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4 Consejos sobre la lactancia para nuevas mamás
While breastfeeding is natural, it's not always easy. We asked Certified Lactation Counselor Sarah Mitchell for some tips to help make the process easier for mom and baby. From increased infant immunity to improved maternal health and well-being, the benefits of breastfeeding are many. Still, only 60 percent of U.S. moms in the United States continue to breastfeed past their baby's first six months. There are for many reasons for why moms stop, including the mother's their need to return to work. We reached out spoke to Sarah Mitchell, a certified lactation counselor at The Lactation Connection at Renown, for some expert advice. Tip 1 At first, it's normal to expect obstacles. Even in cultures where close to 100 percent of moms breastfeed, they can experience issues, including getting the baby to "latch on," sore nipples, and milk production. In addition, it sometimes can take several weeks for mom and baby to get comfortable. Tip 2 Line up a coach, even before the baby is born. This can be a professional lactation coach, family member, or friend who is experienced and encouraging. While online videos can be helpful, most new moms need the one-on-one guidance that a coach can provide. Renown offers outstanding resources in its Lactation Connection center, including expert consultants, products, and support. Tip 3 Well ahead of the due date, set up a support network of friends, family members, or community groups such as La Leche League. Women historically have relied on extended support systems to help them with raising children, and breastfeeding is one of those areas that, while natural, still needs encouragement from the women who’ve been there. Tip 4 Don’t get discouraged if you need to supplement at times with formula. This, too, as it turns out, is not uncommon in other cultures. In other parts of the world, babies are given beverages and foods such as tea, broth, soup, juice, mashed bananas, and papaya. The American Academy of Pediatrics recommends supplementation only with approved formula -- but the point is, it’s ok to supplement if you need to. Finally, don’t forget the importance of breastfeeding for connecting with your baby. It’s essential to maintain breastfeeding over the weekends, preferably “on-demand,.” and will keep that special bond strong after you have returned to your job.
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How to Safely Store Breast Milk
Breast milk. It's often referred to as liquid gold. And fortunately, it can be safely refrigerated or frozen for later use, which can allow you to be a bit more flexible in your new routine with baby. Whether you're getting ready to return to work, planning for the chance date night out or just exclusively pumping, it's crucial to understand the guidelines for proper breast milk storage. Storing Breast Milk Use clean bottles with screw caps, hard plastic cups that have tight caps or nursing bags (pre-sterilized bags meant for breast milk). Be sure to label each container with the date the milk was pumped and your baby's name if the milk is going to childcare providers. You can add fresh, cooled milk to milk that is already frozen, but add no more than is already in the container. For example, if you have two ounces of frozen milk, then you can add up to two more ounces of cooled milk. For healthy full-term infants, milk can be stored as follows: Room temperature - six to eight hours (no warmer than 77°F, or 25°C). Refrigerator - up to five days at 32°-39°F (0°-3.9°C). Freezer– Varies depending on freezer type. Up to two weeks in a freezer compartment located within the refrigerator. Three to six months in a freezer that is self-contained (standard kitchen fridge/freezer combination) and kept at 0°F (-18°C). Breast milk should be stored in the back of the freezer and not in the door. Six to 12 months in a deep freezer that is kept at -4°F (-20°C). Be sure to leave about an inch of space at the top of the container or bottle to allow for expansion of the milk when it freezes. Thawing Breast Milk Place frozen breast milk in the refrigerator to thaw (about 24 hours) then warm by running warm water over the bag or bottle of milk and use it within the next 24 hours. If you need it immediately, remove it from the freezer and run warm water over it until it's at room temperature. Never microwave breast milk and do not refreeze it. Once your baby has started to drink from the bottle, you should use it within one hour. You may find that different resources provide different recommendations about the amount of time you can store breast milk at room temperature, in the refrigerator and in the freezer. Talk to your doctor or lactation consultant if you have any concerns or questions.
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La lactancia no tiene por qué significar dolor en los pezones
If you think sore nipples are just a normal part of breastfeeding, think again. Robin Hollen, APRN, and Breastfeeding Medicine Specialist, says that nursing can be an enjoyable experience for mom and baby without pain and discomfort. A top concern of nursing moms within the first week after delivery is how to prevent sore nipples. Even moms who’ve nursed before struggle with this common issue. While many women think it is a regular part of the nursing experience, it is actually a sign that something isn’t quite right. “Nursing your baby should be enjoyable,” says Robin Hollen, Breastfeeding Medicine Specialist with Renown Health. For over 30 years Robin has been supporting moms to breastfeed. Below she shares some valuable information and tips, helping you create a happy and healthy breastfeeding experience for you and your baby. What causes sore nipples? The most common cause of sore nipples involves incorrect latching. For a proper latch, a baby’s mouth takes in the entire nipple and some of the breast, so that the nipple rests at the back of the mouth where the palate is soft. With an improper latch, the mouth may slip down to the tip of the nipple while the baby nurses. This constant pressure on your sensitive skin may cause discomfort and pain. A board-certified lactation consultant can help assess if your baby is latched correctly and troubleshoot your breastfeeding concerns. Less common causes of sore nipples include: • Improper tongue placement of baby • Clenching • Incorrect breast pump use How can a mother prevent sore nipples from an improper latch? Breastfeeding is a learning experience for both mom and baby. Ask for help with the latch so your baby learns it correctly and maintains its depth. In the past, new mothers were surrounded by a community of women — their own mothers, grandmothers, or other family and friends — to provide assistance and guidance with every latch at the beginning of an infant’s life. In today’s culture, new moms can find themselves on their own with no extended family to lend their knowledge. Nurses, pediatricians and lactation consultants now fill that role; they are the eyes and hands along with the much-needed experience to guide new mothers. Our Breastfeeding Medicine experts assist nursing moms with latch every day. Even a single visit with a lactation consultant observing your breastfeeding baby can provide valuable insight on achieving, and maintaining, the proper latch - preventing future nipple soreness and discomfort. How to heal sore nipples from breastfeeding To heal sore nipples, you must first fix the cause, and correcting the latch prevents further damage. A lactation consultant can also help you address the pain. Below are some breast healing tips: • Your own expressed breast milk is excellent to rub into the nipple for anti-bacterial protection. • For those moms who need more lubricant or fat than breast milk offers, use a lanolin or a cream that is labeled safe for the baby. • Soothies are a gel pads providing comfort in between feedings, but should not be used with lanolin products. • Breast shells, not to be confused with shields, can guard the nipples from irritation or pressure in between feedings. If you have more questions about preventing and healing sore nipples or general breastfeeding concerns, talk to your pediatrician or a Renown Health Breastfeeding Medicine specialist at 775-982-6365.
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abordaje de la igualdad en la salud para las comunidades de color
Area Church Pastors, the City of Reno, the City of Sparks, the Washoe County School District, REMSA and Renown will be available to discuss the impact of COVID-19 on communities of color, and how they have joined together to provide free COVID-19 testing to area residents. DE QUÉ SE TRATA Los medios de comunicación están invitados a entrevistar a los líderes de la comunidad para saber cómo nos unimos para hacer frente a las disparidades en la salud y promover la igualdad en el acceso y la prestación de la atención médica. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños que asisten a la escuela. El primer centro de pruebas, que ofrecerá pruebas sin salir del automóvil y sin cita (por orden de llegada), se realizará el sábado, 26 de septiembre, de 1 p. m. a 4 p.m., en el Ministerio Fuente de Vida del pastor Cesar Minera. Las pruebas se ofrecerán a los miembros del Ministerio Palabra de Vida (Word of Life Ministries) y de la Asociación de Ministros Evangelicos (A.M.E.N.), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City, así como a estudiantes y familias del distrito escolar del condado de Washoe (WCSD) que viven en esa área. REMSA staff will conduct the nasal swab testing and Renown Health will process the tests. No es necesario tener síntomas de COVID-19 para realizar la prueba. CUÁNDO Jueves, 24 de septiembre a las 1:45 p.m. DÓNDE Ministerio Palabra de Vida 2375 S Virginia St, Reno, NV 89502 OPORTUNIDADES VISUALES Y DE ENTREVISTA Pastor Cesar Minera Un miembro de la congregación de la iglesia Representantes de la ciudad de Reno (vicealcalde Reese), la ciudad de Sparks, WCSD, REMSA y Renown Health POR QUÉ Según la American Hospital Association, la pandemia de COVID-19 está afectando de forma desproporcionada a nuestras comunidades negras, indígenas y de color. Black and Latino Americans are three times more likely than white people to contract COVID-19. Los Centros para el Control y la Prevención de Enfermedades informan que la tasa de hospitalización por COVID-19 de las personas latinas y de raza negra también se enfrenta a tasas de hospitalización sombrías similares, entre 4.7 y 4.6 veces más altas, respectivamente, en comparación con las personas blancas. Las personas de raza negra mueren a una tasa casi dos veces mayor (24 %) que su porcentaje de población (13 %), y, en 42 estados, incluido Nevada, los latinos representan una proporción mayor de casos confirmados que su porcentaje de población, según el proyecto de seguimiento de datos de COVID de The Atlantic. En apoyo a la proclamación del gobernador Sisolak de que el racismo es una crisis de salud pública, una asociación de organizaciones religiosas, iglesias y pastores, junto con líderes comunitarios, reconocen que es fundamental cambiar la cultura de la medicina al abordar el racismo y los prejuicios implícitos que contribuyen a las disparidades en materia de salud. El grupo de líderes de la comunidad del norte de Nevada incluye a la alcaldesa de Reno, Hillary Schieve; el concejal de Sparks Kristopher Dahir, capellán de Northern Nevada Veterans Home y presidente de la Junta Directiva de Excel Christian School; Angela D. Taylor, Ph.D. de la Junta Directiva del Distrito Escolar del Condado de Washoe, ministra ordenada y pastora adjunta en Greater Light Christian Center; el pastor sénior Cesar Minera, del Ministerio Palabra de Vida (Word of Life Ministries) y presidente de A.M.E.N. (Asociación de Ministros Evangélicos de Nevada), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City; el pastor Nathan DuPree, de Living Stones Church, director ejecutivo de 360 Blueprint (una colaboración de los organismos de aplicación de la ley locales, el distrito escolar del condado de Washoe y los líderes de la comunidad local) y copresidente del African American Clergy Council of Northern Nevada (AACCoNN), un consejo conformado por organizaciones religiosas, iglesias y pastores que se unen para apoyar a nuestra comunidad y se enfoca en las familias, la salud, la educación, el desarrollo laboral y la prevención de delitos; Norris DuPree, Jr., Ph.D. y presidente de Transformations Therapy and Behavioral Consultation; el pastor DeSean Horne de Second Baptist Church; Dean Dow, MBA, CMTE, presidente y director ejecutivo de REMSA, y Anthony Slonim, MD, DrPH, presidente y director ejecutivo de Renown. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños de WCSD. There is no cost to be tested. Those with insurance will be asked to provide an insurance card, all others will be tested free, with thanks to the Renown Community Benefits fund. About Renown Health Renown Health is Reno’s only locally owned, charitable, not-for-profit integrated health network. Being not-for-profit means that all income stays in the community— and is reinvested in programs, people and equipment to improve the health of the community. Renown directly contributes to the community’s overall well-being with a Community Benefit mission to reduce health disparities, promote community wellness and improve access to care for vulnerable populations. This includes offering free and discounted care to those unable to afford healthcare, and partnerships with others to address health and well-being. In partnership with many community-based organizations, area schools, human and social service agencies, and government and business leaders, Renown supports many educational, public health outreach, and community development initiatives throughout Nevada. En el año fiscal 2019, Renown Health, una red de salud comunitaria sin fines de lucro y de propiedad local, invirtió más de $158 millones en educación de salud, iniciativas comunitarias y servicios de atención médica no reembolsables. En el año fiscal 2020, el Dr. Tony Slonim, director ejecutivo, destinó $150,000 en fondos a 60agencias locales para apoyar los esfuerzos de diversidad e inclusión y los determinantes sociales de la salud.
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UNR Med and Renown Health Recognize Transgender Day of Remembrance
Medical Students Recognize Transgender Lives Lost to Violence, Address Inequities in Health The month of November includes Transgender Awareness Week, which concludes with Transgender Day of Remembrance (TDOR), on Sunday, November 20, a day for people to come together to recognize the many transgender lives lost to violence over the last year. Transgender people remain one of the most underserved groups of people across several domains, including health care. The Transgender Day of Remembrance and Resilience memorializes people who have passed due to transphobic violence. The Transgender community is an umbrella term used by people who do not identify with the gender associated with the sex they were assigned at birth. Not everyone identifies with the term transgender, and there are many self-identifier terms for people who do not identify with their assigned sex at birth (e.g., woman, man, trans, non-binary, gender nonconforming, gender fluid, gender queer, and more). Transgender Day of Remembrance is held in November to honor Rita Hester, whose murder on Nov. 28, 1998, launched the “Remembering Our Dead” web project and a San Francisco vigil the following year. The event provides a forum for transgender communities and allies to raise awareness of the threat of violence faced by gender variant people and the persistence of prejudice felt by the transgender community. Communities organize events and activities including town hall style "teach-ins," photography and poetry exhibits and candlelit vigils. These activities make anti-transgender violence visible to stakeholders like police, the media, and elected officials. In 2010, TDoR was observed in over 185 cities throughout more than 20 countries. Here in Reno, the University of Nevada, Reno School of Medicine (UNR Med) hosts Diversity Dialogues, a series hosted by the Office of Diversity and Inclusion. This month, the Medical Student Pride Alliance of UNR Med honored transgender people whose lives were lost in acts of anti-transgender violence, that included a medical student-led discussion regarding ways to help raise visibility and awareness for transgender people and the issues faced by the community. Diversity Dialogues is an open discussion of diversity and inclusion issues and the diversity initiatives at UNR Med. The UNR Med Diversity Dialogues included a reading of the names of those who died from October 1st of the former year to September 30th of the current year, and education on transgender and gender non-conforming people. Medical students recommend ways that healthcare providers can help support the community including: Being open to feedback, criticism, and new information Contributing to a LGBTQ+ safe space by using pronoun pins, flags, inclusive language Registering your practice on Nevada Gender Affirming Healthcare Project (NGAHP), GLMA: Health Professionals Advancing LGBTQ Equality, Outcare Health, & other provider lists Reading new research in academic journals and stay up to date with guidelines including World Professional Association for Transgender Health (WPATH) Version 8 and attending CME courses on LGBTQ+ Care. The general public can support the community by: Standing up for trans people in your life, in the media, and amongst your peers, and be an active, proud ally to the community Respecting people’s identities and fluidity and learn to use different pronouns Consuming trans-friendly and LGBTQ+ friendly media (tv shows, movies, music, podcasts) Following trans people on social media, specifically activists/educators, to learn from them This month, the Human Rights Campaign (HRC) Foundation, the educational arm of the Human Rights Campaign, the nation’s largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization, released “An Epidemic of Violence: Fatal Violence Against Transgender and Gender Non-Conforming People in the United States in 2022” a report honoring the lives of at least 32 transgender and gender non-conforming people killed in 2022 and shining a light on data that HRC has continued to collect on the epidemic of violence. HRC has officially recorded at least 300 violent deaths of transgender and gender non-conforming people, including 32 in 2022 alone, since the organization began tracking this violence ten years ago. Overall, transgender and gender non-conforming victims of violence are overwhelmingly Black, under 35, and killed with a firearm. The highest known single-year total of fatal deaths of transgender and gender non-conforming people was in 2021, when at least 57 trans & gender non-conforming people were violently killed. Worse, these disturbing numbers likely underreport the deadly violence targeting transgender and gender non-confirming people, who may not be properly identified as transgender or gender non-conforming by police, media or other sources. In 2022, the Human Rights Campaign Foundation recognized Renown Regional Medical Center in Reno, Nev. as the first and only hospital in Nevada at the highest level of support as “LGBTQ+ Healthcare Equality Leader.” El Índice de igualdad en la atención médica (Healthcare Equality Index, HEI) es la encuesta de referencia más importante del país de los centros de atención médica sobre las políticas y prácticas dedicadas al tratamiento igualitario y la inclusión de pacientes, visitantes y empleados de la comunidad LGBTQ+. For more on LBGTQ+ care and providers at Renown, visit renown.org/diversity/lgbtq-at-renown/. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Desde 1969, UNR Med ha capacitado a más de 3,900 estudiantes, residentes y becarios. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is Nevada's largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 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.
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