Women's Health, Pediatrics
General Page Tier 3
The rising popularity of birth centers
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“It felt so normal. It was truly the best experience of my life,” says mom of four Carly Glover as she recounts the birth of her first child. It was a birth that happened outside the walls of the hospital and inside the home-like environment of Anne Arundel Medical Group Bay Area Midwifery’s birth center.
The practice operates a nationally accredited birth center — one of only two in Maryland. And like Carly, one in four of their clients decide the birth center is the right place for them to have their baby.
“Birth choices are so personal,” says Carly. “When I was pregnant, my mother was sick, and I was spending a lot of time in the hospital. I knew I wanted a completely different environment when I had my baby. So I switched to a birth center halfway through my pregnancy.”
While 98 percent of all births in the United States still happen in the hospital, the percentage of birth center births has been on the rise since 2004.
How is a birth center different than a hospital?
“A birth center is like a home away from home, or home with the extra safety net,” says Anne Seifert, one of seven certified nurse midwives at AAMG Bay Area Midwifery. “We have the same basic emergency medications and equipment that the hospital has, but in a home-like setting. We safely monitor mom and baby, and allow families to give birth in a comfortable, non-medical setting.”
Midwives are experts in supporting women with low-risk pregnancies give birth without pain medications. Still, the idea of a birth center can be confusing or overwhelming for some.
“My husband was hesitant about a birth center. I think his exact words were, ‘Are you crazy?’” says Carly. “He was worried about risks. What if something goes wrong? What if you need a doctor? What if you want an epidural?”
A tour and consult at the birth center put his mind at ease.
“We get those questions all the time,” says Shaina French, certified nurse midwife with AAMG Bay Area Midwifery, who says there’s a misconception that birth centers are unsafe or that midwives don’t have enough training.
As birth centers rise in popularity, studies continue to show they provide a safe alternative to hospitals for women with low-risk pregnancies.
“As certified nurse midwives, we are all master’s-degree-trained nurses who specialize in obstetrics and gynecology,” says Shaina. “We are board-certified by the American Midwifery Certification Board and licensed by the State of Maryland. We also collaborate with doctors, nurses and other allied health professionals, such as doulas.”
Preparing for a Birth Center Birth
Whether women choose a birth center or hospital birth, prenatal care is the same.
“The best part was arriving at the birth center in labor,” says Carly. “My husband said, ‘What do we do now?’ The midwife replied, ‘Whatever you want!’ It was magic to my ears — no needles, no monitors, no being stuck in bed.”
Pain management options in the birth center include verbal coaching, position changes, breathing techniques, methods like hypnobirthing or Bradley, massage and water therapy.
“We’re one of the few places in Maryland that offers water births,” says Anne. “Moms can labor and deliver in our tubs. It’s a big reason many women choose us.”
“There was a moment where I started to doubt myself,” says Carly. “But my midwife was right by my side reminding me of my strength, and providing kind and gentle support. It was just what I needed in that moment.”
Homeward Bound
Women and their families typically stay in the birth center three to four hours after giving birth, and then it’s time to go home. Parents must take the new baby to a pediatrician one to two days after birth.
“We call families a few days following the birth to answer questions and see if an in-person check is needed,” says Shaina. “Typically we see moms back in the office two and six weeks after birth.”
Is a Birth Center Right for You?
Here are some questions to ask yourself if you’re considering a birth center:
Are you generally healthy with either no chronic health problems or well-controlled health problems?
Do you have the interest, time and energy to invest in learning about and preparing for a pain-medication-free birth?
Will you feel comfortable going home with a four-hour-old newborn?
Do you have a support system to enlist?
Have you handled physical pain well in the past?
The birth center is not an option for high-risk pregnancies, women expecting multiples, women who want a vaginal birth after Cesarean (VBAC) or women who want an epidural. These women, however, can still choose a midwife at AAMG Bay Area Midwifery and have their baby at Anne Arundel Medical Center.
For a free tour and consultation with a midwife, call AAMG Bay Area Midwifery at 443-481-4400.
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Surgery, Heart Care
General Page Tier 3
Five Things to Know About Heart Surgery
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As February marks Heart Health Month, show your heart some love by eating a nutritious diet comprised of fruits, vegetables and whole grains, exercising regularly, and avoiding smoking. Taking these steps can decrease the chance that you may need heart surgery one day, but if you do need heart surgery, medical advancements have improved options and outcomes for surgery patients. Here are five things you should know about heart surgery:
If Your Arteries Are Blocked, Surgery Can Help.
A blocked blood vessel can lead to a heart attack, stroke and other problems. Coronary artery bypass grafting (CABG) is the most common type of open heart surgery performed on adults today. The surgeon uses a blood vessel taken from another part of the body to provide an alternate route for blood to go around the blockage.
When You Have A Valve That Doesn’t Work, Doctors Can Replace it Without Surgery.
Conditions like aortic stenosis can keep the heart valve from opening fully and make it difficult for blood to flow. Left untreated, aortic stenosis can damage the heart muscle and lead to severe complications.
The good news is that aortic stenosis can be fixed without surgery. Transcatheter Aortic Valve Replacement (TAVR) is a game-changer. It is a minimally invasive alternative to a traditional surgical valve replacement, deploying artificial heart valves using small catheters. This avoids the need for open-heart surgery and can lead to less pain and faster recovery.
TAVR demonstrates outstanding results, providing a viable treatment option for patients who previously had limited choices, ultimately extending their lives and enhancing their overall quality of life.
Traditional Surgery Can Work for A Valve Replacement, Too.
Certainly, open heart surgery remains a viable method for replacing a damaged heart valve. Surgeons have performed the procedure for more than 50 years, yet Surgical Aortic Valve Replacement (SAVR) is still considered major surgery since it involves opening the chest to perform the procedure. Nevertheless, it has a high success rate, with a low likelihood of significant complications.
You Should Treat A Bulge In Your Blood Vessel Before It Becomes an Emergency.
An aortic aneurysm is an enlargement of the aorta, which is the main blood vessel that carries blood from the heart to the rest of the body. When an aneurysm gets too large, it can tear or rupture which may be life-threatening.
There is a lot at stake, so it’s important to know the warning signs, which can include:
Chest pain
Coughing up blood
Dizziness
Hoarseness or trouble swallowing
Pulsing near the belly button
Shortness of breath
Sudden and intense abdominal or back pain
If you or a loved one have an aortic aneurysm, treatment often starts with medication and keeping a close eye on it. However, if it’s large or fast-growing, surgery may be the best option to replace the weak section of the aorta with a graft, or tube.
Surgery Can Correct Heart Rhythm Problems.
Today, doctors can help arrhythmia issues. But when medications and catheter ablations don’t work, surgical ablations can be performed with improved success.
If you are concerned about your heart health, schedule an appointment with a primary care provider or cardiologist. If heart surgery is recommended, we provide skilled, compassionate surgical care for all heart conditions at Luminis Health Anne Arundel Medical Center. Consultations are available in Lanham, Annapolis, and Kent Island.
Author
Murtaza Dawood, MD is an experienced cardiothoracic surgeon who is recognized for performing operations for complex valve disease and atrial fibrillation. He is known for treating mitral valve regurgitation as well as aortic valve disease.
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General Page - Tier 2
Virtual Urgent Care With CareConnectNow
Need care for a minor medical concern today? Now you can connect with a Luminis Health medical provider on your mobile device from anywhere in the state — even the comfort of your home — with Luminis Health CareConnectNow.
CareConnectNow offers trusted, easy-access medical care for things like:
COVID screenings.
Cough, cold or sore throat.
Fever or flu.
Seasonal allergies.
Eye problems, such as pink eye.
Nausea, vomiting or diarrhea.
Headaches or migraines.
Sinus problems.
Vertigo.
Acid reflux.
Skin rashes and infections.
Insect bites or poison ivy.
Constipation.
Shingles.
Urinary tract infections (UTIs).
CareConnectNow is available for ages 13 and up on weekdays from 8 am–9 pm and weekends from 9 am–4 pm. You must be in Maryland at the time of service.
Schedule a virtual visit now or call us on your smartphone at 443-951-4270.
Seek Emergency Care When Needed
Don't use CareConnectNow if you're experiencing:
Difficulty breathing or shortness of breath
Chest pain or discomfort
Dizziness, confusion, severe or persistent vomiting
If you are having a medical emergency, call 911 or visit your nearest emergency room.
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Patient Stories
General Page Tier 3
Surgery at 109 Years Old – Mary’s Story
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This week, Luminis Health Anne Arundel Medical Center (LHAAMC) welcomed our oldest surgical patient in the hospital’s history.
Mary Saxe is 109 years old and recently moved to the Annapolis area to live closer to her son and daughter-in-law.
After breakfast with friends, she suddenly lost balance and fell on her right side. She was quickly brought to LHAAMC for evaluation and medical staff determined her fractured hip would require surgery. Dr. Bigby performed a partial hip replacement on Mary’s right hip.
“Everyone has been so kind,“ she said of her medical team. “They’re taking good care of me while I’m here.”
“On behalf of the entire JSU team, it was an honor to care for Mary after her hip surgery,” said Eve Sage, Clinical Director, General Surgical Unit & Joint and Spine Unit. “Mary’s wit, words of wisdom and appreciation for life filled our hearts.”
“We were so impressed with the level of care, professionalism and services that our mother received at LHAAMC,” said Charles Saxe, Mary’s son. “She was in good hands.”
In the coming days, Mary will begin rehabilitation.
“People always ask me to share my secret to aging well,” Mary said. “I have no secret at all. The only recommendation I have is to keep moving. Keep moving as much as you can, as long as you can.”
Thank you to the entire LHAAMC team for their expert care as Mary recovers!
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Wellness, Senior Care, Pediatrics
General Page Tier 3
Winter is here: Tips to survive cold temperatures
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Frigid temperatures and bone-chilling winds are here. Not only do they cause discomfort, they actually can pose a threat to your health. When your body loses heat faster than it can produce heat, hypothermia occurs.
“Hypothermia is characterized by excessive shivering along with a feeling of exhaustion, dizziness or lightheadedness,” says Mike Remoll, MD.
How to Stay Warm in Cold Temperatures
So what can you do to stay warm in the cold?
Dr. Remoll says the key is wearing layers. “You want some space in between each layer as opposed to wearing one thick garment,” he says.
Focus on These High-Risk Areas
There are three areas you want to be sure to keep warm: the head, the hands and the feet.
“You definitely want to keep your head covered and make sure you wear nice warm gloves and nice warm socks,” Dr. Remoll says. He explains that these areas of the body are at highest risk for hypothermia. Children and the elderly are especially at risk.
Exercising Outdoors in Cold Weather
For people who brave the cold to exercise outside, Dr. Remoll says it’s important to stop exercising once you start to sweat. “The skin becomes much colder when it’s wet,” he explains. “If you can exercise inside in a warm environment, that’s a lot safer.”
READ MORE: 6 tips for sledding safety
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