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Dr. Carole Keim welcomes OB-GYN and integrative medicine physician and co-founder of Mone Wellness, Dr. Kate Hom, to The Baby Manual for an encouraging conversation about postpartum recovery and what it really means to “get back to normal” after having a baby. Dr. Hom explains why the traditional six-week postpartum visit is an important medical checkpoint but does not mean that a mother’s body has completely recovered. Together, they discuss the significant hormonal and physical changes after delivery, pelvic floor recovery, nutrition, birth trauma, mental health, and the importance of having a strong support system throughout the postpartum period. Dr. Hom and Dr. Keim also explore the pressure of “bounce back” culture and why recovery can take much longer than six weeks. They talk about pelvic floor therapy after pregnancy, including for mothers who deliver by C-section, as well as baby blues, postpartum depression and anxiety, birth plans, doulas, epidurals, Pitocin, and some of the realities of labor and delivery. Dr. Hom shares her integrative approach to postpartum wellness, including attention to nutrition, blood sugar regulation, nervous system support, gentle progressive movement, and mental health care. She also introduces Mon Wellness, an app she helped create to give postpartum mothers access to education, expert guidance, community features, wellness tracking, and other tools for navigating recovery.  Key Moments 00:00 Welcome to Season 6 and meet Dr. Kate Hom 02:42 Why six weeks doesn’t mean postpartum recovery is complete 06:19 Hormonal changes, “bounce back” culture, and finding a new normal 09:14 Nutrition, nutrient repletion, and supporting postpartum recovery 10:43 Pelvic floor therapy, urinary leakage, and recovery after pregnancy 14:09 Understanding birth trauma and recognizing possible symptoms 17:31 Doulas, advocacy, and creating a supportive birth team 22:09 Birth plans, epidurals, Pitocin, and flexibility during labor 29:13 Understanding labor progression and preparing for delivery 34:23 Baby blues, postpartum depression, and postpartum anxiety 38:49 Therapy, medication, and professional mental health support 40:33 Mone Wellness and integrative postpartum support   About Dr. Katherine Hom, MD, FACOG: Dr. Katherine Hom is a board-certified OB/GYN with a medical degree from UC Irvine, residency at the University of Nevada-Las Vegas, and certification in Women's Functional and Integrative Medicine. She is the co-founder of Mone Wellness. She strives to be the bridge in women's health, intersecting a holistic approach with modern, evidence-informed medicine. As an integrative OB/GYN, she empowers women to make the best healthcare decisions for themselves by offering integrative interventions such as lifestyle, nutritional, mind-body, and botanical, as well as pharmaceutical and surgical options. She enjoys collaborating with a multidisciplinary team so women can feel the most supported, especially in transitional times like postpartum. __  Resources discussed in this episode: Mone WellnessEdinburgh Postnatal Depression ScalePerinatal Anxiety Screening Scale (PASS)__ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeimTiktok @dr.keimInstagram DoctorAtYourDoorWebsite CaroleKeim.com  Contact Dr. Kate Hom Website: MoneWellness.comDr. Katherine Hom on LinkedIn  Vitamins and supplements for: Breastfeeding moms - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune support - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=    --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim explores the many ways families can build their childcare village right at home, from mother’s helpers and babysitters to professional nannies and au pairs. She begins with practical guidance for welcoming anyone into your home to care for your baby, including communicating family rules and boundaries, reviewing safe sleep practices, preparing for emergencies, and considering health precautions. Dr. Keim also explains why infant CPR and first aid training can be so valuable for parents and caregivers, especially as babies begin eating solid foods and becoming more mobile. Dr. Keim then welcomes Carson Wagner, founder of Lifetime of Love Nannies, to explain how professional nanny care can be customized around a family’s schedule and needs. Carson discusses consistent and backup care, sick-child care, newborn overnight support, care for children with additional medical needs, and the ways nannies, family assistants, and household managers can take child-related and household tasks off parents’ plates. Later, former au pair and local childcare consultant Marion Marcotte joins Dr. Keim to explain how the au pair program works, including work-hour limits, living arrangements, childcare responsibilities, screening, and the matching process. Marion also shares why communication, family dynamics, cultural exchange, and realistic expectations are so important when choosing an au pair who will live with and become part of a family’s day-to-day life.  Key Moments 00:00 Mother’s helpers, babysitters, and finding an extra set of hands 02:29 Setting family boundaries, safe sleep expectations, and household rules 03:42 Health considerations when caregivers and family visit your baby 07:23 Infant CPR, first aid, and preparing caregivers for emergencies 10:44 Meet Carson Wagner and learn how professional nanny care works 14:20 Creating consistent care for families with regular or changing schedules 15:57 How nannies, family assistants, and household managers can help 21:25 Newborn overnight care and support for children with additional needs 27:05 What is an au pair? Understanding live-in childcare and responsibilities 29:16 Deciding whether an au pair is a good fit for your family 31:22 Screening, driving, background checks, and au pair program requirements 35:13 Finding the right match through communication, expectations, and personality __ About Carson Wagner: Carson previously worked in childcare and with special needs children, where she noticed a huge demand for childcare that accepts ALL children, no matter where they come from or what their capabilities are. She started Lifetime of Love Nannies to give families quality, consistent care they can trust through her team of highly trained nannies. She would like to implement the prior knowledge she gained through her background in behavioral therapy and take the term "nanny" to a whole other level. All of the Lifetime of Love Nannies have different backgrounds and qualifications to meet your family's needs and give your kiddos the best care.  Website: LifetimeOfLoveNannies.comEmail: [email protected] Wagner on LinkedIn  About Marion Marcotte: Marion Marcotte is a former au pair and local childcare consultant who helps families navigate the au pair experience. Drawing on her own experience as an au pair and her work supporting host families, Marion offers insight into the matching process, childcare responsibilities, family expectations, and the importance of communication and cultural exchange. She helps families understand what to consider when deciding whether live-in au pair care is the right fit for their household. Website: CulturalCare.worldInstagram: MarionMarcotte.lcc__    Resources discussed in this episode: Infant CPR and First Aid Training - Canada / USAPoison Control poison.org__ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeimTiktok @dr.keimInstagram DoctorAtYourDoorWebsite CaroleKeim.com  Vitamins and supplements for: Breastfeeding moms - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune support - https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY=  --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes Jen Lumanlan, host of the Your Parenting Mojo podcast and author of Parenting Beyond Power, to The Baby Manual for a thoughtful conversation about respectful parenting and why parents can begin building a connected relationship with their child from the newborn period. Jen shares how her own parenting journey led her to study child development and education, and explains how RIE (Resources for Infant Educarers), an approach often associated with respectful parenting, helped her begin seeing babies as active participants in everyday caregiving rather than simply recipients of care.  Together, Dr. Keim and Jen explore the difference between respectful or gentle parenting and permissive parenting, why both children’s and parents’ needs matter, and how everyday moments like diaper changes, feeding, crying, play, and bedtime can become opportunities for connection. They also discuss co-regulation, boundaries, natural consequences, scaffolding, parental triggers, and the importance of recognizing the needs underneath a child’s behavior. For expecting and new parents, this episode offers an encouraging framework for understanding their baby’s needs, recognizing their own needs, and building connection through everyday interactions from the very beginning.  Key Moments 00:00 Welcome and why parenting begins in the newborn period 03:01 Gentle parenting vs. permissive parenting 05:04 Seeing your baby as a whole person 07:41 Turning everyday caregiving into connection 09:49 Why babies don’t need to be happy or entertained all the time 10:51 Baby crying and understanding parents’ emotional triggers 13:23 Looking beneath challenging behavior to find the underlying need 16:10 Babies are always changing: sleep, soothing, and development 18:16 Why parenting was never meant to happen without a village 21:46 Understanding needs, natural consequences, boundaries, and limits 24:14 Preparing your parenting partnership before baby arrives 27:23 Co-regulation and how babies “borrow” a parent’s calm 30:27 Letting go of pressure around toys and child development 34:28 Scaffolding skills and knowing when your child needs extra help About Jen Lumanlan: Jen Lumanlan brings a unique combination of deep research expertise and genuine understanding of what parents face every day. With undergraduate degrees from UC Berkeley, a Master's from Yale, and later Master's degrees in both Psychology (Child Development) and Education, Jen doesn't just read the research - she understands how to translate it into approaches that actually work in real families. Jen has reviewed more than 10,000 academic papers on parenting and child development for 250+ episodes of the Your Parenting Mojo podcast, and has interviewed the Who's Who in related fields. Jen also knows that research alone isn't enough. That's why she's also a CoActive Coach and is trained in the Gottman Method. This means she listens in ways that help you discover what works for your unique family rather than imposing one-size-fits-all solutions. Jen's background in corporate environmental strategy - as well as her late-diagnosed Autism - helps her to see patterns and connections that others often miss. She helps families to see patterns of behavior that indicate underlying needs, so you can navigate parenting challenges while staying true to your values. __  Resources from Jen Lumanlan: Free quizzes: https://go.yourparentingmojo.com/tl/311 Why you're so angry with your child's age-appropriate behavior (and what to do about it) self-paced masterclass: https://go.yourparentingmojo.com/tl/310 The Baby Manual listeners can get a $10 discount on the masterclass by entering coupon code: BabyManual Taming Your Triggers workshop: https://go.yourparentingmojo.com/t?orid=27634&opid=16 Parenting Beyond Power by Jen Lumanlan MS MEd __ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com   Contact Jen Lumanlan Website: YourParentingMojo.com Instagram: YourParentingMojo Linktree: YourParentingMojo.com/linktree --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes internationally certified baby sleep consultant and founder of the Yawn Baby Sleep platform, Camille Jaramis, for an insightful conversation about baby sleep in the first two years of life. Together, they explore how newborn sleep differs from infant sleep, what really happens during the four-month sleep regression, and why developmental changes, like the Wonder Weeks, can temporarily disrupt even the best sleeper. Camille explains the difference between self-soothing and self-settling, and why flexibility and age-appropriate expectations are so important for both babies and parents. Camille and Dr. Keim also explore the cultural pressures many families face around sleep schedules, maternity leave, and “sleep training,” offering reassurance that there is no one perfect way to help a baby sleep. Camille shares practical guidance on sleep environments, including light exposure, white versus pink noise, and safe sleep basics, along with insights into how her AI-powered sleep support tool, Yawn, helps parents personalize sleep plans based on their baby’s unique temperament and developmental stage. Most importantly, Dr. Keim and Camille remind parents to give themselves grace, because healthy sleep is a journey, and every family’s path looks a little different. Key Moments 00:00 Meet Camille Jaramis and her journey into baby sleep consulting 04:20 Surviving the hospital phase and newborn sleep realities 09:18 Understanding the Wonder Weeks and developmental leaps 14:25 The four-month sleep regression explained 16:01 Sleep environment basics: noise, darkness, and red light 18:27 Overtired cycles and nap transitions (3 to 2 naps, 2 to 1 nap) 23:34 Introducing Yawn: AI-powered personalized sleep support 27:05 Wake windows explained and how they change with age 33:56 Sharing the mental load between parents 38:19 A final reminder to give yourself grace About Camille Jaramis: Camille Jaramis is an internationally certified baby sleep consultant and the founder of Ask Yawn, an AI-powered parenting support platform designed to provide personalized, research-informed sleep guidance. After building and leading a large global community focused on baby sleep, Camille recognized how overwhelming and conflicting parenting advice can be for families navigating the early years. Drawing on her background in human-centered technology and her experience supporting hundreds of thousands of parents, Camille created Ask Yawn to deliver tailored, practical support that adapts to each child’s unique needs. Her work focuses on helping parents feel confident, informed, and supported as they navigate baby and toddler sleep. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com   Contact Camille Jaramis Website: AskYawn.com Podcast: Yawn - The Baby Sleep Training Podcast LinkedIn: Camille-Jaramis --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim continues the It Takes a Village season with an encouraging solo episode focused on one of the biggest questions new parents ask: How do I build a village when I don’t already have one? Whether you're far from family, new to your community, or simply feeling overwhelmed, Dr. Keim shares practical ideas for creating a strong support network during pregnancy, the newborn period, and beyond. She explores how modern parenting has changed, why raising a child is truly a team effort, and how every family can build a village that fits their unique circumstances. Dr. Keim discusses the different pressures often experienced by birthing and non-birthing parents, practical ways partners can support one another, and why asking for, and accepting, help is one of the healthiest things new parents can do. She shares realistic strategies for meeting parents' basic needs, including meal trains, meal preparation, sleep, household responsibilities, and protecting mental health during the postpartum period. Dr. Keim also offers practical ideas for finding community through friends, neighborhood groups, religious organizations, local parent groups, and trusted online resources, while reminding parents that genuine, in-person connection is an important part of building the village every family deserves. Key Moments 00:00 Why every family needs a village in today's world 01:24 How modern parenting has changed—and why parents feel stretched so thin 02:48 Understanding the different pressures on birthing and non-birthing parents 05:18 Helping partners feel supported, capable, and connected 08:54 Resources that help parents feel informed and empowered before baby arrives 11:06 Postpartum mental health affects both parents 16:16 Meeting moms' basic needs with food, water, and practical support 22:24 Meal trains, meal prep, and making nutrition easier for new families 27:31 Sleep strategies and realistic expectations during the newborn period 32:12 Accepting help, lowering expectations, and building your village through community __  Resources discussed in this episode: The Baby Manual is available on Amazon The Holistic Mamas Handbook is available on Amazon Meal kit services: Sunbasket Purple Carrot Daily Harvest HelloFresh Blue Apron Hungryroot Grocery delivery options: Instacart Restaurant delivery services: DoorDash Uber Eats Household Support TaskRabbit Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim __ Contact Dr. Carole Keim MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes entrepreneur and innovator Miki Agrawal to The Baby Manual for a thought-provoking conversation about sustainability, parenting, and how caring for our children can also mean caring for the planet they will inherit. Best known for founding Thinx and TUSHY, Miki shares the inspiration behind her newest venture, HIRO Diapers, and explains how becoming a mother led her to rethink one of the biggest sources of household waste: disposable diapers. Together, Dr. Keim and Miki explore how innovation, nature, and practical parenting solutions can work hand in hand. Miki explains the environmental challenges posed by disposable diapers and introduces the science behind HIRO Diapers, which pair reduced-plastic diapers with beneficial fungi designed to help accelerate biodegradation in landfills. She also discusses postpartum products, elimination communication, and ways families can make environmentally conscious choices without sacrificing convenience. Throughout the conversation, Dr. Keim and Miki encourage parents to remember that even small, thoughtful actions can add up to meaningful change for future generations. Key Moments 00:00 – Why diapers deserve their own episode Dr. Keim explains why she dedicated an entire episode to diapers and reviews disposable diapers, cloth diapers, and elimination communication before introducing today's guest. 12:59 – Meet Miki Agrawal and her entrepreneurial journey Miki shares her background, from founding WILD, THINX, and TUSHY to becoming inspired by motherhood to rethink disposable diapers. 17:47 – The environmental impact of disposable diapers Learn why billions of diapers end up in landfills, how long they last, and what motivated Miki to look for a better solution. 19:55 – The idea behind HIRO Diapers Miki describes the inspiration that led her to fungi-based diaper technology and the years of research behind the product. 23:42 – How the fungi system works Discover how the fungal pouch is designed to activate after disposal, why it stays separate from the baby, and the safety considerations behind it. 26:21 – Supporting parents beyond diapers Dr. Keim and Miki discuss postpartum recovery, period underwear, bidets, and products that can make the postpartum period more comfortable. 27:40 – Elimination communication and using fewer diapers The conversation explores early potty awareness, reducing diaper use, and balancing convenience with sustainability. 30:10 – Building an eco-conscious parenting community Miki explains HIRO's broader mission of educating parents about elimination communication, non-toxic living, and environmentally conscious parenting. 31:00 – Small choices can make a big difference The discussion turns to plastic pollution, ecosystem health, and how everyday parenting decisions can contribute to meaningful environmental change. 37:10 – Where parents can learn more Miki shares where families can find HIRO Diapers, follow the company's work, and connect with her mission online. About Miki Agrawal: Miki Agrawal is the creative force behind acclaimed social enterprises TUSHY (the modern bidet brand), THINX (period-proof underwear), and WILD (NYC’s first gluten-free pizza concept), collectively valued at over $250 million. Miki is the author of best-selling books "DO COOL SH*T" and "DISRUPT-HER”. Her next company, HIRO, is a revolutionary nature-based start-up harnessing ancient technology - fungi - to help solve the global plastic crisis. Their first product is a baby diaper that is designed to return to the earth with the help of friendly fungi. (They chose diapers to launch with because they’re the #1 household plastic waste item that takes 400+ years to decompose in a landfill - and each baby uses ~6,000 diapers in their lifetime. Wild, right?) HIRO Diapers’ mission is to return to the earth with the help of little HIRO Myco-pods that you add in during the diaper change. They’re soft, safe, unbleached (the only one!), high-performing, and ready to change the game. Check out HiroDiapers.com to learn more. Recognized as one of Fast Company's "Most Creative People," a "Young Global Leader" by the World Economic Forum, and named one of INC's "Most Impressive Women Entrepreneurs," Miki brings a wealth of experience and expertise to the stage as a keynote speaker. Her authentic talks have been validated by audiences at MindValley, EO, and Capitalism.com, who have voted for her as the #1 best speaker among hundreds of speakers. Miki's compelling presentations delve into her 20+ years of entrepreneurial adventures, from boldly inventing products in traditionally taboo categories to creatively launching and scaling them exponentially. She openly shares her authentic revelations, embracing the colorful journey that defines her. When you experience Miki on stage, you'll witness more than a speaker; she's a dynamic, truth-telling performer delivering an unforgettable one-woman show. Combining her captivating presence with her profound insights into innovation and creative marketing, Miki's presentations have the power to drive any company towards innovative transformation. For more, go to mikiagrawal.com/speaking __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon TUSHY: HelloTushy.com Thinx: Thinx.com HIRO: HiroDiapers.com   Check out all of Dr Carole Keim's must-haves and essentials for your little one: https://www.amazon.com/shop/drcarolekeim __ Contact Dr. Carole Keim, MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com   Contact Miki Agrawal: Website: MikiAgrawal.com LinkedIn: MikiAgrawal Instagram: MikiAgrawal --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes Andrea Olson, founder of Go Diaper Free, Tiny Undies, and Tiny Potty, for a fascinating conversation about elimination communication (EC), sometimes called potty learning from birth. Andrea shares how discovering EC with her first child transformed her experience of parenting and led her to help families around the world rethink infant toileting. Together, she and Dr. Keim explore the history of potty training, how cultural norms have changed over time, and why many families are becoming interested in introducing potty awareness much earlier than is typical in the United States. Andrea explains how elimination communication focuses on observing and responding to a baby’s natural cues rather than waiting until the toddler years to introduce the toilet. She discusses practical ways families can get started, even part-time, including simple “easy catches” such as offering the potty after waking or feeding. Dr. Keim and Andrea also talk about daycare, siblings, developmental differences, potty learning during major family transitions, and the products and resources Andrea created to support families who choose this approach. This episode offers parents an encouraging look at an alternative approach to toileting that emphasizes communication, connection, and flexibility. Key Moments 00:00 – Introduction to Andrea Olson and elimination communication 01:18 – Andrea’s journey from first-time parent to EC educator 03:44 – How elimination communication differs from traditional potty training 06:25 – Historical potty training trends and changing cultural expectations 14:03 – What elimination communication is and how it works 17:12 – Easy catches: wake-ups, feedings, and recognizing cues 21:24 – Making EC work with daycare, caregivers, and your village 28:01 – Potty learning, new siblings, and avoiding regressions during transitions 35:40 – Troubleshooting challenges and setting healthy boundaries 36:29 – Tiny Undies, Tiny Potty, and resources for early potty learners About Andrea Olson: Andrea Olson is the founder of Go Diaper Free, Tiny Undies, and Tiny Potty. She is an author, educator, and advocate for elimination communication who has helped families around the world explore infant potty learning. Through books, courses, podcasts, and practical products, Andrea provides resources for parents interested in reducing diaper dependence and building communication around toileting from an early age. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ Contact Dr. Carole Keim, MD Linktree linktr.ee/drkeim Tiktok @dr.keim Instagram DoctorAtYourDoor Website CaroleKeim.com Contact Andrea Olson: Website: GoDiaperFree.com Website: TinyUndies.com Podcast: The Go Diaper-Free Podcast Instagram: @TinyUndies --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Bringing home a new baby comes with so many questions, and feeding is often at the top of the list. In this solo episode, Dr. Carole Keim walks parents through the basics of newborn feeding with a reassuring message: fed is best. She explains what to expect during the first days of life, including how small a newborn’s stomach really is, how breastfeeding develops over time, and why feeding can feel challenging in the beginning. Parents will learn about colostrum, milk production, feeding frequency, and how to recognize signs that their baby is getting enough to eat.  Dr. Keim also explores common breastfeeding challenges, practical tips for improving latch and milk supply, and the role of pumping, bottle feeding, donor milk, and formula. She discusses the benefits of breastfeeding while also emphasizing that there are many safe and healthy ways to nourish a baby. Whether you plan to breastfeed, formula feed, pump, or combine methods, this episode offers evidence-based guidance and encouragement to help you make feeding decisions with confidence during those important first weeks with your newborn.  Key Moments 00:00 Welcome and why “Fed is Best” matters 01:18 Why breastfeeding can be harder than expected 02:43 Newborn stomach size and feeding volumes by day 03:56 The first nights of feeding and newborn hunger patterns 05:03 Pumping, storing colostrum, and building milk supply 06:19 Benefits of breastfeeding for moms and babies 10:33 Breastfeeding recommendations and realistic feeding choices 14:35 Latch basics and breastfeeding troubleshooting 18:37 Pacifiers, nipple care, and knowing if baby is getting enough 22:41 Tongue ties, milk supply tips, and common breastfeeding concerns 31:36 Bottle feeding, formula options, and choosing the right formula 39:21 Final encouragement: nourishing your baby with confidence __ Why Breastfeeding Matters  Benefits for Baby Nutrition tailored to infant needs Antibodies and immune protection Lower risk of ear infections, diarrhea, and some respiratory illnesses Lower risk of SIDS Possible long-term reduction in obesity and diabetes risk Benefits for Parent Uterine recovery after birth Reduced postpartum bleeding Convenience and lower cost Possible reduction in breast and ovarian cancer risk Positioning and Latch Basics  Good Positioning Baby’s ear, shoulder, and hip aligned Baby brought to breast, not breast to baby Nose to nipple alignment Signs of a Good Latch Wide-open mouth Lips flanged outward Deep latch, not shallow nipple sucking Rhythmic suck/swallow pattern Signs of Poor Latch Significant pain Clicking Cracked nipples Baby still hungry after long feeds How to Know Baby Is Getting Enough Milk Signs Wet diapers and stools Weight trends Swallowing sounds Baby seeming satisfied after many feeds Typical Expectations Initial weight loss can be normal Pediatric follow-up is important in the first days after discharge Red Flags Poor urine output Lethargy Persistent jaundice Dehydration signs When to Seek Help  Lactation Support Lactation consultants Pediatricians Family physicians Midwives Postpartum nurses Urgent Reasons to Seek Care Baby not waking to feed Fever Signs of dehydration Severe maternal breast pain/redness/fever Poor weight gain Giving bottles of formula How to choose regular, preemie, soy, anti-reflux, sensitive, hydrolyzed, goat, organic How to mix Follow the instructions on package closely Do NOT make your own infant formula; use one that is commercially available Mix with clean water; doesn’t need to be distilled or boiled Any temp is ok; aim for cool to room temperature when you feed baby  Can mix up to 1 day worth at a time in the fridge Used bottles need to be finished within 2 hours or thrown away; can’t be put back in the fridge Check out The Baby Manual on Amazon.  It will give you peace of mind when your new baby arrives.   __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ Contact Dr. Carole Keim MD Website: CaroleKeim.com Linktree TikTok Instagram --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim takes listeners through one of the earliest and most important decisions in pregnancy: choosing the right support team. In this solo episode, she explains the differences between obstetricians, certified nurse midwives, and doulas, helping parents understand the unique role each plays during pregnancy, labor, delivery, and postpartum recovery. Dr. Keim also walks through the typical timeline of prenatal visits, ultrasounds, testing, and vaccines, giving expectant parents a practical overview of what to expect from the first positive pregnancy test through delivery. With her warm and reassuring approach, Dr. Keim also explores what labor and birth are really like beyond what’s often portrayed in movies. She discusses birth plans, labor support, cervical checks, fetal monitoring, inductions, C-sections, and postpartum healing, while emphasizing that every pregnancy and birth experience is different. Parents will come away with a clearer understanding of how to build a supportive birth team and how to prepare emotionally and physically for welcoming a new baby.  Key Moments 00:00 Introduction to OBs, midwives, and doulas 02:17 Pregnancy tests and scheduling the first prenatal appointment 03:35 The 8–12 week visit, ultrasounds, and viability checks 05:35 The 20-week anatomy scan and fetal development 07:53 Glucose tolerance testing and gestational diabetes screening 10:16 Vaccines during pregnancy: Tdap, flu, COVID, and RSV 12:29 Breech babies, turning procedures, and planned C-sections 14:58 Routine late pregnancy visits and induction discussions 16:15 Certified nurse midwives vs obstetricians 20:07 What doulas do during pregnancy, labor, and postpartum 24:23 Birth plans, labor positions, and creating a calming environment 27:13 Labor monitoring, cervical checks, and delivery interventions 31:59 Postpartum healing, recovery, and spacing pregnancies 35:23 Final thoughts and additional resources for parents __ How to choose an OB or midwife  OBs, family doctors, and midwives can deliver babies Group practices are pretty standard nowadays; meet your main doctor/midwife but also meet the team who might be delivering (either other people in the office or a laborist) Personality fit is a big deal Obstetricians and family doctors are medical doctors.  Their training involves 4 years of undergrad, 4 years of medical school, and 4 years of residency (12 years total). There are two types of midwives: lay midwives and CNMs. Lay midwives are those who have experience delivering low-risk babies out of the hospital, typically at home.  They have no certification or licensure requirements, and no formal medical training.  Home births with a lay midwife are by far the most dangerous and I have seen some bad outcomes and cannot ethically support them.  When I speak about midwives during this episode, I am not including lay midwives. CNMs are required to have a bachelor’s degree in nursing (4 years of undergrad), then 2 years of graduate-level nurse midwife training (6 years total). The main differences are the knowledge base and the approach to care. Doctors Nurses OBs, family doctors, and midwives can see you during your pregnancy and can deliver babies vaginally. Only OBs can perform c sections and take care of high-risk pregnancies (moms under 18yrs or over 35 years, those with health conditions, those with prior c-section, twins/triplets Birth location OBs deliver in hospitals because it is the safest setting Midwives can deliver at hospitals, birth centers, and/or at home depending on the local regulations Timing of appointments   In the US, the number of weeks starts at the beginning of your last period, so when you miss a period and test you are 4 weeks pregnant Ovulation and fertilization happen at 2 weeks, so you aren’t actually pregnant until then, but we are counting from LMP In the US, the due date is at 40 weeks In other countries they may count dates starting at conception/ovulation, so the due date is at 38 weeks Initial appt: 6-8 weeks or whenever you find out you’re pregnant, whichever is later First trimester (until 12 weeks and 6 days): you’ll be seen 2-3x; initial confirmation appt, 6-8 weeks for dating, 10-12 weeks for NIPT. Blood testing and urine testing for STIs, drugs, ultrasound for dates, hear heartbeat, NIPT (check out the genetics episode 503) Second trimester (13 0/7 to 27 6/7): appts about every other week, anatomy scan, testing for gestational diabetes, further genetic testing and/or ultrasounds if indicated. Third trimester (28-40 weeks): appointments every 2 weeks, then weekly starting at 38 weeks.  Check urine for protein (a sign of pre eclampsia) at each visit.  GBS screen.  RPR on admission to hospital. Postpartum: 2 weeks and 6 weeks High-risk pregnancies will be seen more often.  A pregnancy can become high risk at any time. Doula What they can do: emotional support, physical comfort during labor and delivery. What they can’t do: anything medical, including deliver babies. Reasons you might want one: to keep you as comfortable as possible during labor; they can get you food/water/ice chips, rub your feet or neck if you want, call the nurse for you, crowd control, can articulate your preferences while you’re in labor, possibly also attending to partner during delivery Reasons you might not want one: expense, privacy, not needed if you have a support person Birthing options / Birth plans Birth plans How you want your birth experience to be Birth is a very tenuous process and doesn’t always go according to plan.  A birth plan is a nice outline of preferences, if you have any. If you are planning a vaginal delivery, keep in mind that your birth team has the main objective of having a healthy mom and baby.  If your provider says that something needs to change during labor or delivery, there is usually a medical safety reason for that change. Scheduled C-Sections Reasons you might be scheduled for a C-section: repeat, breech baby, twins/triplets, high risk for underlying medical conditions in you or the baby.  Scheduled C-sections typically have a shorter birth plan: music in the operating room one support person in there with you will the support person go with the baby or stay with mom when the C-section is over? Even if you’re scheduled for a C-section, you might go into labor early and need an urgent or emergent C-section before the scheduled date. Scheduled inductions  Reasons you might be scheduled: post dates, pre eclampsia, gestational diabetes, specific high-risk pregnancy reasons There are a few ways to induce labor, including medication taken by mouth or placed in the vagina to help open the cervix, IV medication called pitocin which causes your uterus to contract, and placing something such as a stick that absorbs fluid and expands or a balloon that is placed by your provider in the cervix to help it open Less to plan, but the same as for vaginal delivery. Mixed evidence as to whether scheduled inductions are more or less likely to end in C-section Vaginal delivery If you fully go into labor naturally, meaning you have contractions every 3-5 minutes lasting 1 minute each and your water breaks, you may need no intervention at all. Areas to plan: People who will be there Environment: music, smells, lighting, etc Comfort measures / pain relief - birth ball, shower, tub, squat bar, etc Words to use or to avoid Position for labor/delivery Mirror during delivery Plans for the placenta Newborn procedures: skin to skin, eye drops, vitamin K, Hep B, circumcision, timing of first bath, breast/bottle/both Who is allowed after baby is born and how they will be notified Check out The Baby Manual on Amazon.  It will give you peace of mind when your new baby arrives.   __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ Contact Dr. Carole Keim MD Website: CaroleKeim.com Linktree TikTok Instagram   --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim sits down with neurologist and Mama Bird founder Dr. Mika Gupta for an insightful conversation about baby brain development and the critical role nutrition plays from preconception through early childhood. As both a physician and a mom, Dr. Gupta draws on personal experience and explains the concept of the “first 1,000 days”. She explains why this window is so important for building a strong foundation for a child’s lifelong brain health. Together, Dr. Keim and Dr. Gupta explore how thoughtful nutritional choices can support mom and baby during this period of rapid growth and development. Dr. Gupta and Dr. Keim discuss key nutrients that support brain development, including iron, DHA, choline, iodine, and methylated B vitamins, along with practical guidance on how to meet these needs through diet and supplementation. Dr. Gupta also breaks down common misconceptions about prenatal vitamins. She highlights the importance of ingredient forms like methylfolate and why one supplement may not cover everything. With Dr. Keim’s warm and relatable guidance, this episode empowers parents with knowledge to make informed, supportive choices for themselves and their growing babies. Key Moments 00:00 Meet Dr. Mika Gupta and her journey into neurology and nutrition 02:19 What are the “first 1,000 days” and why they matter 03:03 Why prenatal vitamins should start before pregnancy 04:03 Understanding MTHFR and methylated vitamins 06:22 Key nutrients for baby’s brain development explained 08:22 Can you get enough nutrients from food alone? 11:26 Nutrition needs during postpartum and breastfeeding 12:48 Common mistakes when choosing prenatal vitamins 16:44 Why one prenatal vitamin isn’t enough for everything 18:38 What “brain-first” vitamins mean 23:55 One key takeaway for supporting baby’s brain development About Dr. Mika Gupta: Dr. Mika Gupta is a double board-certified neurologist, MIT-trained, and founder of Mama Bird. She’s also a mother of two — a daughter training at the Royal Ballet School and a son with Down syndrome — two radically different brains that taught her more about human potential than any textbook ever could. After her son was born, Dr. Gupta stopped trusting a system that was never built for women and started building what should have existed all along: evidence-based tools for brain health during the first 1000 days, the most critical window of development. She’s a brain activist — helping women see that the invisible architecture they build and sustain is the most neurologically important work in human life. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ __ Contact Dr. Carole Keim MD Website: CaroleKeim.com Linktree TikTok Instagram Contact Dr. Mika Gupta Website: DrBrainMom.com Website: LoveMamaBird.com Dr. Mika Gupta on LinkedIn Instagram: @drbrainmom --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes pediatric dermatologist Dr. Teresa Wright, MD, to the podcast to talk about baby skin care, birthmarks, eczema, and anything to watch out for with a baby’s skin that could potentially be dangerous. Dr. Wright works at Le Bonheur Children’s Hospital in Memphis, Tennessee and is also faculty at the University of Tennessee Medical Center. She shares her journey into pediatric dermatology and explores all manner of common skin concerns, conditions, and questions regarding infants and their skin care with Dr. Keim, based on a wealth of experience and knowledge.  Dr. Keim and Dr. Wright open by addressing the little pink or red spots in the middle of a newborn’s forehead that are sometimes called angel kisses. The medical term is nevus simplex, and Dr. Wright assures listeners that they’re nothing to worry about and will fade over time. They discuss types of newborn skin rashes, such as transient neonatal pustular melanosis, which are normal, before addressing conditions that might need a pediatrician’s attention. Baby moles are explained in detail, atopic dermatitis or eczema is described, and Dr. Wright offers insight on how to mitigate or improve child skin dryness, along with tips on avoiding exposure to known irritants and allergens. This episode is full of facts and advice on infant skin, offering a practical guide to what is normal and what might need additional attention. Dr. Teresa Wright, MD: Dr. Wright attended medical school at the University of Massachusetts in Worcester, Massachusetts. She went on to complete a residency in pediatrics at the University of Massachusetts Medical Center. Subsequently, she completed a dermatology residency at the University of Kansas Medical Center and a fellowship in pediatric dermatology at Children’s Mercy Hospitals and Clinics in Kansas City, Missouri. She joined the dermatology faculty at Baylor College of Medicine and Texas Children’s Hospital (TCH) in January of 2009. In January of 2012, she was promoted to Section Chief of Pediatric Dermatology at TCH. She also served as Co-Director of the Vascular Anomalies Program at TCH from October 2011 through March of 2015. In July of 2015, she returned to her hometown of Memphis, TN to join the dermatology faculty at the University of Tennessee and establish a pediatric dermatology division at LeBonheur Children's Hospital. She has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma. She is board-certified in pediatric dermatology, dermatology, and pediatrics. She is a member of the American Academy of Dermatology, the American Academy of Pediatrics, and the Society for Pediatric Dermatology. Dr. Wright has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim, MD linktree | tiktok | instagram Contact Dr. Teresa Wright, MD website | linkedin --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes Dr. Jason Bronstein, a pediatric pulmonologist and sleep medicine specialist at Mount Sinai Hospital in New York City, to The Baby Manual. Dr. Bronstein shares his journey from general pediatrics to specializing in childhood asthma, sleep apnea in children, and other pediatric breathing issues. He explains the types of cases referred to a pulmonologist, such as persistent chronic cough, difficulty breathing, or repeated respiratory infections. Dr. Keim and Dr. Bronstein discuss how conditions like asthma or congenital lung disorders are diagnosed, and Dr. Bronstein also highlights how environmental asthma triggers, such as smoke, mould, and allergens, can affect a child's lung health.  Dr. Keim and Dr. Bronstein explore how pediatric sleep studies are used to evaluate children for obstructive sleep apnea, especially those with snoring, ADHD-like symptoms, or conditions like Down syndrome or autism. Dr. Bronstein describes what to expect during a sleep study and outlines when it's appropriate. They also cover safe and effective cough remedies for children, including honey for cough, saline nebulizers, and tips for using humidifiers without causing mould exposure. This episode is all about actionable advice for parents concerned about their child’s breathing, sleep quality, or lung function.  Dr. Jason Bronstein, MD: Jason Bronstein, MD, is the Medical Director of the Mount Sinai Pediatric Sleep Medicine Program and Director of the Mount Sinai Children's Integrative Sleep Center. He received his medical degree from New York University School of Medicine and he completed his Pediatrics Residency at Northwell Health, Cohen Children's Medical Center. Dr. Bronstein completed his Pediatric Pulmonology Fellowship at Nemours, Alfred I. duPont Hospital for Children. He completed fellowship in Sleep Medicine at the Children's Hospital of Philadelphia and jointly at the University of Pennsylvania. He treats sleep disorders across the age spectrum, including obstructive sleep apnea, narcolepsy, insomnia, and other pulmonary, neurologic, and behavioral conditions of sleep. He performs advanced interpretation of polysomnography and associated sleep study testing. Dr. Bronstein is dedicated to improving the diagnosis and management of sleep disorders in infants, children, and adolescents. His professional activities include clinical care, graduate medical education, and research. He also treats general respiratory disorders in children in the Division of Pediatric Pulmonology, delivers multidisciplinary care of children with complex medical disorders via various special programs, and works with the adult sleep medicine and adult sleep laboratory programs in the Department of Medicine. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim MD linktree | tiktok | instagram Contact Dr. Jason Bronstein, MD website --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes Dr. David Tegay, DO, to The Baby Manual to talk about genetics, the different types of testing and screening involved in genetics, and how it’s a key part of pediatric medicine. Dr. Tegay was in residency when he encountered a patient who required a consult from a clinical geneticist from Mount Sinai, and the experience fascinated him so much that he moved from his internal medicine residency to a fellowship in genetics. He discusses all aspects of his field with Dr. Keim.  One of the first things Dr. Tegay explains about genetic testing is that most genetic tests are no different than other routine laboratory testing, using a blood sample or even a non-invasive cheek swab or saliva sample to do the testing. It’s the results that are different from other testing. He and Dr. Keim discuss how prenatal genetic testing has developed, what kind of screening might occur during pregnancy, and the types of conditions a geneticist may be looking for. Dr. Tegay sheds light on the truth of birth defects, or congenital anomalies, and how frequently they may occur, including how many are not necessarily significant. The conversation exploring DNA, genetics, and exome sequencing, and the diseases or conditions such testing may reveal, is both enlightening and informative, explaining methodology and treatment for fetal and newborn ailments. Dr. David Tegay, DO, FACMG, FACOI: Dr. David Tegay, DO, is a clinical geneticist in Great Neck, NY and has over 25 years of experience in the medical field. He specializes in the areas of Clinical Genetics and Genomics & Internal Medicine. Dr. Tegay graduated from New York Institute of Technology College of Osteopathic Medicine in 1997. He is affiliated with the medical facilities North Shore University Hospital and St. Mary's Hospital Amsterdam. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim MD linktree | tiktok | instagram   Contact Dr. David Tegay, DO, FACMG, FACOI linkedin --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim welcomes Dr. Lauren Kanner, MD, to The Baby Manual to discuss the wide-ranging field of pediatric endocrinology. Dr. Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics, and she shares how she got into the specialty before discussing the conditions she treats. She offers information and insights into thyroid disorders, growth hormone deficiency, early and delayed puberty, and Type 1 and Type 2 diabetes in children based on her knowledge and years of experience.  Dr. Keim and Dr. Kanner talk about the signs and symptoms of diabetes in children, detailing what to look for, and Dr. Kanner explains how blood sugar testing and insulin therapy play crucial roles in treatment. Throughout the conversation, the doctors exchange practical insights for parents into childhood nutrition and normal growth patterns. Dr. Kanner addresses the challenges of toddlers with picky eating habits and emphasizes healthy routines such as reducing sugar-sweetened drinks and increasing physical activity, or ‘joyful movement’ as she calls it. The emphasis is on fostering positive eating habits and imparting information on the variety of conditions a pediatric endocrinologist can diagnose and treat.   Dr. Lauren Kanner, MD: Dr. Lauren Kanner is the Clinical Associate Professor of Pediatric Endocrinology at the University of Iowa Hospital and Clinics. Dr. Kanner completed her medical school at Rush Medical College of Rush University in Chicago, IL, before continuing her training in pediatrics at North Shore Long Island Jewish Health System Cohen Children's Hospital. Dr Kanner completed a pediatric endocrinology fellowship at the University of Wisconsin and is currently part of the University of Iowa Endocrinology and Diabetes team.  Dr Kanner has interests in both diabetes and care of endocrine conditions, with a special interest in female, adolescent endocrinology and quality improvement. She has recently joined the Member Board of Directors for the North American Society of Pediatric and Adolescent Gynecology (NASPAG). __  Resources discussed in this episode: The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim MD: linktree | tiktok | instagram   Contact Dr. Lauren Kanner, MD: linktree | website --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Carole Keim talks with Dr. Victoria Martin, MD, MPH, a gastroenterologist, a specialist who focuses on everything related to the stomach and intestines in babies. Dr. Martin trained in pediatrics and became interested in what happens in baby intestines, especially early on, during training. She talks with Dr. Keim about things like blood in a baby’s stool, protein allergies, signs of food allergies in children, and what to look for at home for signs of intestinal distress. She differentiates between what might be cause for concern versus what is normal for infants regarding reflux, breastfeeding, constipation, and more. Dr. Martin explains normal reflux in babies and what to try at home before getting to a doctor’s appointment in regards to concerns about too much spitting up. She and Dr. Keim discuss food allergies in infants, common concerns over what allergens are transferred from a mother’s breastmilk, and why there are things to consider before immediately eliminating foods from a mother’s diet if an allergy is suspected. Food allergies, causes, and substitute formulas are discussed, and Dr. Martin shares insights into possibilities for preventing the development of allergies, when to introduce solid foods, and what a baby’s poop reveals about the baby’s health. It’s an episode full of practical advice and in-depth knowledge from Dr. Martin about babies’ intestinal functions.     About Dr. Victoria Martin, MD, MPH: Dr. Martin graduated from Harvard University with a degree in Biology. She completed her medical school and residency training in Pediatrics at the University of Massachusetts Medical School. She then completed her fellowship training at the Massachusetts General Hospital for Children in the division of Pediatric Gastroenterology and Nutrition, during which she was awarded the Outstanding Teaching Award by the pediatric housestaff. She also completed a Master's degree in Public Health in Clinical Effectiveness at the Harvard School of Public Health. Dr. Martin's clinical and research interests include the developing infant microbiome and its potential role in gastrointestinal food allergic diseases, including allergic proctocolitis and eosinophilic esophagitis. __  Resources discussed in this episode: The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__ Contact Dr. Carole Keim MD Linktree: linktr.ee/drkeim Tiktok: @dr.keim Instagram: @doctoratyourdoor   Contact Dr. Victoria Martin, MD, MPH Workplace: Mass General Brigham for Children LinkedIn: Victoria-Mackenzie-Martin-644337102 --- Amazon Shop Dr. Keim’s must-have baby and toddler items: https://www.amazon.com/shop/drcarolekeim. FullScript Vitamins and Supplements Breastfeeding Moms: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQyNDM= Back to School: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0zNDQxNTg= Immune Support: https://us.fullscript.com/s/doctoratyourdoor/shop/collections/Q29sbGVjdGlvbi0yNjgyMTY= Use this link to get 10% off and free shipping for orders over $50: https://us.fullscript.com/s/doctoratyourdoor/shop HIRO Diapers Use code DRCAROLEKEIM for a discount at checkout: https://hirodiapers.com/drcarolekeim As an Amazon Associate, and HIRO Diapers and FullScript affiliate, I earn from qualifying purchases. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.