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Miriam Margolyes has shared a health update after heart surgery, revealing that she now has part of a cow’s heart. Back in May, the Harry Potter actor underwent a minimally invasive procedure called a Transcatheter Aortic Valve Implantation (TAVI) to replace a narrow aortic valve after it fails to open properly. Appearing on the Table Manners podcast, Margolyes, 82, discussed the heart operation with hosts Jessie Ware and her mother, Lennie. “I’ve got a cow’s heart,” Margolyes revealed. “Well, not the whole heart. I’ve had an aortic valve replaced by a cow’s aortic valve.” Jessie asked if that was “common”, with Margolyes joking: “I think it’s rather refined, actually… I don’t know how common it is, I’d never heard of that operation. But it saves you from having open heart surgery, which would be infinitely more invasive.” Further discussing the surgery, Margolyes explained: “They made two little holes in your groin, one in each groin. and then they shoved this thing through. And I don’t know how they pull it up but they sort of pull it up with strings, into your heart. “And then when it comes to the point when it’s in your heart, they pull a little string and it goes pow! And lo and behold, your artery or your aortic valve is shoved unceremoniously to the side, and the cow’s aortic valve says, ‘Moo, I’m here.’ It’s rather amazing.” Margolyes also shared that she would “probably” use a wheelchair soon due to her bad back, but had “just sort of accepted” that it was going to be necessary. On her new fandom and being seen as a “national treasure”, thanks to her outspoken nature, she added: “It’s lovely to hear that you like me and you approve of me. But I truly am a little old lady. Trying to make a living. Trying to keep going.” Last month, the actor released her new memoir, titled Oh Miriam: Stories from an Extraordinary Life. In the book, which was full to the brim with revelations, Margolyes wrote that her current state of disability meant that she now is mostly unable to perform on the theatre. Describing herself as “semi-crippled”, she wrote that “usually that means you have to stop”. “I don’t think I can do theatre again unless I’m playing a character similarly disabled,” she said. “I know Maggie [Smith] and Eileen [Atkins] and Judi [Dench] and Vanessa [Redgrave] still tread the boards, and they’re older than me – but they’re fitter, b***** it, and good luck to them!” Read More Tilda Swinton, Steve Coogan and Miriam Margolyes among 2,000 artists calling for Gaza ceasefire 11 biggest revelations from Miriam Margolyes’ hilarious new memoir Miriam Margolyes says Steve Martin was ‘horrid’ on film set: ‘Perhaps he was method acting’ Call The Midwife ‘should come with a health warning’ My kids don’t have sushi in their packed lunches – does it make me a bad mum? Adele reveals she’s three months sober after being ‘borderline alcoholic’ in her 20s

Popular TV show Call the Midwife needs a health warning, academics have said. Experts from King’s College London and the University of Liverpool said television programmes showing “inaccurate birthing practices” should require safety recommendations for viewers to avoid misinterpretations by the public. Researchers analysed 87 births shown in 48 episodes of BBC’s Call The Midwife, This Is Going To Hurt and Channel 4’s One Born Every Minute. They compared how the depiction of these births compared to modern guidelines from the National Institute for Health and Care Excellence (Nice). The births largely compared favourably to modern care guidance, the authors found. We saw too early cord clamping in most televised births but no programme informed viewers about the safety aspects Prof Susan Bewley But a third of the time depictions of midwives and doctors clamping the umbilical cord were shown inaccurately or dramatised, according to the paper which has been published in the journal JRSM Open. Researchers said that without a safety warning to inform viewers otherwise, the general public and healthcare professionals could think the clamping practices they see are correct. Nice guidance states that women should not have the umbilical the cord clamped earlier than one minute after the birth unless there is concern about cord integrity or the baby’s heartbeat. But the academics found that in 21 instances clamping appeared to happen immediately or too early. Susan Bewley, professor emeritus of obstetrics and women’s health at King’s College London, said: “Millions of viewers watch programmes like Call The Midwife every week to be entertained but the line between fact and fiction is blurred. “We are impressed that UK television shows have accurately depicted some changes in childbirth over the last century, but on the other hand they have also provided the public with a picture of poor-quality care when it comes to clamping during childbirth. “These inaccurate depictions could influence how people see real-world care. “We saw too early cord clamping in most televised births but no programme informed viewers about the safety aspects. “When showing outdated practices, broadcasters have a public health duty to inform viewers that this immediate medical intervention is no longer recommended. No broadcaster would show the sleeping positions associated with cot-death without comment.” Andrew Weeks, professor of international maternal health at the University of Liverpool, added: “Health professionals know that midwives and doctors should not interrupt the flow of blood to the newborn baby nor separate the mother and baby without a pressing reason, and yet this is what is being shown on popular television programmes as common practice. “Incorrect depictions like this, however routine, can lead to misinterpretations of correct practice by the public. “This illustrates the need for safety recommendations when TV dramas show birthing practices and procedures that are outdated and inaccurate.” A spokesperson for Call The Midwife said: “Call The Midwife is a drama, not a documentary, and is set half a century ago. “It is highly accurate to the period it depicts, and shows how childbirth has changed radically over the years.” The study was published as the charity Lullaby Trust, which raises awareness of sudden infant death syndrome (SIDS), highlighted infection prevention among newborns. It said that parents should avoid letting other people kiss their baby and should always ask people to wash their hands before touching a newborn. “Even infections that cause mild symptoms such as a common cold in adults and older children can be life-threatening for babies,” said charity chief executive Jenny Ward. Read More Halloween: 10 wicked ways to kit out your haunted house Black magic: Go back to black this season with the catwalk-inspired trend How to prep your home for when the clocks go back Menopause campaigner Mariella Frostrup: ‘I look forward to a future where women gradually stop feeling so ashamed’ More girls miss school and college due to their periods than colds, survey finds More girls miss school and college due to their periods than colds, survey finds

Trends come and go, but if you had to bet all your chips on one colour never going out of fashion, you can bank on black. And as designers ditch colour in their collections and crave the fluid, liquid lines of fashion’s darkest and most addictive shade, you can embrace mood-boosting monochrome and jet black without any fear of making a fashion faux pas – or bad buy. From a showy shoulder at Balmain – who would have thought that a PVC maxi dress could look even more sultry? …To sexy, slinky sequins at Michael Kors; tailored, long black coats (LBC) at Max Mara, Dolce & Gabbana, Victoria Beckham and Prada, black is more than a shot in the dark this season – and the devil is in the detail. To get the catwalk look, here’s what’s hot on the high street and will make a great first impression… Black blazer Call it the power blazer, Le Smoking, or straightforward tailored trouser suit, this is your wardrobe staple to look sharp. “The trouser suit is an icon of sophistication and confidence,” says Zoe de Abreu, co-founder of Ro&Zo. “A black blazer matched with trousers will be the perfect companion for all occasions, as it transcends perfectly from day to night.” For a dare-to-bare aesthetic, go topless underneath – apart from a sexy black bralette – and accessorise with a cosmic choker or pukka set of pearls. Ro&Zo Black Belted Blazer, £129; Black Pleat Detail Trousers, £109. Reiss Alia Slim Fit Single Breasted Satin Suit Blazer, £268; Alia Flared Satin Waistband Suit Trousers, £178. Showy shoulder “The off-shoulder trend takes on a new dimension this autumn, adding a feminine touch to seasonal wardrobes,” opines de Abreu. She says this trend is elegant and feminine, and can be worn in a range of textures, such as jersey, velvet and Merino wool. Moreover, baring a shoulder is very flattering – the neckline lengthens the neck, frames the face – and is a great transitional, versatile piece with a good measure of va-va-voom. Ro&Zo Black Jersey One Shoulder Top, £49; Ombre Sequin Skirt, £129. Reiss Adele Velvet Off-The-Shoulder Jumpsuit, £178. Luxe lace Ladylike lace has been reimagined with trims adorning jersey and velvet – and it’s made a beeline for the little black dress. Whether a flattering midi dress is crafted from a luxuriously soft jersey that contours your curves, “A delicate lace-tiered hem adds a dramatic finishing touch,” says Karen Peacock, chief creative officer and co-founder, Albaray. Or embellished on the neckline and hemline of velvet, sheer lace channels some vintage charm with the X-factor. In fact, if you’re feeling thrifty, be inspired by ribbon and trim shops and think about sewing a lace trim on an existing black dress for an instant update. Albaray Jersey & Lace Mix Dress, £89. LK Bennett Anouk Black Velvet And Lace Dress, £429. Sparkle Whether you go full-out sequins or dazzle in rhinestones, a sexy shimmer is where it’s at. “For autumn, sequins really capture the essence of festivity, allure and drama,” notes de Abreu. “Sequins are all about adding a touch of glamour to your look, and letting your outfit take the centre stage.” Moreover, “A flattering silhouette is created with a sequin halter top and matching flared trousers,” says Peacock. “Wear together to make a statement, or dress down and style with jeans or a simple T-shirt,” she adds. Next Flutter Sleeve Tie Waist Mini Dress, £60. Albaray Sequin Top, £69; Sequin Trousers, £99 – available mid-October. Long black coat A long black coat may not set your pulse racing, but the LBC took to the runway in its droves, with designers making it a key piece in their collections. And let’s face it, nothing looks more elegant or grown-up than wrapping yourself in wool. Just make sure it’s calf-length or longer. As Peacock puts it: “A sharply tailored black coat is a true investment piece, which is both functional and stylish.” “With the ability to style casually or formally, it will be a go-to during the colder months for years to come.” Next Belted Long Coat, Black, £62. John Lewis Hand Finished Robe Belt Wool Blend Coat Black, £159; other items from a selection Read More How to prep your home for when the clocks go back Menopause campaigner Mariella Frostrup: ‘I look forward to a future where women gradually stop feeling so ashamed’ More girls miss school and college due to their periods than colds, survey finds More girls miss school and college due to their periods than colds, survey finds How to look after your immune system as the weather changes How to protect your plants as the first frosts arrive

I’m standing outside my local cafe in west London, looking bedraggled as I’ve been up since 6.45am making the dreaded school packed lunch. It’s nothing exotic – margherita pizza for Lola, who is a fussy eater, and plain pasta with cheddar cheese and corn on the cob for Liberty. There were all the snacks to pack, too – sadly, no chunks of carrot, just Pom-Bears and breadsticks. I am buying a croissant to add to one of the lunch boxes when I bump into the mum of one of my daughter’s friends. “Oh darling,” she tells me, “it’s all ‘white food’. Not good.” I shrug my shoulders knowingly, then stupidly ask her what’s in her kids’ packed lunches. “Sushi bento box,” comes her instant reply. “Crudites and organic hummus. Japanese panda crackers. Seaweed crackers. Dim sum. Oh, and sandwiches cut into little shapes – I do hearts and stars.” Right. That’s a good start to my morning; I now feel totally inadequate. When it comes to my children, I am a slave to the packed lunch. But gone are the days of stuffing a hard-boiled egg, a jam sandwich or processed cheese triangles into a box – as was the case when I was a child. Even apples have been voted a prehistoric lunchbox item by 17 per cent of parents. Instead, packed lunches are now a status symbol. The actor Hilary Duff, for instance, gives her son caviar for a snack – and it’s not that unusual. One in 10 parents (9 per cent) choose sushi and, according to a recent survey by Amazon Fresh, 26 per cent of parents take a photo of their children’s packed lunch for Instagram. A third (33 per cent) have also admitted they’ve taken a sneak peek inside another child’s lunchbox – and believe me, it’s often to silently snack-shame another parent. I can’t help but wonder if food and snacks are a kind of modern litmus test of parenting. But does it really make you a better parent if you give your child home-cooked wild keta salmon and wholemeal rice in a thermal container for lunch? The playground politics of packed lunches are complex. Parents are constantly criticised for sending inappropriate lunches to school. The TV chef Jamie Oliver once said unhealthy packed lunches are tantamount to child abuse. At the other extreme, parents are finding the time to stamp cucumbers with flowers and dice dried herbs into them for their kid’s bento boxes – then post them online. There seems to be no middle ground. Christina (not her real name) is a 40-year-old PA and tablescaping specialist whose child attends a prep school in west London’s Notting Hill. She makes all of her daughter’s packed lunches from scratch, and it’s always organic produce. “I always wanted to go that extra mile,” she tells me. “My motivation to do this was never to be ‘Queen Bee mum’ – it was to make my daughter happy and proud of me.” The “presentation” and “the taste” of the packed lunches, she says, is “super important” – to such an extent that it needs to be “Instagram-worthy” and “fun” in order to encourage her daughter to eat healthily. One of her lunch box specialities, she adds, is mini American hot dogs “decorated with a little flag and a drizzle of ketchup”. “I know it is always going to be flagged by other mothers because the school is very competitive,” she continues. “This dish goes around the mums like wildfire because mums always want to outdo other mums.” If I put out a post saying how much fibre children should be having, I get people replying saying that ‘it’s unrealistic’ and ‘we can’t do that as well as everything else’ when it comes to kids’ foods. It ends up with parents pitting themselves off against one another with food Charlotte Stirling-Reed, child and baby nutrionist While school playground rivalry among parents used to be about pigtails and bows in your children’s hair, Christina says, now it’s about lunch and snacks. “Kids have a much more sophisticated palate,” she explains. “They’re exposed to a lot more than a ham and cheese sandwich. The playing field has widened, and the bar has been set higher due to social media, and Deliveroo and Uber Eats – everything has become more instantaneous.” For other parents, it’s about making a packed lunch as wholesome as possible – something my children would scoff at. Ella Mills, the founder of the plant-based food brand Deliciously Ella, tells me she has found “batch cooking” easiest for her daughter’s packed lunches at nursery. “It’s a real rush getting everyone dressed, ready and out of the door each morning,” she says. “Plus, thinking of something to cook at 7am that’s got no nuts, no sesame in it [due to possible nut allergies], that I’ll know they’ll eat, and that doesn’t take a little while to make. So I make huge batches of veggie bolognese, bean chilli or sweet potato and chickpea stews plus big batches of grains, then simply heat a portion up and pop it in a thermos. Something that’s pre-made makes a world of difference.” Other parents call in the professionals. Chef Meryem Korkut Avci of Mary’s Mobile Chef Services does “meal preps” for elite customers in west and north London. She sends over an ingredients list and will then come to your home once a week and cook for the whole family – a two-hour session is £120 for six dishes (on the seventh day, her clients usually get a takeaway). For packed lunches, she says gluten-free muffins are popular. “Also egg or chicken fried rice, chilli con carne with tortilla, little mini puff pastry rolls with cheese – or sausage rolls.” She’ll even wash up – and says clients use her because “they don’t have time” or are “bored of their own food”. Dr Megan Rossi, a gut health scientist, bestselling author and founder of the website The Gut Health Doctor and The Gut Health Clinic in London, says an ideal packed lunch would contain something from each of the super-six plant groups: “Legumes (such as chickpeas), vegetables, whole grains (such as oats and barley), fruit, nuts and seeds and herbs and spices. Hitting all these is a tricky one but for optimal health, the goal is for them to have at least one from each of these most days. It’s a great target to have in mind!” She advises “hiding legumes and whole grains in sweet treats like black bean brownies with porridge oats,” and says that “while not a long-term strategy to keep plants a secret, it can help build some confidence and comfort with those plants (as well as training childrens’ taste buds) for you to reveal when the time is right.” For chocolate lovers – like my daughter, Lola – Dr Rossi also suggests “making your own chocolate bars with dried fruits, popcorn, seeds and nuts included for extra dietary fibres and a more satiating treat”. I personally can’t see how I would fit that into my schedule. But for many parents healthy eating is a full-time job. Children may need to be offered a specific food “around 10 times” before they accept it, according to research, while Dr Rossi adds that it means nothing to a child if you merely tell them food is healthy or unhealthy. “Try explaining to them from a young age about the importance of their gut microbes,” she says. “Tell them they need to feed the little pet bugs in their tummy with broccoli, for instance, to help keep them strong.” I often feel ashamed that Lola is a fussy eater – though I find solace in the fact that her younger sister isn’t. Dr Rossi claims that what mums-to-be eat during pregnancy may also affect the kind of food your child will have a taste for. “That could play a part with fussing eating,” she says, but adds that she’s not keen on “mum guilt”: “Pregnancy is hard enough without the added pressure of nutrition.” Charlotte Sterling-Reed, “The Baby and Child Nutritionist”, runs a fussy eater course, and assures me that “parents are not bad parents if they are struggling with a fussy eater at home”. She says she is currently witnessing a backlash from “defensive parents” who are fed up with being told to live up to the “ideal” of being a perfect parent. “If I put out a post saying how much fibre children should be having, I get people replying saying that ‘it’s unrealistic’ and ‘we can’t do that as well as everything else’ when it comes to kids’ foods,” she says. “It ends up with parents pitting themselves off against one another with food.” An extravagant lunchbox is also not realistic for the majority of parents, she adds, “whether working or not, and nor should it be – there is a way to find a balance”. She says that a middle ground is possible. “As parents, [we can] pick something that is balanced but that also works for the family situation. This constant comparison between two extremes on social media makes us feel like we are failing in multiple aspects of parenting.” I don’t think I’m ever going to be posting my kids packed lunches on Instagram. I also know that sliced pepper fingers won’t get eaten even if I arrange them in the shape of a smiley face. More than anything though, I won’t feel guilty about my kids’ food habits any more, or the lengths I sometimes go to to get them to eat healthy – I once told my daughters that if they didn’t drink their freshly squeezed orange juice, their legs would fall off. And, you know what, it worked! Read More Keir Starmer is keeping his children out of the public eye – but that won’t stop them being privileged I’m a jellyfish parent – my run-in with a tiger mum was terrifying Kate Moss credits her stress-free life to ‘moonbathing’ – can eccentric wellness regimes help me too? Vasectomy and British men in their twenties: ‘Young, none and done’ Why taking a mental health day could be bad… for your mental health What the world’s happiest children tell us about where Britain is going wrong

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Adele has revealed that she’s three months sober after a period of drinking heavily in her 20s. On Friday 13 October, the “I Drink Wine” singer admitted onstage that she recently gave up alcohol after seeing audience members drinking “a pint” of whiskey sour during her Las Vegas residency show. In a video shared on X, formerly known as Twitter, she told concertgoers at The Colosseum at Caesars Palace: “I stopped drinking… maybe, like, three and a half months ago.” However, Adele - whose full name is Adele Adkins - acknowledged that it hasn’t been easy refraining from alcohol. “It’s boring. I mean, oh my God, it’s boring,” she continued. “I was literally borderline alcoholic for quite a lot of my 20s, but I miss it so much. I cut out caffeine [too].” The singer jokingly added: “So, enjoy your whiskey sour. I’m very, very jealous.” Adele, 35, previously addressed her relationship with alcohol during a performance in March, when she detailed her pandemic drinking habits. “I remember when I came here in Covid, in lockdown. It was 11 am, and I was definitely, like, four bottles of wine in - like we all were,” she revealed, per the Evening Standard. “I said in 2020 that I wanted to put my album out. And we were all at home just drunk basically.” In an interview with Vogue in October 2021, the “Hello” singer admitted that she has a very “close relationship” with alcohol. She explained to the outlet: “I was always very fascinated by alcohol. It’s what kept my dad from me. So I always wanted to know what was so great about it.” Perhaps the singer has recently cut out drinking because she’s been planning a week of celebrations, in honour of her son Angelo’s eleventh birthday on 19 October. She shares Angelo with her ex-husband, Simon Konecki. “This week my son turns 11 years old,” she told the audience on Friday. “Can you believe that? We have got a busy week coming celebrating him. He is very much like me because I take my birthday very seriously.” “So, it is a whole week or a month celebration, which I think everyone should treat their birthday like,” she added. The “Rolling in the Deep” singer noted that her only child “seems to have adopted” very similar habits as her own when it comes to birthday celebrations. “He is like, ‘Can I do this and do that?’” she explained. “I am like, ‘That is very expensive. You are 11. Shouldn’t we be having a tea party still?’” “But you know, 11-year-olds in 2023 are, like, going on 25,” Adele continued, as she joked that her update for next week’s Las Vegas show “will be being a bullied mother”. Between songs, the Grammy award-winning singer often takes moments to banter and chat with audience members, often dropping personal anecdotes and spotlighting lucky fans. Earlier this month, the singer referred to her longtime boyfriend, sports mogul Rich Paul, as her “husband” to the delight of fans. Adele’s Las Vegas residency began on 18 November 2022, and is scheduled to end this fall on 4 November 2023. Read More Adele shows off massive diamond ring amid marriage rumours with ‘husband’ Rich Paul Adele’s boyfriend Rich Paul offers advice for Taylor Swift and Travis Kelce Adele says online shopping and ‘making special time’ for boyfriend Rich Paul make her happy Adele shows off diamond ring amid marriage rumours with ‘husband’ Rich Paul Rich Paul responds to Adele marriage rumours after singer calls him ‘husband’ Kourtney Kardashian reveals she and Travis Barker conceived son without IVF

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