
+
The use of the appliance keeps the muscles of the tongue, lips and cheek balanced as it guides the jaw to develop naturally allowing for all teeth to erupt as nature intended
Nutrition
At regular meal intervals
Sugar and processed foods negatively affect a child’s overall health. A good fibrous diet is constantly re-inforced to prevent tooth decay and improve optimum jaw development.
If your child shows signs of poor oral habits or developing crooked teeth WINNER
Talk to us about Myobrace Houghton 011 483 3000
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Parktown 011 408 1693
Wits Campus 011 403 0780
Milpark Hospital 011 482 7203
Randburg 011 886 8008
Braamfontein 011 403 3300
2 0 1 8 D E N TA L I N D U S T R Y I N N OVAT I O N AWA R D
Auckland Park 011 714 3600
Cape Town 021 447 1449
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FAMILY FUN
Things to do over the
Easter weekend that won’t break the piggy-bank In Cape Town
Visit SANCOBB, a non-profit organisation in Cape Town, where injured penguins are treated and fed. Voluntary programmes. Tour the Diamond Museum in Cape Town. Visit the Shimansky Diamond Experience at the V&A Waterfront in Cape Town where you can learn about the history of the diamond rush and famous rocks discovered. Visit the Toy Museum in Simons Town (dolls, model cars, trains and more), a must see for toy lovers. Free walking tours in the historic Bo-Kaap, promenade cycle tours and District Six tours. Visit the famous Scratch Patch in Simons Town where you can dig for your very own beautiful gems. Bunnies Galore at Bugs Playpark in Kraaifontein, Cape Town will be hosting their popular Easter egg hunt as well as loads of Easter-themed activities.
In Durban Take part in uShaka’s Easter Egg Hunt – eggs will be hidden all over the Phantom Ship Wreck Aquarium.
In Johannesburg Visit Montecasino’s Easter Celebrazione and have fun on the giant inflatable park on the Piazza, shake hands with the Jelly Tots man, hunt for Easter eggs, have your face painted and meet the Easter Bunny.
Easter Egg Hunt – kids love finding hidden objects, especially when there’s a prize at the end. Simply write your clues on some slips of paper — get creative. Place the first clue somewhere easy to find, like inside your child’s snack or cereal bowl. Then leave as many clues as you like around the house, making a trail to the final clue. Instead of a prize, the treasure hunt can lead to various coins around the house. This way, the kids get to collect all the coins and put them in their piggy banks at the end.
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FAMILY FUN Indoor bowling – a great way to reuse water bottles or you can purchase an indoor bowling set. Line 6 to 10 water bottles up at the end of your hall or living room. Place a line of duct tape at the starting line. Grab a medium-sized indoor ball and start bowling! If you want, keep score and give out trophies at the end. If you need to stabilise the water bottles or make the game more difficult, simply fill them up with some water. Don’t forget to screw the tops on tightly!
Indoor basketball – all you need is a bucket and a rolled up sock. Each player takes a turn throwing the sock-ball into the bucket. When player scores a bucket, they take a step back and throw again until missing. The player who shoots the ball in the from the farthest distance wins.
Nature walks and hikes – enjoy nature’s finest fresh air and clear views by taking a walk through many of South Africa’s nature trails.
Volunteer at the SPCA – educate children and yourself to become responsible pet owners by volunteering this Autumn. Kids cooking and baking – get the kids in the kitchen with fun recipes that will keep both their hands and brains busy.
Get artsy – use crafts to help them decorate, worksheets to challenge their minds and oodles of pages to colour.
Knitting – knitting is a great way of aiding a child’s physical and mental development and improving concentration.
Board games – Bring out the board games and puzzles. This will keep them occupied for ages. Have a sleepover – Make or order in a pizza and watch a movie with the kids. Pull out mattresses into the living room and have a family sleepover.
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promising products
Skin Creamery Skin Creamery The Everyday Cream – R350 Suitable for all skin types, honours the skin’s natural balance, easily absorbed, certified organic ingredients, hypoallergenic, 100% natural fragrance. Light enough to use on the face and rich enough to use on the body. skinPhD Pigmentation Control – R490 (available from Aesthetic skincare salons and clinics) A potent and highly effective dermatological preparation, formulated with a scientifically advanced botanical complex with clinically proven tyrosinase inhibiting activity, synergistically combined with natural malachite extract, a mineral-derived inhibitor of oxidative stress to effectively reduce blemishes, improve radiance and correct unevenness of skin tone associated with actinically damaged and premature aged skin. SKNLogic SKNMasque Restore – R133 (available from selected spas and salons) A powerful masque of concentrated antioxidant vitamins from the AHA rich pomegranate fruit helps skin recover from damage while enhancing barrier properties and restoring the skin’s natural health. For more information, visit www.skincreamery.co.za
SOiL’s new Vitamin E Oil NEW: Vitamin E Oil - R100 (30ml) Vitamin E also sometimes called the ‘skin vitamin’, has excellent anti-oxidant, anti-inflammatory and skin healing properties, which make it a great natural remedy for a wide variety of skin and hair concerns. Often found in skincare and cosmetics for its natural preserving ability, it has also become popular for skin, hair and nails as an oil all on its own.
What is Vitamin E? It is a fat soluble compound found in certain plant oils. It is both a nutrient and an anti-oxidant, known to protect the body from free radicals. Uses include: • Skin healing properties for sunburn and scarring • Excellent moisturiser – decreases dry skin, making the signs of ageing less noticeable • Balances hair oil production, adds shine and supports a healthy scalp • Helps strengthen brittle nails and heal dry ones SOiL Vitamin E Oil is for topical use only. It can be used on its own or blended with other carrier or essentials oils. SOiL products are available online at www.soil.co.za. For more information, contact 035 340 7008. @Soil_Organics SOiL Organic Aromatherapy and Skincare
To find out more about getting your product listed in this Promising Products section.
contact: Elroy van Heerden on 021 424 3625 or editor@babysandbeyond.co.za 78
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promising products
Oneka
F
rom Native North American tribe Mohawk, Ohne:ka means ‘water’. The name Oneka was chosen to reflect the importance of manufacturing natural personal care products while being conscious of water. Oneka’s all natural hair and body products are created out of respect for water sources and the many organisms that help clean and purify it along its way. Oneka reaches beyond great looking hair and sources only ingredients known to be readily biodegradable. All plant ingredients used are certified organic and grown directly on a farm or harvested wild from the surrounding boreal forests. Without the use of harsh detergents, sulphates, parabens or synthetic fragrances, means it can be completely trusted and is safe for the whole family. Oneka is hair care designed to address all hair conditions and includes an unscented range, ideal for those with allergies and sensitivities to even natural fragrances. This range is ECOCERT accredited and has a biodegradable formula.
What makes Oneka different? • Ph balance • Vegan-friendly • Ingredients are organic wild plants • Cruelty-free • Paraben-free • Sulphate-free • Gluten-free • Recycled packaging • Protects hair colour
Goldenseal and Citrus range Energizing. Let our rejuvenating citrus blend fill you with vitality. Excellent for hair health, ylang-ylang essential oil will leave your hair shiny and gently infused with its aroma. Goldenseal, a boreal plant, has tonic and purifying effects. Goldenseal and Citrus Shampoo, 60ml R55, 500ml R335 Energising – let our rejuvenating citrus blend fill you with vitality. Excellent for hair health, ylang-ylang essential oil will leave your hair shiny and gently infused with its aroma. Goldenseal, a boreal plant, has tonic and purifying effects Goldenseal and Citrus Conditioner, 60ml R55, 500ml R335 Goldenseal and Citrus Body Wash, 60ml R55, 500ml R335 Energizing. Let our rejuvenating blend of citrus and ylang-ylang refresh you with while discovering the tonic and purifying effects of goldenseal, a boreal plant. You will appreciate the soothing touch of calendula and its delicate aroma on your skin.
Cedar and Sage range Cedar and Sage Shampoo, 60ml R55, 500ml R335 Take a deep breath of the Boreal forest’s rich, earthy scent and enjoy our cedar and sage shampoo, specially formulated to help revitalise your scalp naturally. Your hair will absorb the cedar, known for its antibacterial properties, for a deep cleansing effect. The sage, known to help balance sebum production, blends with the hemlock, burdock and nettle extracts to invigorate and stabilise. Go ahead – let the scent of the forest soothe your soul and amplify your senses. Cedar and Sage Conditioner, 60ml R55, 500ml R335 Take a deep breath of the boreal forest’s rich, earthy scent and let our conditioner soothe you. Our Cedar and sage conditioner is specially created to help heal your scalp naturally. The cedar, known for its antibacterial properties will refresh your hair, working in perfect harmony with the hemlock’s stabilising qualities. The sage will help balance the sebum production while the burdock and nettle extracts invigorate the pores. Available from selected Wellness Warehouse stores and salons. Visit the website for a full list of stockist details www.tocara4.co.za/oneka-stockists/
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promising products
Sunumbra P – embrace the sunshine Sunumbra P is a natural sunscreen with organic ingredients and a core purpose to make a difference in people’s lives, as well as the environment by embracing the sunshine. Don’t damage your skin with chemicals to avoid getting sunburnt. Zinc Oxide, as a mineral sunscreen, is 100% natural, provides a high level protection for both UVA and UVB, and has excellent healing qualities. Three of the great Sunumbra P sunscreens available are: Sunumbra P Sport SPF 40+ (R265) Sunumbra P Sport is a natural sunscreen containing organic ingredients specially formulated for the active outdoor person. • 5 Star rating (UVA) • SPF40+ (UVB) • Fully certified ISO/COLIPA for UVA & UVB • Water resistant 40 minutes • High protection, broad spectrum Sunumbra P Sunkids SPF 40 (R299) • Protects against UVA and UVB light at the highest level • Contains natural, organic, photo-protective botanicals • Contains the powerful anti-radiation properties of zinc oxide • No harmful chemicals • Dermatologically tested and approved • Specially formulated for children and people with sensitive skin • A tinted sunscreen using natural botanicals containing pigments • Tested on human skin only, not animals • PH in balance with children’s skin • Can be used by anyone with a dietary or environmental concern Sunumbra P SPF 30+ (R299.99) • Natural sunscreen • Organic ingredients • SPF 30+ (UVB) • 5-star UVA rating (highest level) • Free of Parabens • 100% free of harmful chemicals • A tinted sunscreen using natural botanicals containing pigments • Not tested on animals • No animal derivatives • Water resistant • Developed, formulated and manufactured in South Africa Tip: As this is a tinted sunscreen, any clothing stains that may result from the natural oils can be removed by simply applying dish washing liquid directly to the stain (because regular laundry detergent does not contain oil-removing properties), then wash as normal. Why you should choose and natural sunscreen • Natural and organic preservatives do not damage your health. Commonly used parabens are endocrine disruptors mimicking oestrogen, upsetting hormone balance and are carcinogenic. No petrochemicals or mineral oils - they clog up skin pores, trap toxins, slow skin cell growth, disrupt • normal hormonal functions, rob bones and the nervous system of magnesium, can be estrogenic, plus absorb oil soluble vitamins A, D, E and K from you and then excrete them. • Natural colourants are non-toxic – as opposed to toxic synthetic colourants. • Natural organic ingredients smell delightful. Added fragrance can be toxic. • Avoid unnatural polymers for water resistance, which coat the skin and prevent it breathing. • Many organic plant extracts provide anti-oxidants, which protect against free radical damage and atmospheric toxins, eliminate chemical reactions and repair skin cells.
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promising products • Direct benefit from every ingredient. No fillers are required to counteract negative reactions to chemicals. • Reverse sun damage. Switching from toxic chemical sunscreens to non-toxic sunscreens with added organic ingredients, you can possibly reverse some existing sun damage. Chemicals to avoid and their potential health risks • Octinoxate (Octyl Methoxycinnamate): ‘gender-bending’ (estrogenic) • Oxybenzone (Benzophenone-3): allergic reactions and hormone disrupting. • Avobenzone (Butyl Methoxydibenzoylmethane): becomes toxic in sunlight • Octocrylene: potentially carcinogenic • Homosalate: Hormone disruptor; forms toxic metabolites • Padimate O (Octyl Dimethyl Paba/Paba Ester): releases free radicals, damages DNA, estrogenic and allergic reactions • Ensulizole (Phenylbenzimidazole Sulfonic Acid: potentially carcinogenic • Mexoryl SX: Degrades 40% in sunlight, produces reactive oxygen species • Octyl Salicyclate: penetration enhancer; allows other chemicals into blood • Benzophenone (Sulisobenzone): irritates skin and eyes. Penetration enhancer Avoid toxic cosmetic ingredients. A healthy lifestyle is vital to combat toxins from modern industries.
Choose cosmetics with healthy ingredients and avoid these toxic ones Sodium Laurel, Lauryl Sulfate, or Sodium Laurel Sulfate: Combined with other chemicals this becomes Nitrosamine, a powerful carcinogen, which penetrates the skin’s moisture barrier, allowing chemicals in. PEG (Polyethylene Glycol), Polysorbates, or Ethoxyylate alcohol: all contain dioxane which is carcinogenic and probably one of the most potent toxins known to man. Propylene Glycol can cause dermatitis, kidney or liver abnormalities, skin growth prevention or just plain irritation. Phenol Carbolic Acid can cause circulatory collapse, paralysis, convulsions, coma and even death from respiratory failure. Acrylamide can cause breast cancer. Toluene (Benzoic; Benzyl or Butylated Hydroxtoluene) can cause anaemia, low blood cell count, liver and kidney damage and birth defects. For a stockist near you visit www.tocara4.co.za Available from Wellness Warehouse, Woolworths, or online at www.faithful-to-nature.co.za and www.takealot.com
Gold Collagen What is collagen? Collagen is a protein found naturally in the skin, preserving its firmness and elasticity. Collagen is also found in joints, keeping them strong, lubricated and healthy. Collagen formation occurs naturally throughout our lives. However, collagen production slows down at the age of 25 and continues to gradually decrease. This causes visible signs of ageing, such as fine lines, wrinkles and sagging skin, as well as joint discomfort. By following our recommended programmes you will be able to rebuild collagen effectively.
What’s the secret of our collagen-based supplement? Formulated with the highest quality ingredients, our supplements have been developed in a patented liquid formulation. The star ingredient in our beauty products is hydrolysed collagen. Made up of small bioactive peptides, it is easily absorbed in the small intestine and distributed throughout the body via the blood stream. It helps stimulate the production of new collagen, elastin and moisture-retaining hyaluronic acid molecules, essential factors in maintaining a young, healthy appearance. The liquid absorbs 20 times more than tablet form. For more information, visit www.deluxelaser.co.za/gold-collagen Available at Deluxe Laser salons nationwide for R990.
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DESPERATE BECAUSE YOUR CHILD CAN BARELY BREATHE DUE TO: A common cold or flu?
Sinusitis problems?
A blocked or a runny nose?
Allergies?
HERE’S THE SOLUTION!
babyvacSA
Recommended from 0 to 6+ years of age or until the children can blow their nose by themselves. This is the first and most effective device to allow mothers to perform nasal suction/aspiration at home. Helps in the prevention of respiratory tract related diseases, which may lead to more serious health problems and accelerate healing. It can be used at any time, whenever is necessary. Safely & quickly clears the nose. Easy to handle & durable. The transparent tubing allows you to monitor the amount and consistency of the extracted secretions, this way you can easily observe the healing process. The device also helps the agents of medically prescribed nasal drops to be better absorbed through the cleaned mucous membrane.
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Available at
and selected pharmacies 2019/03/29 12:15 PM
Available in Afrikaans, English, Sotho, Xhosa and Zulu The beau�fully wri�en story of Mary and Abe teaches children to understand that we are not all the same. Despite our differences we can live together harmoniously and embrace one another. Thinus van Zyl, father of two, masterfully wrote the story and award winning ar�st Alze�e Prins did the illustra�ons.
Now only R55
WIN
with
ENG110
C hristian L iterature Fund info@clf.co.za • www.clf.co.za • 021 873 6964
is for:
is:
HELPS:
• Blocked noses • Sinus congestion • Hay fever • Post nasal drip • Cold and flu relief
• non addictive • Alcohol free • A sinus wash • Safe to use during pregnancy
• Prevent reinfection
Bionase
Stand a chance to win 1 of 6 adults/kids Bionase hampers SMS the word
Bionase
along with your name and surname
to 33903
sms charged at R1.50
Closing date for the competition is 30th June 2019
CONTACT US: 083 357 8940 for more information www.facebook.com/biorange
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www.biorange.co.za
2019/03/29 12:15 PM
TeeJel A4
TeeJel A4 Advert.indd 185 21_BABApril2019.indd
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Contains 1 pair • Provides shade for rear passengers, babies and pets • Protects your car’s interior from the harsh sun • Keeps your car cooler
Car seat undermat
Back seat organiser
www.windowsox.co.za order your custom Window Sox today! 86
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www.babysandbeyond.co.za
2019/03/29 12:15 PM
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 www.babysandbeyond.co.za
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KICKS FOR KIDS
babys beyond and
a family lifestyle magazine
Colour me in
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KICKS FOR KIDS
Connect
Find the route
the kids with their dog
www.babysandbeyond.co.za
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Arrive Alive
Road safety tips for Easter Share these suggestions with your family and friends – and may you and your family have a happy and safe festive season! 1. Obey the rules of the road and always carry your driver’s license with you. 2. Plan the route to your holiday destination and give yourself enough time to reach the destination. 3. Make sure that your vehicle is roadworthy before you depart. All lights and indicators, windscreen wipers, brakes, steering, exhaust system and tyres should be carefully examined for faults. 4. Do not overload your vehicle. 5. Try to avoid driving after dark if possible. 6. Have a good rest before you embark on your journey. 7. Take safety breaks every two hours or 200km. 8. Do not drink and drive. 9. Try to recognise potentially dangerous drivers on the road and pedestrians alongside the road and keep well clear of them. 10. Be visible – drive with your lights on. 11. Headlights should be dipped well before an approaching vehicle is within range of the main beam. 12. Always wear your seat belt and make sure that everyone in the car is wearing theirs. 13. Drive defensively. 14. Stay within the speed limit always. 15. Only overtake when it is safe to do so. 16. Maintain at least a two second following distance - this distance should be increased at night, in foggy or rainy conditions and when the road is wet. 17. Expect other drivers not to follow the rules of the road. 18. Be courteous towards fellow road users - keep your temper and resist the temptation to retaliate. www.arrivealive.co.za
K
T
P
C c
W
The development of www.arrivealive.co.za is dedicated to the memory of people who have passed away on the roads of South Africa. Having lost a mother in a car accident at the age of 2 years and 10 months and also a good friend in 1999, I have decided that the time to be spent and efforts made in the development of this site to enhance road safety cannot measure up to the value of even one life saved on the roads.
F
C y
We believe that an informed road user is a safer road user! We will stay committed to using the internet and social media platforms to share information and create road safety awareness! Adv Johan Jonck
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P
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
www.freemiesa.co.za info@freemiesa.co.za
Pump anytime, anywhere, and around anyone.
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*view website for compatibility list **used in conjunction with Fitmie accessories
2019/03/29 12:16 PM
Grab some grub
Bunny Cupcakes Bunny love for an Easter treat You will need For the cupcakes
• • • • •
1 x 600 g Ina Paarman’s Vanilla Cake Mix 3 extra large eggs at room temperature ¾ cup (180ml) canola oil 1 cup (250ml) milk 12 large and 20 small paper cups
For the strawberry icing
• • • •
1 x 250g Ina Paarman’s Strawberry Icing Kit 125g butter at room temperature ¼ cup (60ml) water 1 t (5ml) lemon juice
For decorating
marshmallows (pink and white) sprinkles liquorice sweetie eyes mini sweetie dog bones toothpicks red Astros chocolate carrots (optional) chocolate eggs (optional)
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Method
Adjust oven rack to the middle position. Preheat oven to 190°C. Line two muffin pans with regular and small paper cups. Mix according to package instructions. Divide Vanilla Cake mixture between paper cups. Bake for 15 to 20 minutes and leave to cool completely.
Icing
Prepare Strawberry Icing according to package instructions.
To finish off
Smooth a little icing over the top of each cake. Fill icing bag (don’t use the nozzle) and snip off along the dotted line. Pipe a large blob of icing on each cupcake for the face. Prepare the ears as illustrated (one marshmallow will give two pairs of ears). Dip the cut sides into sprinkles and insert a toothpick. Position ears. Cut liquorice whiskers and trim the ends of dog bones to use for bunny teeth. Position eyes and nose. Enjoy!
www.babysandbeyond.co.za
2019/03/29 12:16 PM
Grab some grub
Cauli Fish Bake This recipe is delicious. Obviously one can splurge out on salmon or kingklip for a special treat, but hake is very good done this way. Serves 4
You will need
• 1 medium cauliflower, cut into florets • Ina Paarman’s Masala or Vegetable Spice • 1 x 200 ml Ina Paarman’s Ready to Serve Cheese Sauce • 1 large egg • 3 leeks, well washed and thinly sliced with green tops • Ina Paarman’s Green Onion Seasoning • 1 T (15 ml) butter • 1 T (15 ml) olive oil • 600 g (4 portions) fresh hake (stockfish), filleted and skinned • Ina Paarman’s Fish Spice • ¼ cup (60 ml) grated cheddar cheese • ¼ cup (60 ml) fresh breadcrumbs (optional) • 2 T (30 ml) finely sliced chives
Method
Adjust the oven rack to the middle position and preheat the oven to 200°C. Steam the cauliflower until just done. Season lightly with Masala Spice and spoon into the bowl of a food processor. Leave to cool a little. Add the Cheese Sauce and egg and pulse until blended, but still lightly textured. Sauté the sliced leeks pre-seasoned with Green Onion Seasoning in the butter and oil mixture. Dish the softened leeks into a 29 cm x 20 cm oven-proof dish. Season the fish lightly on both sides with Fish Spice and arrange on top of the leeks. Keep the fish fillets more or less the same thickness e.g. fold under the thinner tail ends.
Spoon the cauliflower mixture over the fish. Mix the grated cheese and breadcrumbs (if using) and sprinkle over the dish. Bake for 20 – 25 minutes. Top with chives.
Recipes and pictures courtesy of
www.babysandbeyond.co.za
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BOOK REVIEWS
That’s not my zebra… by Fiona Watt (age 0-3) Celebrate the 20th anniversary of ‘That’s not my...’ with this gorgeous new addition to the bestselling series. Babies and toddlers will love touching the textured patches as they meet zebras with hairy tails, fuzzy noses and soft stripes. The bright pictures and textures are designed to help develop sensory and language awareness.
Angry Owl finds a Hobby by Kerryn Ponter (age 3-6) All is good in the life of Angry Owl – so much so that he decides to join in the beautiful singing he hears every day from a nearby tree. He grabs a guitar, feeling confident that he’ll be the greatest musician ever. To his great disappointment, the other birds fly away from the dreadful noise of his playing. After a conversation with Mr Dove, he realises that to be good at something, you have to practise and practise. So Angry Owl returns to his guitar and practises until he can play well...
The Boy and the Tree by Marleen Lammers (age 3-6) A sad little boy climbs up a hill, unhappy because he doesn’t have the shiny new toys that other children seem to have. But something magical happens when a mighty old tree on the top of the hill starts to talk to the boy. Better still, the tree takes him on a series of adventures to space and strange lands with wonderful creatures and so much fun. This tale of rhyming verse will encourage young readers in the age group 5–8 years to use their imaginations and experience these adventures too, spurred on by the colourful, quirky and beautiful illustrations.
Diary of an Awesome Friendly Kid by Jeff Kinney (age 9-12) In ‘Diary of an Awesome Friendly Kid’, Greg Heffley’s best friend, the undauntedly cheerful Rowley Jefferson, agrees to take on the role of biographer, recording his pal’s life story. But it turns out Rowley is a poor choice for the job, and his biography of Greg ends up saying more about himself than it does about his best friend. With over 350 black-and white illustrations, ‘Diary of an Awesome Friendly Kid’ offers readers a chance to see the ‘Diary of a Wimpy Kid’ world in a whole new way.
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COMPETITION
Chicco Baby Moments Bath range
Subscribe to Baby’s and BeyondTM and stand a chance of winning one of two Chicco hampers which consists of the following: • Body Wash & Shampoo 500ml - R129.99 • Nappy Cream 100ml - R99.99 • Rich Cream 100ml - R99.99 • Gentle Soap 100gm - R29.99 • Body Lotion 200ml - R99.99 • Massage Oil 200ml - R119.99 Total value: R579.94
All items available at Kids Emporium, www.loot.co.za & www.takealot.com T’s and C’s apply.
Competition closing date: 31 May 2019
Subscribe for 1 year at R150.00
babys beyond
Including VAT and Postage
TM
and
babysandbeyond @babysandbeyond
a family lifestyle magazine
TO SUBSCRIBE, COMPLETE THIS FORM AND FAX TO 086 270 9693 Current offer valid for RSA subscribers of printed options only. NEW SUBSCRIPTION
RENEWED SUBSCRIPTION
PERSONAL INFORMATION TITLE: __________________AGE: ______NAME & SURNAME: ____________________________________________ OCCUPATION: _____________________________________________________________________________________ TEL: ___________________________ FAX: __________________________CELL: _______________________________ EMAIL: ____________________________________________________________________________________________ ADDRESS: ______________________________________________________________________CODE: ____________
PAYMENT INFORMATION YES!! I would like 4 issues @ R150.00 (for RSA subscribers & printed options ONLY) Banking Details: DIRECT DEPOST/EFT: Nedbank, branch code 198765, account no. 1001082427 Ref: Your name or organisation name PLEASE START/RENEW MY SUBSCRIPTION WITH ISSUE
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www.thekidzone.co.za
Smart Boxes for babies from birth to age six!
R299
When you join My Smart Kid, you get two free welcome gifts – a kiddies’ backpack worth R175 and an Early Childhood Development (ECD) handbook for parents Only R299 every 2 months including delivery Your little one gets a Smart Box filled with age-appropriate toys, educational products and tailormade information and activities Ours is the only programme of its kind with a dedicated panel of experts to guide you through all developmental areas from before birth until your munchkin goes to primary school! The programme is based on the South African Department of Education’s National Curriculum Framework for ECD Through playing and learning we take the guesswork out of helping your child meet all their milestones! My Smart Kid Smart Boxes for ages 0-6 years is a subscription programme. No sign-up or cancellation fees apply.
Visit www.thekidzone.co.za for pricing and examples of our age-appropriate boxes.
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www.thekidzone.co.za
Give your child a brighter future with our Smart Boxes! Smart Boxes for Grade 1 kids! (Gr 2 - Gr 3 coming soon) R FROM
599
The My Smart Kid programme produces thinkers Parents, tutors and teachers can now purchase a box that facilitates learning in the areas of Maths, Language and Life Skills Each Smart Box is an assortment of learning tools, games and products that reinforce skills being learned in foundation phase primary school Your child will learn while having fun with you Each box contains a Parent Guide to explain the purpose of the contents of the box with great ideas and fun activities. Not subscription-based. Parents can purchase a box that can be used for the entire year. It’s a keeper!
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Available in store and online www.polo.co.za
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