- Women's Health, PediatricsGeneral Page Tier 3Blog“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 443-481-4400.0
- WellnessGeneral Page Tier 3BlogAs you set off on the road, trail or treadmill to train for your first 5K (or your next one), it’s worth giving some extra thought to what you’re putting in your body for fuel. Eat Well: Get the Energy You Need to Go the Extra Mile Luckily, the best nutrition plan for 5K training looks a lot like a healthy, well-balanced diet. While marathoners might need to “carb-load” for long training runs or take in specific extra nutrients, most runners training for 5K races can get what they need by eating wholesome meals with a variety of fresh foods. For maximum payoff, make sure you get a good mix of carbohydrates, proteins and healthy fats. These elements all play a role in making sure your body has enough energy to exercise, keeping your muscles healthy and promoting good recovery as you train. Tips from the U.S. Department of Agriculture: Limit added sugars and saturated fats Make half your grains whole grains Make half your plate fruits and veggies Vary your protein routine. Over time, small changes add up. For instance, switching out an everyday breakfast of waffles with syrup to include high-quality options — such as oatmeal with berries, or scrambled eggs on a bagel with a side of fruit — can help keep you on the fast track. Hydrate: And Drink in Your Success You should drink approximately 64 ounces of water per day. If you stay well hydrated throughout the day, you won’t need to drink anything prior to your run. Carry a water bottle with you so you can sip from it regularly. Sports drinks with electrolytes are healthy for people who exercise for long periods of time, or sweat profusely. In general, we get more than adequate amounts of sodium and potassium and sugar in our food. We don’t need to drink those nutrients. Also, if you’ve been thinking about reducing your alcohol consumption, this is a good time to do it. Drinking alcohol can get in the way of a good workout in a number of ways, including dehydrating you, disturbing your sleep and affecting your blood sugar. Have a Great Race When it’s finally race day, your healthy nutrition choices will set you up for success. In the hours before the starting gun, stick to the meals your body is used to eating rather than reinventing the wheel or introducing new foods. For dinner the night before your 5K, good meal options might include brown rice with grilled chicken and veggies, or whole wheat pasta with meat sauce and a lightly dressed salad. It’s also best to avoid higher fat foods, since they take longer to digest. If your race is early in the morning, make sure to put something in your stomach first. A banana with a little peanut butter, wholegrain toast with jam or an energy bar might do the trick. Throughout your 5K prep, consider good nutrition part of your training. Making higher quality choices more often than not will support your running plans and help you feel your best on race day. On your mark, get set…go! Author Davis Maurer, MS, RDN, LDN, is a clinical nutrition manager at Luminis Health Doctors Community Medical Center.0
- WellnessGeneral Page Tier 3BlogBuilding a healthier future for all means ensuring that every community has the resources and support needed to thrive. National Black HIV/AIDS Awareness Day (NBHAAD) serves as an annual reminder of the ongoing fight against HIV/AIDS in the Black community. Human immunodeficiency virus (HIV) is a virus that attacks the body's immune system and acquired immunodeficiency syndrome (AIDS) is the most advanced stage of HIV. By raising awareness, promoting prevention, and expanding access to care, we can empower individuals and create a future free from health disparities. Since 1999, NBHAAD has aligned with Black History Month to celebrate the achievements surrounding HIV testing and prevention, and education, while addressing the disproportionate impacts of HIV/AIDS on Black individuals. It’s a day to celebrate progress, foster education and empower individuals to take control of their health and support those living with HIV/AIDS. Impact Despite representing 12% of the U.S. population, Black individuals account for nearly half of the nation’s population living with HIV/AIDS. This stark disparity stems from systemic barriers such as inadequate access to education, testing resources, healthcare and the pervasive effects of inequities. NBHAAD was created to confront these challenges and inspire change. According to the National Library of Medicine, HIV incidence among Black women is more than 20 times higher than among white women. The HIV Surveillance Report states that if current HIV rates continue, “one in two Black gay men who have sex with men will contract HIV in their lifetime.” Additionally, more than 60% of Black transgender women surveyed reported living with HIV. This data demonstrates the importance of targeted resources and support to combat the negative impacts of HIV/AIDS on the Black community. Education Understanding how HIV is transmitted is key to reducing risk and taking steps to protect yourself and others. HIV is transmitted through contact with certain infected body fluids, including: Unprotected vaginal or anal sex Sharing needles, syringes, or other injection equipment From parent to child during pregnancy, childbirth, or breastfeeding HIV symptoms include fever, chills, rashes, muscle aches, sore throat, and fatigue. These symptoms can occur within 2-4 weeks after exposure. Testing If you believe you’ve been exposed to HIV, getting tested promptly is essential. Knowing your status empowers you to take control of your health and helps prevent the spread of the virus. The Centers for Disease Control and Prevention (CDC) offers HIV testing kits that can be ordered online, allowing individuals to learn their status in the privacy of their own homes. Order a kit or find local testing locations on the CDC website. The Maryland Health Department provides free HIV testing kits, along with information about local services and care providers. Learn more. Early detection and treatment prevent the spread of HIV and improve health outcomes. If you test positive for HIV, it’s important to schedule an appointment with your primary care provider, who can help you access treatment and specialized care. At Luminis Health, our Primary Care team is here to support you every step of the way.0
- General Page - Tier 2Virtual 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.0
- Heart CareGeneral Page Tier 3BlogEvery 40 seconds, a person in the United States suffers a heart attack. Heart disease is the leading cause of death in both men and women. In my clinical practice, I treat a wide range of heart attack patients, ranging in age from their 30s to 90s. While most of my patients have multiple risk factors for heart disease, others lack traditional risk factors. In fact, I have treated marathon runners and Navy SEALs for heart attacks. No one is “safe” from a heart attack. That’s why it is critical to be aware of warning signs and to seek treatment to minimize damage to heart muscle. What is coronary artery disease, or CAD? The heart is a muscular pump that transports blood to the body, and the coronary arteries deliver oxygenated blood to the heart. Fatty plaque deposits can develop within the arteries and block delivery of blood to the heart. During a heart attack, a plaque ruptures, causing a life-threatening narrowing that damages the heart from lack of blood flow. What are heart attack symptoms? When your heart lacks oxygen, you can develop chest pain that sometimes radiates to the arms, neck or back. If your chest pain becomes more frequent, intense, longer, and/or occurs at rest, you should seek medical attention. Notably, women, diabetic, and elderly individuals sometimes experience “atypical” symptoms. These can include shortness of breath, fatigue or weakness, back pain, jaw pain, nausea and indigestion. When in doubt, get checked out. Opening up narrowed arteries quickly can minimize heart injury. The best and safest way to get to the hospital is by calling 911 and taking an ambulance. How is a heart attack diagnosed? When you arrive at the hospital, doctors will check an electrocardiogram and your blood work to screen for a heart attack. If doctors are concerned that you’re having a heart attack, they may recommend a heart catheterization. This is where a small tube is placed in an artery. The doctor then takes pictures of the coronary arteries to look for blockages. What are the treatment options? If the doctor finds a severe blockage or several blockages, they may recommend stents, which prop open an artery where it narrows. If there are multiple severe blockages, doctors may recommend heart surgery. In addition to these procedures, medications also play a crucial role in improving blood flow to arteries and preventing plaque buildup. What are CAD risk factors? There are certain risk factors you cannot change, such as age and genetics. But there are other risk factors you can control with aggressive therapy and lifestyle modification. These include diabetes, high blood pressure, high cholesterol, obesity, and tobacco use. Exercise, a heart-healthy diet, avoiding tobacco, and taking prescribed medications are the cornerstones for a heart healthy lifestyle. If you have a heart attack, controlling cardiac risk factors is essential for preventing another heart attack. Recognizing CAD symptoms early and getting timely treatment minimizes heart damage. Controlling reversible risk factors for coronary disease also helps prevent heart attacks. Author Elizabeth Reineck, MD, is an interventional cardiologist at AAMC. Originally published March 26, 2018. Last updated March 27, 2019.0
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