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SrAnnRichardson

Sister Ann Richardson is a distinguished healthcare professional known for her comprehensive expertise in family practice and wellness. As a Registered Nurse and Midwife, Sr. Ann Richardson is affiliated with the South African Nursing Council. Her extensive experience spans midwifery and pediatrics, making her a trusted figure in maternal and child healthcare.

Sr. Ann serves in multiple capacities: she is a clinic nurse and counsellor specializing in clinical services, family practice, and group practice with a multi-disciplinary approach. Additionally, she is a certified Health and Wellness Coach and Life Coach, focusing on holistic well-being. As a sleep specialist and wellness counsellor, she offers invaluable guidance to parents and caregivers, helping them navigate the complexities of child-rearing and family health.

An accomplished author, Sr. Ann Richardson has penned the renowned books “Baby Sense,” “Sleep Sense,” and “Toddler Sense,” providing expert advice on child development and well-being. Her contributions to healthcare extend beyond individual consultations, as she shares her knowledge and insights through her writings and public engagements. Sr. Ann Richardson continues to impact lives positively, offering support and expertise to families, ensuring their health and happiness.

Gut Guardians: How Probiotics Supercharge Your Defences
Children's HealthExpertsPre-schoolers

Expert Gut Guardians: How Probiotics Supercharge Your Defences

by Sr Ann Richardson, Nurse and Midwife July 29, 2025
written by Sr Ann Richardson, Nurse and Midwife

Winter months are particularly challenging when colds and flu can quickly disrupt routines. Children get sick often, especially those in daycare or at school. As a result, parents need more time off work as they must manage the extra expense and the stress of caring for a sick child. Investing in a probiotic for your child’s long-term health is a simple yet effective way to reduce the stress of constant illness and missed work, writes Sr Ann Richardson: RN RM, Specialist Nurse Practitioner, Author and Parent Coach.

Probiotics are a natural, non-invasive way to support the gut microbiome, maintain health, reduce the need for antibiotics and promote faster recovery if antibiotics are needed. Investing in a probiotic for your child’s long-term health is a simple yet effective way to reduce the stress of constant illness and missed work.

When choosing the right probiotic to strengthen your child’s immunity, look for one that contains ingredients such as:

Ingredient Benefits Table
Ingredient Benefit
Howaru Bifidobacterium Lactis,
Bifidobacterium Longum Spp. Bi-05
Supports healthy gut bacteria
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B6
Vitamin B12
Supports energy production, nervous system and brain function
Regulates the activity of immune cells to help the body respond to viral threats
Maintains healthy skin, hair and nails
Vitamin D3 Important for muscle and bone strength
Supports the immune system
Vitamin E Protects cells from damage caused by free radicals
Supports the immune system
Prevents blood clots
Helps to maintain healthy skin and eyes
Folic Acid Promotes the production of healthy red blood cells, which carry oxygen around the body

**As recommended by the World Gastro guidelines

The Biotic Shield

The immune system is a complex network of specialised organs, cells and molecules that help protect against diseases caused by bacteria, viruses and toxins. Immune resilience is important to reduce the risk and/or incidence of infections, allergies and certain diseases.

Did you know that the gut is the largest immune organ and hosts 70-80% of the human body’s immune cells, and therefore, the gut microbiota (a collection of “good and healthy” bacteria that live in our gut) is essential for proper immune, metabolic and cognitive development in infants and children. The establishment of a healthy gut microbiome is a process that occurs over time and is shaped by ongoing environmental factors from infancy. This healthy balance plays a key role in immunoregulation and normal development, especially so in childhood. 

A healthy gut microbiota is a balanced one, meaning it is a delicately balanced ecosystem between good and beneficial bacteria and potentially harmful (pathogenic) ones.  Maintaining this balance is important as dysbiosis (an imbalance) is associated with the development or pathogenesis of many long-term diseases.

The development and maintenance of this balanced microbial community in the gut is widely recognised to play an essential role in contributing to short and long-term health, disease prevention, and avoiding the excessive use of antibiotics for infections.

A healthy gut microbiome plays an important role in regulating digestion, immunity and energy production. It plays a crucial role in the following:

  • Immune function, which is your body’s defence system identifying and fighting off germs, viruses, and other threats to keep you healthy.
  • Stress responses, which is how gut bacteria communicate with the brain via the gut–brain axis and circadian-regulated HPA axis to modulate the body’s hormonal and neural reaction to stress, keeping stress hormones balanced and enhancing resilience.
  • Neuroplasticity in the brain is the brain’s lifelong ability to reorganise and form new neural connections in response to learning, experience and injury.
  • Energy metabolism is how the body turns the foods you eat into the fuel that powers every cell, movement and thought.
  • Gene expression is the process that reads the instructions in a gene and uses them to build a functional molecule, like a protein, that carries out vital tasks in your cells.

Many factors can impact the development and colonisation of the gut microbiome, and these include:

  • Increased rates of birth by C-section instead of natural birth, which bathes a newborn in her mother’s own vaginal and gut bacteria (friendly microbes that seed the baby’s first gut community).
  • Westernised diet and lifestyle (with the associated development of obesity)
  • Excessive hygiene practices
  • Exposure to air pollution
  • Increased early use of proton pump inhibitors, non-steroidal anti-inflammatory drugs and antibiotics

The impact of antibiotics

Antibiotics are chemical substances produced by a living organism, generally a microorganism, that are detrimental to other microorganisms and therefore useful in preventing or treating disease, including bacteria and fungi.

Developmental pathways may be affected by antibiotic-related gut microbiota disruptions, which can influence the development of many other body systems and organs, such as essential fatty tissue and the brain via the “gut-brain” axis.  This may result in weaker cognitive, behavioural and emotional outcomes beyond childhood.

In the presence of severe infection, antibiotics are an important treatment regimen. However, a growing body of evidence suggests that dysbiosis (an imbalance) of gut microbial from infancy may not only be associated with increased risk of gastrointestinal colic pain and discomfort, but may also be associated with an increased risk of infections, childhood diseases and allergies.

Concurrent use of probiotics and antibiotics is beneficial to prevent and treat antibiotic-associated diarrhoea. While there are mixed opinions about whether taking probiotics at the same time could make the probiotic less effective, your health care provider may recommend taking a probiotic one to two hours after an antibiotic.

What else can be done?

Children who are exposed to multiple courses of antibiotics are at risk of immune-related disorders and an increased susceptibility to develop non-communicable diseases, like asthma, allergies and inflammatory bowel disease.

In addition to probiotics, nutritional strategies offer a good opportunity to rebalance the compromised microbiota in early life.  A nutritionally complete diet is important to ensure adequate intake of nutrients such as iron, zinc and vitamins C, D and E. To keep your gut buddies happy, focus on fibre-rich foods like fruits, veggies and whole grains, add fermented goodies such as yoghurt or kefir, and don’t forget regular exercise, good sleep and plenty of water, because these all play a part in nurturing your gut community. Additionally, carbohydrates (including lactose) and lipids are important sources of energy, and proteins are essential for growth and development.

It is important to remember that probiotics can be the best solution for boosting your child’s immunity during the winter months and beyond.

As parents, we can easily manage a daily intake of probiotics to support gut health, improve digestion, and strengthen the immune system, making it an essential part of a proactive approach to health.

References:

  1. Bailey MJJ et al. Gut Microbes: 2020. Exposure to air pollutants and the gut microbiota: a potential link between exposure, obesity, and type 2 diabetes. Available from: https://pubmed.ncbi.nlm.nih.gov/32347153/
  2. Gallego C et.al. Microorganisms: 2021. Available from: https://www.mdpi.com/2076-2607/9/6
  3. Houghteling PD, Walker WA: J Paediatric Gastroenterol Nutrition: 2015. Why is initial bacterial colonization of the intestine important to infants’ and children’s health? Available from: https://pubmed.ncbi.nlm.nih.gov/25313849/
  4. Kamphorst K et.al. BMJ Paediatric Open: 2021. Early life antibiotics and childhood gastrointestinal disorders: a systematic review. Available from: https://bmjpaedsopen.bmj.com/content/bmjpo/5/1/e001028.full.pdf
  5. Korpela K et.al. Microbiome: 2017. Childhood BMI in relation to microbiota in infancy and lifetime antibiotic use. Available from: https://microbiomejournal.biomedcentral.com/articles/10.1186/s40168-017-0245-y
  6. Korpela K et.al. Paediatric Research: 2020. Microbiome of the first stool after birth and infantile colic. Available from: https://pubmed.ncbi.nlm.nih.gov/32053826/
  7. Martin R et.al. Beneficial microbiomes: 2010. Early life: gut microbiota and immune development in infancy. Available from: https://www.researchgate.net/publication/51562000_Early_life_gut_microbiota_and_immune_development_in_infancy
  8. Oezer R et.al. Br J Nutrition: 2010. Functional milks and dairy beverages. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1471-0307.2009.00547.x
  9. Roswaal J, et al. Cell Host and Microbe: 2021. Available from: https://www.sciencedirect.com/science/article/pii/S1931312821001001
  10. Wu HJ, Wu E. Gut microbiomes: 2012. The role of gut microbiota in immune homeostasis and autoimmunity. Available from: https://www.researchgate.net/publication/221853536_The_role_of_gut_microbiota_in_immune_homeostasis_and_autoimmunity
  11. Rodgers B; Kirley K; Mounsey A: J Fam Pract. 2013 62(3): 148-150

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BYY parenting and sleep expert, Sr Ann Richardson gives some pointers on finding the right day care for your child.
ExpertsParenting

Expert How to choose the right day care

by Sr Ann Richardson, Nurse and Midwife May 4, 2024
written by Sr Ann Richardson, Nurse and Midwife
https://babyyumyum.com/wp-content/uploads/How-to-choose-the-right-day-care-audio.mp3

At some point in your baby’s life, you may be faced with the reality of returning to the workplace. BYY parenting and sleep expert, Sr Ann Richardson gives some pointers on finding the right day care for your child.

At some point in your baby’s life, you may be faced with the reality of returning to the workplace.  The decision to be a ‘stay at home mom’, or a working mom is based very much on everyone’s personal, spiritual, and economic needs.

Financial commitments may make the decision to return to work a non-negotiable one.  Some mothers are happy and content fulfilling a sole role of mothering and nurturing, whilst some personalities need extra challenges and stimulation outside of the home to feel fulfilled.

In our society some might judge working moms as unnatural, yet there are many different types of moms in the world with unique emotional, financial, and mental needs.

 Sometimes, the role of stay-at-home mom who makes the decision to care for her child is disregarded and undervalued for work and time given that is accorded little respect. It can seem like it’s a no-win situation. 

Check out: How to carve out time after maternity leave

The fact that being a working mother is something that many feel they must apologise for, at least some of the time, might make you doubt whether your children are happy and well adjusted, even when all the evidence points to them being so.

Finding a workable solution, from all aspects, be they financial or social, will make the often-traumatic transition back into the workplace much more bearable.

Having said that, ensuring the health and well-being of your child when you return to work (for whatever reason) will be of paramount importance to you. 

Research has shown that although a child may form close relationships with her childminder, this does not affect the emotional bond between mother and child.

Also read: 13 tip to prepare your child for their new sibling 

There are various childcare options:

  1. Individual child care
  • Utilising your existing domestic worker in your own home if she is good with babies and enjoys children and has the necessary skills.
  • Enlisting the help of a friend or family member
  • Employing a nanny or au-pair
  1. Group child care
  • Enrolling your child into day care

See the pros and cons of day care below:

INDIVIDUAL CARE

FOR

AGAINST

 Domestic worker

·  Individual attention for child in terms of stimulation and routine.

·  Familiar surroundings of the family home.

·  Flexibility of extended hours of care with the same caregiver.

·  Extra household chores can be done at the same time.

· Continuous care, even if the child is ill.

·   Lack of supervision in terms of stimulation and routine.

·  Isolation of the caregiver from a security point of view (safety in numbers).

·  No back-up if caregiver is ill, or on leave.

·  May be overloaded with other household tasks.

·  May not have the relevant knowledge or skills.

Family / friend

·  Individual attention for child in terms of stimulation and routine.

· If in family home, may be in familiar surroundings.

· Allows parent more flexibility in terms of time constraints.

· Limited exposure to infections from other children if the only child being cared for.

· Care is continuous, even if the child is ill.

· Rest assured your child is loved and cared for as there is a personal bond.

·  No back-up if caregiver is ill or on leave.

· If not kept in the family home – unfamiliar surroundings, and increased exposure to infections if many family members present.

·  Isolation of the caregiver from a security point of view (safety in numbers).

Au – pair or nanny

· Specifically trained individual able to care for and stimulate the child appropriately for his age and ability.

· Familiar surroundings of the family home.

· Negotiable for flexibility of extended hours of care giving.

· Limited exposure to infections from other children.

· Continuous care, even if child is ill.

· Extra duties, such as grocery shopping, and doctors’ visits can be dealt with.

· Isolation of the caregiver from a security point of view.

· No back up if caregiver is ill or on leave.

· Caregiver’s personal life may impact on the family.

GROUP CARE

FOR

AGAINST

Day mother

· Small groups of children (less than 6)

· Socialisation with other babies.

· Can offer care all year round.

· May have good staff/child ratio.

· Possibly checked by the authorities, if registered.

· Increased risk of exposure to illness.

· Exclusion if the child is ill.

· Inflexibility of routine to fit individual’s needs.

· May have insufficient staff/child ratio.

· Inflexibility of extended hours of caregiving.

· Exposure of your child to the elements early in the morning, or late in the afternoon, whilst travelling.

Creche/nursery

· Can offer care all year round.

· Sufficient staff to cover in case of staff absence due to illness or leave.

· Stimulation and socialisation with other babies.

· Increased security- ‘safety in numbers”.

· Possibly checked by the authorities, if registered.

· May have insufficient staff/child ratio.

· Inflexibility of extended hours of caregiving.

· Exposure of your child to the elements early in the morning, or late in the afternoon, whilst travelling.

· Exclusion if child is ill.

· Inflexibility of routine to fit individual child’s needs.

· Increased risk of exposure to infections.

· Inflexibility of extended hours of caregiving.

What to look for when choosing a childcare centre: 

  • Are you made to feel welcome by all the staff?
  • Get recommendations from moms’ groups, your communities, the local well-baby clinic, friends and family.
  • Is there a relaxed atmosphere, and a sense of joy around?
  • Is the centre clean, bright, and airy, with no smells of dirty nappies or cooking?
  • Are the toys and play equipment in a good state of repair?
  • Are the babies in a separate section from the toddlers and older children?
  • Do the staff know the children by name?
  • What is the staff/child ratio? (for small babies, it should be 1:3)
  • Do the children seem to be content, happy, and stimulated?
  • How is the distressed child treated?
  • Do they offer a healthy, varied diet?
  • Are the staff suitably qualified – and are they exposed to continuing education?
  • Is there a daily stimulation programme appropriate for each age group?
  • Is the geographical location of the centre convenient for you? Consider traffic flow with a view to time management.

It is important that you take your time before rushing into a hasty decision regarding child-care for your child.  Consider all options carefully and do some of your own research too and you will find the best place for you to feel satisfied that your child is well-looked after and cared for while you are at work.

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baby sleeping, Read on to find out how much sleep does your baby need.
BabiesExpertsNewborn Babies

Expert How much sleep does your baby need?

by Sr Ann Richardson, Nurse and Midwife April 10, 2024
written by Sr Ann Richardson, Nurse and Midwife

As your baby’s every waking moment is spent learning about the entire world and exploring the surrounding environment, it is understandable that he will need his baby sleep, says BYY’s parenting & sleep expert Sr Ann Richardson. Read on to find out how much sleep does your baby need.

As your baby’s every waking moment is spent learning about the entire world and exploring the surrounding environment, it is understandable that he will need his rest. When asleep, your baby processes all that he has experienced during his awake time.  His brain must take stock of all this exciting information for him to grow and develop. If your baby is awake for too long, he will become overstimulated, which can cause excessive fussiness and crying.

Although sleep requirements may differ from baby to baby, this is a guide to the approximate amount of time your little one might spend in dreamland:

 Newborn sleep

During your baby’s first few weeks of life, he may have no concept of night and day. He will most likely sleep when he’s tired and wake up when he’s hungry. Most newborn babies spend approximately 16 to 20 hours per day sleeping (although premature babies will sleep more).

During the day, your newborns awake window is between 45 – 60 minutes before he will need a sleep. Breastfed babies are likely to sleep for two to three hours at a time, as breast milk is digested very quickly. Bottle fed babies may spend slightly longer periods sleeping, as formula milk is less easily digested and, as such, they may not need to feed as regularly. By making night-time feeds quiet and dark and daytime feeds active and light you can help your newborn to associate sleep with night and wakefulness with day.

Try not to let your newborn go for more than four hours without a feed, as this may cause baby’s blood sugar to drop too much. Also keep your eyes open for extreme lethargy as this could be a symptom of other problems such as jaundice. If your newborn is sleeping for excessively long periods of time, please consult your healthcare provider for advice or a check-up.

Check out: Sleep training the gentle way

3 – 6 months baby sleep

By the time your baby is between three and six months old, he will spend more time awake. His awake window will be around 90-120 minutes. At this point, he will sleep for approximately 13 to 16 hours per day. It is during this time that his wake/sleep rhythm will become more routine. Your baby will begin to sleep more at night and less during the day.

Please bear in mind that daytime naps are still crucial to prevent him becoming overstimulated.  

He will begin to link his sleep cycles together for longer stretches during the night, although there may still be a feed at some stage during the night.

6 – 12 months baby sleep

During the second half of your baby’s first year of life, he will need around 12 hours of sleep per night, with a couple of shorter naps during the day. He needs to sleep around 12-14 hrs per During the day, his awake window will be in the region of 2 – 3 hours before he is ready for a nap. If your baby is healthy, growing well and consuming a healthy balanced diet during the day, he will be able to stretch around 10-12 hrs at night without needing nutritional support.

Inevitably your baby will go through phases when he is ill, teething or plunged into a new environment, where he may experience difficulties sleeping. Unless your baby is ill, it is important to stick to your chosen routines and rituals.

Also read: Baby massage- how to do it

Books to buy: 

Baby Sense

Sleep Sense

Also read: How much formula does your baby need?

Does your baby sleep through the night? Tell us in comments.

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