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	<title>Getzwell Pediatrics &#187; nursing mom</title>
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	<link>http://getzwell.com</link>
	<description>GetzWell Pediatrics offers an integrative approach to health care based on modern western medicine and scientifically-grounded alternatives, including nutrition, behavioral pediatrics, and acupuncture.</description>
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		<title>Benefits of Breastfeeding</title>
		<link>http://getzwell.com/nutrition/nutritionkids/benefits-of-breastfeeding/</link>
		<comments>http://getzwell.com/nutrition/nutritionkids/benefits-of-breastfeeding/#comments</comments>
		<pubDate>Mon, 20 Jun 2011 07:42:05 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[Nutrition]]></category>
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		<category><![CDATA[The Surgeon General’s Call to Action to Support Breastfeeding]]></category>
		<category><![CDATA[Varney’s Midwifery]]></category>

		<guid isPermaLink="false">http://getzwell.com/?p=646</guid>
		<description><![CDATA[This past January Surgeon General Regina M. Benjamin announced the The Surgeon General’s Call to Action to Support Breastfeeding.  Due to mounting evidence of breastfeeding’s myriad health benefits she declared its promotion a national priority.  Indeed, most people have heard about the passage of immunities from mothers to their breastfed infants, but few parents have [...]]]></description>
			<content:encoded><![CDATA[<p>This past January Surgeon General Regina M. Benjamin announced the <em>The Surgeon General’s Call to Action to Support Breastfeeding</em>.  Due to mounting evidence of breastfeeding’s myriad health benefits she declared its promotion a national priority.  Indeed, most people have heard about the passage of immunities from mothers to their breastfed infants, but few parents have been informed that formula-fed babies are at higher risk for developing lower respiratory infections, asthma, atopic dermatitis, obesity, necrotizing enterocolitis, type 1 and type 2 diabetes, childhood leukemia, and sudden infant death syndrome (SIDS).  In fact, the Surgeon General estimates that if 90% of mothers breastfed exclusively for 6 months, nearly 1,000 deaths among infants could be prevented annually!<sup>1</sup></p>
<p>What is it about breast milk that provides such a boost to babies’ health?  Researchers are still working to answer this question.  We know that newborns take approximately 6 months to develop their immune system, making them incredibly vulnerable to disease.  During the first 10 days of life, a breastfed newborn ingests <a href="http://www.llli.org/faq/colostrum.html" target="_blank">colostrum</a>, a yellowish fluid known as “first milk,” and breast milk, both of which contain more infection-fighting white cells (also known as leukocytes) per milliliter than there are in the same volume of blood.  Macrophages and neutrophils are types of <a href="http://www.youtube.com/watch?v=JnlULOjUhSQ" target="_blank">white blood cells</a> that comprise approximately 90% of the leukocytic load, and their job is to engulf and absorb harmful bacteria.  The remaining 10% of these disease-fighting cells are <a href="http://www.medterms.com/script/main/art.asp?articlekey=4220" target="_blank">lymphocytes</a>, primarily T-cells and B-cells, which identify and eliminate invaders while developing antibodies in the newborn.  These lymphocytes produce <a href="http://en.wikipedia.org/wiki/Immunoglobulin_A" target="_blank">Secretory IgA</a>, which protect the newborn against environmental exposures and interferon, an antiviral substance.  Mother’s <a href="http://en.wikipedia.org/wiki/Antibody" target="_blank">immunoglobulins </a>(IgA, IgG, IgM and IgD) are also found in breast milk, and they protect babies from pathogens by coating the superficial layers of the intestines and other mucosal surfaces that serve as points of entry into baby’s body.<sup>2</sup></p>
<p>Gut ecology is of special interest to those in the field of functional pediatrics because a healthy gut is typically indicative of over all health.  Research has shown that approximately 75-80% of immune function originates in the gastrointestinal tract.  Breastfed babies receive beneficial bacteria from the <a href="http://en.wikipedia.org/wiki/Bifidobacterium" target="_blank">bifidus family</a> that produce Gram-positive bacilli in the gut flora and discourage the multiplication of pathogens.  In contrast, babies who consume cow’s milk formula develop Gram-negative (potentially pathogenic) bacilli.  We know that complex sugars in breast milk help to feed the bifidus strains of beneficial bacteria in the infant’s gut.  Just last year researchers at UC Davis revealed that these same <a href="http://www.nytimes.com/2010/08/03/science/03milk.html" target="_blank">complex sugars are not digestible</a> and mimic the surfaces of other cells.  This surface similarity encourages viruses and bacteria to dock with the indigestible complex sugars and not the infant’s gut cells, and this allows babies to flush out viruses and bacteria from their bodies!<sup>3</sup></p>
<p>Breast milk has had approximately 200 million years of mammalian evolution to develop systems to protect the most vulnerable members of the species.  <a href="http://www.getzwell.com" target="_blank"><strong>GetzWell Pediatrics</strong></a> supports the Surgeon General’s initiative and acknowledges that whenever possible “breast is best.”  We are a Breastfeeding Friendly Business and have a host of resources available to support breastfeeding mothers.  If families are unable to breastfeed, we are also prepared to provide individualized supplement programs to best protect their children.</p>
<p>To learn more about the benefits of breast milk and/or breastfeeding alternatives, give us a call at <strong>415.826.1701</strong>. We also invite you to check out our <a href="http://getzwell.com/news/breastfeeding-reduces-risk-of-fever-after-vaccines/" target="_blank">previous post</a> on how breastfeeding reduces risk of fever after vaccines.</p>
<p>****</p>
<p><sup>1</sup> <a href="http://www.surgeongeneral.gov/topics/breastfeeding/calltoactiontosupportbreastfeeding.pdf" target="_blank">http://www.surgeongeneral.gov/topics/breastfeeding/calltoactiontosupportbreastfeeding.pdf</a></p>
<p><sup>2 </sup>Varney, Helen, et al.  <em>Varney’s Midwifery</em>: <em>Fourth Edition</em>.  Jones and Bartlett Publishers, Inc.  2004.</p>
<p><sup>3 </sup>Wade, Nicholas.  “Breast Milk Sugars Give Infants a Protective Coat.”  <em>New York Times</em>.  August 2, 2010.</p>
]]></content:encoded>
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		</item>
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		<title>Online Breast Feeding Resource</title>
		<link>http://getzwell.com/resources/online-breast-feeding-resource/</link>
		<comments>http://getzwell.com/resources/online-breast-feeding-resource/#comments</comments>
		<pubDate>Fri, 14 May 2010 03:11:01 +0000</pubDate>
		<dc:creator>jgetzelman</dc:creator>
				<category><![CDATA[Resources]]></category>
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		<guid isPermaLink="false">http://getzwell.com/?p=235</guid>
		<description><![CDATA[Dr. Jack Newman&#8217;s website provides excellent information for nursing mothers.  He has tips on everything from thrush and sore nipples to breast feeding the toddler.]]></description>
			<content:encoded><![CDATA[<p><a href="http:///www.drjacknewman.com/breastfeeding-help.asp" target="_blank">Dr. Jack Newman&#8217;s website</a> provides excellent information for nursing mothers.  He has tips on everything from thrush and sore nipples to breast feeding the toddler.</p>
]]></content:encoded>
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		<title>Lactation Consultations in Your Home</title>
		<link>http://getzwell.com/services/lactation-consultations-in-your-home/</link>
		<comments>http://getzwell.com/services/lactation-consultations-in-your-home/#comments</comments>
		<pubDate>Wed, 24 Mar 2010 18:26:05 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<guid isPermaLink="false">http://getzwell.com/?p=156</guid>
		<description><![CDATA[Lactation Consultations in Your Home &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully. Our board certified Lactation Consultant, Mary Janowitz, is available for visits in the comfort of your home in order to address your breastfeeding questions or challenges. Whether you have an issue with painful, inverted or flat nipples, latch issues, [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Lactation Consultations in Your Home</strong> &#8211; GetzWell Pediatrics is committed to helping new mothers breastfeed successfully.  Our board certified Lactation Consultant, Mary Janowitz, is available for visits in the comfort of your home in order to address your breastfeeding questions or challenges.  Whether you have an issue with painful, inverted or flat nipples, latch issues, blocked milk ducts, mastitis, or insufficient milk production, GetzWell Pediatrics can help!</p>
<p><em>*House Calls are only available in San Francisco and Pacifica.</em></p>
]]></content:encoded>
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		<title>Newborn House Calls</title>
		<link>http://getzwell.com/services/newborn-house-calls/</link>
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		<pubDate>Wed, 24 Mar 2010 18:18:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<guid isPermaLink="false">http://getzwell.com/?p=133</guid>
		<description><![CDATA[Newborn House Calls &#8211; Transitioning to your role as new parent can be both exciting and daunting. In order to help your family ease into its new rhythms, GetzWell Pediatrics offers newborn house calls* within 2 – 3 days of your child’s birth. House calls allow our board certified pediatricians to spend unhurried time (usually [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Newborn House Calls</strong> &#8211; Transitioning to your role as new parent can be both exciting and daunting.  In order to help your family ease into its new rhythms, GetzWell Pediatrics offers newborn house calls* within 2 – 3 days of your child’s birth.  House calls allow our board certified pediatricians to spend unhurried time (usually 75 minutes) to complete a thorough history and exam, assist with breastfeeding, answer questions and begin the education process that is at the heart of our  integrative medicine approach, all in the comfort of your home.</p>
<p><em>*House Calls are only available in San Francisco.</em></p>
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		<title>Integrative medicine</title>
		<link>http://getzwell.com/glossary/integrative-medicine/</link>
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		<pubDate>Wed, 24 Mar 2010 18:07:12 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<guid isPermaLink="false">http://getzwell.com/?p=123</guid>
		<description><![CDATA[Integrative medicine &#8211; Integrative medicine blends the best of conventional, complementary and alternative medical approaches, addressing not only physical symptoms, but also psychological, social, environmental and spiritual aspects of health and illness. It believes in stimulating the innate human capacity for healing, empowering patients in their own care, while providing them with choices in healthcare [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Integrative medicine</strong> &#8211; Integrative medicine blends the best of conventional, complementary and alternative medical approaches, addressing not only physical symptoms, but also psychological, social, environmental and spiritual aspects of health and illness. It believes in stimulating the innate human capacity for healing, empowering patients in their own care, while providing them with choices in healthcare that are proven to be safe and effective.</p>
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		<title>Omega-3s during pregnancy and while breast feeding</title>
		<link>http://getzwell.com/nutrition/nutritionadults/nutrition-for-adults/</link>
		<comments>http://getzwell.com/nutrition/nutritionadults/nutrition-for-adults/#comments</comments>
		<pubDate>Mon, 06 Apr 2009 18:22:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<guid isPermaLink="false">http://getzwell.com/news/nutrition-for-adults/</guid>
		<description><![CDATA[Wild, cold water fish like salmon, mackerel, anchovies, herring, and sardines are the best source of the essential fatty acids called omega-3s.  These fats are not only important for a baby&#8217;s developing brain and visual system, but also keep mother&#8217;s immune system and that of the developing baby functioning optimally.  As long as pregnant women [...]]]></description>
			<content:encoded><![CDATA[<ul>
<li>Wild, cold water fish like salmon, mackerel, anchovies, herring, and sardines are the best source of the essential fatty acids called omega-3s.  These fats are not only important for a baby&#8217;s developing brain and visual system, but also keep mother&#8217;s immune system and that of the developing baby functioning optimally.  As long as pregnant women eat small, wild (not farm raised) cold water fish they will minimize exposure to mercury which can be harmful to developing infants.  Three (3-4 ounce) servings per week of these small wild fish provide the omega-3s mom and baby need.  (Try canned wild salmon which can be prepared like tuna salad and is delicious.)  While pregnant, women should never eat raw fish.  No sushi during pregnancy!</li>
<li>Because omega-3 fatty acids are not produced by our bodies, it is important to supply these <strong>essential</strong> oils, if not by eating fish then by taking a fish oil supplement.  A pharmaceutical grade fish oil supplement will have no detectable heavy metals and will cause no fishy burps, even in pregnancy.  It is important to purchase a reputable brand such as Nordic naturals, Carlson&#8217;s or Pharmax and to take at least 300mg of DHA and 500mg EPA daily.</li>
<li>It&#8217;s important that a breast feeding mother&#8217;s diet include small cold water fish and/or fish oil in order for her breast milk to pass adequate amounts of the essential fatty acids to baby.  If she doesn&#8217;t eat fish or supplement with fish oil, her milk will have very low quantities of the omega-3s.  Infant formulas add these omega-3s because they are so widely recognized to be essential to optimal brain growth, a reminder that all breast feeding women need omega-3s in their diets.</li>
<li><strong>Dr. Getzelman&#8217;s Favorite Fish Taco Recipe </strong>
<ul>
<li>3-4 oz per person of sole or other white fish&#8211;cook for about 2 minutes on each side in olive oil and chopped garlic (season to taste with a pinch of sea salt).  Be careful not to overcook and cause fish to dry out.  Set aside, keeping fish warm.</li>
<li>warm up corn tortillas (preferably organic which are available at Bi-Rite or Whole Foods) in tin foil in the oven at 325 F for 15 minutes</li>
<li>quarter sweet cherry tomatoes using a sharp knife (Del Cabo brand is organic and these tomatoes are delicious); cut a ripe avocado into bite size pieces; wash and chop several sprigs of fresh cilantro; finely chop half of a medium size red onion</li>
<li>combine the tomatoes, avocado, cilantro, and onion and squeeze the juice of a lime on the mix; add a pinch of sea salt (and a small sprinkle of cayenne for a kick!) and toss these salsa ingredients; put in the fridge to keep cool</li>
<li>place 1 to2 warm tortillas on each plate, cover with fish, and generously spoon fresh salsa on top</li>
<li>serve with lime wedges, and rice, beans or a green salad and VOILA&#8211; it&#8217;s a meal in under half an hour!</li>
</ul>
</li>
</ul>
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