eBaby Sister Lilian Centre since 1988
Advice you can trust Issue 27 • February 2019
How to • Ease bonding & breastfeeding after C-section • Ensure sufficient mother’s milk • Calculate & cure colic
Why resist co-sleeping? It’s best for you & Baby
Do you know? • What yoga can do for you • Why you need more fluids in pregnancy • The benefits of water birth
HELP PREPARE YOUR TODDLER FOR BABY #2 Your medical team says...
but is it entirely true?
CONTENTS Issue 27 • February 2019
3. Dear Moms & Dads – editor’s message
22. Crying & colic sorted - what to do when Baby cries her heart out
4. Dear Sister Lilian – we answered your pregnancy and birth questions
25. Two stubborn fungal skin infections – nappy rash and ringworm
5. Dear Sister Lilian – we answered your baby, toddler and parenting questions
26. Understanding the fourth trimester – that’s the first three months after birth
Pregnancy
6
6. Pregnancy hydration – as your blood volume increases, so does your need for healthy fluids 8. The backache battle – the lowdown on ligament and lower-back pain 11. Belly talk
»» Ensuring sufficient breast milk »» The exercise connection to constipation
»» Two tips for baby bathing bliss
»» The big stretch »» Letting birth anxiety go »» What yoga can do for you »» Take 3 for vitamin B
»» A not-so-nice baby cap
Toddler 31. From only child to older child – help your toddler become a well-adjusted sibling
Birth 14. Labour and birth myths busted – you have a right to be in the know about one of the most important days in your life 17. The golden hours after C-section – how you can make bonding and breastfeeding easier
34. KidFeed »» Tips for tackling tantrums »» Snack staples for toddlers »» Bedwetting blues »» Six signs and symptoms of mumps »» Understanding bedtime reluctance
18. Due date »» Water birth benefits »» Breastfeeding after C-section
Parent
»» Call the midwife!
36. New baby, different body – we help you make the best of after birth changes
»» What is AROM?
38. What's new on shelf
»» Waiting is mostly worthwhile
39. Horizons
Baby
28
29. Baby bytes
»» Electrosmog alert
»» A tooth for each baby?
18
28. Co-sleeping confidence – why you should give the most effective sleep strategy a try!
21. Healing with homeopathy – simply the best way to restore balance to body and mind
eBaby
2
Issue 27
»»
Mango groove
»»
What do you know about GMO?
»»
Nuts about coconut
Sister Lilian
Midwife Margreet
Editor's Letter
Dear Moms & Dads Don’t let yesterday use up too much of today, encourages a Cherokee proverb Already you may feel that 2019 is flying, that your New Year’s resolutions are crumbling, and that you’re already needing another holiday.
Ghandi that we should be the change we wish to see in the world – it pays to remind ourselves that every day that we live optimistically and constructively is a step closer to a healed planet, a hopeful society, and a happy family.
Let this Cherokee proverb offer you a burst of positivity and parenting energy. After all, does time not rush away from us, don’t we despair at broken promises to ourselves (what are parenting resolutions, if not personal promises?), and don’t we sometimes become bogged down by regret precisely because we cannot see today as the gift, the opportunity for a brand new start, that it is?
eBaby Sister Lilian Centre since 1988
Advice you can trust
Speaking of yesterdays and todays (and tomorrows), it’s time for a new ‘mommy’ to take over the eBaby helm – welcome, Midwife Margreet – while I’ll assume the role of the ‘proud granny midwife’. It’s been a wonderful ride into each new day for the past three-plus decades, and I’m rooting for each and every one of you, as we all pledge not to let our yesterdays use up too much of our todays, so that at the end of 2019 we can truly say we lived each day to the full.
Of course, this is not an excuse to abdicate the responsibility we have to live each day to the best of our ability, but instead inspiration to believe in the infinite possibilities and opportunities that each new day brings. It has also been said by none less than Mahatma
Blog
www.sisterlilian.co.za
TEAM eBaby Managing editor Sister Lilian Editor Margreet Wibbelink Sub-editor Kelly Norwood-Young, Hello Hello Business manager Alan Paramor Advertising sales Gillian Richards Design Lise-Mari Coetzee, JBay Studios Email magazines@sisterlilian.co.za Call +27 12 809 3342 Fax2email +27 86 691 2485 Snailmail PO Box 11156, Silver Lakes, Pretoria, 0054 Published by Sister Lilian Centre® Copyright: Sister Lilian Centre®
No part of eBaby online magazine may be reproduced in any format without written consent of the publisher. All rights reserved. Every precaution has been taken to ensure correctness of information, but advice given and opinions expressed in eBaby do not replace a consultation with a health practitioner, nor can responsibility be taken for individual readers’ experiences. However, the publishers and editorial team set great store by ethical, responsible baby and child care advice and firmly believe that the content found here will help improve your parenting experience. eBaby
3
Issue 27
Q&A Dear Sister Lilian Pregnancy & Birth brought to you by
I’m 22 weeks pregnant and I’ve been bleeding after making love. It’s not always, and never that much. Should I be worried about miscarriage? Tumi
Baby City makes it possible for you to ask Sister Lilian for advice about your pregnancy and birth
Minor spotting is usually not serious. The most likely cause is a raw patch in your vaginal wall (an effect of the hormone progesterone). It should heal on its own, unless there’s an infection. At 22 weeks, miscarriage is unlikely, but if bleeding doesn’t stop or there are any other symptoms – like fever, pain, or a change in Baby's movements – immediately report this to your doctor or midwife, to determine whether it’s safe for you to make love for the rest of your pregnancy. A low-lying placenta could also be the cause but this would need to be ascertained by sonar examination. SL
I’d like a water birth, but my husband feels that it’s not normal for humans, and my doctor says it can be risky. What would you advise? Noleen You have the main vote because it’s your body, and your birth. Humans have been taking to water for centuries to relieve stress and ease discomfort; you’re responding to that intuitive knowledge. Water often makes labour progress better – be it wet cloths wrapped around your belly or even just the thought of water! If you have an experienced water birth midwife who monitors you unobtrusively throughout, and Baby is born directly into the water with the umbilical cord left to pulsate until he or she emerges a short while later, research confirms that water birth is very safe. SL
Two days ago I noticed a white, odourless vaginal discharge on my underwear. I’m 36 weeks pregnant and wondering what this means? Andrea Vaginal discharge increases during pregnancy, and even more so in the last few weeks, getting the birth tract ready for birth. Although this discharge is often thicker than what you may be used to seeing, it should still be clear to slightly white, and it should not smell bad, itch or burn. If it does, consult your midwife or doctor. SL
eBaby
4
Issue 27
Q&A Dear Sister Lilian Baby & Toddler brought to you by
My breastfed baby is five weeks old. I have so much milk and it comes out very fast, which I think is causing Baby's winds and cramps. She also brings a little milk up after each feed. Should I rather switch to formula so that I can measure her intake? Lindiwe
Baby City makes it possible for you to ask Sister Lilian for advice about your baby and toddler
Switching to formula might just mean you have different problems! Try lying back against a few pillows when feeding, letting her face you, tummy-to-tummy, while drinking, as this slows flow somewhat. Allow her to feed when she needs to, not on a schedule, and the perfect demand-supply system of breastfeeding will soon kick in. Many babies posit a bit of milk after a feed without there being an underlying problem, but wind and cramps might be linked to your diet. Try cutting down on dairy and grains, as well as processed foods, the most common dietary causes. SL
Most nights my six-month-old daughter goes down without a fuss and although she wakes every four hours, she usually sleeps until 7.30 or 8am. During the day though, she puts up such a fight when I try to put her down. Should I ‘force’ her to have an afternoon nap? Candice
My four-month-old constantly wants to be held, and cries when we put him down. Meanwhile, I get nothing done. Any advice? Natalie There is a reason for your son’s neediness. Babies often ‘feel’ their mother’s anxiety and consequently become more unsettled. Try these three simple things: use a baby carrier for niggly times, to free up your hands while comforting your baby; go easy on him and yourself for immediate improvement; and arrange short breaks with your hubby or a friend so you can rest, SL
Absolutely not! Rather lie down with her and rest, as opposed to trying to force her to sleep. She might need to recharge her batteries and this will do just that – just as it will do for you. Alternatively, you can take her for a walk in her pram if she is niggly. You might not get the rest you would like but you will relax and get very good exercise – double return! SL
eBaby
5
Issue 27
Pregnancy
Pregnancy hydration You may know that 70% of the human body is made up of water, but did you know that pregnant women need more water than others?
W
hile humans can live with little or no food intake for quite a protracted period (even pregnant women, though of course this is not ideal), lack of fluids can very quickly cause dire symptoms and even death. Really, it’s water that is the staff of life! As your blood volume increases to supply your baby and placenta, and your baby begins to grow in his ‘bag of waters’ – the amniotic fluid inside the amniotic membranes – your pregnant body demands more water. Since water transports nutrients and oxygen around the body, and carries waste away from the body, it not only plays an important role in keeping you healthy, but in ensuring that your baby gets what he needs to grow healthily. The heat of South Africa’s summer can also be harsh, particularly on pregnant women, whose core body temperature is a little higher than others’. Water regulates body temperature and is essential to avoiding overheating and dehydration, which could cause developmental problems in your baby, as well as constipation, confusion, reduced energy levels, poor protein uptake, and muscle deterioration for you.
How much H2O? Sip water immediately if you feel thirsty – after all, that’s how your body gives you no-brainer cues as to how much fluid you, given your personal circumstances, need! Drink 1,5–2l of good quality water or other healthy beverages a day. It may seem like a lot, but it’s easy to get your intake right. All you need each day is five glasses of water and three cups of another healthy beverage, like rooibos, chamomile or green tea. Continued on page 7
eBaby
6
Issue 27
Pregnancy
Healthy hydration hints • Limit the amount you drink with a meal, as this dilutes gastric juices and makes digestion less effective. It’s best to not drink large amounts for about 30 minutes before meals, and about 60 minutes after main meals. • Drink a mug of hot water in the morning if your bowels feel sluggish, or you are constipated. • Eat ice chips if you battle with nausea when drinking water. Bear in mind that drinking large amounts quickly might contribute to queasiness. • Keep a volume-marked big jug or bottle of water nearby, to keep track of how much you are drinking and ensure that you always have healthy H₂O at hand! Estimating is often very wrong.
Juice, coffee and tea in pregnancy A good rule of thumb is to eat fruit and drink water! Add fresh fruit pieces, such as strawberry or lemon, or a sprig or two of mint, to your water to give it some flavour. Sipping mint water will also help you if you experience heartburn. Other things to take into account include: • Drink freshly squeezed fruit juices, but in moderation; fructose release is much slower when eating the whole fruit. • Stay away from fizzy drinks, which often contain caffeine and too much sugar; artificial sweeteners in diet drinks can also be harmful. • Avoid commercial fruit juices as they often contain unhealthy preservatives. • Avoid alcohol, and preferably don’t drink more than one cup of good quality coffee a day. Both these beverages can in fact make you more thirsty! • Limit Ceylon tea to two cups a day, as this also contains some caffeine. • Limit herbal teas to no more than three fairly weak cups a day.
Contains AquaminTM: America’s record selling supplement & 2016 Vitafoods Nutraingredient of the year!
Use a good-quality
home filter system or boil water before use if you are unsure about the of your water supply.
safety
Too much water? Minor swelling due to water retention is a common pregnancy symptom and generally isn’t anything to worry about. The most common areas are the hands and feet but water retention in the eyeball may mean you need to get your glasses prescription changed or stop wearing contacts. Retained fluid in the mucous membranes can cause nasal congestion which can be mistaken for a cold. To help this ‘normal’ swelling, don’t limit your fluid intake to less than 1.5 litres daily, walk briskly for five minutes every hour and another 20 minutes each day, do ankle and calf exercises while seated, don’t cross your legs at your knees or ankles, take the tissue salt remedies Nat mur and Nat sulph, rest lots, and plunge your hands and feet into a tub of cold water. If swelling is accompanied by other symptoms such as protein in the urine, high blood pressure, visual disturbances, headaches, dizziness, and nausea – especially toward the end of the second trimester or in the third trimester – it can indicate a serious pregnancy condition called preeclampsia, so let your midwife or doctor know.
7
DENSIMAX FOR THE THIRD TRIMESTER & BEYOND
™
Pregnancy
The Backache Battle Many women battle with backache and sciatica while expecting a baby – particularly later in pregnancy
A
s a woman’s bump gets bigger and changes her centre of gravity and posture, this puts pressure on her back – but that’s only part of the story.
The lowdown on ligament and lower-back pain The hormones relaxin and progesterone relax the ligaments in the back (and elsewhere) as the body prepares for birth, and many women experience ligament pain as part of this process. Lower-back pain is also commonly caused by strain on the joints between the pelvis and hip bones. In addition, lower-back injury and pain may occur when pregnant women are not careful bending and picking up heavy objects.
So what’s sciatica? Pressure on the sciatic nerve – the largest nerve in the body, arising from the spinal column in the lower back – will lead to pain and inflammation, called sciatica. Pregnancy changes put a woman at greater risk of sciatica occurring. If you are experiencing a dull ache in your buttock; sharp, shooting pain down the back of your leg; a numb, burning or tingling pain in the toes or leg; sensitive skin; or limited range of motion in the foot, you are likely experiencing sciatica.
Continued on page 9
Warning signs See your midwife or doctor if you have backache and: • It’s associated with pelvic cramps or abnormal vaginal discharge, especially if this occurs early in pregnancy, as it might indicate a miscarriage • You have a fever, as it might hint at kidney infection • Your urine smells strongly or you experience pain while urinating, as you might have a bladder infection • You have any other signs of labour earlier than your due date
eBaby
Understanding relaxin In women, the hormone relaxin is produced by the ovary after ovulation and for the rest of the menstrual cycle until menstruation occurs (or pregnancy) and by the placenta during pregnancy. Alongside a number of other hormones, it has important effects on the female reproductive system in general, and during pregnancy in particular. It helps prepare the endometrium (lining of the uterus) for receiving the fertilised egg for implantation. In preparation for easier childbirth, relaxin makes the ligaments in the pelvis stretch more easily, and as your due date nears, it softens and contributes to the dilation of the cervix.
8
Issue 27
Pregnancy
Back off, back pain! How can you help ease your backache? Try out Sister Lilian's tips: • Focus on correcting your posture by pulling in your tummy and buttocks, keeping your shoulders back and down, and your chin slightly tilted upwards • Build your strength by doing safe forms of exercise like yoga, walking, dancing or swimming • While exercise and movement are important, make sure you get enough rest too • Take the tissue salt remedies Calc fluor and Ferrum phos to help improve the elasticity and strength of your ligaments, and to relieve inflammation and pain • Take the tissue salts Kali phos and Mag phos to help soothe nerve pain, repair nerves and treat muscle cramps • Get an experienced massage therapist, a friend or your partner to massage your back with arnica oil • Cross your hands in the small of your back and press firmly against a wall for some temporary relief • Go down on all fours for instant – albeit temporary – relief • If you need to sit for extended periods, use an exercise or birth ball – you can even use the ball instead of your office chair, or you may even want to consider the increasingly popular ‘standing desk’, which can be adjusted to your height and enables you to continue working even when you need a break from constant sitting • Wear a comfortable pregnancy belt or band for some extra support • See a physiotherapist if your symptoms persist
eBaby
9
Issue 27
Revolutionary Vitamin D Oral Spray
For nutritional support before, during and after your pregnancy.
6 essential nutrients folic acid K1 and B vitamins
400 IU per spray 3 month supply Suitable from birth Vitamin D, coconut oil ... and nothing else Easy to use & deliver
DLux infant Daily Vitamin D Oral Spray
DLux Pregnancy Daily Vitamin D Oral Spray Folic Acid
Tooth-kind formulation
Aids normal muscle Maintains normal function bones and teeth
Provides a gentle combination of natural coconut oil and vitamin D3. Specially formulated for all children under three-years-old. Now available in South Africa at leading Pharmacies, Health Shops and Medical Practitioners For more information contact Coyne Healthcare: 021 421 9144 | info@coynehealthcare.co.za w w w. c o y n e - h e a l t h c a r e . c o m
Coyne Healthcare
Maintains normal bones and teeth
Supports the immune system
Contains folic acid, K and B vitamins
Give your baby a healthy start in life with BetterYou™ DLux Pregnancy Vitamin D Oral Spray.
Bio-available emulsion spray to ensure optimal nutrition levels during pregancy and nursing.
Pregnancy
The big stretch Stretch marks are mostly caused by genetics, but diet and hydration of the skin also play a role. To keep them at bay, you need to enhance the elasticity and cell strength of your skin. Self-help tips to ensure greater skin elasticity include:
A tooth for each baby? Many women seem to have worse teeth after pregnancy, not because Baby ‘sucked’ the calcium from their teeth but because of: • Feeling far more tired during pregnancy, so oral hygiene standards tend to drop • The hormonal changes of pregnancy which can lead to puffy gums, periodontitis and, without careful dental care, tooth decay • All those sugary treats you may be craving • The pooling of saliva in your cheek when you sleep on your side neutralises acid on that side of your mouth, leaving the teeth on the other side more vulnerable to decay A healthy dental routine involves using a soft-bristled toothbrush to avoid damage to tooth enamel; brushing your teeth in the morning and before going to bed; flossing at least once daily; after eating, swilling with water to help remove any food still in your mouth; and brushing your tongue daily.
99 Making sure you don’t carry excess weight before pregnancy 99 Taking the tissue salt remedies Calc fluor and Ferrum phos throughout pregnancy to help with skin elasticity and strength 99 Applying a nourishing lotion or vitamin E and A enriched tissue oil to prone areas 99 Keeping active to stay toned and supple
Letting birth anxiety go So many women are anxious about birth nowadays – largely because the medical model (which mostly focuses on the minority of possible complications) is all they hear about from family, friends and their obstetricians. The good news is that Mother Nature primes you with an anxiety-alleviating hormonal cocktail during pregnancy, labour and birth. The hormone oxytocin is key to letting anxiety go, and you have heaps of it as pregnancy progresses and birth unfolds. So long as you and your wishes are respected, and you experience support and protection from your birth team, anxiety will seldom morph into fear and the innate rhythm of a safe, good labour has a strong chance of unfolding. 11
Pregnancy
Take 3 for Vitamin B In pregnancy: Vitamin B2 is important for energy metabolism, and for growth and development of healthy body tissues in Mom and Baby.
What yoga can do for you Yoga techniques help an expectant woman to clear her mind, breathe consciously and calm her emotions. Common complaints like backache, bladder infections, breathlessness, constipation, leg cramps, fatigue, haemorrhoids, heartburn, sleeping difficulties, nausea, ligament pain, sciatica, swelling ankles and fingers and varicose veins can all profit from a variety of yoga poses. Other wide-ranging physical benefits include:
Vitamin B6 also supports growth of new body tissue and helps treat nausea. Vitamin B12 is important for division of blood cells and to help prevent anaemia.
• Strengthening the body with holding postures • Mobilising tendons and muscles through stretches • Helping balance blood pressure • Improving posture • Building endurance through practising squats, and helping open the pelvis for labour and birth • Coaxing the baby into an optimal birth position for labour by doing postures on all fours and by circling the hips in a clockwise direction • Increasing mobility which is extremely helpful for an active, natural labour and birth • Preparing the pelvic floor for birth and recovery by improving tone and suppleness of this area
12
Birth
Labour and birth
myths busted
You have a right and responsibility to be in the know about one of the most important days in your life
B
irth information from medical care providers, family and friends is handed out in huge doses to pregnant women as their due date comes closer.
using an electronic monitoring machine) doesn’t have any benefit for low-risk pregnancies and actually increases the risk of a C-section, as readings can be inaccurately affected by lying on your back (as is mostly the case with EFM), and by anxiety. Intermittent monitoring is the better way to go.
Medical myths Unfortunately, not everything you are told by your medical team is entirely true or evidence-based! Take these ten, for instance:
4. You shouldn’t eat or drink anything during labour Fasting in labour can upset your blood sugar and other important bio-chemical levels, whereas eating and drinking as you wish will help keep your energy levels up. Fruit makes an ideal labour snack.
1. A C-section is your safest birth option C-section has far more risks of serious complications for mother and baby. A natural birth is the safest way to birth for low-risk pregnancies. 2. You need to give birth on your back Labour and birth are much easier in an upright position (standing, kneeling or squatting) because you are working with gravity. Walking, swaying and dancing while upright will add to the positive effect on labour progress.
5. You need to have a C-section because you have been in labour for too long With the right support in a calm birth environment, you should be able to labour for as long as you need to. Evidence shows that if all is well with mother and baby, there is no ‘correct’ time limit before C-section becomes a necessity. Often, taking the pressure to ‘perform’ off a woman in labour, is all that is needed to ensure steady progress.
3. Continuous electronic fetal monitoring (EFM) is necessary to pick up problems Research has shown that continuous EFM (recording Baby’s heartbeat and your contractions
Continued on page 15
eBaby
14
Issue 27
Birth
6. An induction is harmless The synthetic oxytocin used to induce labour makes contractions more painful, and can lead to further interventions like C-section and severe maternal bleeding, and impact bonding and breastfeeding. Giving birth too early comes with the risk of respiratory problems, neonatal jaundice and other complications for babies too. There’s a good reason to wait for spontaneous labour, in the absence of rare risks, as your body and baby are being prepared for perfect birth maturity. This can impact both of you for a very long time. 7. There are no risks to rupturing your membranes artificially to get labour going When done artificially, Baby’s head may be subjected to greater pressure for a longer period, and the cord may prolapse or be compressed. Blood flow to Baby may be reduced, causing fetal distress. Rupturing your membranes artificially can also be quite uncomfortable and stressful, making other interventions more likely. 8. It is dangerous to go past your due date The due date is often brought forward during pregnancy, despite evidence that the 16 week sonar prediction is the most accurate. Research shows that the safest time to give birth is between 39 and 40 weeks, 6 days of pregnancy. Simply have regular checks and be aware of your baby’s movements, so that any irregularities can be investigated. 9. You won’t be able to birth naturally because your baby is too big for your pelvis Both physical exams and scans are inaccurate when it comes to determining whether you are carrying a big baby. In truth, there is no way to determine whether your pelvis is big enough for your baby until labour is taking place. Upright positions make more room in your pelvis too. 10. Opiate pain relief in labour is no big deal Synthetic opiates (as found in pethidine injections and even in epidurals) reduce natural pain control mechanisms and may include more risks of addiction than the original plant substance. Possible risky and unpleasant side effects include Mom feeling drowsy or detached; experiencing nausea, vomiting and low blood pressure; and when administered in spinals, causing unexpected and severe breathing difficulties for the mom (may only begin hours after birth). Baby may have heart irregularities during labour, and critical respiratory depression after birth. Two studies have shown an increased incidence of opiate addiction among adults whose mothers received perinatal opiates, and opiate medications can change hormonal receptor sensitivity for life, and persist for the next three generations. Continued on page 16
eBaby
15
Issue 27
Birth
Falsehoods from family and friends Lets separate the truth from some myths you’ve heard from your granny, mother, sister and BFF: • Eating orange fruit and veggies will cause jaundice in Baby Mild jaundice in Baby from about the third day is seldom a concern and is not caused by your diet. Avoid induction, delay cutting the cord for a few minutes and nurse Baby frequently to help prevent normal jaundice. • Eating ice during pregnancy will result in a ‘dry’ or ‘cold’ birth As long as it’s made from clean water, it’s completely safe for pregnant women to consume ice. Women feel warmer in pregnancy and ice helps! If you’re unsure about the water safety, use a home filter system or boil water before freezing it. • You can tangle or knot the umbilical cord by raising your arms above your head About one in four babies are born with the cord around their neck and many are born with the cord around their legs. There’s nothing you can do to cause or prevent this from happening, and it seldom has serious outcomes. • A water birth is dangerous For low-risk pregnancies and when being assisted by a water birth professional, research shows that there are in fact fewer risks associated with water births than with normal, ‘dry’ births. Labouring in water can help you with pain relief, and with conserving energy as you are more weightless in the water. Your labour should progress faster as you’re likely to feel more relaxed.
eBaby
16
Issue 27
Birth
The golden hours after C-section
Here’s how you can make bonding and breastfeeding easier
W
hether you’ve had a scheduled or emergency C-section, the time following your birth can come with some challenges. It’s important to remember that, on top of having a baby, your body has also undergone major abdominal surgery! All surgeries come with the risk of infection, complications from anaesthetics, and some systemic complications such as blood clots. For many, however, the challenges of getting breastfeeding off to a successful start, and ensuring bonding is not totally disrupted by medications, neonatal complications or separation between Mom and Baby are the bigger issues.
to breastfeed your baby right there and then, on the operating table. Put Baby skin-to-skin on your chest (the two of you can share a blanket, instead of being wrapped up separately). This will help to get breastfeeding, and bonding, off to a good start. Keep your baby with you in your room if she doesn’t need emergency care, as this early bonding period is important. If Baby needs to be separated from you, encourage your partner to follow Baby to the baby unit. Dad can talk to Baby (she will recognise his voice from her time in the womb) and this will have a calming effect on her. You can also place one of your unwashed T-shirts with Baby, so she still has your scent with her.
Let your obstetrician know ahead of time (if at all possible) that after birth, if all is well, you want
Comfortable feeding after C-section • Lie down on your side, face Baby towards you (on her side), with her head fitting snuggly beneath your outstretched arm, and let her nurse from your bottom breast • Sit up and hold Baby in the ‘rugby ball’ position, tucking her under your arm like a rugby ball, with her legs extended behind your body and her head supported by your hand as she feeds While breastfeeding may be more challenging at first, particularly if you’ve had a general anaesthetic, this knowledge should be empowering, rather than discouraging. With the right advice, plus patience and perseverance, you’ll soon be on your way to breastfeeding successfully!
eBaby
17
Issue 27
Birth
Water birth benefits In a water birth, contractions are often less painful and labour can sometimes be quicker. Your partner can be in the water with you the whole time. If it’s done with an experienced water birth professional and all of the proper protocols are followed then it is perfectly safe – actually, it’s got fewer risks than a dry birth! You’ll feel more relaxed and there’ll be less chance of you needing an episiotomy, painkillers, or any intervention. If you’d like a water birth, discuss this ahead of time with an independent midwife, your obstetrician or the hospital of your choice.
Breastfeeding after C-section A C-section is often cited as a reason not to breastfeed because it is feared that it’ll be just too difficult or even impossible. However, with nonjudgemental, informed support, empathy and respect, breastfeeding truly is possible and can soon be as successful as after natural birth. A C-section mom will experience a range of positive feelings if she can nurse her baby: elation that she and her baby have survived a possibly difficult birth; a speedier healing simply from holding her newborn skin-to-skin; and restored maternal confidence when her baby responds and suckles. Moms also feel valued as an integral part of their babies’ care when providing expressed breast milk (if needed).
Waiting is mostly worthwhile There are lots of questions and anxieties which come up in expectant women’s minds as their due date gets close. Most women get a bit impatient, wanting the discomfort of the last few weeks to end and simply not being able to wait to meet their baby. Some obstetricians claim that it won’t make much difference if Baby comes a week or two earlier or even that it would be safer or easier for Mom and Baby to speed things up a bit. Understandably, many women accept this, despite research clearly showing it not to be true. It’s by far the best approach to leave things up to Mother Nature if both you and Baby are doing well. The waiting might be taxing but you’ll be rewarded with an easier birth, a calmer baby, and much less risk for both you and Baby. The fact remains that inducing labour means that Baby is coming earlier than he should and is therefore premature, with higher risks of respiratory and adjustment problems after birth, as well as even long-term behavioural complications.
Birth
Call the midwife! Midwives are the experts in natural birth, and are truly ‘present’ with a woman in labour, responding to all her needs, carefully monitoring developments, and encouraging her to believe in her body’s ability to give birth. Five benefits of ‘natural’ birth with a midwife include: • A relaxed atmosphere which can make labour progress easier and faster • A more personal relationship with the midwife before the birth, and at daily check-ups afterwards • The focus being on the mother’s needs and preferences, helping her feel special and less anxious • Women feeling empowered; they decide what position to deliver in, when to eat, and whether to walk around • Mothers feeling that their birth was easier, that they recover faster, and say that their babies are calmer and they have less early parenting challenges like colic, crying and reflux
What is AROM? The artificial rupture of membranes (AROM) or amniotomy is a procedure often performed in hospitals to speed up or induce labour, as it is believed that the absence of a fluid buffer between the baby and the uterus will stimulate stronger contractions. However, there are risks, including: • A sharp increase in the intensity of labour pains • A higher chance of umbilical cord prolapse • Greater chance of fetal distress, from compression of the umbilical cord • Increased risk of infection leading to interventions like C-section eBaby
19
Issue 27
Food is one of the most wonderful adventures your little one can go on. And we’ll be with you every step of the way. It’s why we created Squish purées, juices and ready-to-eat jellies with 100% fruit and veg. And no nasty colourants, artificial flavourants, starch, preservatives or gelatine. Now also available in yoghurt. This means your little one’s food adventures will be filled with the right stuff; and nothing else. Like to know more? squish.co.za |
facebook.com/RhodesSquish
Birth
Healing with homeopathy H
ealing is performed by our own bodies. Almost any remedy we take, massage we have or counselling received is merely a catalyst that triggers the restoration of balance or good health to our bodies and minds. An important cornerstone of homeopathy and other complementary therapies is the emphasis placed on holistic health and the responsibility of the individual to get actively involved with his or her own health. Think about the word 'disease'. Separate it into syllables and take another look – 'dis-ease'. Homeopathy is all about returning your mind and body back to a state of ease, all while causing no harm in the process.
Understanding homeopathy Homeopathy is often mistakenly confused with herbal medicine. Although certain herbs and plants are sources of some remedies, there are significant differences in the two therapeutic modalities. Herbals have the possibility of adverse effects if incorrectly used, and may accumulate in the system. This will never be the case with homeopathy, due to the cornerstone principle of successive dilution of the original tinctures.
The efficacy of homeopathy cannot merely be ascribed to placebo effect, as is demonstrated by the regularity with which both animals and babies respond positively to treatment. Another of the many myths about homeopathy is that it can only be used for minor complaints like colds. The correctly chosen remedy can relieve acute symptoms of illnesses like tonsillitis, otitis media, conjunctivitis, bladder infection (cystitis) and premenstrual tension, to name a few, even within hours. Chronic conditions like rheumatism and emphysema will take longer to respond, due to long-term presence of disease and pathological changes in the body.
Benefits of homeopathy There are many, prime of which is that there are no adverse effects – the only oral therapy that can claim this; it can help treat the widest range of conditions; there are no cumulative drug effects; it doesn’t interact with other medications; and it’s the only totally safe medication in pregnancy, breastfeeding and babies.
Every home should have the bluebox kit Treating the whole family naturally and safely has never been so easy! The Pegasus bluebox comprises 28 remedies to treat over 100 symptoms, from nausea, colic and sinusitis to sore throat, coughs and shock. The remedies are easy to use, can be bought separately too, and the kit comes with a comprehensive information booklet. The Pegasus bluebox is compact and travels well, and offers you excellent value because the remedies don’t expire. Remedies in the Pegasus bluebox are safe for use: • in pregnancy and breastfeeding • for babies and every other family member • with other medication
Available in Dis-Chem, Clicks and most pharmacies. eBaby 21 Issue 27 For more information, call 021 712 0324, email info@pegasuskits.com or visit www.pegasuskits.com
21
Baby
Crying & colic sorted! What do you do when Baby cries her heart out and seems to be in acute pain?
C
A calm response will affect Baby’s adaptation and coping positively, forever, whereas leaving babies to cry may lead to death of brain cells, it is now believed. In addition, anxiety, panic and depressive disorders are more common.
rying is one of the most common reasons for new parents to take their baby to the doctor, pharmacist or clinic. – and colic is one of the most common diagnoses. Constant crying that is not responded to is harmful. Your baby is trying to tell you something through her cries. So often moms are advised to implement ‘controlled crying’ techniques with the promise that this will turn out more independent behaviour in little ones. And yet, neuroscience makes it quite clear that when agitated crying in the early days and months is frequently ignored, it will lead to a state of despair and even asocial behaviour like aggression and violence, down the line.
Common crying and colic cues Learning your baby’s ‘cry language’ will help you to know if you’re dealing with colic or not, and to respond to his needs quicker and with less stress. If you can’t pinpoint why your baby is crying, check that he isn’t too hot or cold, that his clothes are comfortable, that his nappy is clean, that he’s not displaying any physical signs of illness, or that he doesn’t need more cuddles and attention. A red, scrunched-up face while crying usually means that Baby’s frustrated and possibly hungry, and pulling or rubbing her ears is often a sign that she’s tired.
Crying means that your baby needs help to adapt to life outside the womb, and who else but Mom and Dad are as well-placed to give this help?
Continued on page 23
eBaby
22
Issue 27
Baby
A ‘colicky’ baby is one who has frequent episodes of crying (sometimes for hours at a time) and isn’t easily comforted. But, not every cramp and cry is colic. Colic can also have emotional triggers. It is normal to be worried that something is physically wrong when Baby cries so much, but keep in mind that about 75% of ‘colic’ symptoms are a reaction to the tension Baby is picking up from you. Easing this anxiety will help her little tummy to relax.
Six common symptoms of colic include: 1. Pain or discomfort during or after feeding 2. Struggling to pass wind 3. Arching her back 4. Rigid tummy muscles 5. Drawing her legs up to her abdomen 6. Balled fists and strident crying
Sister Lilian’s colic calculator
Signs
Tips
Angry, intense colic
• Face turns a deep red and scrunches up • Fists are tightly balled • Cries loudly • Burps sour milk • Passes wind frequently • Appears fine between attacks
This type of colic is usually a reaction to unnatural schedules: • Watch out for hunger cues and feed Baby on demand (whether breast milk or formula) • Breastfed babies feed in ‘courses’, resting in between (this doesn’t mean you don’t have enough milk) • Formula-fed babies tend to prefer smaller feeds, more often (the total amount per day will usually be the same as indicated on the tin) • Give a homeopathic colic remedy to help
Fretful, cry-baby colic
• • • • •
Seems impatient and irritable Whines frequently Has red cheeks Cries constantly Has loose stools that burn her bottom • Does not sleep well
This is a high-need baby, who will need more soothing than others: • Use a baby carrier or wrap (movement comforts and helps break wind) • Latch Baby while walking, sitting down once you feel she has relaxed • Bath with Baby and feed her in the bath • Give Baby the homeopathic remedy chamomilla
Spasmodic colic
Here’s how you can identify what type of colic your baby may have and how to help her:
Type
• • • • • •
These colic episodes usually occur at the same times each day; you can help by relaxing Baby’s muscle spasms: • Massage Baby’s tummy in a clockwise direction • Massage the insteps of her feet with your thumbs • Give Baby the tissue salt Mag phos before each feed • Take your baby for a walk at this time (usually early evening)
Jerks in her sleep Twitches during the day Has frequent hiccups Has tight tummy muscles Passes stools explosively Spits up feeds forcefully
23
Continued on page 24
Baby
Culinary colic cures Colic symptoms could be a reaction to Baby’s milk formula, or excessive dairy, grains and sugary foods in a breastfeeding mom's diet. Additional symptoms, like skin rashes or mucus, can indicate that digestive discomfort is part of an allergy or intolerance. Because colic symptoms can often be linked to dietary factors, your baby may well benefit from these four tips: 1. Breast milk is perfectly suited to babies; the emotional benefits are part of its anti-colic magic. 2. Avoid scheduling Baby's feeds; let him eat when he’s hungry – that applies to breast and formula babies! 3. Special formula milk for colic can be effective, but expensive! Take note that dairy and soy formula can cause colic. 4. Avoid a bland diet, high in refined, baked grain products and dairy, Mom – you might think this will help but eating more like you did in pregnancy is often the easiest cure for cramps.
Out of the box tips Sister Lilian Centre shares five other tried and trusted strategies to help relieve crying and colic: 1. Rock your baby 2. Bath with your baby 3. Walk or dance with your baby 4. Bond with your baby through talking and lots of skin-to-skin contact 5. Let Baby sleep with you
eBaby
24
Issue 27
Baby
Two stubborn
fungal skin infections 1. Untreated nappy rash makes a baby vulnerable to fungal candida infection developing. If you have tried one remedy after another and your baby still has painful, red buttocks, chances are a yeast infection has developed. Small wonder, when this area is constantly moist and dark! Nappy rash can be very painful for babies because the area is constantly exposed to urine and often to stools as well. Soon a vicious cycle ensues – not something a mom wants for her baby. This is when anti-fungal treatment with clotrimazole may become necessary. Once the infection has been eradicated, make sure that your buttock routine involves cleaning the area at each nappy change, to minimise re-infection. 2. Ringworm (also known as tinea) is easily identified by itchy, red, scaly patches with sharply defined edges that may blister and ooze. Inflammation is more pronounced towards the
outside, with normal skin colour in the centre, giving a ring-like appearance. Ringworm is caused by a fungus and is most common amongst children under ten years. It is spread by direct contact with an infected host, or from infected flaking skin cells, hair in brushes and combs, clothing, furniture, toys, bed linen, towels and shower or pool surfaces. It can also be contracted from pets carrying the fungus, especially cats. To help prevent ringworm, hair, nails, skin and feet should be kept clean and dry. Children should preferably not share personal items, should wear sandals in public showers and pool areas, and should avoid touching pets with bald spots. Over-the-counter topical antifungal ointments containing clotrimazole is the usual treatment. The skin should be kept dry and clean.
for the treatment of fungal infections Canex T is a soft, white, broad spectrum antifungal cream, containing Clotrimazole. It is indicated for, amongst other things, mycoses of the skin and skin folds such as nappy rash and ringworm. It is odourless, can be washed off and does not stain. Canex T should be applied thinly and rubbed into affected areas 2 – 3 times per day. Canex T is available in a 20g tube from most pharmacies nationally. SEP (single exit price) is R9,21 which includes 15% VAT, but excludes transport and dispensing fees.
Canex T is registered to Akacia Pharma, marketed by Ascendis Pharma and is a S1 pharmaceutical product in South Africa. Reg nr: 28/20.2.2/0626
For more information, contacteBaby the25 Customer Care Line: 011 075 8800 Issue 27
25
Baby
Understanding the
fourth trimester
You may have learnt all about the three trimesters of pregnancy, but do you know about the fourth?
T
he ‘fourth trimester’ encompasses the first 12 weeks after birth – a period of great changes and challenges.
During the fourth trimester, your newborn will not yet understand that she is a separate person from you, and will likely cry when separated from you. She is entirely reliant on you for her survival and being separated from you can be scary. Also, while your womb had muffled sound, and was warm and dark for Baby, the outside world can be noisy, cold and bright. It’s no wonder that newborns seem very needy as they adjust to this new and overwhelming environment!
Four ways to soothe your new baby Understanding how tough this transition can be for a small baby is the first step to supporting your newborn. Here’s how you can make the fourth trimester easier for your baby, and yourself: 1. Skin-to-skin contact keeps Baby warmer, regulates her breathing and enhances bonding. She is also less likely to cry and will sleep easier. 2. Feeding your baby when she is hungry, not on a schedule, will reassure her that her needs are being met; suckling is also important for emotional comfort. 3. Co-sleeping can be done safely. Research has shown that co-sleeping provides emotional security; it is the best way to meet your baby’s sleep needs. Plus, you’re likely to get more sleep this way too! 4. Swinging and movement often rocked your baby to sleep as you went about your day during pregnancy. Try mimicking this movement by swaying her or going for a walk. Continued on page 27
eBaby
26
Issue 27
Baby
2. Baby’s breasts and genitals are swollen. Newborns usually have small lumps under their nipples, which may make them look swollen. A little girl’s labia (the lips around the vagina) and a boy’s scrotum are also normally enlarged, and a baby girl may even have a slight bloody vaginal discharge. This is caused by exposure to Mom’s hormones during pregnancy, but it will settle within a week or two, so don’t worry!
Four more fourth trimester tips Keep your baby adjusting happily to life with these points in mind: 1. Your newborn is likely to be soothed by white noise that sounds like the womb. 2. Carrying your baby in a sling or wrap not only means you’ll have your hands free, but your warmth, heartbeat and gentle movements will help calm her. Be sure that your carrier supports your newborn’s spine and allows you to carry her in a frog-leg position (no dangling legs).
3. Your baby’s grasp reflex is exceptionally strong. Place an index finger in each palm of your baby’s hands, and she’ll automatically grasp tightly. Slowly pull her upwards into a sitting position, and she won’t let go. This reflex will gradually disappear, but until it does, it will be tricky to prise her fingers off of anything she latches onto.
3. Being immersed in warm water can be very soothing for a newborn, as it feels like the womb. If you can, get into the bath with your baby. 4. Safe use of swaddling can help your newborn to feel secure and snug, like she did in the womb. Remember, it’s not meant to be a ‘leave-baby-to-her-own-devices’ technique!
4. Breastfed babies pass stools about 5–10 times a day in the first six weeks. A breastfed baby is likely to pass a poo at every feed, if not more than one! Some will be big and explosive, others just a smear. Breastfed babies’ poos are mustard coloured and soft, and contain what looks like little seeds, but they’re easy to clean and not at all smelly. After this six-week period, Baby will only pass a stool once every five days.
Surprising things about your newborn There are many little things about your newborn baby that could come as a surprise, including these five: 1. The size and softness of your baby’s fontanelle. Baby has four soft spots at the meeting places between the skull bones. The biggest, known as the anterior fontanelle, is on top and slightly to the front of Baby’s head. Run your fingers gently over this fontanelle so that you know how it feels normally. If it ever bulges and your baby seems ill or if it’s particularly sunken, and Baby is not drinking well, vomits or has diarrhoea, seek immediate medical attention.
eBaby
5. Babies can sleep while drinking milk. A baby can be fast asleep, eyes tightly shut, little jaw chomping away at the breast (or even the bottle) – all without choking or spluttering. Drinking from the breast gives Baby a good workout, and the nurturing oxytocin effect of milk, while being cuddled in Mom’s arms all adds to this sedative mix. Breastfeeding moms should take a leaf out of Baby’s book and also catch 40 winks while Baby feeds.
27
Issue 27
Baby
Co-sleeping
confidence
Co-sleeping is the single most useful sleep strategy there is – why would you not try it, asks Sister Lilian
C
hances are, if you co-sleep with your baby, most sleep problems will settle and the whole family will sleep better. By co-sleeping, you’re following your instincts and giving your child an emotionally secure start to life. Co-sleeping is particularly useful if something is making your little one a bit unsettled or insecure. For instance, if Mom is expecting another child, her little one will be able to sense a change. Illness, a move or a holiday, and stress in the home can also unsettle babies.
Common sense co-sleeping Baby will make her presence felt if she feels restricted or you roll on top of her, so strike that off your worry-list! Use these tips: • If cuddling is getting a bit too crowded, try the ‘puzzle position’; Dad can sleep with his head at the foot of the bed. This way, everyone fits in better and sleeps more soundly! • Don’t allow negative opinions from others to bother you – if co-sleeping works for your family, then who cares what others think? • Parents often think co-sleeping will affect their relationships, but there are many creative ways to keep your love life on track. • You will need fewer blankets, and bedding should preferably be pure cotton, to avoid overheating and allergies. • Babies are mostly safest on their backs, but may need to change position occasionally. There should be no pillows under Baby. • Mom and Dad shouldn’t be under the influence of any drugs, central nervous system medication or alcohol – that way, you will be alert and pose no suffocation risk to her.
When will it end? All little ones grow out of the need to sleep close to their parents, although the timing can range from a few months to a few years, depending on your child. Remember, the more she senses your tension about co-sleeping, the more likely she’s going to want to continue co-sleeping, so relax! Co-sleeping is absolutely wonderful, and it will benefit you all forever. Still not convinced? Try these two compromises: 1. Put your little one to sleep in her own room, but once she wakes, it is easiest and best to let her cuddle up to the ones she loves the most – her parents! This way, she’ll sleep through in her own bed when she’s ready. 2. Once a second baby is six months or older, you can let your toddler and baby sleep tucked up together, often keeping them happy enough to be in a different room. eBaby
28
Issue 27
Baby
The exercise connection to constipation As for adults, exercise is important to help prevent constipation in babies, so parents should play physical games with their little ones as an effective strategy to prevent and treat it. Roly-poly games and pulling babies up by the hands cause them to contract their abdominal muscles, which in turn helps stimulate gut motility. Bigger babies should be encouraged to move to reach what they want.
Electrosmog alert The jury may still be out on the effects of the plethora of electronic devices available to children today. Your baby may not yet be ready for these but that doesn’t mean he isn’t exposed. Make sure you don’t carry a cellphone close to any part of his body while switched on, nor place them close to your sleeping baby. Keep baby’s room free of wireless games, computers and TVs or switch them off at the wall when Baby is close. Choose daycare that does not have cell masts.
Ensuring sufficient breast milk Mother Nature designed you both to ensure there'll be the quantity and quality of breast milk a newborn needs. Try these five tips to support nature's way: 1. Really want to nurse your baby, and believe in your ability to do so. 2. Keep Baby skin-to-skin on your chest and feed him within an hour of birth. 3. Let Baby suckle whenever he wants, not on a schedule. 4. Breastfed babies often need to feed with a few ‘courses’ each time – do not think this means you have insufficient milk. 5. Avoid test weighing – if Baby has five or six wet or soiled nappies each day, you have enough milk. 29
Everything you need from South Africa’s leading baby hyper.
Baby
Two tips for baby bathing bliss Bathing is not necessary in the first weeks, to protect Baby’s skin, but when you do start, it can be a little overwhelming to bath your wriggly baby. Never fear, you’ll feel like a pro in no time! To make the experience far more enjoyable for Baby: 1. Drape a wash cloth over his tummy, so that he feels secure 2. Make sure his feet are braced against the end of the bath – an unhappy baby will usually settle immediately and you can wash his tummy, arms, legs and genitals in this position
A not-so-nice baby cap Cradle cap is a thick, yellow sticky crust that forms on Baby’s scalp, eyebrows and sometimes on his ears. It is often an early warning that your child is susceptible to eczema. If Baby gets cradle cap, take action now to prevent future eczema. 1. Diet: Breastfeed for as long as possible and reduce dairy and grain products in your diet; change baby's formula milk to an allergy-reducing one; Baby’s first food should not be cereal. 2. Skincare products: Buy organic baby soaps, lotions and clothing detergents that have been tested for skin sensitivity. Use even these sparingly as baby and child skin needs very little! 3. Natural self-help: Give Baby the tissue salt remedies Kali mur and Kali sulph; massage diluted tea tree oil into the scalp, leave overnight and wash out the next day; or apply a paste of bicarbonate of soda and water for five minutes, then rinse off. eBaby
30
Issue 27
Toddler
From only child
to older child We help you prepare your toddler for Baby #2 and to deal with sibling rivalry
Y
our toddler will of course sense imminent change during your pregnancy, but not necessarily be able to rationalise it or even understand what the change will be, making that first meeting with his sibling quite a surprise. This overnight change can be quite an adjustment for little ones.
Before the big day When your pregnancy starts to become obvious, you can begin to prepare your child for the new baby by: • Looking at pictures of moms and babies and pointing out animals and their young • Letting your child feel your tummy when Baby is kicking and explaining that Baby is growing bigger and getting ready for being born • Taking your toddler to one of your check-ups and letting him hear Baby’s heartbeat • Explaining near the end of pregnancy that you’ll need to go away for a day or two – say who’ll look after him and maybe even give them some alone time together beforehand, as practice (of course, if you’ll be giving birth at home or a family-centred birth facility, prolonged separation won’t be necessary) • Visiting friends or family who have recently had a baby and reminding your toddler that you’ll also be bringing a baby home soon • Looking for suitable story books or videos which deal with the topic of getting a sibling • Going through photographs of yourself when you were pregnant with your toddler, as well as his own baby photos – tell him what he was like as a small baby and how excited you were to bring him home • Talking about what will happen once Baby comes home Continued on page 32 eBaby
31
Issue 27
Toddler
After the birth Remember that a new baby is an adjustment for the whole family – be patient with your tot and with yourself. When it’s time for your toddler to meet his new brother or sister, try these five tips: 1. Let Baby give your tot a gift – that’s not bribery, but instead an investment based on understanding your toddler’s feelings 2. Ask your toddler if he wants to choose a special outfit for the baby to wear when you leave the hospital 3. Encourage him to hold Baby (with your help) if he wants to 4. Don’t try to force your tot to interact with Baby if he doesn’t want to, but offer him the opportunity to brush Baby’s hair or help wash his feet at bathtime 5. Try to set aside some uninterrupted special time with your toddler when Baby is asleep or being watched by someone else
Managing expectations It is common for older children to regress with milestones (e.g. with potty use) when they are adjusting to a new sibling. Be patient and reassuring and this phase should pass quickly. Don’t: • tell your toddler to expect a new playmate. He’ll be disappointed when your newborn isn’t able to play games with him. • expect your tot to be a ‘big boy’ now that there is a new baby. Rather, let him know that he is not being replaced and is still your baby too.
On the bright side It is very common for moms to feel anxious about whether or not they will find sufficient love for a second child when they love their first babies so deeply, but take heart, love for children multiplies, it doesn’t divide! Generally speaking, it’s also easier to raise two than one child, as they soon entertain each other and can share in a way that parents simply cannot. In the long run there will also be less chance of loneliness for a single child. Children also learn about sharing, conflict resolution and the need to respect others when they have siblings. These benefits may not be that apparent in the busy first six months with a second baby in the home, but after that the going usually gets much easier. Moms also need to realise and accept that life will be a bit different to that first time when they could give Baby their undivided attention. Be assured that your new baby is likely to adapt easily, never having had your exclusive attention, and now having the benefit of interaction from a sibling too. So long as each child gets their due, and their individual needs are met when they are facing challenges, there’s no need to stress. Continued on page 33
eBaby
32
Issue 27
Toddler
Sibling rivalry as they grow Small children live for the moment, and many of them have a short fuse. They want what they want now, and will often protest loudly until their needs are fulfilled, without considering their siblings’ feelings. Of course, heredity can’t be overlooked; if you or your partner has a fiery temperament, chances are, at least some of your children will too, and if there’s a lot of conflict in the home, children will often follow the example. As your children grow, the way in which you respond to their rivalry is a central part of the learning process. Encourage physical activity such as ball games or bicycle riding. This will use up excess energy, which is often channelled into fighting. Distract your children if things get too rough. This teaches them self-discipline and they’ll learn how to channel negative energy into something more fun or constructive. Walk away – an audience will result in a far more dramatic fight. If your children come to blows, separate them firmly. Give strict instructions about just where each fighter is allowed and enforce this, giving them time for their tempers to cool down. Send them to the end of the garden or the other side of the house and forbid them from intruding on your ‘space’. Let them sort it out themselves unless you detect real bully behaviour. Play calming music during the episode. You’ll all feel better. Also, don’t take it too seriously, otherwise you’ll take far longer than they will to get over each fight!
eBaby
33
Issue 27
Toddler
Snack staples for toddlers Don’t fall into the habit of providing unhealthy snacks – toddlers don’t expect these if you don’t offer them! Why not try: • Leftover food from a healthy main meal • Plain rice or corn cakes • Veggie sticks with avocado dip • Pitted fresh dates • Frozen banana lollies • Frozen fresh fruit lollies
Tips for tackling tantrums Remember, your toddler is on a journey towards maturity and a good behavioural example by you will be the best guide she can have. These strategies will minimise emotional eruptions: • You can’t control your child, but you can control your reaction to her tantrums. By being the ‘calm in the storm’ as she grapples with her turbulent emotions, you will be able to help her handle her feelings better. • Put yourself in your toddler’s shoes and try to understand how she feels – little ones sense this and react well to feeling understood. • Be clear about what is unacceptable and why, but make sure that you don’t over-limit your toddler. If she does act out, let her know firmly that this is not on and walk away, providing your child is in a safe space. • Giving your tot a choice when realistic will help her to feel some sense of control over her little life.
• Freshly squeezed juice or fresh fruit • Unpreserved raisins and other dried fruit
Bedwetting blues Bedwetting is the unintended, involuntary voiding of the bladder while your child sleeps, mostly at night. It can occur at any age, but 3-6 years is probably the peak period. Boys are more affected than girls and bedwetting even sometimes continues to 9 or 10 years and then resolves spontaneously. There is no ‘normal’ age for children to stop bedwetting – each child’s development is unique. The most common mistake parents make is to scold and put pressure on their little ones when they wet the bed. You may think you need to fix the ‘problem’ immediately but instead, take it step by step – overnight dryness is a milestone which can’t be achieved in a day or two. Instead, simply clean up without a fuss and make practical plans, like using waterproof sheets and nappies for a longer time. In the long run this approach will yield most success. 34
Toddler
Six signs and symptoms of mumps 1. Swollen saliva glands that run along the jawline, below the ear and towards the chin, on one or both sides 2. Pain from the swelling of the face area 3. Fever 4. Headache 5. Vomiting 6. Both boys and girls can have swollen sex glands. Boys will experience pain in the scrotum, and girls feel pain over their ovaries.
Understanding bedtime reluctance Sometimes there are practical reasons, such as if your tot is teething, ill, or has had a major change in her life, such as going on holiday, moving house, or a divorce. It can also have to do with individual sleep patterns; some tots simply need less sleep. If your tot sleeps lots during the day, try cutting her daytime naps shorter. If you’re stressed or dissatisfied with your tot’s sleep, she’ll pick up on it. Also resist pressurising your tot to be a ‘big girl or boy’ and sleep independently. Try a more relaxed approach – she’ll be reassured and be able to sleep more easily.
eBaby
35
Issue 27
Parent
New baby,
different body Your body won’t bounce back immediately after you’ve had your baby, but you can help it to recover
O
f course, the fitter and healthier you were in pregnancy, usually the speedier and easier your recovery. Still, many of the changes developed over the course of nine months, making it logical that your adjustment can’t be expected to happen overnight!
baby is born, your breasts will contain colostrum – golden in colour and the ideal first milk for Baby. Your breasts will begin to produce mature milk around Day 3 or 4 after birth. If you feed on demand, your breast tissue will drain properly, which helps to prevent engorgement (that is, when the breasts are painfully full with milk). Still, tender fullness is common, especially in the early days as your body adjusts to your baby’s needs. You may find relief by gently massaging your breasts and applying cabbage leaves or special cooling gel pads to your breasts between feeds.
AFTER BIRTH EXPECTATIONS Here are five things you may not have thought about yet and tips to help you through this phase: 1. Bleeding For the first few days, you may experience afterpains while breastfeeding – this stimulates your uterus to contract tightly and helps prevent excessive bleeding.
Nipple soreness is common in the beginning, though latching Baby correctly makes this less likely. Moisten two rooibos teabags with boiling water and wear these inside your breast pad, over your nipples, until the next feed.
Many women are surprised to learn that it is normal to bleed for up to six weeks after birth. This blood is called lochia. You’ll use maternity pads at first, while the flow is heavy. Thereafter, you can change to normal pads. Do not use tampons for lochia as these can introduce bacteria and cause an infection.
Continued on page 37
2. Breast changes You’ll have seen your breasts changing during pregnancy, but there will be more changes after birth. When your
eBaby
36
Issue 27
Parent
3. Soreness Your body will need time to recover from birth, regardless of the type of birth you’ve had. Be sure to get as much rest as you can. If your perineum is painful, roll a towel up and shape it into a ring, then place it on your chair before sitting down to reduce pressure on this sensitive area. 4. Sweating Many new moms perspire more for a few weeks after pregnancy, as the body readjusts. Also, the increased metabolic activity from breastfeeding often makes nursing moms feel hotter. If you don’t have a fever, there’s no need to worry. 5. Swelling Reduce swelling in the perineum by applying an ice pad to the area for the first few days after birth. From about three days after birth, apply warmth to the area instead. Body tissues quite often swell after birth, but within 10 days to three weeks, you should no longer be battling with water retention in your feet, calves or hands.
HAIR LOSS AFTER BIRTH During pregnancy most women find that their hair grows faster and gets thicker and more lustrous. This is thanks to pregnancy’s growth hormones. Once Baby is born the hormones start to settle again and the extra hair falls out. Don’t worry, you’re not going bald – you’re losing the extra hair you gained during pregnancy so you should end up with the same amount of hair as before you fell pregnant. The hair loss usually starts about three months after you’ve given birth and continues for a full nine months! It’s usually more manageable for women with shorter hairstyles and can seem much worse with long hair; this is just an optical illusion though. Many women find that their hair gets straighter or curlier after pregnancy or that the colour changes slightly. If you feel very tired and emotional on top of losing hair, it might be a good idea to get a vitamin B complex supplement and take the tissue salt Silicea to help support the growth of healthy hair, and boost your well-being.
eBaby
37
Issue 27
Parent
What’s new on shelf? PIGEON’S NIPPLE CARE CREAM 50G soothes and protects sore nipples and cracked skin. It’s hypoallergenic and completely safe for baby - no need to remove before breastfeeding. Dermatologically tested and contains 100% Ultrapure grade Lanolin. Can be used during pregnancy before 16 weeks and only after completion of 37 weeks. Available from Baby and Online stores, and pharmacies. Suggested retail price: R 169.99
THE NEW SQUISH YOGHURT RANGE
DLUX INFANT DAILY® VITAMIN D
is made from 100% fruit and vegetables with double cream yoghurt, not yoghurt powder. As with the rest of the range, the yoghurt purees are free from preservatives, colourants, flavouring and starch and come in four tasty flavours. They can be found in the baby aisle at all leading retail stores.
Oral Spray is specially formulated for children under three years. One spray of this gentle combination of coconut oil and vitamin D safely delivers 400IU of bioavailable vitamin D directly into the bloodstream. Supports bone and teeth development, and contributes to a healthy immune system.
SPATONE® LIQUID IRON SUPPLEMENT is a natural iron-rich spring water providing iron in a highly bioavailable form. Supports healthy iron levels, gentle on the stomach, effective and clinically proven to be a highly absorbable source of iron. Ideal for everyone including pregnant women. It is safe, pure, vegan-friendly iron-water free of chemicals.
Available at leading pharmacies, health shops, and from practitioners
ZINPLEX CALCIUM CHEWABLE TABLETS WITH VITAMINS - 99% of the body’s calcium, critical for many metabolic functions, is found in bones and teeth and in pregnancy, supports the development of Baby’s skeleton and teeth. Calcium plays a part in reducing the risk of preterm delivery and pre-eclampsia. Calcium is also required in breast feeding.
Available at leading pharmacies, health shops, and from practitioners
Available at local pharmacy and leading retail stores
eBaby
38
Issue 27
Parent
horizons Mango groove
Mangoes, with their distinctive tropical flavour, are one of the most popular fruits in the world. They’re also very healthy. In fact, one mango, which is only about 100 calories, will provide you with 100% of your recommended daily vitamin C, 35% of your vitamin A, 20% of your daily folate intake and 12% of your daily fibre. Mangoes are fat-, sodium- and cholesterol free. Could there be a more perfect summer-time snack?
What do you know about GMO? Genetically modified food is a prime example of a GMO, or genetically modified organism, and has been a controversial and contentious topic since its onset. Genetic modification is the transfer of genes from one species to another in order to create a ‘new and improved’ version of the original crop. Supporters of genetic modification claim that it helps to produce crops that are pest and disease resistant, tolerant of herbicides and more nutritious. This is particularly important for impoverished countries that often rely on single crops to feed entire villages. However, critics of genetic modification claim that there are strong indicators that this tampering with food could have dangerous repercussions for humans, as well as other possible serious ramifications, such as the development of ‘superbugs’ or ‘super diseases’, the contamination of regular crops by crosspollination, or the disruption of biodiversity. What’s more is that genetically modified foods are products that have been created by a company, and these foods are usually patented, which raises questions on whether genetic modification is really for the benefit of impoverished nations.
Nuts about coconut
The fruity scent of coconut seems to be synonymous with summer, but coconuts have been used in natural and traditional health for centuries too. Coconut is a good source of fibre, protein, iron and selenium. Coconut oil in particular has a vast range of health and cosmetic benefits; it helps boost the immune system, fight infections, and balances body weight. Add it to smoothies and juices, spread it on toast or use in foods calling for plant oils. Cosmetically, coconut oil can be used as a moisturiser and conditioner, and can be used as a natural treatment for cradle cap, or as a nappy cream!
eBaby
39
Issue 27