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Baby Talk January 2019

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Editor’s Note<br />

Published by:<br />

Where will this year take you?<br />

It’s <strong>2019</strong> and although the year has just begun, can’t you just feel the possibilities that<br />

await you in your journey as parents? Of all the resolutions one can make, to be a better<br />

parent has to be one of the most notable ones, for it is directly linked to a selfless kind of<br />

love; The love of a parent towards their child or children. To be a better parent means to<br />

provide the best guidance to your offspring and to of course, to provide for them. The<br />

early developing years, as we all know, is a critical time in the life of a little child, for it’s<br />

when the body and brain undergo rapid development as well as growth. At <strong>Baby</strong><strong>Talk</strong>,<br />

particularly in our <strong>Baby</strong> & Toddler section, this is our main focus, to help parents make full<br />

use of this window of time in their children’s lives.<br />

<strong>Baby</strong><strong>Talk</strong> is a mommy & child magazine that features a special guide each month, with<br />

topics that vary with each issue. Other than the <strong>Baby</strong> & Toddler section, we also have<br />

Bump to Birth, Bright Kids and Life & Style. This New Year’s issue is brimming with ideas,<br />

information and motivation for parents of babies, toddlers and young children, as well as<br />

parents-to-be. We hope you will be able to take it all in and let’s keep the fire of hope and<br />

dreams for our children alive!<br />

Much love to all<br />

Cindy<br />

contents JANUARY <strong>2019</strong><br />

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Tel: +60 3 6203 2522<br />

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Email: info@acepremier.com<br />

Publisher<br />

John Lim<br />

Editor<br />

Cindy Antoinette Fernandez<br />

Graphic Designers<br />

Nasyiha Badela<br />

Nur Hazwani<br />

Marketing & Sales<br />

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With thanks to<br />

Dr Khoo Boo Aik, Gaia Chinniah,<br />

Jessie Foo Xiang Yi, Rosh Vettiveloo, Daisy Ng,<br />

Verona Lee and Dr Agilan Arjunan.<br />

Regulars<br />

03 Cute Snaps:<br />

Smile baby. You’re on camera!<br />

04 BT BUZZ:<br />

Science health news on pregnancy,<br />

babies and more<br />

05 Ask Our Experts:<br />

Our panel of experts are here to<br />

help you<br />

Bump to Birth<br />

06 Fertility & conception:<br />

6 reasons why your ovaries are<br />

so important<br />

09 9 months:<br />

Help, I can’t Sleep<br />

12 Feature:<br />

Dengue during pregnancy: What<br />

should I do?<br />

BT Guide<br />

15 Deliver your baby in comfort<br />

<strong>Baby</strong> & Toddler<br />

20 FEATURE:<br />

All you need to know about hair care<br />

for tiny tots<br />

Available at<br />

25 Health & Medical Diary:<br />

The trouble with sensitive skin and<br />

how to deal with it<br />

28 Early Education &<br />

Development:<br />

How screen time may be affecting<br />

your toddler’s development<br />

Bright Kids<br />

31 Growing up:<br />

Hygiene: How does your child fare?<br />

34 Feature:<br />

Is second-hand smoke exposure<br />

endangering your children’s lives?<br />

Life & Style<br />

37 Money <strong>Talk</strong>:<br />

Eco friendly (and wallet friendly)<br />

party ideas<br />

40 Love for Life:<br />

Veganism: Little ones and alternative<br />

diets<br />

43 Out & About:<br />

The latest news about town<br />

44 SUBSCRIPTION:<br />

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<strong>Baby</strong><strong>Talk</strong> magazine is published 12 times a year by<br />

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Disclaimer<br />

Editorial material herein is provided for information<br />

only. Reader are cautioned not to use this information<br />

as a substitute for regular professional health care<br />

and consultation. Although great care has been taken<br />

in compiling and checking the information given in<br />

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For all business and partnership matters please contact<br />

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All Rights Reserved<br />

Copyright © <strong>2019</strong>. AcePremier.com Sdn Bhd


Our Experts<br />

Developmental Education & Learning Consultant<br />

Rosh Vettiveloo<br />

Expert in learning support, concentration, memory, dyslexia, dyspraxia, hyperlexia, general reading<br />

acquisition difficulties, AD/HD, homeschooling learners with learning difficulties in Malaysia and early<br />

intervention procedures in multilingual environments. Trained in mild to moderate learning difficulties<br />

and qualified Specialist in Teaching Learners with Specific Learning Difficulties (UK) and Educational<br />

Assessor (UK). 20 years practical experience in the field of special education.<br />

Holistic Care & Wellbeing Gaia Chinniah<br />

Gaia is a Malaysian born entrepreneur who has lived in New Zealand for over 30 years. She is the<br />

CEO of Ruby Face Sdn Bhd who exclusively distributes ethical products including World Organics<br />

from New Zealand. She holds a Master in Management Studies and a career of over 10 years in<br />

Marketing of big brands and as a Television presenter. Gaia has a passion for empowering people<br />

and some of her hobbies are pastel art, reiki, yoga and staying healthy. More about Gaia can be read<br />

here: www.worldorganics.com.my & www.rubyface.com.<br />

Fertility & Conception Dr Agilan Arjunan<br />

Dr Agilan Arjunan, a Gynaecologist and Fertility Specialist, graduated from University of Malaya<br />

and obtained his specialist degree from Royal College of Obstetrician and Gynaecologist, London.<br />

Armed with his passion for laparoscopic (keyhole) surgery, he pursues his dream in helping couples<br />

to conceive and build their families through the latest technology of reproductive techniques. He is<br />

also passionate in disseminating knowledge in the field of fertility and hopes readers can differentiate<br />

facts from myths.<br />

CONSULTANT PAEDIATRICIAN AND NEONATOLOGIST Dr. Khoo Boo Aik<br />

Dr Khoo is a consultant paediatrician and neonatologist at Sunway Medical Centre. He completed his<br />

medical degree from National University of Malaysia (MD-UKM) in 1997. He obtained his paediatric<br />

postgraduate membership from royal college of paediatric and child health (MRCPCH) in Glasgow,<br />

UK in 2003. He continued his neonatal subspecialty fellowship training in 2005 at Liverpool Hospital<br />

and the Royal Hospital for Women (RHW), Sydney, NSW, Australia. In 2009, he was accredited as<br />

consultant paediatrician and neonatologist under the National Specialist Register (NSR), Malaysia.<br />

Currently, he also holds a part time lecturer post at Jeffrey Cheah School of Medicine and Health<br />

Sciences, Monash University, Sunway Campus. He is a father of 3 energetic boys aged 13, 11 and 7.<br />

Child Psychology Jessie Foo Xiang Yi<br />

A trained clinical psychologist and a member of Malaysian Society of Clinical Psychology. Jessie<br />

graduated with a Masters in Clinical Psychology from HELP University, Malaysia and conducts<br />

Cognitive Behavioral Therapy (CBT) to enhance adolescents’ and adults’ ability to cope with<br />

psychological distress and live a meaningful and hopeful life. She uses play and art techniques<br />

to engage with children. Jessie performs psychological assessments on children to diagnose and<br />

determine psychological, social, behavioral and educational functioning.<br />

Dietitian Verona Lee<br />

Verona received her credential in dietetics from National University of Malaysia (UKM). Her passion<br />

for nutrition began after witnessing some of her family members suffer from diet-related chronic<br />

diseases, which made her realise how important diet and a active lifestyle is to everyone’s health. She<br />

has practiced in all areas of nutrition with a special interest in child nutrition.<br />

Early Childhood Education Daisy Ng<br />

Daisy is a mother of two and Founder of Trinity Kids Malaysia. A dedicated practitioner in early<br />

childhood education, she has been featured on BFM, The Edge, NTV7, The Star and given talks<br />

on related topics. As a certified Dr Sears Health Coach in children/family nutrition and ante-natal<br />

wellness, Daisy actively promotes a wholesome and non-processed diet in Malaysia’s schools. An avid<br />

reader and writer from a young age, she now writes about topics in early childhood education, child<br />

development and nutrition.<br />

2 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Cute Snaps<br />

little<br />

Stars<br />

Jayden Lai,<br />

24 months Perak<br />

Winner<br />

Do you have a little star<br />

aged between 1 month to 36<br />

months who would light up<br />

this page? Send your photo to<br />

babytalkmalaysia@gmail.com<br />

with name, location and age.<br />

Please state email subject as<br />

“Cute Snaps – Little Stars”.<br />

Suhirthan<br />

8 months Selangor<br />

Kimora See Hyun Na<br />

1 month Selangor<br />

Putri<br />

8 months Selangor<br />

Elijah Lim Jiu En<br />

1 month Selangor<br />

Dhiran al Jeyabalan,<br />

21 months, Kuala Lumpur.<br />

Snap & Win<br />

A surprise gift!<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 3


BT Buzz<br />

Suck on your baby’s pacifier!<br />

Ovaries work hard for nearly 50 years, so it’s logical they’d like to retire someday. After<br />

menopause, our busy ovaries finally take a break and quit producing hormones and<br />

releasing eggs. Without these hormones, your menstrual cycle stops for good. (After a year<br />

without a period, you’ve reached menopause.) You may want to talk to your doctor about<br />

hormone replacement options to help maintain your libido, lubrication and other benefits of<br />

estrogen now that your ovaries are no longer producing it naturally.<br />

Yet another culprit for early<br />

menopause<br />

Studies have demonstrated that fetal malnutrition can lead to<br />

adult chronic disorders such as type 2 diabetes and coronary<br />

artery disease, but a new one out of China now suggests that<br />

it also can lead to early menopause and premature ovarian<br />

failure. Results are published online today in Menopause, the<br />

journal of The North American Menopause Society (NAMS).<br />

Infants are especially sensitive to changes in their environment<br />

while still in the womb, during their earliest stages of<br />

development. It has already been documented that the<br />

development of the hypothalamic-pituitary-gonadal axis during<br />

the fetal stage plays a critical role in adulthood reproductive<br />

health. Natural menopause is a milestone of ovarian aging that<br />

results in the end of a woman’s reproductive years. Although<br />

several studies have investigated the association between<br />

famine exposure in early life and risk of various metabolic<br />

diseases in adulthood, the association with reproductive aging<br />

was not evaluated. This new study involving nearly 2,900<br />

Chinese women specifically sought to address the effect of early<br />

life exposure to famine on age at menopause.<br />

If your baby stays up at night,<br />

read this!<br />

New Michigan State University research suggests babies<br />

who are less active get less sleep, something new parents<br />

may want to consider when looking for possible solutions<br />

for the long, sleepless nights. Napping doesn’t help<br />

either. In fact, babies who slept less at night, yet napped<br />

more during the day, still weren’t able to get as much<br />

sleep overall as those who slept more at night. Plus,<br />

the tired tots weighed significantly more based on their<br />

length, indicating a potential risk for early onset obesity.<br />

The research, published in the journal Infant Behavior<br />

and Development, is one of the first to focus on the<br />

connection between common health behaviors in babies.<br />

4 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Ask Our Experts<br />

Every one of us is an unique individual.<br />

Our personality is a result of i) how our brain is hard-wired<br />

to be, and ii) layers of our experiences. Therefore, there are<br />

some children who are naturally introverted and it is not<br />

reasonable to expect them to change and conform to a<br />

certain idea of a ‘thriving child’.<br />

Daisy Ng<br />

}<br />

Can a preschool education help an overly shy/<br />

introvert child overcome his or her lack of social<br />

skills issue? ~<br />

Going to school is more than learning from the books. A<br />

key part of school life is the social interaction with peers and<br />

the experiences with others. The skills/habits acquired would<br />

contribute to the shaping of the child’s personality.<br />

An introverted child may have a higher level of sensitivities.<br />

It is important to respect this and gain his trust to build his<br />

confidence. Group activities, be it structured or unstructured<br />

playtime, provide opportunities for the child to interact<br />

with others. In a school that provides for individuality, the<br />

child may gain a better understanding of his strengths and<br />

preferences, develops his confidence in being his unique self.<br />

For a sensitive child, a high pressure school environment that<br />

adopts a cookie cutter approach to child development will<br />

certainly be a poor fit.<br />

Gaia Chinniah<br />

Holistic Care & Wellbeing<br />

}<br />

I bought a body lotion from an organic brand and<br />

it made my skin break out in rashes. Is there anything I<br />

should know before I purchase organic skincare? ~<br />

Before you purchase any organic skincare, it's very important<br />

for you to do a patch test first and wait for 24 hours in order<br />

for you to see if your skin can adapt to it or if there is any<br />

allergic reaction. The best place to patch test is behind your<br />

ear which is a hidden spot as well as generally virgin skin as<br />

you would have unlikely applied any products to this area to<br />

desensitize the area.<br />

skin care, depending on the type of extractions used and<br />

potency of the ingredients can mean the formulations can<br />

be very stimulating for virgin skin. This stimulation is very<br />

good as it’s indicating a living product that is activating your<br />

cells but it can get your immune system wondering about<br />

this new thing that you are applying onto your skin. In some<br />

cases a rash may not be a reaction, but, merely response to<br />

the first-time application of organic product - and it may not<br />

occur with future use as your skin may adjust to the new<br />

extracts. It’s quite like sore muscles after your first ever gym<br />

work out - with ongoing sessions your muscles get used to<br />

being stimulated in this way and the pain subsides after the<br />

adjustment period. It is important that you recognise that a<br />

reaction will more likely to be itchy and sore and a slight rash<br />

may be a response to active ingredients. Should this happen<br />

it is best to clarify the difference with the person you bought<br />

the product from or a skin professional.<br />

If it's your first time purchasing organic skin care, it would<br />

be better for you to speak to a consultant in charge to get a<br />

suggestion as to what would be good for your skin type as<br />

some of the ingredients used may not agree with your skin.<br />

Hence why a patch test is always recommended. Organic<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 5


Bump to Birth<br />

Fertility & Conception<br />

6 reasons why<br />

your ovaries are so<br />

important<br />

Your ovaries are a pair of glands that have multiple functions, and they work hard at<br />

performing every one of them. Ovaries are what make women unique. Although they are<br />

an important part of our bodies, many women do not really know what they’re for. For<br />

starters, did you know that your ovaries are responsible for your reproductive health?<br />

Let’s get to know them better and see all that they do for us.<br />

6 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bump to Birth<br />

Fertility & Conception<br />

THE PRODUCTION OF HORMONES<br />

1 3<br />

Many women are familiar with hormone names such<br />

as estrogen and progesterone, but not everyone<br />

knows where in the body they’re produced from,<br />

and that’s the ovaries. These two hormones play very big<br />

roles in initiating puberty and menopause in a female body.<br />

They also influence everything that happens in between this<br />

period. While estrogen controls lactation after childbirth<br />

and helps regulate your menstrual cycle, it also assists with<br />

blood clotting and maintaining bone mass. Progesterone on<br />

the other hand, helps to prepare the uterus for pregnancy.<br />

Together these important hormones are responsible for<br />

running a woman’s reproductive life cycle.<br />

4<br />

OVARIES PREVENT OSTEOPOROSIS<br />

The estrogen produced<br />

by the ovaries helps<br />

maintain bone density<br />

throughout a woman’s life.<br />

After menopause, estrogen<br />

levels drop, putting women<br />

at risk for osteoporosis. Here’s<br />

what happens:<br />

There are two types of<br />

osteoblast cells: the type that<br />

create bone cells and ones<br />

that absorb them. The former<br />

get a boost from estrogen,<br />

so when estrogen disappears<br />

after menopause, the latter<br />

may start absorbing more<br />

bone than is being produced.<br />

That’s why if you have a<br />

hysterectomy, doctors often<br />

recommend keeping your<br />

ovaries intact if possible.<br />

HEALTHY BONE<br />

THEY’RE ADAPTABLE<br />

ACCORDING TO AGE<br />

OSTEOPOROSIS<br />

BONE<br />

Ovaries are roughly the size and shape of an almond<br />

and are pinkish-gray in color. They’re very adaptable and<br />

change size based on a woman’s age. Younger women have<br />

larger ovaries during their reproductive phase and then the<br />

ovaries shrink after menopause. During pregnancy the ovaries<br />

shift from their original position in the body and usually don’t<br />

return to that spot.<br />

2<br />

THE GATEKEEPERS OF YOUR EGGS<br />

Ovaries are also responsible for producing the female<br />

sex cell, known as the egg or ovum. A female baby is<br />

born with all of the eggs she’ll have for her lifetime.<br />

At birth, that equals to hundreds of thousands to millions<br />

of eggs, but only 300 to 400 will mature and be released<br />

for fertilization. At puberty, a woman’s egg count drops to<br />

around 400,000 and she’ll only have 400-500 eggs left when<br />

she reaches menopause. The ovaries do get a little break from<br />

all that hard work by<br />

taking turns releasing<br />

the egg each month<br />

during ovulation.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 7


Bump to Birth<br />

Fertility & Conception<br />

5<br />

THEY GIVE YOU THAT WOMANLY<br />

LOOK!<br />

You can thank your ovaries for producing the<br />

estrogen that gives you that lovely womanly look,<br />

with your shapely hips, bountiful breasts, and overall feminine<br />

features. Estrogen is also responsible for developing the<br />

female reproductive organs. During pregnancy, your ovaries<br />

gives you that womanly baby bumps, which is a direct result<br />

of their reproductive duties.<br />

They place us at risk too, for<br />

certain diseases<br />

From ovarian cysts to polycystic ovary<br />

syndrome (PCOS) and ovarian cancer,<br />

women are at risk of experiencing an array<br />

of ovarian illnesses that men don’t. Of all the<br />

reproductive tract cancers, ovarian cancer<br />

is the leading cause of death in women. So<br />

it’s important for women to take good care<br />

of their reproductive health with regular<br />

gynecological exams and Pap tests. See your<br />

doctor if you experience any symptoms like<br />

pelvic pain, bloating, or discolored or foulsmelling<br />

vaginal discharge.<br />

6<br />

OVARIES ENHANCE SEXUAL<br />

PLEASURE<br />

Our ovaries produce estrogen that lets us have<br />

a thriving, active sex life, with a healthy libido to<br />

boot. Normal estrogen levels lets you keep that drive at its<br />

optimal state and help lubricate the vagina. After menopause,<br />

estrogen levels drop, which<br />

can decrease libido and cause<br />

vaginal dryness, making<br />

sexual activity unpleasant.<br />

The longer you keep your<br />

ovaries in working order, the<br />

better your sexual desire.<br />

All is not lost after<br />

menopause though - you<br />

can ask your doctor about<br />

hormone replacement<br />

therapy and topical estrogen<br />

to maintain your sexual<br />

activity and pleasure.<br />

One day, they’ll stop<br />

working<br />

Ovaries work hard for nearly 50 years, so<br />

it’s logical they’d like to retire someday. After<br />

menopause, our busy ovaries finally take<br />

a break and quit producing hormones and<br />

releasing eggs. Without these hormones, your<br />

menstrual cycle stops for good. (After a year<br />

without a period, you’ve reached menopause.)<br />

You may want to talk to your doctor about<br />

hormone replacement options to help maintain<br />

your libido, lubrication and other benefits of<br />

estrogen now that your ovaries are no longer<br />

producing it naturally.<br />

8 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bump to Birth<br />

9 Months<br />

Help,<br />

I Can’t Sleep!<br />

When you’re pregnant, you’ll come to know that sleepiness and<br />

tiredness do not necessarily add up to having restful sleep. Read on…<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 9


Bump to Birth<br />

9 Months<br />

Many pregnant women find that as their pregnancy<br />

advances, sleep becomes difficult, especially at<br />

night. If you’re one of them, do know that you’re<br />

certainly not alone, no matter how serious your situation<br />

seems to be. For some women, pregnancy symptoms such<br />

as nausea, heartburn and the constant need to pee are the<br />

causes for not being able to sleep properly at night..<br />

Different trimesters seem to come with their own set of<br />

sleeping challenges for pregnant women. Here are some ways<br />

around it.<br />

Breasts start to feel uncomfortable<br />

Your breasts get tender during pregnancy and as a result<br />

finding a good sleeping position may be a problem especially<br />

if you are used to sleeping on your stomach.<br />

The first trimester of your pregnancy is the best time to<br />

train yourself to sleep on your side. This is also a good time<br />

to begin using a maternity pillow which will support your<br />

pregnant body for a better night’s sleep. You can use it<br />

whichever way you want for now, to get comfy and to avoid<br />

putting too much pressure on your aching breasts.<br />

First Trimester<br />

Sleepy all the time<br />

During the early stages of your pregnancy, you might<br />

sometimes feel overwhelmed with sleepiness. High levels of<br />

progesterone in your body might be the cause. Progesterone<br />

is a hormone that helps regulate a woman’s reproductive<br />

cycle. It also makes you feel drowsy most of the time. The<br />

sudden flood of this hormone in your body can make a<br />

normal working day feel like a long, exhausting one. It may<br />

also make you feel tired or like you’re coming down with<br />

the flu.<br />

Consider yourself lucky for you can still catch naps<br />

comfortably while your tummy hasn’t ballooned yet! So, nap<br />

whenever you can during the day to rejuvenate your mind<br />

and body. It’ll help you overcome that sleepy, tired feeling.<br />

Endless need to use the bathroom<br />

Your growing uterus puts pressure on your bladder, urging<br />

you to get up and go pee ever so often, interrupting your<br />

sleep. You can try to keep this under control by controlling<br />

the amount of fluids you take in at night, especially before<br />

bedtime. You could instead, take in as much fluids as you<br />

like during the day, when peeing won’t cost you to lose<br />

precious sleep.<br />

10 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bump to Birth<br />

9 Months<br />

Second Trimester<br />

You should be enjoying better sleep during your second<br />

trimester. Your body would have adjusted well to your<br />

pregnancy by now and you may not feel as tired as you used<br />

to in your first trimester. However, there may still be causes for<br />

sleepless nights, such as:<br />

• Physical issues such a leg cramps and blocked nose.<br />

• Morning sickness, which some women tend to suffer from<br />

throughout pregnancy.<br />

• Indigestion and heartburn during the night.<br />

Your baby might start getting more active, which might result<br />

in him kicking and moving around in your tummy while you<br />

are trying to settle in for the night. Unnecessarily worrying<br />

about the future might also keep you awake, as you find<br />

yourself tossing and turning in bed.<br />

Third Trimester<br />

As your time for delivery gets closer, you may find that<br />

getting a good night’s sleep seems almost impossible. In fact,<br />

most pregnant women rate their sleep quality as poor in the<br />

final trimester.<br />

In this trimester, you may find your bump is just too big for<br />

you to sleep comfortably. Lying on your left side, with pillows<br />

wedged in-between your knees and behind your back, is still<br />

the best sleeping position for you. It may be the only way<br />

to increase your comfort level and allow you a more restful<br />

night’s sleep.<br />

Your growing baby is now putting pressure on your bladder<br />

too. This means more midnight toilet trips, especially if you’ve<br />

had lots to drink before bedtime. Try taking in less fluids at<br />

night and also, empty your bladder completely when you’re in<br />

the toilet.<br />

During this trimester, you may find that your sleep may be<br />

interrupted by other pregnancy issues as well, such as:<br />

• Backache<br />

• Leg cramps<br />

• Heartburn<br />

• Vivid dreams<br />

The truth is, losing some sleep is something every pregnant<br />

mother might have to endure en route to having a baby. So,<br />

think of it as a rehearsal for when your baby is born.<br />

Some solutions to try<br />

• Switch to sleeping on your left side<br />

Sleeping on the left side helps to improves circulation to the<br />

heart and allows for better blood flow to the fetus, uterus,<br />

and kidneys. After 16 weeks into your pregnancy, it is not a<br />

good idea to sleep on your back as your baby is now putting<br />

pressure on your blood vessels.<br />

Try lying on your left side, with your knees up and have two or<br />

more pillows between your knees to contain the pressure at<br />

your hips and pelvis. If you wake up in the middle of the night<br />

and find yourself sleeping on your back, just roll over to your<br />

left side and continue sleeping. Alternatively, you could place<br />

a couple of pillows behind you to stop you from rolling over to<br />

your back.<br />

• Have a sleep routine<br />

Try to have a regular bedtime. Although it is tempting to<br />

sleep in, try not to as it would make it harder for you to doze<br />

off at night.<br />

• Wind down to get ready for bedtime<br />

Take some time to relax, as bedtime gets closer. Avoid<br />

vigorous activities or even scary movies. Instead, have a warm<br />

mug of milk or read a book to wind down.<br />

Will lack of sleep harm<br />

my baby?<br />

Sleeplessness is very common in pregnancy but it won’t<br />

harm your baby. It can, however, make you feel overly<br />

tired or exhausted. Sleep deprivation may lead to a<br />

longer labour or even a caesarean section. Listen to your<br />

body and rest when you can. If you’re a working mumto-be,<br />

think of taking your maternity leave a little earlier<br />

so you can catch up on all the rest you need.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 11


Bump to Birth<br />

Feature<br />

DENGUE DURING<br />

PREGNANCY<br />

WHAT SHOULD I<br />

DO?!<br />

Dengue is an infection that is passed on by mosquitoes. Once you get bitten<br />

by the mosquito, if you are unlucky you get infected with a flu-like illness.<br />

In some cases, this infection can develop into a very severe case of dengue,<br />

causing it to be a deadly illness.<br />

12 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bump to Birth<br />

Feature<br />

With the huge rise of dengue cases in our country,<br />

it has become a worry for people everywhere. It is<br />

found to be most common in tropical and subtropical<br />

areas of the world, and that places us Malaysians at<br />

high risk all year around.<br />

Dengue is now so common that everyone is at risk of getting<br />

it. The World Health Organization estimates that there are<br />

about 50 to 100 million dengue infections worldwide every<br />

year. It is the Aedes aegypti mosquitoes that carry this virus<br />

and spread it through their bites. These mosquitoes have<br />

distinctive black and white stripes on their bodies and they<br />

breed in stagnant water<br />

They are most active during dawn and dusk, but they<br />

may come out to feed at other times too. Mosquitoes are<br />

known to breed much more in the rainy season which is<br />

when dengue cases shoot up to its peak. These mosquitoes<br />

carry the virus with them for life, which is approximately<br />

for 40 days.<br />

See your doctor, get a blood test<br />

done<br />

The reason a blood test should be done is so that your<br />

doctor can confirm if the dengue virus is present in your<br />

bloodstream. It is also possible to have dengue but have very<br />

mild symptoms. Severe dengue can be potentially fatal, with<br />

complications that could lead to bleeding and organ damage.<br />

The warning signs normally appear three to seven days after<br />

the original symptoms and these can include reduced fever,<br />

abdominal pain, rapid breathing and bleeding gums. Most<br />

people suffering from dengue take about two weeks to<br />

recover but might still feel weak for a couple of weeks after.<br />

What are the symptoms of<br />

dengue?<br />

Symptoms usually start appearing about three days after<br />

being bitten by an infected mosquito. Below are some of the<br />

symptoms of dengue:<br />

• Sudden high fever<br />

• Severe headache<br />

• Pain in the eyes which cause eye movement problem<br />

• Severe body ache<br />

• Loss of taste<br />

and appetite<br />

• Mild bleeding from<br />

nose and gums<br />

• Nausea and vomiting<br />

The symptoms stated<br />

above can easily be<br />

confused with other<br />

illnesses that have similar<br />

symptoms, such as a<br />

bad case of flu - only a<br />

blood test would be able<br />

to determine if you have<br />

been infected with the<br />

virus.<br />

How dangerous is dengue during<br />

pregnancy?<br />

If you are pregnant and happen to contract this disease, it is<br />

most likely to be severe. This is because during pregnancy,<br />

your immune system is<br />

suppressed. You might need to<br />

be admitted into the hospital<br />

for treatment. However, there<br />

have been many cases where<br />

pregnant women only had a<br />

mild infection of this disease.<br />

Contracting dengue<br />

might give rise to possible<br />

complications like pre-term<br />

labour and having a low birth<br />

weight baby if you happen<br />

to get infected during your<br />

pregnancy. Dengue causes a<br />

drop in blood platelet levels<br />

which can be determined by a<br />

blood test. Pregnant women<br />

who get infected usually have<br />

their blood platelet levels drop<br />

quite low.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 13


Bump to Birth<br />

Feature<br />

There is a high chance of losing too much blood if you<br />

happen to go into labour while you are having dengue<br />

and might need a blood transfusion or this could be very<br />

dangerous to you and your baby.<br />

How can I get<br />

treated?<br />

There is no specific vaccine<br />

or anti-dengue treatment<br />

currently available for<br />

dengue. The main form of<br />

treatment available is to<br />

relieve symptoms.<br />

Symptoms can usually be<br />

controlled by taking a dose<br />

of paracetamol, which is<br />

considered to be safe during<br />

pregnancy. You’ll also have<br />

to drink lots of fluids and<br />

keep yourself hydrated<br />

during dengue. Being very<br />

closely monitored by your<br />

doctor is also very important<br />

during this period of time.<br />

People with severe dengue<br />

need to be treated with drips<br />

at the hospital to prevent<br />

dehydration, and to stabilize<br />

their blood platelet level.<br />

People who undergo proper<br />

treatment only take a few<br />

days to recover and are fit<br />

enough to leave the hospital<br />

within days. However, if<br />

you do not get the right<br />

treatment in time – it may<br />

cause you your life.<br />

Either change the water regularly or empty them. As a safety<br />

measure, you could also burn mosquito coils around your<br />

house in order to keep mosquitoes away.<br />

Put on mosquito<br />

repellent wherever<br />

you go<br />

You could also prevent mosquito bites<br />

by wearing long sleeved clothes, staying<br />

in cool areas – so yes, turn<br />

up that air conditioner<br />

in your house just to be<br />

safe. Plus, use mosquito<br />

repellent available in roll on<br />

or spray forms. Take them<br />

with you when you go out<br />

because you never know<br />

where mosquitoes are<br />

lurking about.<br />

No immunity for dengue<br />

Unfortunately, no one can be fully immune to dengue after<br />

having it once. The dengue virus has four distinct, but closely<br />

related strains. If you have had one strain of dengue, it means<br />

you are immune to that one particular strain - but you’re still<br />

at risk of contracting the other three.<br />

If you are infected with one strain, and then get infected by<br />

another strain of dengue – chances are it may be worse off<br />

than the previous one. This is why it is best to take further<br />

steps in preventing dengue, especially when you’re pregnant.<br />

You cannot tell for sure if you are safe from dengue, but you<br />

can do your best to keep the mosquitoes away from you.<br />

Aedes mosquitoes breed in still water, such as in flower pot<br />

trays, abandoned ponds or aquariums, vases and old tires.<br />

Reference:<br />

• www.cdc.gov<br />

• www.momjunction.com<br />

• www.dengue.info<br />

14 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Having a baby is no ordinary matter.<br />

Although women the world over have<br />

been giving birth forever, it’s still a special<br />

occasion to each and every family. This is<br />

your special guide to choosing the right<br />

hospital to deliver your baby in.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 15


If you’re a first-time mom, everything, including labour and<br />

birth will be new to you and just the thought of all these<br />

might seem overwhelming. They’ll seem to be neverending<br />

decision-making too, for your partner and you would<br />

have to decide on your baby’s name, an insurance plan, the<br />

colour and style of your baby’s nursery, and even what kind<br />

of diapers to use; but the most important decision would be:<br />

which hospital to give birth in.<br />

The choice of where you will have your baby can have a big<br />

impact on your precious birthing experience. There are of<br />

course a number of options available to you and it’s up to you<br />

to decide on the most ideal one.<br />

However, if this is your first baby, chances are you might be<br />

still clueless. When you have your pregnancy confirmed, your<br />

GP may lay out some options for you, but it may not be easy<br />

to make a choice. Take your time don’t rush into it; instead<br />

do some research at your own pace. Have a look around; get<br />

some ideas from women with children or people you trust.<br />

In this article, we list down some things you should consider<br />

when choosing the best hospital for you plus we provide you<br />

with a list of eight popular hospitals in the Klang Valley.<br />

NAME?<br />

INSURANCE<br />

What kind of hospital birth do you<br />

want?<br />

The first question to ask yourself when choosing a place for<br />

delivery would be; what kind of birth do you want? Would<br />

you prefer having a very relaxing environment with little<br />

intervention or drugs for pain?<br />

Another option would be to have your delivery in a hi-tech<br />

environment with latest technology and access to all types<br />

of pain relief. This would be in a modern day hospital that<br />

provides you with the latest technology, plus you would be<br />

given the option for an epidural for pain relief if you wish.<br />

Some hospitals, despite being high-tech, will still allow you to<br />

attempt an an-natural birth if that’s what you want.<br />

Private or Government?<br />

One obvious deal-breaker on whether to<br />

go for public or private healthcare is the<br />

cost factor. Our local healthcare is heavily<br />

subsidised by the government which makes<br />

it free for government officials and<br />

inexpensive for others. For instance<br />

it costs up to RM800 approximately<br />

for a caesarean birth at a government<br />

hospital, but you’ll need to put down<br />

from about RM15,000 for the same<br />

procedure at a private hospital.<br />

You’ll need to consider antenatal and<br />

postnatal doctor visits too. Where you<br />

have those check-ups however, need<br />

not be the same place you deliver.<br />

There is also an in-between option<br />

called the Full Paying Patients<br />

(FPP) Scheme which is available at<br />

Putrajaya Hospital and Selayang<br />

Hospital, where you get a private<br />

hospital-like service in a government<br />

hospital, for a cost of between<br />

RM2,000 and RM5,000 depending on<br />

the kind of delivery.<br />

16 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Additional facts to consider<br />

when choosing your hospital<br />

Take into account the accommodations and practices of<br />

each possibility and what will make you feel most at ease.<br />

You'll also find that many hospitals also offer:<br />

• Childbirth and parenting classes and lactation consultants<br />

• Certified nurse-midwives on staff<br />

• The ability to have an unmedicated, "natural" delivery<br />

• Birthing stools, birthing balls, and other equipment to help<br />

you feel comfortable during labor<br />

• The option to wear your own clothes during labor and<br />

delivery<br />

• The option to have friends and family attend the birth and<br />

to videotape your delivery<br />

Should distance matter?<br />

When choosing your hospital, you may have<br />

to decide if you would be willing to travel<br />

quite a distance while in labour or would you<br />

rather have the hospital be somewhere close<br />

to your house? However, bear in mind that<br />

this factor should not play such an important<br />

role when making your decision because all<br />

you want at the end of the day is excellent<br />

care; the distance is only a one-time thing.<br />

The only thing you have to ensure is to get<br />

to the hospital in time if you’re having an<br />

unscheduled birth.<br />

Moving on to one more very important thing to find out ahead<br />

of time is the number of people that would be allowed into<br />

the delivery room while you are in labour and who are those<br />

people. Most hospitals have a policy of only allowing one<br />

person into the delivery room; it being either your mother or<br />

your husband. So, if you are thinking of having your sister or<br />

best friend in there with you, you should check ahead of time<br />

to make sure this would be allowed on the day of your delivery.<br />

A little tip for all you expecting mothers; the best way to find<br />

out about hospital facilities available in your area is by asking<br />

your doctor, friends or people you know who have been<br />

through it. This would enable you to see everything first hand,<br />

plus ask questions that will help you in making your decision.<br />

So, which hospital, then?<br />

When you go hospital hunting, you’ll probably find similar<br />

offerings, if not the same facilities; from public hospitals to<br />

private hospitals. So this is when you have to consider the<br />

minimal factors as well. Such as, visiting hours allowed in the<br />

hospital and the length of stay for you and your new baby.<br />

If you’re wondering where to start, we’re here to help you<br />

with that. You will find a list of 8 hospitals in the Klang Valley<br />

that you can consider for your delivery, along with their<br />

contact details and visiting hours.<br />

Hospital policies on labour and<br />

birth<br />

Before deciding on the hospital for your delivery, you might<br />

want to check out the hospital’s policy for labour and birth<br />

because different hospitals tend to have different policies.<br />

To ensure mobility during labour for instance, you should<br />

consider a hospital that allows you to move around the<br />

hospital if you wish to and not keep you in your room.<br />

Something really important to find out about the hospital<br />

policy during labour is about their birthing positions. Be<br />

sure to find out if you are free to take on the birthing<br />

positions you feel most comfortable with or do they have<br />

doctors trained for one specific way only.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 17


Gleneagles Kuala Lumpur<br />

Gleneagles is a leading medical centre that has be<br />

operating centre in the heart of Kuala Lumpur that has<br />

been operating for more than 15 years.<br />

Address: 282 & 283 Jalan Ampang, 50450, Kuala Lumpur,<br />

Malaysia.<br />

Contact Number: 03-4141 3000<br />

Visiting Hours: 12 pm to 2 pm / 5 pm to 8 pm<br />

Pantai Hospital Kuala Lumpur<br />

As the pioneer of the well established Pantai and Gleneagles<br />

chain of hospitals, this hospital was first established in 1947<br />

within the cozy, residential area of Bangsar. Pantai Hospital<br />

was the first hospital to offer water birth in the Klang Valley,<br />

beginning in mid 2009.<br />

Address: 8, Jalan Bukit Pantai, 59100, Kuala Lumpur,<br />

Malaysia.<br />

Contact Number: 03-2296 0888<br />

Visiting Hours: Morning until 10 pm<br />

KPJ Tawakkal Specialist<br />

Hospital<br />

Established in 1984, Tawakkal Hospital is now part of<br />

KPJ Healthcare Berhad which is the largest healthcare<br />

provider in Malaysia spanning over 20 specialist<br />

hospitals worldwide.<br />

Address: No 1, Jalan Pahang Barat, 53000, Kuala Lumpur,<br />

Malaysia.<br />

Contact Number: 03-4026 7777<br />

Visiting Hours: 12 pm to 3 pm / 5 pm to 9.30 pm<br />

Prince Court Medical Centre<br />

Located in the heart of Kuala Lumpur, Prince Court Medical<br />

Centre is a resort-styled hospital which has only recently<br />

been named the world’s top hospital for medical tourists<br />

according to Medical Travel Quality Alliance.<br />

Address: 39, Jalan Kia Peng, 50450, Kuala Lumpur,<br />

Malaysia.<br />

Contact Number: 1-800-88-7262<br />

Visiting Hours: 10 am to 9 pm<br />

18 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Columbia Asia Hospital,<br />

Bukit Rimau<br />

Located in the highly populated residential area of Shah<br />

Alam, Columbia Asia, Bukit Rimau, offers treatments in a<br />

wide array of specialties which include pediatrics, obstetrics<br />

and gynecology.<br />

Address: Persiaran Anggerik Eria, 40460, Shah Alam,<br />

Selangor, Malaysia.<br />

Contact Number: 03 5125 9999<br />

Visiting Hours: 9 am to 9 pm<br />

Sunway Medical Centre<br />

Located in Bandar Sunway, Sunway Medical Centre started<br />

its operations in 2009. Being one of the foremost private<br />

healthcare facilities in the country, this medical centre offers<br />

a comprehensive range of medical services from wellness<br />

centers to aesthetic and laser centers and eye centers.<br />

Address: Jalan Lagoon Selatan, Bandar Sunway, 46150,<br />

Petaling Jaya, Selangor, Malaysia.<br />

Contact Number: 03 7491 9191<br />

Visiting Hours: 11 am to 1 pm / 5 pm to 9 pm<br />

Parkcity Medical Centre<br />

Opened in December 2012, this medical centre is one of<br />

the latest additions to the Sime Darby Health Group which<br />

is currently known as the Ramsay Sime Darby Health Care<br />

Group after its recent merger with the Australian company<br />

Ramsay Health Care Limited.<br />

Address: No 2, Jalan Inti Sari Perdana, Desa Parkcity, 52200,<br />

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.<br />

Contact Number: 03 5639 1212<br />

Visiting Hours: 8 am to 9 pm<br />

Thomson Hospital<br />

Kota Damansara<br />

Located in Kota Damansara, Petaling Jaya and formerly<br />

known as Tropicana Medical Centre, the hospital is a tertiary<br />

healthcare centre which offers a range of medical services<br />

such as children and women healthcare, fertility services,<br />

ENT and head and neck procedures.<br />

Address: 11, Jalan Teknologi, PJU 5, Kota Damansara,<br />

47810, Petaling Jaya, Selangor, Darul Ehsan Malaysia.<br />

Contact Number: 03 6287 1111<br />

Visiting Hours: 9 am to 10 pm<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 19


<strong>Baby</strong> & Toddler<br />

Feature<br />

All you need to know<br />

about hair care for<br />

tiny tots<br />

Some infants are born with a full head of luscious locks while some are born<br />

with sparse hair or even bald. While genetics do play a part in determining the<br />

type of hair children inherit from their parents, the quality of care given will<br />

still influence the health of the hair and scalp.<br />

20 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


<strong>Baby</strong> & Toddler<br />

Feature<br />

Hair care in children has gained more importance as<br />

parents are now aware that a clean scalp promotes<br />

healthy hair and one of the signs of good health in a<br />

child is a head of shiny hair.<br />

As a parent, of course all you want to do is care for your child<br />

the best way possible, but you may not know where to start!<br />

Here are some answers to common questions regarding child<br />

hair care.<br />

How often should I wash my<br />

baby's hair?<br />

Your little one would never benefit from over washing his<br />

hair, regardless if he has a full head of hair or sparse hair.<br />

Babies’ sebaceous glands on the scalp produce natural oils<br />

that keep their scalp moisturised, so over washing could<br />

result in a dry and flaky scalp.<br />

From infancy right up to about six months, chances are he is<br />

less mobile and is most likely on an a milk diet. Hence, there<br />

is a low chance of him getting mushy baby food particles<br />

stuck in his hair.<br />

Practice washing his hair with shampoo about once a week,<br />

as this would be alright in our humid climate. On other<br />

days, you can rinse his head with plain lukewarm water<br />

during bath time to get rid of any dust or particles of lint on<br />

his tender scalp.<br />

My baby has very little hair – is it<br />

still necessary to wash?<br />

Yes, it is necessary even if your little one has sparse hair, tufts<br />

or only wisps of hair as not only the hair is cleaned with every<br />

wash – so is the scalp. However, it is not necessary to use<br />

shampoo every time you clean baby’s hair - Just shampoo<br />

once a week if needed, to prevent stripping off the natural<br />

scalp oils.<br />

What is the difference between<br />

baby shampoo and normal<br />

shampoo?<br />

Most adult shampoos contain sulphate, which is a chemical<br />

substance used to provide a ‘squeaky clean’ feeling after a<br />

hair wash. Sulphate is a powerful degreasing agent found<br />

even in common household products, such as laundry<br />

detergents and dish washing liquids.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 21


<strong>Baby</strong> & Toddler<br />

Feature<br />

<strong>Baby</strong> shampoos are<br />

believed to contain<br />

a reduced amount<br />

of sulphate in order<br />

to cater to a baby’s<br />

fragile scalp. Do<br />

keep in mind that<br />

despite widespread<br />

awareness, many<br />

baby shampoos still<br />

contain sulphate,<br />

so if you plan on<br />

avoiding it completely,<br />

remember to look out<br />

for one that states<br />

‘sulphate free’ on its packaging. You may also check out adult<br />

shampoos made specifically for people with sensitive scalp –<br />

these shampoos are allowed on your baby’s scalp in very small<br />

amounts, provided the ingredients are gentle enough.<br />

Is it a good idea to blow dry my<br />

baby's hair?<br />

Blow drying your baby’s<br />

hair may not be the most<br />

conventional method to<br />

dry his hair, but it can still<br />

be done if you practise a<br />

few safety measures. Take<br />

not of the following:<br />

• The blow dryer should<br />

be of good quality<br />

• It should be one with<br />

comes with an option<br />

to use the cool setting<br />

• Blow drying should be done away from any area with<br />

water, such as the bathroom<br />

• Your little one should never be left alone with the blow dryer<br />

Have your baby sit in your lap, and then turn on the blow<br />

dryer to a low setting. Remember to test the head of the<br />

wind on the back of your hand before pointing it at your<br />

baby’s head. With the blow dryer at least six inches away<br />

from his head, gently run your fingers through his hair to dry<br />

it thoroughly.<br />

Would temporary styling gel or<br />

colour spray damage my baby’s<br />

hair/ scalp?<br />

Hair styling and colouring have become fashion statements<br />

in the recent years and many parents have jumped onto<br />

the bandwagon by sporting rainbow colours in funky<br />

styles for their little ones’ hair. But are these styling and<br />

colouring products safe? Well, if used sparingly and<br />

infrequently, there should be little or no risks of damaging<br />

your baby’s hair and scalp.<br />

However, use these products only on the hair, and avoid<br />

touching the scalp as the chemicals in these products might<br />

cause irritation. Do use these products only occasionally<br />

and remember to wash it off thoroughly. Hair styling and<br />

colouring products tend to leave residue on the scalp, causing<br />

undue irritation.<br />

Always do a patch test behind your baby’s earlobe and look<br />

out for any rashes within 24 hours. If nothing appears, then<br />

the product is safe for occasional use.<br />

How do I detangle knots from my<br />

baby's hair?<br />

It’s actually quite easy these days, with all types of baby<br />

conditioners available in the market. Use them on your baby’s<br />

hair post-shampooing. Rinse it off completely though, unless<br />

it is a no-rinse formulation. Alternatively, you can use a water<br />

based detangling spritzer and run your fingers gently through<br />

your baby’s hair.<br />

22 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


<strong>Baby</strong> & Toddler<br />

Feature<br />

What kind of oil can I apply on my<br />

baby’s hair?<br />

Infantile seborrheic dermatitis or better known as cradle cap<br />

is very common in babies. It is believed that cradle cap is due<br />

to secretions of the sebaceous glands on the infant's scalp<br />

while still in the uterus, due to maternal hormone influence.<br />

My toddler loves playing dress<br />

up, are curlers and straightening<br />

irons safe for use on a child's<br />

hair?<br />

Crimpers, curlers and straightening irons are a definite no-no<br />

when it comes to little children’s hair. These beauty tools<br />

need high heat settings to achieve these hair styles and the<br />

excessive heat would only cause damage to your child's hair.<br />

Your child's hair is far more fragile than yours and therefore<br />

not able to withstand the process.<br />

The protein structure of the hair may even get altered due<br />

to the heating process. However, if the wind- tousled, beach<br />

look is what you’re after - all you have to do is mix some<br />

dilute saline water and pour it into a spritzer; spray it into<br />

your child’s hair and braid it. Proceed by using a blow dryer<br />

on cold setting to dry the braids. Leave the braids to air dry<br />

for half an hour or so, undo the braids and Voila - gorgeous,<br />

loose curls!<br />

Using oil is a great way to loosen the flakes and to soothe the<br />

scalp of your baby. Your little one would also love a gentle<br />

scalp massage and it is a fantastic way to lull a tired baby to<br />

slumberland! A pea size amount is sufficient for the entire<br />

scalp - take care not to massage or rub vigorously.<br />

The most popular oils that are used for babies are mild baby<br />

oils, and also other oils such as sweet almond oil, olive oil<br />

and extra virgin coconut oil. For older children, pure Argan oil<br />

would be a great option to promote healthier scalp and hair.<br />

The oil used should be of a lightweight texture which washes<br />

off easily with minimal shampooing or one that does not<br />

form a greasy film over the scalp, for it will then act as a dust<br />

and dirt magnet.<br />

My child dislikes having haircuts.<br />

How do I calm him down?<br />

Although it’s not as intimidating as visits to the dentist, some<br />

little ones aren’t fans of hair salons either. This is a tricky issue<br />

and if it’s not handled properly, it may lead to the child feeling<br />

traumatized by the entire experience. Below are some tips<br />

that have been tried and tested – who knows, they might<br />

work like a charm for you as well!<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 23


<strong>Baby</strong> & Toddler<br />

Feature<br />

• No more tears® formula is gentle<br />

for newborns<br />

• Dermatologist-tested<br />

Carrie Junior <strong>Baby</strong> Oil<br />

• Enhanced with Fruito-E<br />

• Leaves baby’s skin free from dryness<br />

• Available in two variants<br />

• Let your child see you get your hair cut a few times so that<br />

he knows it isn’t something to be fearful about.<br />

• You can role play with him at home acting as his hairstylist.<br />

Get him to sit in a chair and clip off a few strands of hair<br />

just to show him there is no pain involved. Keep the mood<br />

as light as possible.<br />

• Instead of calling it a hair<br />

'cut', which may sound<br />

painful, try calling it<br />

something else like a trim or<br />

make up another name that<br />

your child might find more<br />

acceptable.<br />

• Bring along a favourite toy,<br />

book or snack to the hair<br />

salon to keep your child<br />

occupied or distracted.<br />

• Do some asking around as<br />

to where the kid-friendly hair<br />

dressers are in town - those with stylists who are good<br />

with kids.<br />

• Be prepared for some tears in the initial days but as your<br />

child gets older he will realise that hair cuts are not a big<br />

deal and that his tears and tantrums would be a thing of<br />

the past.<br />

Here are our top picks of hair care products for<br />

your little one:<br />

<strong>Baby</strong>Organix Gentle Hair Shampoo<br />

• Specially formulated with hydrolyzed<br />

soy protein<br />

• Vitamin E in our shampoo guard against<br />

environmental damage<br />

• Free from harmful chemicals such<br />

as SLS, Paraben, Mineral oil and<br />

methylisothiazolinone<br />

Johnson’s <strong>Baby</strong> Conditioning Shampoo<br />

• Soap-free and clinically proven hypoallergenic<br />

• Paraben-free<br />

Johnson’s <strong>Baby</strong> Oil<br />

• Moisturizes baby’s delicate skin and helps<br />

protect from dryness<br />

• Pure mineral oil forms a silky barrier to help<br />

prevent excess moisture loss<br />

• Dermatologist- and allergy-tested<br />

Why isn’t my toddler’s hair<br />

growing?<br />

Hair growth for toddlers vary in rate. Some<br />

may have been born with little hair and may<br />

not have a thick head of hair until the age of<br />

three or even four years. Others develop thicker<br />

and longer hair more quickly. It’s also common<br />

for a toddler to have uneven hair,<br />

which could be a leftover from<br />

babyhood from rubbing<br />

hair off in places. Hair<br />

growth pattern may also<br />

change course as they<br />

grow. So, be patient<br />

with your little one’s hair<br />

growth and pay more<br />

attention to the care it<br />

receives while growing out.<br />

4 toddler hair care tips<br />

1 Most toddlers have fine hair, so it can get<br />

damaged easily. Avoid using combs meant for<br />

adults on your little one’s hair - instead, use a soft<br />

wide-toothed brush to groom or style his hair.<br />

2 You can a good quality baby oil to moisturize<br />

your little one’s hair before bath time.<br />

3 If your little one is a girl, avoid over-styling<br />

for now – headbands, barrettes and others can<br />

be too much for her hair, causing them to break.<br />

4 Don’t neglect sun protection! Use proper caps<br />

when taking them out in direct sun.<br />

24 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


<strong>Baby</strong> & Toddler<br />

Health And Medical Diary<br />

The trouble with<br />

sensitive skin…<br />

and how to deal with it<br />

It’s troublesome to have to deal with sensitive skin on yourself if you have<br />

it, but imagine if you had to watch your child suffer the discomforts of this<br />

annoying condition. Regardless if you’re familiar with sensitive skin or not, it’s<br />

always good to know how to handle it with care so that your child can have a<br />

better quality of life.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 25


<strong>Baby</strong> & Toddler<br />

Health And Medical Diary<br />

Symptoms of sensitive skin:<br />

• Redness<br />

• Itchiness<br />

• Tingling<br />

• Tightness<br />

• Dryness<br />

• Stinging<br />

Whichever symptom(s) your child has, appropriate care<br />

and attention will help keep their skin feeling soothed<br />

and comforted.<br />

Trace the<br />

source<br />

You’ll have to know<br />

what’s triggering the<br />

sensitivity, and only<br />

then can you address<br />

the problem. There<br />

may be a number of<br />

things around and any<br />

of them could be the<br />

culprit, including heat,<br />

bath soaps, laundry<br />

detergents, pet dander,<br />

dust mites, certain<br />

fabrics and cigarette<br />

smoke. The first step<br />

is to identify and avoid<br />

anything that might be causing the irritation.<br />

Choose fabric with care<br />

Fabric in this regard could mean any<br />

fabric at all that comes to contact<br />

with your child’s skin - clothing,<br />

bed sheets, blankets, etc. Choose<br />

items made of fabric that are soft<br />

and comfortable, such as fineweaves<br />

or natural materials like<br />

cotton (instead of wool or nylon).<br />

Tip: Clothing tags have been the<br />

cause of rashes and redness at the<br />

back of the neck in many children. Cut<br />

them out from all your child’s clothing to<br />

minimise the risks of rashes and reddening.<br />

Moisturise!<br />

If dry skin is an issue for your<br />

child, try an appropriate<br />

skin moisturising lotion (one<br />

specifically designed for children’s<br />

dry skin). An organic body lotion<br />

LOTION<br />

for babies/children may be<br />

helpful, for it does away with all<br />

the usual additions and chemicals<br />

LOTION<br />

LOTION<br />

present in many other lotions,<br />

thus minimising the chances of<br />

your child’s skin acting up. The<br />

best time to apply the lotion it<br />

is just after bathing, when your child’s skin is still damp, to<br />

help lock in moisture. Pat skin dry with a towel (never rub)<br />

before applying the lotion. If your child is active and sweaty,<br />

try choosing one that is non comedogenic, which means the<br />

product tends not to clog pores.<br />

26 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


<strong>Baby</strong> & Toddler<br />

Health And Medical Diary<br />

Laundry care<br />

MORE<br />

PRODUCT<br />

TRIPLE ACTION<br />

3.6 KG<br />

Choose a laundry detergent free of colors and<br />

fragrances, which can irritate the skin. Avoid<br />

antistatic products or fabric softeners, which often<br />

contain chemicals and fragrances, as well. Since<br />

liquid detergents sometimes rinse out easier than<br />

powder detergents do, they may be a better<br />

choice for sensitive skin. You may find that<br />

sticking with a baby detergent, designed for<br />

the most sensitive of skin, is the best option for<br />

your child.<br />

Tackle that itch<br />

Many kids with asthma, hay fever, or other allergies are more<br />

likely to have eczema, a condition that causes the skin to<br />

become itchy, red, dry or cracked. Sometimes a moisturizing<br />

cream is all you need to treat the condition, but if this doesn’t<br />

do the trick, you may need to see your child’s doctor or<br />

dermatologist. The doctor may prescribe an antihistamine or<br />

a topical corticosteroid.<br />

Try to keep your child from scratching (keep his nails short),<br />

and instead gently pat the itch with his fingertips.<br />

Gently does it<br />

You'll also want to take care when washing your child’s body.<br />

Use warm, not hot water, and a gentle soap, bubble bath, or<br />

shampoo, also free of chemicals and fragrances. If possible,<br />

limit the number of baths and showers from every day to 3<br />

to 4 times a week to avoid stripping your child’s skin of its<br />

natural oils.<br />

Screen off the sun’s ray<br />

Look for SPF (sun protection factor) numbers on<br />

the labels of sunscreens (selecting an SPF of 30<br />

or higher) to protect your child’s skin. But if your<br />

child has sensitive skin, you should also look for<br />

products with the active ingredient titanium<br />

dioxide. Also, don't use sunscreens with PABA,<br />

which can cause skin allergies.<br />

Editor’s pick<br />

Before buying, test it<br />

Before trying a new product, be sure to test a bit of it on the<br />

inside of your child’s wrist or arm. If a rash appears, or if your<br />

child’s skin feels itchy, hot, dry, or like it's burning (even after<br />

a few days of use with no problems), stop using the product.<br />

Ask your doctor for advice if needed, especially if the product<br />

has caused discomfort to your child’s skin.<br />

We like the <strong>Baby</strong>Organix Hydrating Cream Bath<br />

as well as Nature’s first Aid. The Cream Bath is<br />

known for its deep-hydrating properties as it<br />

gently cleanses troubled skin. It is calming and<br />

soothing, with lavender to nurture<br />

and moisturise sensitive skin. The<br />

brand’s famous Nature’s First Aid<br />

(not pictured here) with antioxidantrich<br />

Calendula Oil is a natural, plantbased<br />

cream that protect cells from<br />

environmental damage, leaving skin<br />

radiant and supple. <strong>Baby</strong>organix is<br />

known for its zero-chemical content<br />

and is compatible to sensitive skin.<br />

Its prized formulation nourishes,<br />

soothes and softens dry, cracked or<br />

irritated skin quickly.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 27


<strong>Baby</strong> & Toddler<br />

Early Education And Development<br />

How screen time may<br />

be affecting your<br />

toddler’s<br />

development<br />

Tablets and smartphones seem to play a<br />

big role these days in the lives of toddlers,<br />

mainly as distractions while mom or<br />

dad get chores done. Still, the more time<br />

toddlers spend staring onto a screen, the<br />

less time they spend learning through<br />

experiences in the real world. Plus, their<br />

ability to learn, communicate and even<br />

to build on their vocabulary are greatly<br />

affected. Read on…<br />

28 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


<strong>Baby</strong> & Toddler<br />

Early Education And Development<br />

The next time you’re out at a<br />

restaurant with your family,<br />

take a look around. Screen time<br />

seems to be an inescapable<br />

reality of modern childhood, with kids<br />

of various ages dedicating hours of<br />

their full attention towards their tablet,<br />

smartphone and even television. While<br />

it’s not a bad thing, it can easily take a<br />

turn for the worse if you let it.<br />

Educational apps are all the rage now,<br />

where else educational TV shows have<br />

been around for quite some time now.<br />

They are great ways for children to<br />

sharpen their developing brains and<br />

hone their imagination and all — not to<br />

mention the break these screen times<br />

provide harried parents. Still, when<br />

parents themselves rely on it too much,<br />

sooner or later, the effects will show.<br />

Studies have already revealed the links<br />

between cognitive development in kids<br />

with extended exposure to electronic<br />

media. Children these days, from<br />

infancy even, spend hours a day in<br />

front of some form of electronic media.<br />

Today, it’s not uncommon to see twoyear-olds<br />

playing games on the touch<br />

screen of a parent’s tablet or phone.<br />

We can’t help but go: “What a smart<br />

child.” On the long run though, it may<br />

not be the smartest thing to do.<br />

Long-term<br />

consequences - now’s<br />

the time to think<br />

about it<br />

Toddlers tend to form habits fast, and<br />

so they will get hooked to screen time<br />

if parents let it be. This will not be an<br />

issue if it doesn’t cause permanent<br />

damage to their still-developing brains.<br />

Too much screen time too soon is the<br />

very thing impeding the development<br />

of the abilities that parents are so<br />

eager to foster through the tablets. The<br />

ability to focus, to concentrate, to lend<br />

attention to what others are saying<br />

and doing, and to sense other people’s<br />

attitudes and communicate with them,<br />

to build a large vocabulary — all those<br />

abilities are harmed. That’s a bitter pill<br />

to swallow but it’s the truth.<br />

Parents may mean well, and it’s easy to<br />

conclude that getting their kids to be<br />

tech-savvy at a tender age may provide<br />

them with an educational edge, but<br />

without realising it, all that screen time<br />

can actually be doing more harm than<br />

they ever imagined—and they need to<br />

start planning out future screen time<br />

with more wariness.<br />

Between birth and age three, for<br />

example, a child’s brain develops<br />

quickly and is particularly sensitive<br />

to the surrounding environment. In<br />

is called the critical period of child<br />

development, because the changes that<br />

happen in the brain during these first<br />

tender years become the permanent<br />

foundation upon which all later brain<br />

function is built. In order for the<br />

brain’s neural networks to develop<br />

normally during the critical period, a<br />

child needs specific stimuli from the<br />

outside environment. While the world<br />

evolves and changes around us, this<br />

rule in child development has not and<br />

will not change. The problem is that,<br />

essential stimuli are being pushed aside<br />

in favour of screen time. Little ones at<br />

very tender ages are spending way too<br />

much time in front of a screen and not<br />

getting enough required stimuli from<br />

the real world. Consequently, in very<br />

large scales, their developments are<br />

being affected. and not just for a while<br />

- if the damage happens during these<br />

crucial early years, those results can<br />

affect them for long term.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 29


<strong>Baby</strong> & Toddler<br />

Early Education And Development<br />

But there’s loads of<br />

stimuli in there!<br />

True, the tablet and/or smartphone<br />

offers a whole lot in terms of stimuli, but<br />

the ability to process multiple actions<br />

simultaneously—is exactly what young<br />

brains do not need during their critical<br />

developing years. They need to be<br />

emotionally nourished, communicating<br />

with family members, connecting with<br />

them, making friends, etc.<br />

For example, a smartphone-told<br />

story can never take the place of a<br />

mother reading a story to a child.<br />

The smartphone way is akin to force<br />

feeding images, words, and pictures<br />

all at once to a young brain. So, rather<br />

than having to take the time to process<br />

a mother’s voice into words, visualize<br />

complete pictures and exert a mental<br />

effort to follow a storyline, a toddler<br />

who follows stories on a smartphone<br />

might get incompetent in terms of<br />

cognitive growth, for the device is<br />

doing all the thinking.<br />

How the modern<br />

world is creating<br />

little introverts<br />

There is an area of the brain, called<br />

the frontal lobe, that is responsible for<br />

decoding and comprehending social<br />

interactions. Why is this important?<br />

Because it is the part of the brain we<br />

use when we learn how to empathize<br />

with others, take in nonverbal cues<br />

while talking to friends and colleagues,<br />

and learn how to read the hundreds<br />

of unspoken signs—facial expression,<br />

tone of voice, and more — all the<br />

elements that add color and depth to<br />

real-world relationships. This learning<br />

and developments takes place during<br />

the critical growing years.<br />

The issue today is, while this crucial<br />

development is dependent on<br />

authentic human interactions, a<br />

growing number of toddlers and<br />

children are spending lots of precious<br />

time in front of tablets instead of<br />

communicating and playing with<br />

family members and other children.<br />

Hence, their empathic abilities—the<br />

near-instinctive way most of us read<br />

situations and get a feel for other<br />

people— is slowly being dulled off.<br />

This is after all,<br />

real life<br />

Often, we break out in a laughter<br />

when we see babies trying frantically<br />

to “swipe” a page of a magazine,<br />

or punch their adorable little fingers<br />

onto a poster or book as if it were a<br />

touchscreen. It’s cute to look at, but<br />

it points to something much deeper<br />

in the child’s brain— which is a wrong<br />

understanding that all actions have an<br />

immediate effect, and all stimuli elicit a<br />

quick response.<br />

This is true only in the on-screen<br />

world, but nowhere else! And this is<br />

where confusion and misconceptions<br />

begin - in the tender developing<br />

years. When every finger swipe brings<br />

about a response of colors and shapes<br />

and sounds, a child’s brain responds<br />

gleefully with the neurotransmitter<br />

dopamine, the key component in our<br />

reward system that is associated with<br />

feelings of pleasure. Dopamine hits<br />

in the brain can feel almost addictive,<br />

and when a child gets too used to an<br />

immediate stimuli response, he will<br />

learn to always prefer smartphonestyle<br />

interaction—that is, immediate<br />

gratification and response—over realworld<br />

connections with people, pets,<br />

toys, etc.<br />

This pattern and its consequences,<br />

mimics, in a less intense manner, the<br />

disturbing cycle teachers, psychologists<br />

and physicians often witness in young<br />

children with behavioral issues.<br />

A time for everything<br />

Now that we’ve helped you understand<br />

how overexposure to smartphones can<br />

pose a danger for your young child’s<br />

developing brain, it’s up to you to<br />

make an effort to control the situation.<br />

We’re not denying that there are a lot<br />

of benefits to letting little ones use<br />

technology. Once a child is over the age<br />

of two, feel free to allow limited screen<br />

time. We recommend a maximum of<br />

an hour of playing with the tablet or<br />

smartphone each day—to help develop<br />

coordination, hone quick reactions, and<br />

even sharpen language skills. As long<br />

as you treat it just the same as with<br />

allowing them access to other toys and<br />

tools - it should stay in moderation, and<br />

never stand in for human interaction.<br />

There has to be clear boundaries<br />

between the online world and reality.<br />

Powering off when you need to is the<br />

best way to help your child differentiate<br />

between the two.<br />

30 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bright Kids<br />

Growing Up<br />

Hygiene:<br />

How does your<br />

child fare?<br />

Kids do not always see the point of keeping themselves clean, especially when<br />

they’re busy having fun. Cleanliness can sometimes even be quite a chore when<br />

you’re a young child with so many other things to do. However, with the recent<br />

spread of alarmingly dangerous diseases everywhere, good hygiene habits will<br />

definitely go a long way in keeping our loved ones well and free from harmful<br />

diseases. Here are some useful pointers to keep in mind when it comes to hygiene<br />

and cleanliness.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 31


Bright Kids<br />

Growing Up<br />

Forming lifelong habits<br />

Most habits, especially those that last a lifetime, are formed<br />

during childhood. We tend to form all sorts of habits from<br />

the time we are young. This is why it’s really important that<br />

kids are taught and reinforced on daily hygiene habits such as<br />

morning and night teeth-brushing, hand washing and so on.<br />

They are the keys to a healthier life, really.<br />

Tip: Try making bathtime<br />

a precursor to a relaxing<br />

bedtime story. As young kids<br />

take part in these actions daily,<br />

they will start to accept them<br />

as part of their daily lives.<br />

When a child begins to attend<br />

pre-school, he or she will begin<br />

to pick up hygiene lessons at<br />

school and this can serve you<br />

if you know how to use it to<br />

your favour. At this age, since all their other friends are also<br />

doing the same, they find it fun and acceptable to wash their<br />

hands, use a hankie and so on and so forth.<br />

Sometimes, all you will have to do is to reinforce good<br />

hygiene practices at every opportunity. For instance, you<br />

can remind your child to wash his or her hands for at least<br />

20 seconds before every meal, after using the bathroom and<br />

after coming in from playing outside.<br />

Are those hands clean?<br />

Disease-causing germs on unwashed<br />

hands can enter the body when a<br />

person touches their nose, mouth,<br />

and open wounds. Alternatively,<br />

these germs can spread to others by<br />

handling shared items and touching<br />

common surfaces. So, teaching kids<br />

to wash their hands properly greatly<br />

reduces the risk of transmission.<br />

Hands should be washed before:<br />

• Eating or serving food<br />

• Preparing/helping to prepare a meal<br />

• Putting in contact lenses<br />

• Tending to or helping to tend to someone who is sick or<br />

treating a break in the skin<br />

Cleanliness at Home<br />

As a parent, your household hygiene habits count too. Be<br />

diligent about cleaning and disinfecting tables, countertops,<br />

and other frequently touched<br />

surfaces. Disinfect the hard<br />

surfaces that kids touch<br />

frequently, including door<br />

knobs, tables, light switches<br />

and countertops. However,<br />

do remember that all food<br />

contact surfaces must be<br />

rinsed after disinfection.<br />

Sanitize soft surfaces like bags<br />

or backpacks. These practices<br />

will help you to stop the<br />

spread of germs your child<br />

may bring home from school or the playground.<br />

Get the whole family involved<br />

Most households with school-going kids will find it a<br />

challenge to maintain a balance in chores within the<br />

household, especially when it comes to designating cleaning<br />

duties to the kids. This is especially when the school year is in<br />

full swing, where family schedules can<br />

be overtaken by after-school activities,<br />

special events, sports practice, and<br />

homework. However, it is still essential<br />

that important cleaning tasks be carried<br />

out within the household to prevent<br />

the spread of germs at home.<br />

With some planning ahead, you can<br />

indeed turn cleaning into a daily habit for<br />

everyone and if done right, it’s possible<br />

for a family to fit some important tasks<br />

into their daily routines – and make<br />

cleaning quicker and easier, too.<br />

Involve your kids - Ask your child or<br />

children to help you come up with<br />

a chore assignment plan. By taking<br />

ownership, they will be more engaged<br />

and feel like a part of the solution<br />

to keep the house looking clean and<br />

staying germ-free!<br />

Wash hands after:<br />

• Using the bathroom<br />

• Taking out trash<br />

• Playing with, touching, or cleaning up after pets, especially<br />

reptiles and exotic animals<br />

• Touching uncooked food<br />

• Caring for a sick person<br />

• Blowing the nose, coughing or sneezing<br />

32 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bright Kids<br />

Growing Up<br />

Assign a family member to each specific cleaning task.<br />

Each person can hold multiple responsibilities, such as<br />

taking out the trash and doing the dishes. To keep things<br />

lively and also to beat boredom, tasks can be rotated to<br />

either weekly or fortnightly.<br />

Create a rotating weekly schedule or cleaning wheel to show<br />

which family member’s turn it is to help with a certain task,<br />

like sweeping, folding laundry or taking out the garbage.<br />

Beneficial habits to form<br />

• Kids rooms. Make sure your child straightens up his or<br />

her room at a certain time every day, be it before bedtime<br />

or when they return from school.<br />

• Clean bathrooms. Have a ruling where the last person<br />

out of the shower is to spray the bathroom with a daily<br />

cleanser, or squeegee shower walls and doors. Using a<br />

disinfectant spray each day can help prevent the growth of<br />

mold and mildew in showers and tubs.<br />

• Kitchen habits. Clean the kitchen sink every day. Don’t<br />

forget to clean cutting boards that are used with raw<br />

meats, poultry, and seafood.<br />

• Wipe away! Wipe down kitchen and bathroom counters<br />

with a disinfecting wipe every night before bed — moist<br />

surfaces breed more germs than dry surfaces.<br />

• Debris-free. Empty backpacks daily to get rid of debris.<br />

• Ready for use. Replenish hand sanitizer and tissues as<br />

needed.<br />

• Donate regularly. Set up a box or bin for “items to<br />

donate” and regularly add the toys, clothes, and other<br />

items you are no longer using to keep clutter minimized.<br />

Disinfect & protect<br />

Anti-bacterial products can be found in almost every<br />

household in Malaysia. They can be in the form of household<br />

cleaning products and even personal hygiene products. In its<br />

broadest definition, an antibacterial is an agent that interferes<br />

with the growth and reproduction of bacteria. Antibacterials<br />

are now most commonly described as agents used to disinfect<br />

surfaces and eliminate potentially harmful bacteria.<br />

List of antibacterial products available in the market:<br />

Hand soap/gels<br />

Disinfectant sprays<br />

Floor washes<br />

Laundry powders/liquid<br />

Bath gel/soap<br />

Kitchen cleaning products<br />

Free your household of<br />

dust and mold<br />

Dust and mold are often not treated as potential<br />

health hazards, but in truth, they certainly are.<br />

Every household should be concerned about<br />

them, for they can cause serious respiratory<br />

problems, among others. Here's how you can<br />

keep them under control:<br />

• Vacuum carpets every week.<br />

• Routinely use non-residue producing<br />

disinfectants for bathtubs, shower curtains,<br />

sinks,<br />

and other areas that are often wet.<br />

• If you have a ventilation fan in your<br />

bathroom, make sure to turn it on whenever<br />

you use the shower, as it helps keep mold<br />

from growing<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 33


Bright Kids<br />

Feature<br />

Is second-hand<br />

smoke exposure<br />

endangering your<br />

children’s lives?<br />

It’s a hard concept to take in but, did you know that children who are exposed to<br />

secondhand smoke are inhaling nicotine and other chemicals into their bodies just<br />

like smokers? Read on…<br />

34 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Bright Kids<br />

Feature<br />

Cigarette smoke<br />

is known to<br />

contain around<br />

4,000 chemicals,<br />

a number of which are<br />

known cancer causers,<br />

and is related to a range of<br />

illnesses such as asthma,<br />

chronic obstructive<br />

pulmonary disease,<br />

cancer, and heart disease.<br />

Although it can be quite<br />

challenging to try and keep children away from secondhand<br />

smoke produced by smokers, it is the responsibility of parents<br />

to do whatever they can for their children’s sake. Here are<br />

some pointers.<br />

If you haven’t quit the habit yet...<br />

Smoking is a challenging addiction to give up but if you’re<br />

serious about taking charge of your health, there are<br />

resources available, which can help guide you through the<br />

process. Since <strong>January</strong> 2007, the Ministry of Health Malaysia<br />

has provided a hotline service to aid smokers in giving<br />

up their habit. This hotline is known as Infoline Berhenti<br />

Merokok at 03-88834400. It operates daily during working<br />

hours. Infoline Berhenti Merokok is hosted by the Health<br />

Education Division of the Ministry of Health Malaysia. Services<br />

provided: Advice on quit smoking; Tips to quit smoking; and<br />

Quit Smoking Clinic. Operating Hours: 8.00 a.m. - 5.00 p.m.<br />

Mondays to Fridays (working days only).<br />

Fact<br />

No amount of secondhand smoke is<br />

considered safe to inhale, especially for<br />

children!<br />

Help other family members quit too<br />

If there are any other smokers who spend a lot of time<br />

around your children, try to help them stop smoking too.<br />

Although quitting a habit such as smoking is a personal<br />

choice, you may be able to persuade them to quit, especially<br />

if they already know the dangers of smoking to their own<br />

health and to others.<br />

Try explaining to them about the harmful carcinogens that<br />

your children are being exposed to by their habit. This may<br />

take a bit of tact, but it has to be done for the good of your<br />

family. Don’t forget to emphasise on the personal benefits<br />

they will enjoy as a result of quitting too. Lastly, offer as much<br />

emotional support as possible to help them quit the habit.<br />

Encouraging fact<br />

20 minutes after your last cigarette, your heart<br />

rate and blood pressure decrease. One year after<br />

quitting, your risk of contracting coronary heart<br />

disease is cut in half. Ten years after quitting, the<br />

risk of dying from lung cancer is 50% lower than<br />

that of a continuing smoker.<br />

Make your home a smoke-free zone<br />

Your home is where your family lives<br />

in so you have every right to forbid<br />

smoking in your house, especially if<br />

you’re serious about your children’s<br />

health. As troublesome or sensitive<br />

as it can get, you will have to start<br />

somewhere. One way is to make<br />

a polite, casual announcement in<br />

Facebook, for example, that you wish<br />

to take the wellbeing of your family<br />

seriously and request that family<br />

members and friends who visit your<br />

home from now on refrain from<br />

lighting up inside the house.<br />

Be aware of outside<br />

exposure<br />

NO<br />

SMOKING<br />

You may be able to control the situation in your own home,<br />

but it’s not quite possible to do the same when you bring<br />

your child to public places. Nevertheless, it’s still just as<br />

important to try and limit their exposure to secondhand<br />

smoke as much as possible.<br />

Firstly, identify the places that do not ban smoking in their<br />

premises and as long as you can help it, avoid frequenting<br />

those places with your child. After all, there are plenty of<br />

other places, such as certain restaurants, playgrounds, parks,<br />

etc, that operate on a no- smoking policy.<br />

Avoid theaters, entertainment venues, and anywhere that<br />

smokers are likely to feel comfortable lighting up. If you<br />

happen to be in a restaurant which allows smoking, keep<br />

your children away from the tables of smokers.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 35


Bright Kids<br />

Feature<br />

You have a right to protect<br />

your kids<br />

Sometimes, you will just have to take the time<br />

and effort to explain to the smokers in your life<br />

that while you value their presence in your life<br />

and your children’s lives, you cannot allow them<br />

to smoke around your children, and that your<br />

children will not be allowed to be around them<br />

while they are smoking. Help them understand<br />

how they are putting everyone around them<br />

at risk when they smoke, particularly children,<br />

who are still developing. Do your best to be firm,<br />

but also respectful when executing this message<br />

and hope for the best.<br />

While talking to your child would work, especially if you<br />

happen to have good communication between you both,<br />

there are also alternative methods which can help you<br />

along. Search for YouTube videos which might help your<br />

children understand the dangers of smoking and secondhand<br />

smoke. Here is one such video worth your child’s attention:<br />

www.youtube.com/watch?v=fF7SNcw7kxQ<br />

What steps are taken by your<br />

child’s school?<br />

DANGERS OF SMOKING<br />

HEART LUNGS BRAIN STOMACH<br />

Educate your children about<br />

smoking and secondhand smoke.<br />

Merely informing your child that smoking and secondhand<br />

smoke are bad or dangerous does not help them understand<br />

exactly why they should not do it. Instead, try explaining<br />

to them the different ways that smoking and secondhand<br />

smoke can harm the body. You may also use examples to<br />

back up your points. If you tell them that smoking is bad for<br />

their lungs, you might consider showing them a picture of a<br />

smoker’s lungs.<br />

Be just as serious when explaining why avoiding secondhand<br />

smoke is also important for their health. Point out, for<br />

example, that even secondhand smoke exposure can lead to<br />

respiratory problems, etc.<br />

As a parent, you will always have the best intentions at heart<br />

when it comes to your child’s health, but it will not always<br />

be possible to shield him or her from the habits of other<br />

people. You’d have a much better chance though, if they fully<br />

understood the ramifications of secondhand smoke, as well<br />

as smoking itself, of course.<br />

Most schools do have some sort of anti-smoking program,<br />

but some may have a less well-developed program than<br />

others. Ask your child’s teacher what the school’s program<br />

involves, and whether or not they include education about<br />

secondhand smoke in their program. If you are not satisfied<br />

with the current program, suggest ways it can be improved,<br />

or better still, ask if you can help.<br />

Children who live with<br />

smokers are more likely<br />

to develop:<br />

• Asthma • Sore throats<br />

• Bronchitis • Ear infections<br />

• Pneumonia • Eye irritation<br />

• Colds<br />

• Allergies<br />

• Coughing/<br />

wheezing<br />

36 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Life & Style<br />

Money <strong>Talk</strong><br />

Eco Friendly<br />

(and Wallet Friendly)<br />

Birthday Party<br />

Ideas<br />

Here’s a fact: Birthday parties generate a lot of waste. There are wrapping papers, disposable<br />

plates and cups which are not necessarily biodegradable , paper towels, birthday cards,<br />

balloons and the list goes on! You can do your part in helping Mother Earth in many ways, and<br />

one of it is making birthday parties ( and any other celebration!) as eco-friendly as possible.<br />

Furthermore, you’ll also be saving some green in your wallet too! Here’s how...<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 37


Life & Style<br />

Money <strong>Talk</strong><br />

Invitations<br />

Well, in the beginning, there<br />

are invitations to send out.<br />

One of the easiest tips for a<br />

green party in this area is to<br />

use the internet for online<br />

invites instead of having a part<br />

in wasting precious resources<br />

through paper invitations.<br />

You’ll also be saving on<br />

postage as well. Still, if you<br />

do somehow prefer a touch<br />

of tradition in your invites, try<br />

printing out invitations from<br />

recycled paper instead. After<br />

printing them out, involve the<br />

kids in personalising each card with colour pencils, etc. Hand<br />

deliver the cards to nearby addresses and mail the rest.<br />

Do away with too many<br />

disposables!<br />

Nowadays, when you think of children’s<br />

parties, you can’t help thinking about<br />

disposable plates, napkins, tablecloths,<br />

cups and even cutlery that get tossed away<br />

after just one use. What a waste of money<br />

and natural resources! Rather than buying<br />

paper products, consider instead reusable,<br />

kid-friendly cups, plates and cutlery. Of course, some effort in<br />

doing the dishes will be needed, but think about the amount<br />

of trash you won’t be generating on your part!<br />

Tip: Allocate a bin for leftovers on plates and another<br />

for the used dishes that need to be washed. That<br />

way, you can tackle them later and they won’t look so<br />

intimidating piled up in the kitchen sink!<br />

Party Food<br />

Sadly kids’ parties in these modern times have become<br />

synonymous with sugary foods that are loaded with<br />

saturated fats, but it need not be that way. Healthier,<br />

greener options for kids party foods are not as complicated<br />

as they sound. Here are some party ideas from cooking guru<br />

Jamie Oliver himself:<br />

1) Set up a “ Do<br />

it yourself “ food<br />

station, where your<br />

child can invite his<br />

or her guests to<br />

make fill up their<br />

own pancakes, make<br />

their own tacos,<br />

etc. You could even<br />

have a pot of pasta and let them decide on which of<br />

your tasty homemade sauces they prefer! With a little<br />

planning ahead and a dash of creativity on your part, the<br />

possibilities are endless.<br />

2) Get clever with the<br />

healthy stuff! A ‘spaceship<br />

power juice’ or ‘Princess<br />

Elsa blueberry smoothie’<br />

will always sound more<br />

enticing than just ‘healthy<br />

fruit juices’. Set up your<br />

juicer/blender on a table<br />

and make them to order –<br />

just like in a juice bar!<br />

3) Use natural colourants for home-made goodies. Colorintense<br />

foods such as beetroot, spinach and oranges, or<br />

a blend of colorful fruits like blueberries, strawberries,<br />

mangoes, pineapple and kiwis make great food dyes and<br />

they add delicious natural flavours to your home-made<br />

fare too! Whether you are dyeing an icing, smoothie, or<br />

cake filling, you will be surprised how beautiful natural<br />

tints come out.<br />

4) Home-made ice-lollies!<br />

These give you the chance to<br />

get really creative, using lots<br />

of different fruits or juices to<br />

create your own combination<br />

of goodness that the kids will<br />

love. There is no need to spend<br />

money on expensive trendy ice<br />

lollie moulds, either; Instead,<br />

try using old yoghurt pots – they work a charm!<br />

5) Cover fruits with chocolate! Melt some dark chocolate<br />

in a double boiler pan, dip peeled, halved bananas or<br />

other soft, kid-friendly fruits and let cool on a greaseproof<br />

paper.<br />

38 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Life & Style<br />

Money <strong>Talk</strong><br />

Birthday cake fact<br />

Store-bought birthday cakes<br />

come in disposable pans and<br />

cardboard boxes, generating<br />

unnecessary trash. Making<br />

your own, however, can be<br />

a much better choice and<br />

you also get to control the<br />

ingredients that go into the<br />

cake, which is especially<br />

important if you have guests<br />

with allergies!<br />

Party drinks<br />

Popular party choices such as<br />

juice boxes, bottled water and<br />

other single-serving beverages<br />

are known to create lots of<br />

waste, for they’re present<br />

in almost every kids’ party!<br />

Instead, Fill a pitcher or<br />

two with homemade syrup,<br />

ice water or even milk and<br />

supply some sturdy plastic<br />

cups instead of paper cups.<br />

Creativity can also go a long way in party<br />

drinks! For example, labeling a large pitcher<br />

of drink as “Premium Fuel Tank” will<br />

surely add some excitement to the drink,<br />

as would allowing little guests to sprinkle<br />

a pinch of of ‘Fairy dust’ into their drinks,<br />

from a bowl of coloured sugar.<br />

Greener deco options<br />

Fancy streamers and<br />

balloons are not cheap,<br />

but parents still seem<br />

to go for them when<br />

it comes to their kids’<br />

birthday party deco.<br />

Balloon are also known to<br />

either pop for get popped<br />

before the party finishes, presenting<br />

choking hazards for small children.<br />

Greener, more kids-friendly<br />

alternatives would include use<br />

materials you already have on hand<br />

to create longer lasting decorations.<br />

Use recycled paper to make banners<br />

and party hats, which guests can<br />

color and decorate themselves as<br />

part of the party activities.<br />

Birthday presents<br />

It might seem weird, but it is perfectly alright to request that<br />

no gifts are brought to the party if that is what you want<br />

to do. Instead, you can ask that everyone bring something<br />

to donate to a local charity or organization. Or, if dealing<br />

with especially difficult relatives, for instance, you can try<br />

requesting that the gifts not come excessively wrapped,<br />

rather wrapped in a reusable cloth bag, or newspaper or<br />

something like that.<br />

Or you can let all the parents know that it’s going to be a ‘gift<br />

for all’ birthday party. This means that all the gifts received<br />

will be placed in a pile and every kid will get to pick one<br />

out to take home. This develops a sense of sharing and that<br />

everyone at the party is special. Kids go home with a better<br />

sense that it was THEIR day too.<br />

Bid conventional<br />

goodie bags goodbye<br />

It seems to be a trend for parents to<br />

offer goodie bags filled with candy and<br />

cheap toys! You don’t have to succumb<br />

to this, especially if you care enough for<br />

your child, those little guests and yes,<br />

the earth too! You can still send guests<br />

home with a small token. You could<br />

always substitute the normal offerings<br />

for a small paperback book or some art<br />

supplies for the goody bag. Tie up the treat in an inexpensive<br />

bandannas and you’ll have the perfect party gift!<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 39


Life & Style<br />

Love For Life<br />

Veganism:<br />

Little ones and<br />

alternative diets<br />

Going vegan these days isn’t just a passing fad. Many people are looking into veganism<br />

to live a life which excludes exploitation of, and cruelty to, animals – be it for food,<br />

clothing or any other purpose. Even though it is becoming less of a rarity these<br />

days, questions do arise on whether the drastic restrictions associated with a vegan<br />

diet is suitable for young children, especially during the critical developing years of<br />

toddlerhood till five or six years old.<br />

40 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Life & Style<br />

Love For Life<br />

Concerns on the lack of nutrients<br />

There are concerns on the apparent lack of nutrients<br />

in a vegan diet which may affect a child’s growth and<br />

development. For instance, vegan food can be lacking in<br />

vitamin D, calcium, iron and possibly vitamin B12, which<br />

are typically derived from the intake of milk and meat in<br />

normal diets.<br />

A vegan diet also isn't very energy-dense: one would have<br />

to eat a lot of it to get enough energy. Toddlers typically<br />

don't eat a lot, so getting enough calories into them can<br />

be difficult. Some dieticians recommend adding some good<br />

vegetable oil to their food.<br />

Another downside of a vegan diet is the lack of protein. A<br />

child who is fed with meat and fish would easily get all the<br />

right amino acids compared to a child who is getting protein<br />

from pulses. The problem here is that one type of bean might<br />

not provide every amino acid, so there has to be a good<br />

balance of pulses which the little one has to consume. In<br />

short, a child will get all the essential amino acids by eating<br />

some chicken meat, but a child who only eats one type of<br />

bean won't.<br />

Be fully informed<br />

Like any other alternative diet practiced in the world,<br />

information and knowledge are the keys to ensure that you’ll<br />

be getting all the right nutrients. Needless to say, parents<br />

raising their offspring on a vegan diet have to be adequately<br />

informed on their child’s nutritional needs and how they will<br />

be met, because, when a vegan diet starts to go wrong, or<br />

when one starts to lax and nutritional requirements are not<br />

met, the child will have to suffer the consequences.<br />

The first symptom is usually that the child fails to thrive or<br />

grow properly. This will probably be due to the shortage of<br />

calories and protein that are required for children to thrive.<br />

Rickets might follow, (caused by deficiencies in vitamin D and<br />

calcium). Yes, such are the severities of deficiencies in major<br />

nutrients in a child’s diet.<br />

However, here are the kickers:<br />

While we may have mentioned<br />

all of the above as the possible<br />

downsides of children on a<br />

vegan diet, the fact is, countless<br />

children all over the world today,<br />

who are all on ‘normal’ diets,<br />

suffer the above outcomes too,<br />

and then some! The availability<br />

of fast foods, modern day foodpreparation<br />

methods and the<br />

over-use of poor quality or overly<br />

processed ingredients all add up<br />

to bring about dire consequences<br />

to children’s health and wellbeing.<br />

Now, that’s food for<br />

thought, isn’t it?<br />

And here’s another one..<br />

Vegan families are more likely to cook at home, and are likely<br />

to be very knowledgeable about nutrition because they have<br />

had to make a lot of effort to follow the diet through. Most<br />

of them follow a whole food diet, and avoid trans-fats and<br />

too much salt. It's actually makes it much easier for vegans<br />

and their children to meet the requirements of the food<br />

pyramid than for other people.<br />

Vegan nutrition for babies and<br />

children<br />

Healthy infants can thrive on well-planned vegan<br />

diets. Breast milk is the best food for infants,<br />

but if you cannot breastfeed your baby, use<br />

properly formulated commercial soya infant<br />

formula. Infant formulas are fortified with<br />

vitamin D3. They are safe alternatives to<br />

breast milk. Note: The vitamin D3 is from<br />

lanolin though, a derivative from sheep.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 41


Life & Style<br />

Love For Life<br />

Tips on vegan diets for young<br />

children<br />

Most vegan babies are ready to enjoy family meals by the<br />

time they are one. Here are some of the best foods for your<br />

vegan child.<br />

• Green vegetables - Other than being an excellent source<br />

of iron, they’re also rich in calcium and antioxidants.<br />

Not many young children take to them easily at first, so<br />

vegan parents may have to resort to blending them into a<br />

tomato-based pasta sauces or adding them to juices with<br />

sweeter vegetables such as carrot. Yummy!<br />

• Calcium-fortified tofu , which just happens to also be<br />

rich in protein, can be made into a mash or be served as<br />

finger food.<br />

• Low salt yeast extract is a good source of B vitamins for<br />

older children – Think Vegemite and the likes.<br />

• Use more soya bean oil or rapeseed (canola) oil for they<br />

are known to encourage the production of fatty acids<br />

that are important for the development of the brain and<br />

vision. You can also add a little of these healthy vegetable<br />

oils to cooked grains to increase their calorie content, and<br />

improve palatability.<br />

• Use avocado, or seed/nut butters on bread to increase<br />

calories.<br />

• Mashed pulses such as lentils, mung beans and chick peas<br />

provide energy and protein. Make sure they’re well-cooked<br />

though. Strain them through a sieve to get rid of the skins,<br />

so that young tummies can digest them and get the best<br />

of all the nutrition they have to offer.<br />

• Using black molasses for flavoring is known to boost iron<br />

and calcium intakes.<br />

• Non-dairy milks e.g. soya milk are popular vegan choices<br />

for they are fortified with calcium, vitamin D2 and<br />

vitamin B12.<br />

• Don’t forget to add sources of Vitamin C for healthy skin<br />

and also to help absorb iron. Vitamin C-rich foods include<br />

broccoli, cabbage, kiwi fruits, oranges, strawberries,<br />

pineapple and oranges.<br />

So….thinking of raising a vegan kid? Consult with a<br />

registered dietician if you have any doubts about your<br />

decisions. He or she can help point you the right direction so<br />

that your child can thrive on this alternative diet.<br />

Calcium needs of<br />

toddlers<br />

We need calcium as one of<br />

the nutrients for healthy<br />

bones. Vegan toddler can<br />

thrive on calcium-fortified<br />

plant milks, breakfast<br />

cereals and some tofu to<br />

meet their calcium needs.<br />

42 <strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong>


Life & Style<br />

Out & About<br />

Preschool White Lodge<br />

Establishes Presence in Kuala<br />

Lumpur<br />

White Lodge International Preschool (White Lodge), one<br />

of the leading preschools known to be implementing<br />

personalised learning modules in Singapore, recently<br />

opened in Bangsar South and Mont Kiara. White Lodge<br />

was born in Singapore in 1999, with three students and<br />

two teachers and armed with the ambition to provide<br />

better early childhood education and support to parents<br />

and children alike. Since then, it has enrolled over 10,000<br />

students from more than 30 nationalities to successfully<br />

grow into becoming one of the very first preschools in<br />

Singapore to recognise the value of creative education<br />

to preschool-aged children. Jayne Nadarajoo, Founding<br />

Director of White Lodge Education Group Services, said that<br />

she was inspired to establish White Lodge after realising<br />

that childhood education tends to focus on academic<br />

excellence, with little emphasis on long-term intellectual<br />

and emotional growth. White Lodge offers a variety of<br />

programmes for children aged 18 months to six and a half<br />

years in an environment where it includes an orientation<br />

towards mastery and students are fundamentally motivated<br />

to demonstrate mastery rather than just good grades.<br />

Holiday joy at Zoo Negara for<br />

over 300 children!<br />

Mention a visit to the Zoo and most children will jump for<br />

joy for the opportunity to get up close and personal with<br />

exotic animals! In conjunction with the spirit of the season,<br />

Mundipharma Pharmaceuticals Sdn. Bhd. (Mundipharma) in<br />

collaboration with Lions Clubs from District 308 B1 & B2 (KL<br />

& Selangor), hosted over 300 children and their caretakers<br />

from four children’s homes and seven children refugee centres<br />

to a special visit to the zoo.<br />

The Mundipharma sponsored initiative is part of the<br />

company’s Corporate Responsibility programme. Speaking<br />

at the event, Mr. Suresh Pragasam, Regional General<br />

Manager, South East Asia at Mundipharma said, “Aligned to<br />

our Corporate Responsibility pledge, we are always on the<br />

lookout for deserving cases and are committed to helping<br />

children in need. As children’s well-being is one of our key<br />

areas of commitment, the educational excursion to the zoo is<br />

especially meaningful as these children get to be themselves<br />

with peaked curiosity as they learn more about animals.”<br />

Helping young Malaysians with<br />

AS move again<br />

Arthritis Foundation Malaysia aims to change Ankylosing<br />

Spondylitis (AS) patients’ lives through the launch of its<br />

‘Will You Back Me Up?’ campaign in conjunction with<br />

World AS Day 2018, to raise funds for young patients who<br />

need access to biologic treatments to lead a normal life.<br />

“First signs of AS usually occurs when patients are in their<br />

late teens or early twenties, and most of them tend to<br />

brush the pain off as a sports injury or sleeping in a wrong<br />

position. The back pain experienced by AS patients can be<br />

misleading and it should not be taken lightly. World AS<br />

Day is celebrated on the first Saturday of May every year.<br />

Some notable celebrities with AS include Taiwanese singer,<br />

Jay Chou and lead-singer of American band Imagine<br />

Dragons, Dan Reynolds.To learn more about Ankylosing<br />

Spondylitis and the AS Fund by Arthritis Foundation<br />

Malaysia, please visit http://afm.org.my/as/.<br />

Sri Kota’s first ever Kids Club<br />

launched<br />

Sri Kota Specialist Medical Centre opened their doors to<br />

a large number of young citizens recently, as the hospital<br />

officially launched its Sri Kota Kids Club, where kids can<br />

go to learn and discover healthy fun every time they visit<br />

Sri Kota. The fun-filled launch, officiated by Sri Kota’s<br />

Hospital Director Madam Tan Suet Guan, together with<br />

the Consultants Pediatrician, Dr. David Foo & Dr. Diana<br />

Osman, and Consultant O&G Dr. Vidnodhini saw children<br />

bonding with their families through various activities.<br />

“In conjunction with our upcoming 20th anniversary<br />

celebration, Sri Kota is extremely delighted to present<br />

the Sri Kota Kids Club for our young patients, offering<br />

them the opportunity to enjoy exceptional benefits in<br />

our hospital. The joyous occasion also welcomed the<br />

children from Good Samaritan Home, and the atmosphere<br />

was brought to life exclusively for the launch, where the<br />

children participated in entertaining activities as well as an<br />

interactively-educational hand hygiene demonstration.<br />

<strong>Baby</strong><strong>Talk</strong> | <strong>January</strong> <strong>2019</strong> 43


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