There ARE midwives and doulas in Reno???
I hope you find some, I'll be interested to see what you find. My best friend had a 1 1/2 hour labor, and a 1 hour labor - she can't have a homebirth cause she couldn't find a homebirth midwife anywhere. Seems a shame, since she pops them out so easy! A handful of contractions, a 5 minute transition, three pushes and they are born! She pays thru the nose at the hospital cause their insurance isn't great. I'd love to give her the name of a midwife to give her another option.
In my opinion, Nevada is not only NOT midwife-friendly, they are just plain not CHILD-friendly. I've never seen so many medically managed births - it's quite the norm there apparently! My sister got off easy with epidurals, episiotomies, and the whole nine yards (but birthed vaginally all the same!), discouraged from nursing and sent home with formula samples. Oye.