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What Does a Doula Do?
If you’re expecting a new baby, you may have been given the advice to hire a doula. You may have seen statistics of improved outcomes among those who’ve had a doula attend their birth. Perhaps you’ve heard that the etymology is from the Greek word meaning “to serve.” But how does a doula serve their clients? A doula is a non-medical birth professional who will guide you through labor, birth, postpartum and beyond. Your doula can discuss your options with you so you can make informed decisions, as well as provide emotional and physical support to ease your experience. While each doula offers their own style, there are certain services that most doulas will provide for their clients. Typically, a birth doula will provide at least one prenatal visit, one postpartum visit and continuous support during active labor. A postpartum doula usually provides support during the 12 weeks immediately following birth, sometimes referred to as the “fourth trimester,” but some will continue care after that as well. Simply put, a doula provides informational, physical and emotional support during the childbearing year(s). Let’s take a closer look at these three ways a doula can support you. The Basics If you don’t know your options, you don’t have any. This is a common phrase in the world of birth work. When you’re in labor, you’re exhausted, in pain and there’s often urgency inherent or implied in any choices you make. So, when an intervention is offered, many birthing people accept it without question. One method that can help the decision-making process is to check your BRAIN: Benefits: What are the benefits of the proposed intervention? Risks: What are the risks of the proposed intervention? Alternatives: What are the alternative options? Intuition: What does your intuition tell you? Nothing: What if we do nothing? What if we wait? When you’re in active labor, you might have difficulty remembering this acronym; that’s where your doula comes in. At your prenatal visits, you can ask your doula for guidance in preparing your birth plan, which can include contingencies for certain potential interventions. And as choices arise during labor, your doula can guide you through the benefits and risks and can provide you with alternative options you might not otherwise be aware of that are available to you. Your doula can remind you to check in with your intuition and can help you quiet your mind so you can listen to your instincts. The Body Although we tend to see depictions of people giving birth on their backs with their feet in stirrups, this is only one of many ways to give birth. Walking and dancing can speed up early labor. Side-lying or hands-and-knees can prevent tearing during the pushing stage. Sometimes labor stalls, and a change of position is often helpful to get things moving again. Your doula can suggest positions depending on your stage of labor. Some labor positions might require the support of another person – your doula could fill this role or assist your partner in doing so. Some doulas also provide massage or even acupressure, and most will do the “hip squeeze” that so many laboring people swear by. If your baby is presenting posterior, or “sunny side up,” your doula can apply counter pressure to alleviate back pain during labor. Some postpartum doulas will do light housework while you rest and bond with your newborn. Others might care for your baby through the night so you can catch up on sleep. Many doulas have also gone through additional training to offer breastfeeding support and may be able to assist you with latch issues and nursing positions. The Mind Pregnancy, birth and postpartum periods can be some of the most emotional times in a person’s life. A doula will hold space for you and help you process your emotions before and after birth. It’s normal to feel apprehensive, or even fearful, about labor and birth, and discussing these feelings is the first step. A doula can help you navigate your concerns in a safe space so you can be prepared emotionally for your upcoming labor. Many doulas will also guide you through writing your birth plan, which can lessen anxiety about the unknown. If you have a history of trauma, your doula can assist in communicating this, so you don’t have to relive the experience every time you meet a new medical provider. Most people will experience some form of what’s often called the Baby Blues in the immediate postpartum period. The third day after birth tends to hit hard, as hormones attempt to regulate, but the Baby Blues can continue for weeks for some new parents. A postpartum doula’s support can be incredibly valuable during this time. When the baby blues last longer than a few weeks, it could considered a mood disorder. Most doulas will recognize signs of postpartum mood disorders and will have resources available for additional support. Choosing the Best Doula for You With so many wonderful doulas in northern Nevada, you might wonder how you could ever choose just one to attend your birth. Some expectant parents are unfortunately restricted by cost. With so many expenses related to a new baby, it can be difficult to budget doula services as well. Thankfully, Nevada Medicaid now covers doula care, and some commercial insurances are following suit. Check with your insurance company to find out if they might cover part of the cost for hiring a doula. If your insurance doesn’t cover doula services, some doulas offer a sliding scale based on income. You may want to interview multiple doulas to find the right one for you. If you’re the kind of person who wants all the information you can get, a more detail-oriented doula might be the best choice. But if you tend to feel overwhelmed by too many options, you might prefer a doula who only offers additional information as the situation calls for it. If you want massage or acupressure during labor, you might want to hire a doula with those certifications. Or maybe informational and physical support are not as important to you as emotional support, in which case your best choice could be a doula who has experience with postpartum mood disorders or trauma support. Regardless of who you hire, be sure to clearly communicate your desires and expectations – not just for your birth, but also for your doula. The most important thing when choosing your doula is trusting your gut. You need to feel comfortable with your doula, as they’ll be tending to you at one of the most vulnerable times in your life. When you find a doula that you click with, who listens to you and supports your choices, you have found the best doula for you.
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Celebrating Blood Sugar Balance This Holiday Season
As the holiday season draws near, we find more reasons to celebrate with loved ones. At Renown Health, we are kicking off the celebrations early this November with American Diabetes Month. Approximately 37 million Americans, including 270,000 Nevadans, have been diagnosed with diabetes with as many as 95% of those diagnosed living with type 2 diabetes mellitus (T2DM). What is Type 2 Diabetes? Type 2 diabetes is a chronic health condition that occurs because your body is not using insulin (a hormone made by the pancreas to help cells use the food we eat for energy) as well as it should, resulting in high blood sugar levels. It is important to obtain a diagnosis for T2DM and ensure it is well-controlled to prevent serious health complications. Those with diabetes are at higher risk for blindness, kidney failure, heart disease, stroke and amputation. Tips for Supporting Your Health with Type 2 Diabetes Know Your Blood Sugar Levels: Work with your healthcare provider to establish target blood sugar levels, and make sure to monitor your levels regularly as advised by your healthcare provider to prevent or delay health complications associated with T2DM. Focus on Your Plate: Eating foods such as fruits and vegetables, lean meats or plant-based proteins, healthy fats and whole grains supports diabetes management. If choosing healthy foods is difficult due to your busy schedule, cost or simply because you aren’t sure where to start, talk with your healthcare provider who may refer you to a registered dietitian. Registered dietitian nutritionists are certified nutrition specialists who can provide education and practical tips for eating to support your T2DM diagnosis with visits covered by many insurance plans. Prioritize Staying Active: Engaging in regular exercise is good for everyone, especially those living with T2DM. Exercise helps your cells become more sensitive to insulin and therefore supports healthy blood sugar levels. Always check with your healthcare provider prior to beginning a new exercise plan. Support Stress Reduction: Stress is unavoidable but can be managed through regular exercise, getting enough quality sleep (7-8 uninterrupted hours per night) and practicing meditation and other mindfulness techniques. Plan Ahead for Holiday Gatherings: There’s still room for celebration while focusing on blood sugar management. Consider bringing a healthy dish to your gathering, focus on filling your plate with vegetable sides and eating those first and incorporate a family walk after dinner. If traveling, pack nutritious snacks that support your health and keep you full. Lastly, enjoy the special dishes and desserts this season has to offer in single-serving portions.
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Renown Health Earns "Best Place for Working Parents" Designation
Renown Health has earned the “Best Place for Working Parents” designation for 2024 as a family-friendly workplace in Nevada. “We are honored to be recognized as a Best Place for Working Parents, said Brian Erling, MD, MBA, President & CEO of Renown Health. This designation reflects Renown’s commitment to creating a supportive and inclusive workplace where our physicians, clinicians and employees can thrive professionally and personally. We understand the challenges that working parents face, and we are working to foster a more family-friendly environment. Together, we are building a People-First culture that values caring, integrity, collaboration, and excellence.” “This designation recognizes Renown Health’s commitment to supporting working parents with family-friendly policies and practices,” said Sandeep Randhawa, MS, Chief People Officer. “Our People First culture and mindset supports the well-being of Renown’s more than 7,500 exceptional physicians and employees. Our best-in-class talent management programs focus on attracting and retaining healthcare professionals; ensuring that Renown’s values are reinforced with strategic decisions aimed at empowering our employees to perform at their best. We are incredibly proud of our team and the total rewards package we offer. We continue to look at meaningful ways to recognize and reward our extraordinary team for their contributions and achievements.” “This designation recognizes Renown Health’s commitment to supporting working parents with family-friendly policies and practices,” said Sandeep Randhawa, MS, Chief People Officer. “Our People-First culture supports the personal needs and well-being of Renown’s more than 7,500 exceptional physicians and associates. Our best-in-class talent management programs focus on hiring, training, and growing our professionals; ensuring that Renown’s values are reinforced with every strategic decision. We are incredibly proud of our team and the benefits we offer. We will continue to look for new benefits and conveniences to bring to our extraordinary team.” “The Best Place for Working Parents” is made up of community businesses that work to educate organizations on the importance of promoting family in the workplace. Renown was recognized for offering the following family-friendly benefits. Expanded physical health, medical, prescription and dental benefits for full-time and part-time employees Flexible Spending Accounts Enhanced wellness and mental health support Appreciating and engaging employees Paid volunteer opportunities Everyday Amazing and Celebrate Amazing service milestone events Community and family event discounts Debt-free Financial Wellness program Emergency Financial Fund through Renown Health Foundation Educational assistance reimbursement, student loan repayment, continuing education Onsite Childcare Center Flexible schedules and locations Retirement Savings Plans and matches For more information or to join the Renown family, apply online at renown.org/careers. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
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Renown Health Launches Free Childbirth Classes for Expectant Parents
Renown Health is excited to announce the launch of free pregnancy, childbirth and early parenthood and grandparent classes. Beginning this month, Renown’s comprehensive selection of childbirth education and support for expecting and new parents is now available to all in the community as a free resource, and as part of Renown’s community benefit mission. “As Reno’s only not-for-profit, integrated academic health care organization we are constantly investing in essential community benefits and services. Our goal is to enhance access to prenatal care and childbirth education to help improve health outcomes for mothers and children in Washoe County,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “By offering these free classes, we look to provide parents with the knowledge and support they need to confidently welcome their babies into the world, and to raise healthy children.” "We are thrilled to offer childbirth classes to our community at no cost. We recognize the profound health benefits these classes provide, not only to expectant mothers, but to their families and the broader public,” says Jennifer Timmons, RN, Nursing Manager for Postpartum and the Newborn Nursery at Renown. “We want to promote healthier pregnancies and foster stronger, more resilient families. By removing financial barriers, we hope to reach and support every expecting parent in Washoe County.” All Classes are now FREE including: Pregnancy & Birth Class. An all-in-one day childbirth education course offered virtually or in-person, or a 7 Week in-person Thursday series childbirth preparation class, prepares mom and her partner for the many aspects of childbirth, postpartum, infant care and breastfeeding education. Certified instructors offer support and guidance to meet individual needs. Comfort Measures for Birth Class. In this two-hour session, expecting parents learn labor coping skills including relaxation/meditation practice, breathing techniques, massage and acupressure. Spinning Babies Parent Class. A four-hour class designed for expecting moms after the 20th week of pregnancy. This class highlights rotating the baby down and out of the pelvis. Preparing for Postpartum Virtual Class. This 2-hour class helps prepare mom and partner on what to expect after birth and the weeks that follow, the difference between postpartum blues and postpartum depression, mother’s warning signs and adjustments once you return home. Breastfeeding Basics and Beyond Class. In this class taught by an International Board-Certified Lactation Consultant, mothers get off to a better start with breastfeeding. Breastfeeding Circle Gathering encourages breastfeeding moms to find support, exchange experiences, and discuss any concerns. Popular topics include milk supply, pumping, returning to work, sleeping, or lack of sleep, weight and more. Nurturing Your Newborn. This 2 in 1 class includes the Newborn Care Class and Breastfeeding Basics and Beyond. The morning portion of this class includes breastfeeding benefits and techniques. The afternoon segment covers newborn appearances and behavior, daily care, signs of illness, and when to call the doctor. Tummy time, comfort and soothing techniques, how to keep your baby safe, newborn screenings are discussed. Partners are encouraged to attend. Baby Safe Class. This class helps prepare parents for emergencies that may occur in baby’s first year. Along with car seat safety and basic baby proofing, discussion will include basic first aid, prevention and treatment of common injuries. Grandparents and other caregivers are welcome to attend. Infant & Child CPR Class; This course is ideal for schools and students, new parents, grandparents, babysitters, and others interested in learning how to save a life. Baby and Family Suites Tour; and Tours for Siblings (ages 2-8). Join a childbirth educator to learn more about our Baby and Family Suites, labor and delivery rooms housed in the new Labor Assessment Area, and the William N. Pennington Nursery. Virtual Grandparents Workshop. Grandparenting has changed a great deal over the last generation. Grandparents will learn about newborn care, safe sleep environments, breastfeeding, car seats, product safety and how to help support new parents. For more information and to register online for any class free of charge, visit www.renown.org/events. Free Childbirth Classes Are One More Way That Renown Gives Back to Create a Healthier Community for All Renown Health is the only locally owned, not-for-profit, charitable healthcare network in Reno. Being not-for-profit, or a 501 © 3 organization means that all Renown’s income stays locally- and is reinvested in people, programs and technology to improve the health of the community. In fact, Renown’s name - besides being the aspiration for care, means "Reno's Own.” With community is at the center of the organization’s mission, and through the affiliation with the University of Nevada, Reno School of Medicine, Renown Health embraces a commitment to make a genuine difference in creating a healthier Nevada for all. Maternal and Child Health: A Community Benefit Focus Area, 2025-2027 Renown Health’s Community Benefit Health Focus Areas are based on primary and secondary research collected as part of the 2023 Community Health Needs Assessment (CHNA). The CHNA includes input from community stakeholders representing the broad interests of the diverse communities served by Renown Regional Medical Center and Renown South Meadows Medical Center, including those stakeholders with expertise in community and public health. Health needs were identified in the CHNA and subsequently prioritized by community stakeholders. From the prioritized health needs, Health Focus Areas were chosen based on criteria that consider the Renown Health’s team capacity to impact community needs, the strength of community partnerships and the alignment with Renown’s organizational strategic planning efforts. Through this Implementation Strategy, Renown Health is committed to identifying and closing health equity gaps in communities that are historically marginalized and vulnerable. Health Focus Areas for 2025-2027 are Mental Health; Access to Health Care and Community Services and Maternal and Child Health. “Renown’s Community Benefit mission is to reduce health disparities, promote community wellness and improve access to care for vulnerable populations,” says Kerry Kelly, MPH, Manager of Community Health for Renown. “This includes offering free and discounted care to those unable to afford healthcare, and partnerships to address health and well-being. Our CHNA process showed Maternal and Child Health as a priority for the community. Improvements in healthcare services, better access to prenatal care, and free education on maternal and child health may help to decrease the infant mortality rate and improve the health outcomes for mothers and children in Washoe County. By working together, and offering free childbirth classes, we can help have a positive impact on the health and well- being of our community.” Secure a brighter future for local mothers and children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
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