[REBROADCAST] Supplements, Nutrition, and Environmental Toxins During Pregnancy with Dr. Anne Kennard

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I loved my conversation with Dr. Anne Kennard so much the first time that I thought it would be perfect to rebroadcast this week.

Dr. Anne Kennard is a fellow board-certified OB-GYN. She is also fellowship-trained in integrative medicine and an herbalist, nutritionist, and yoga instructor. Anne is truly dedicated to taking an integrative approach to women's health and her passion definitely shines through in this episode. 

Anne and I talked about nutrition during pregnancy, why weight gain isn't the best indicator of your health during pregnancy, supplements moms should look for, and why she takes an integrative health approach with her moms-to-be. We also chat a bit about why you should do more research into nutrition during pregnancy since your OB-GYN probably didn't get a whole lot of training in this area. 

We also discuss environmental toxins including pesticides and how they can affect your pregnancy and your baby. She shares some great resources for learning about foods and supplements to look for and which to avoid or to buy organic. This episode is seriously packed with practical information, so you might want to take notes!

In this Episode, You’ll Learn About:

  • How Anne decided to add an integrative medicine approach to her training as an OB-GYN
  • Why many OBs don't have an extensive understanding of nutrition for pregnancy
  • The differences between integrative, functional and alternative medicine
  • Foods and supplements Anne particularly recommends to pregnant parents
  • The impact environmental toxins like pesticides can have on you and your baby
  • How her own pregnancy affected Anne's approach with her patients
  • Tips for minimizing your exposure to chemicals and other harmful substances during and after pregnancy

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I want this podcast to be more than a one sided conversation. Join me on Instagram where we can connect outside of the show! Through my posts, videos, and stories, you'll get even more helpful tips to ensure you have a beautiful pregnancy and birth. You can find me on Instagram @drnicolerankins. I'll see you there!

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[REBROADCAST] Supplements, Nutrition, and Environmental Toxins During Pregnancy with Dr. Anne Kennard

Nicole: You are going to love this rebroadcast episode with my fellow OB GYN colleague, Dr. Anne Kennard, we talk all about nutrition, supplements and environmental toxins during pregnancy. Enjoy.

Nicole: Welcome to the All About Pregnancy & Birth podcast. I'm Dr. Nicole Calloway Rankins, a practicing board certified OB GYN who's had the privilege of helping hundreds of moms bring their babies into this world. I'm here to help you be knowledgeable, prepared, confident, and empowered to have a beautiful pregnancy and birth. Quick note, this podcast is for educational purposes only and is not a substitute for medical advice. Check out the full disclaimer at www.ncrcoaching.com/disclaimer. Now let's get

Nicole: Hello and welcome to another episode of the podcast. Thank you for spending some time with me today. This is a fun episode today. I have a fellow OB GYN on and I love supporting other OB GYN who are really passionate about the work that they do to help take care of women. And my guest today is definitely passionate about what she does. Her name is Dr. Anne Kennard. She is a board certified OB GYN. She's fellowship trained in integrative medicine, and she's the mother of a toddler. She's also an herbalist, a nutritionist and a yoga instructor. She is very passionate about health and the body, mind and spirit. She is truly dedicated to an integrative approach to women's health. Now, Anne and I have a fascinating and informative discussion where she shares her knowledge and recommendations about nutrition during pregnancy, what supplements she recommends that pregnant women take and also environmental toxins that women should avoid during pregnancy.

Nicole: You will probably want to take notes with this episode. She shares a ton of useful information. Now, before we get into the episode, let me do a quick shout out. This is to a AYEQueen2B. She left me this review on iTunes and it says, "I love Dr. Rankin's demeanor and knowledge as a doula. I love what they cover and feel like I'm learning things all the time." Thank you so much for that lovely review AYEQueen2B. And I do want to give a shout out to all of the doulas out there in the audience. I know I have a lot of doulas who listen to me, so I appreciate your support and you recommending me to your clients. I'm a huge supporter of doulas and the work that you do. So thank you. Thank you. Thank you. All right. So without further ado, let's get into the episode with Dr. Anne Kennard. Hey Anne. Thank you so much for agreeing to be on the podcast. You have a really unique background and I know that the listeners will find our conversation very helpful.

Anne: Thank you so much for having me on. I am so excited to be here and talk to your podcast listeners. Yeah.

Nicole: So why don't you start off by telling us a little bit about yourself and your work and your family.

Anne: Thank you. I am a board certified OB GYN and I live in California in San Louis Obispo and have a three year old daughter. And after I completed my residency in OB GYN, I knew I was passionate about wellness and medicine about food. As medicine, mind, body medicine, I had already become a yoga and meditation instructor. My bachelors and masters work were in nutrition and I found out about integrative medicine. So I actually went back to school, which is something I never thought I would do after completing a residency. And I did a two year fellowship in integrative medicine. And from that, then I learned about herbal medicine and loved that. And so followed up with training in herbal medicine as well.

Nicole: Oh, very interesting. So why don't you just tell us a little bit what exactly is integrative medicine?

Anne: Integrative medicine is a newer discipline. It's been out maybe the last 20 years or so. One of the founders was Dr. Andrew Weil. He's probably the most famous and it's a discipline of medicine that focuses on not just conventional medicine and surgery, but mind body medicine, things like yoga and meditation, Tai Chi movement as medicine, food as medicine, supplements, herbal medicine, other health systems like Chinese medicine. And it's not the absence of Western medicine and surgery. It is truly integrative, so it's not complimentary or alternative. It is all of those things together. So this is the way I practice. If my patients need a medication from the pharmacy, I write it. If they need surgery, I do their surgery, but we're also talking about how to live our best lives with lifestyle modifications as well.

Nicole: Well, that is awesome because so much of your health is beyond like physical health. There's more to your health for sure.

Anne: Sure. Absolutely. And I think pregnancy is one of those times in life where integrative medicine is so wonderful because this is a time that many women are really interested in making healthy decisions for their baby. And a lot of times women are pretty healthy going into pregnancy and they're not needing a lot of Western medication and surgery. And it's a nice time to bring in other health aspects to improve their wellness during pregnancy.

Nicole: Right? So before we get into how you incorporate that in pregnancy, can you answer really quick, how does integrative medicine differ from functional medicine? Because that seems to be a newer thing that's coming up. How do those two things differ?

Anne: Yes. Functional medicine will be my next adventure. I'm truly a lifelong learner here. They do differ enough that the programs are completely different. The integrative medicine trains more on herbal medicine and the other health systems, the Chinese medicine, IR Veda, the mind, body medicine, energy medicine, all of the evidence behind those modalities, functional medicine is the root cause of why people got sick in my opinion. And so the name, it blame it, tame it game. You know, you have this, this is why you feel bad. Here's the pill for it is what functional medicine is looking to address. And so they do a lot of specialized testing and they have a lot of resources in terms of individual diets. Nutrogenomix how your individual genetics play to supplements. And they often are able to uncover a root cause as to why someone has the illness that they have and then kind of rebuild it from the ground up.

Nicole: Gotcha. Gotcha. So it sounds like those two things would work well together. Integrative medicine and functional.

Anne: Yes. I believe so. You know, each program is years long and costly and so both are relatively new. So there's not very many physicians that have completed both programs, but I think that's where, what we'll see in the future is, people starting to move that direction.

Nicole: Gotcha. Gotcha. Well, so let's talk about then how you incorporate your integrative medicine training and knowledge into the care of your pregnant patients. How do you do that?

Anne: Integrative medicine is the way I practice. It's part of every interaction that I have. And so every time I see one of my pregnant gals, you know, I'm asking her not just is your baby moving, are you leaking fluid, et cetera, et cetera. I ask her, how's your mood, any new stressors? How are you managing stress? What are you eating? What supplements are you taking? I ask about exposure to environmental toxins during pregnancy and besides asking about, you know, alcohol and some of the things that harm pregnancy that we know more about.

Nicole: So it's more than just the tummy, chest and heart tones that we all in many ways we're trained on.

Anne: Yes, exactly.

Nicole: Yeah. How do you do that in the context of appointments? Because I remember those days of being in the office and the way the schedule works, how do you make that work?

Anne: It's tough. I mean, I tend to run behind and I feel badly about that, but I also know that if this was my sister or my best friend or my loved one, this is the kind of care, you know, she needed something in that moment. I want to give her my full attention and sit down and talk about it rather than, you know, just kind of blow over things and shoo people out the door. I tend to make longer appointments and I probably make a little less money for it, but that's fine because this is the way I want to practice.

Nicole: Yeah. It sounds like this is, you're obviously very passionate about this and committed to this service for women. Yeah, for sure. So let's talk a little bit about, I know one of the things you do is nutrition. So what are things that you recommend for pregnant women in regards to their nutrition?

Anne: Yes. Well, you know, this answer changed before and after I was pregnant myself, I had a lot of ideas about nutrition and pregnancy prior to my own pregnancy. And I had imagined myself being sort of person to eat lots of kale and brussel sprouts and avocados throughout my pregnancy. And it turned out that I was just sick as a dog and could only look at a box of Cheez-Its. And so it really reshaped my nutrition advice for pregnancy. And I'm really grateful that I had that experience because now I feel like I'm able to give more realistic advice. So the first advice that I have, especially during the first trimester is that you need to try to get in calories. And if you're really averse to a food don't force, it you'll probably feel better in a month or two.

Anne: And there's plenty of time to get adequate nutrition, varied foods throughout your pregnancy. So don't stress about it. Just kind of eat what you can, things that tend to work well for people are sour things like lemonades and there's quality lemonades on the market. You know, you can go to a Trader Joe's or Whole Foods and get something that's organic without high fructose corn syrup. People tend to do well with cooked vegetables rather than raw. And generally people tend to start feeling better in the second trimester. And that's the nice time to start adding in a variety of fruits and vegetables. If tolerated, fat is super important during pregnancy. And I think a lot of pregnant women are afraid of eating fat because they think it's going to contribute to too much weight gain. And they think it's not good for them, but their baby needs a tremendous amount of fat to grow a brain.

Anne: You know, the brain is mostly fat and they lay down fat in the skin and around the organs and the mama needs a lot of fat to start making breast milk, to be having some extra adipose tissue that is normal in preparation for delivery. And it's a great source of energy. And so I really recommend that people try to emphasize healthy fats, pour olive oil over every salad or meat avocados, coconut oil, grass fed butter, grass fed and finished meats. I think that these are all really important. Eggs are super important. Make sure that you eat the yolks. I prefer the Omega three eggs. Like it'll give you a little bit of extra Omega three. And the eggs are a rich source of Coleen, which most pregnant women are deficient in, but Coleen is a fatty substance that directly goes into myelination and brain tissue formation. So super, super important. I eggs every day of my pregnancy.

Nicole: Hm. I'm listening to you. I mean, I'm an OB GYN and I'm like, God, I feel like I knew half of this stuff. We just do not get a lot of training and information on nutrition.

Anne: I don't know about you, but for me, I got less than an hour of training maybe in medical school and certainly nothing in residency on these types of topics.

Nicole: No, I didn't. I didn't. Yet we're also like quote unquote, chastising women. You're gaining too much weight or you're not getting enough of this or that, but not really giving concrete advice to help fix that.

Anne: Exactly. And a lot of people don't gain weight linearly during pregnancy. Some people gain a lot up front and then it evens out. Some people don't gain anything and then they start to go out more. And so I try to look at the overall weight gain rather than visit to visit. You know, personally, I was a 15 pounds by 15 weeks kind of gal, which is, you know, maybe a lot up front, but it all evened out. I think people's eating and metabolisms and pregnancies are all different, right?

Nicole: So you take a really personalized and individualized approach.

Anne: Absolutely. You know, I will sit down and ask people, tell me about your diet. What are you eating? And, you know, I ask them, what did you eat the last 24 hours? And if they're eating good healthy foods, you know, I'm less concerned about the actual pounds than the nutrition.

Nicole: For sure. That's I used to take that same approach as well because otherwise women get caught up in like obsessing over the number.

Anne: Yeah. It's stressful. It's not helpful. You know, the important thing is their wellness, their nutrition, and that includes their mental wellness and stressing about the scale is not contributing to a healthy pregnancy.

Nicole: Exactly. Now I know in addition, you try and you just talked about it, you talk about supplements. Do you recommend that pregnant women take any supplements?

Anne: I do. And again, this can be tricky in the first trimester when people are not feeling well. Is it okay if I mention specific brands?

Nicole: Oh sure. Yeah, that's fine.

Anne: Okay. So one thing that I think is absolutely essential for all pregnant women is DHA fish oil. So fish oil is Omega three fish oil, is typically EPA and DHA form. And the DHA in particular has been shown to be vital in baby's brain and eye development. Pregnant women should get at least 400 milligrams of DHA every day. And if you eat a lot of fatty fish, it can be possible to do this without a supplement. But it's found in fatty fish, well, anything like salmon, trout, herring, mackerel, sardines, but those aren't prevalent in most Americans diets. And I find many women are off put by fish anyway, during pregnancy. And so most people need the fish oil. I really like the company. There's a couple of companies I like for this. I like Nordic Naturals.

Nicole: Sorry, real quick. I know you're mentioning names, but do you have any affiliate relationships or anything with any of these companies?

Anne: No, I don't. I don't make any money from any of this. It's just my opinion.

Nicole: Gotcha. All right. Go for it.

Anne: Nordic Naturals, I like their product cause they have a pregnancy DHA fish oil capsule, and it's totally unflavored, like you don't get any fishy grossness from it. And so it's pretty well tolerated by my patients and Metagenics and Pure Encapsulations and Carlson's Labs all make reputable fish oils as well that tend to not be too fishy. So that's good. Obviously many people know about folic acid in terms of prevention of neural tube defects. I prefer the form methyl folate, and a lot of the vitamins now are starting to include that form rather than folic acid. And this is actually, you asked about functional medicine. This is coming out of the functional medicine literature, where some people are different genetically in terms of how they're able to process folic acid.

Anne: Some people have an enzyme that can do it and some people don't. And so if you give the methyl folate form, the methylated folate, that bypasses all of this potential individual variant and the chemical reaction to be able to use the folate. And so that's an easy way to just make sure everyone is utilizing it properly. And a lot of the higher end multivitamins are starting to include that form. I think a multi is a good idea during pregnancy. The things I look for in a multi are the methyl folate, B12, especially if the woman is vegan or not, you know, taking in any animal products for any reason. Iodine is important for thyroid formation for the baby. I like it when they have some vitamin D in it. Typically pregnant women I've seen need about three to 5,000 units of vitamin D daily and for multivitamins, there's a lot of stuff on the market.

Anne: Some with iron and some without iron, sometimes the iron is hard on the stomach, especially during the first trimester. If you take it at night, sometimes you can kind of sleep through the nausea. If you get nauseous from the vitamin, if not, there's a gummy that I like. The Smarty Pants brand makes a prenatal gummy, and I think that's a really good product, but it doesn't have iron. So typically when people start feeling better, I transition them over to a supplement with iron in the second trimester because that's when the blood volume is really getting ramped up. You're making 40% more blood during your pregnancy and you need a lot of iron to make those extra blood cells.

Nicole: Okay. So what do you say for the, I don't know if argument is the right word, about supplements versus getting everything you can from your food sources?

Anne: Ideally, everything would come from our food sources. Absolutely. But we have to face the facts that in our country, the soil is depleted of many micronutrients. And this has been in the literature since the 1920s. And even if we did have perfect soil and there still is all of the micronutrients we need in food, there's a of situations that contribute to inadequate nutrition. You know, there's nausea and vomiting in pregnancy, there's women of low socioeconomic status, that perhaps live in a food island and don't have access to ideal nutrition. There's our standard American diet with reliance on prepared foods, fast foods. Most people are not able to get adequate nutrition fully just from their food sources in our country today. And that's just the reality of it.

Nicole: Okay. Okay. So you want people to, you know, do their best to eat healthy, but understanding that supplements are necessary are likely just because of the way our diet is in America.

Anne: Yes.

Anne: Okay. All right. So let's talk about environmental toxins. That's another thing that you brought up. What are environmental toxins pregnant women should avoid or limit exposure?

Anne: This is such an interesting emerging topic. A great resource for this is on the Environmental Working Group page, www.ewg.org. And they're the ones that put out the dirty dozen and the Clean 15 produce lists. That's probably their most well known work. And what that's saying is we know organic food, although I think it's getting more reasonable, but it is more expensive and so...

Nicole: Expensive, but I feel like it is, it's more expensive, but I do feel like a lot of stores, at least in my area, I'm in Richmond, Virginia are starting to have store brand organic stuff. So the price is coming down.

Anne: It's getting more popular, you know, you're able to buy a lot of organics at Costco and that kind of thing. Now that's changed. And if you're looking for what to spend dollars on for organic food, the Clean 15 versus the Dirty Dozen, so stuff that is really delicate that you eat the skins on like berries, tomatoes, grapes, those things tend to be highly contaminated with pesticides and are worth spending some more money on the organic version. The Clean 15 tends to be things that are pealed like bananas, pineapples, sweet potatoes that are not as heavily laden with pesticides. And so I think that that is one of the major environmental toxins for pregnant women is pesticides. And that's where eating organic makes a big difference because the body's burden of pesticides actually changes within two weeks of eating organic. The blood levels have been shown to dramatically decrease of pesticides in the blood.

Anne: So it really does work right away. You know, it's not like you have to make this change for years. And the other thing that's fascinating is those pesticides that are sprayed on food are found in the blood, in the umbilical cord and in the baby. Seriously, it goes across the placenta.

Nicole: I did not know that.

Anne: And when you look at babies, you know, the reason that I really am passionate about talking about this topic, babies zero to two, actually have the highest amount of environmental toxins of anyone because they get it through the umbilical cord in the womb. And then other toxins like flame retardants, things that are on carpets, scotch guard, that kind of stuff, you know, they're crawling around on, they're putting their mouths on there.

Nicole: That makes sense.

Anne: You know, they're putting their plastic toys that have these in them in them, in their mouths. And so, you know, what you can do during pregnancy really does make a difference in terms of the toxic burden for the baby, which is super sad. I mean, this is where we're at, but doing the organic produce I think is really worth it during pregnancy. Even if you can just do that dirty dozen list, you know, that's a high yield thing. The other things that I think...

Nicole: For everybody, sorry, real quick, I will link to that, everybody in the show notes. So you'll be able to just click on it. I'll be sure you get all the links and everything. So you'll have that list readily available. Yeah. So go ahead.

Anne: Other things that I think are important during pregnancy, these are common things that I see is a lot of people are decorating a new nursery, right? For the baby. The particle or pressed board furniture, which tends to be inexpensive, and I see a lot of people buy for babies rooms, that particle board emits formaldehyde, which is classified as a carcinogen and the rooms tend to not be well ventilated. And so with that kind of furniture, you want to build it early in the pregnancy and let it air out for a long time before you're actually going to put your baby in it or choose a solid wood furniture. There's inexpensive options at Ikea and Target, those are both good options. You know, if you're painting something, choose the low or no VOC paint, avoid vinyls, PVC. When you're cooking, try to not heat in plastic. And I'm also not a fan of Teflon. If you can cook your eggs in a cast iron pan, you'll avoid the exposure to Teflon. And also just get a little bit more iron in the food leaching from the pan.

Nicole: This is all outstanding advice. I mean, I feel like we could take each one of these topics and do a single show on each one.

Anne: Yeah. I am really passionate about all of this. I think you can see the reason, you know, these things really make a difference in the health of women and children. Yeah.

Nicole: And sadly, it's just not things that we're taught as part of our training that can have a big impact on women in their pregnancy. So I'm really glad that you're here to share this information. So let's talk a little bit about, just a couple personal sort of questions. What would you say is the most rewarding part of your work?

Anne: So I have the lovely experience of practicing obstetrics in a fairly small town. And so when I take my daughter to preschool, I see babies that I've delivered. You know, I took her to swimming lessons like a mommy and me swimming lessons, and I had delivered literally all of the other participants. I'm like all of my babies floating around in this pool. And like, in that moment, I felt like my life had tremendous meaning and it just made me so happy.

Nicole: Wow. I bet that is so awesome. So on the flip side, what is the most frustrating part of your work?

Anne: The things that frustrate all doctors, you know, the demands of the system, I just want to provide good quality care to my patients and have them really be cared for in every aspect of their health. And I do not like being on the phone with their insurance company, arguing with them as to why I should be allowed to give them what I think that they need, you know, prior authorizations, paperwork, demands for productivity. None of that is what any doctor gets into this for.

Nicole: Yeah, absolutely not. I mean, it's part of the reason why I got out of the office, just the frustration of that sort of stuff. So now I feel like this question may be hard for you to answer, but if you had to pick, like, what are you especially passionate about when it comes to caring for women? You're passionate about so many things, it's very clear, but what are you really especially passionate about?

Anne: I want women to feel empowered that they themselves can make changes that dramatically will improve their health. You know, I'm not a magical wizard that makes people healthy. I provide tools that they can use to change their lives with. And it's really not about me. It's about making food choices, lifestyle choices, you know, deciding what's good for them. What will help them lead a healthy life and being a supporter in them doing so.

Nicole: So really just empowering women to help them make their change, make, make good changes in their life and lead healthy lives. Not just like medically wise, but like healthy lives.

Anne: Yes.

Nicole: So how have your personal experiences as a parent influenced your work as an OB GYN? I've talked about before how my first baby was a preemie at 32 weeks, she had duodenal atrisia. She was in the NICU. So that, of course cloud, you know, I shouldn't say cloud, but influences certainly change changed how I practice. What about your personal experiences as a mom? How has that influenced your work in OB? You talked about the nausea.

Anne: Yeah. You know, I have a similar story to you in terms of having a complicated birth. I feel like, you know, for whatever reason that seems to be all obstetricians, but despite being, you know, a healthy young woman and doing yoga through my pregnancy and eating well, other than the boxes of Cheez Its, it was an unexpected birth for me. I labored and pushed and then she just wasn't coming out. And so I had a c-section with my baby and then had some complications following, and I had a lot of trouble with breastfeeding. She never latched, you know, that was very emotionally difficult for me. And actually I just wrote a piece that was featured on Scary Mommy, about it.

Nicole: Yes, we will absolutely link to that everybody. So you can read it. It's a great article.

Anne: Yeah. About postpartum anxiety and depression and all of these experiences together completely changed me. I was an obstetrician before I was a mom, I just didn't know what any of these things felt like. And so I couldn't really understand what my patients were going through, but now when I do a C-section for a patient, I sit with them and I tell them all the doctor's stuff. But I also tell them I had a C-section too. And this is how I remember it feeling. And this is what to expect from a patient perspective. You know, since I went through nursing difficulties, myself, I became an expert in lactation medicine. And that's something that sets me apart in my area and practicing that part of breastfeeding medicine. And with postpartum anxiety and depression, I think since I went through it myself, I see it so much better in people. You know, I see what they're not telling me. I see them trying not to cry. And, you know, that's something that I've developed an integrative approach to treatment for these patients. And I don't think I would have known to do that had I not gone through it myself.

Nicole: Yeah. You just, you just really become changed after you go through it, in a good way, after you have some experience. It's very hard at the time. I mean, I remember like when my daughter was in the NICU, I cried every day and I remember feeling, and not that anybody was being mean or anything, but like, you know, nobody called to check on me or kind of see how, yeah. It is hard. It is hard. So, that's awesome that you've taken that experience and really turned it into providing better care.

Anne: Yeah. It really helped me find meaning in the experience because those things were personally difficult, but I felt like they allowed me to provide such better care to my patients that it was worth going through.

Nicole: Yeah. That's awesome. So what is your favorite piece of advice to give, to expectant moms?

Anne: Try to rest. That is my favorite advice. I think that there is so much pressure in our society to be supermom and you can be pregnant and still be doing your job a hundred percent and you can work up until the day you deliver and you can only take two weeks off for postpartum and then you've come back and this pressure to do it all is breaking women. And it, I think contributes to prenatal complications, birth complications, having higher incidences of postpartum mood disorders. And so for my patients, I tell them sit when you can, you know, there's no shame in having a stool at your work. Let me write a prescription for that. If you're in a state that allows pregnancy leave, you know, in California, you can take leave starting at 36 weeks gestation. I encourage all of my patients to take that if possible, and to take off as much time postpartum as possible. You know, have an active plan for support during your pregnancy and postpartum, you know, get the meal train going, just outsource as many things as possible, cleaning, cooking, whatever. You know, other countries have protocols for this, you look at Latin America, China, India, you know, they traditionally will have this lying in period of 40 days or so.

Anne: And the other family members and friends know that, and they're all there to provide the support. And we don't really have that cultural expectation in this country.

Nicole: Yeah. And that's one of the things I say for women, like on your baby shower or your registry list, think about adding creative things like contributing towards a postpartum doula or meals afterwards, the clothes and stuff, you'll be able to get that stuff. For sure. So, you know, thinking about adding some different things that'll really make difference for you.

Anne: Oh yeah. A postpartum doula is a wonderful gift. It's hard to ask for help, but I asked my mom to please come, you know, for a couple of weeks after the birth to help me.

Nicole: Yeah. For sure. Now you have some amazing things going on. So please tell us this was like, so educational for me. I learned so much, and I know this is going to be really helpful for the listeners. What other things do you have coming out and where can people find you?

Anne: Thank you. I have accounts on Facebook at Dr. Anne Kennard. And we'll link these. And Instagram also at Dr. Anne Kennard. That one has underscores in it. Cause apparently there's some other doctor Anne Kennard out there. I haven't met her though. And then I have a book coming out. I'm very excited about that. That should be out in June. And this is a cookbook of sorts for integrative recipes for life. And so I have recipes that I've developed for food as medicine, for herbal medicine recipes. And this is perfect for young moms because it's exactly stuff that I use in my life. Like what can I cook that's healthy after work when I'm tired and hungry and I don't have a lot of time? What are simple things that I can use to help my family stay healthy and get well, when we're sick, you know, things like time, Kind cough syrup, elderberry popsicles, just really fun stuff that is fun for my daughter to be involved in. And then it's got some mind body recipes because so many patients, I see struggle with insomnia, stress, anxiety, and this has breathing exercises and yoga sequences, meditation exercises. And then it has a lot of stuff about what we talked about, you know, the considerations for diet, for environmental toxin, avoidance things like what do I cook with? You know, how do I avoid plastic in the kitchen? You know, just kind of practical tips like that. And I'm pretty excited about it.

Nicole: That's amazing. Yeah. That sounds amazing. I am looking forward to picking up my own copy. Well, thank you so much for being here. I really appreciate your time. And again, this was so useful and I learned so much. I know the listeners were learning so much. I feel like we're going to have to have you back on again to talk about something.

Anne: Yeah. Yeah. All right. Well you take care and I'll talk to you soon.

Nicole: Thank you. Wow. Now I told you that was going to be a great episode, wasn't it? And know that you learned a time. I know that I did now a couple of quick things before we get into Nicole's notes. Since we recorded this episode, Anne has also released a line of herbal products to help in the postpartum period. One is a salve. How do you say that word? Salve, S A L V E. Anyway, you can use it on your perinatal area. You can use it on your breast to help with healing. She's also created a soak and you can find those on her website, www.drannekennard.com. And I'll link to that in the show notes. And one more thing I wanted to clarify, I said during the cast that no one called me after, you know, to check on me after I had my preterm birth, what I meant was no one call me from my doctor's office.

Nicole: I had plenty of friends and family who checked on me, but I wanted to say that it was really my doctor's office who I didn't hear from. We actually do a pretty bad job of following up with women in the postpartum period, whether women have issues or not. That's a story for another day, but I just wanted to clarify that one quick thing. Okay. Now let's get into Nicole's notes. Nicole's note's are my three or four takeaways from the episode whenever I have a guest or on.

Nicole: What I got from this one, number one, I got a clear understanding of the difference between integrative and alternative or complementary medicine and functional medicine. Integrative medicine is really an approach. Like it says it integrates both Western medicine techniques and other techniques and pulls the best from all of those things in order to help you be your best healthy self, not just in a physical sense, but in an emotional sense as well, which I think is awesome. That's what really medicine should be about. That's different than calling it alternative, because somehow that applies that it's different or separate than Western medicine, which they shouldn't be, they should work together, or even complimentary. Complimentary to me makes it sound almost like a piece of jewelry or something, you know, an accessory, whereas they really should work together. One is not better than the other. I also got an understanding of functional medicine about getting to the root of why something is an issue instead of kind of bandaiding things. So those were a couple of takeaways that I got from that.

Nicole: The second thing is that your OB doctor probably has very little training about things like nutrition and pregnancy supplements, environmental toxins. That's just not a lot of what we get training about. So I want to be honest, you may not necessarily get the best, most comprehensive the information about that things from your doctor. We don't get a lot about it in medical school, don't get a lot about it in residency training. Dr. Anne took it upon herself to learn more about this. And that's what she's doing now to teach that. But you may have to do a little bit of work, a little bit of research to find some more detailed information or even see a dietician or a nutritionist to get more detailed information about things like supplements in pregnancy.

Nicole: And then the last thing I want to say is that all of this can feel a little bit overwhelming. All of the recommendations, all of the things, trying to take this supplement, trying to eat this way, that way, do the best that you can. Pick one thing, work on that and then add another thing. It can be, like I said, overwhelming, to try and do all the things. I know you want to do what's best for your baby and for your health and all of those great things, but I don't want you to get too overwhelmed or bogged down and feeling like, Oh my God, I got all these things to do all these things that I need to work on or learn. Just take it one step at a time and do the best you can and you will be fine.

Nicole: So that's it for today's rebroadcast episode, be sure to subscribe to the podcast in Apple podcast, Spotify, Google Play, wherever you are listening to this podcast right now. And if you feel so inclined, I really so appreciate that review on Apple podcast in particular. That helps the show to grow, helps other women find the show. And I do shout outs from those Apple podcast reviews. Also, don't forget to check out some of the other resources that I have for you besides the podcast. I have my free online class on how to make a birth plan that works this one hour on demand. This class is everything that you need to make a birth plan that works to help you have the birth you want. You can check out the class at www.ncrcoaching.com/register. And also of course, check out my online childbirth education class, The Birth Preparation Course. It's what you need so you feel calm, confident, and empowered with everything related to your birth. Right now it's discounted heavily because of COVID. So do check out The Birth Preparation Course at www.ncrcoaching.com/enroll. All right, I will be back with a new episode next week. And until then, I wish you a beautiful pregnancy and birth.

Nicole: Thanks so much for listening to this episode of the All About & Birth podcast. Head to my website at www.ncrcoaching.com to get even more great info, including free downloadable resources on how to manage pain and labor and warning signs to look out for after birth. You'll also find information on my free online class, on how to make a birth plan, as well as everything you need to know about The Birth Preparation Course. Again, that's www.ncrcoaching.com and I will see you next week.