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101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
33 Overlook Rd.
Summit, NJ 07901
340 Main Street
Madison, NJ 07940
Bayonne, NJ 07002
67 Walnut Avenue, Suite 101
Clark, NJ 07066
Robert J. Rubino,
Audrey A. Romero, M.D., F.A.C.O.G.
Jacqueline Saitta, M.D., F.A.C.O.G.
Allan D. Kessel,
Priya R. Patel,
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"I didn't know that!
Stress changes the neurochemical makeup of the human body. It is estimated that stress is the cause of approximately 30% of the infertility problems but not the only contributor. In females, stress affects the maturation and releasing process of human egg. It could lead to spasms in the fallopian tubs as well as uterus, impacting implantation. In males, too much level of stress could affect sperm count.
The weather is finally getting warmer and the Spring buds are beginning to bloom. It's a great time of new beginnings.
We are happy to announce, based on your feedback, we are now offering Saturday office hours. In this issue of our newsletter, we share a study about how glucose can affect labor. We also discuss colposcopy and when it is used. In addition, we include an article on common digestive problems. In our
section, we announce a new weight loss and stress reduction workshop. We also encourage you to please leave a review for our practice online, sharing your positive experience with others who are looking for a full-service, dedicated practice.
We remind you to "Like" our
in front of one of our receptionists to get a small treat! And, you'll find a new interesting "Medical Fact".
As always, we will continue to provide topics that are current, informative and important to your good health.
New Saturday Hours!
You asked in our patient survey and we listened!
The Rubino OB/GYN Group now offers limited Saturday appointments in our West Orange, Summit and Bayonne offices.
Please call the office today to take advantage of this new option and schedule an appointment.
Glucose Reduces Labor
The study investigated the use of glucose to shorten induced labor in nulliparous (first time giving birth). The primary outcome studied was the total length of active labor.
Prolonged labor can be harmful to maternal and fetal health. Few medical interventions are known to shorten labor duration. Because muscle performance is known to be improved by glucose supplementation, the researchers tested whether adding glucose to the intravenous hydration solution women receive during labor could accelerate labor.
Two hundred pregnant women were randomly assigned to receive either a standard hydration solution containing salt and water or a solution containing glucose, salt and water.
Josianne Pare, M.D., with the Department of Obstetrics & Gynecology at the University of Sherbrooke and the presenter of the research at the SMFM annual meeting, explained, "We found that the median duration of labor was 76 minutes shorter in the group of women receiving glucose. There was no difference in the mode of delivery or the neonatal well-being measures."
The conclusion: Glucose supplementation significantly reduces the length of the first and second stages of labor without increasing the rate of complication in induced, nulliparous women. Given the low cost and the safety of this intervention, glucose is a viable solution.
The Society for Maternal-Fetal Medicine (est. 1977) is the premiere membership organization for obstetricians/gynecologists who have additional formal education and training in maternal-fetal medicine. The society is devoted to reducing high-risk pregnancy complications by sharing expertise through continuing education to its 2,000 members on the latest pregnancy assessment and treatment methods. It also serves as an advocate for improving public policy, and expanding research funding and opportunities for maternal-fetal medicine.
What Is A Colposcopy?
Why is colposcopy done?
Colposcopy is a way of looking at the cervix through a special
magnifying device called a colposcope. It shines a light into the vagina and onto the cervix. A colposcope can greatly enlarge the normal view. This exam allows the health care provider to find problems that cannot be seen by the eye alone.
Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Colposcopy provides more information about the abnormal cells and may also be used to further assess other problems including:
- Genital warts on the cervix
- Cervicitis (an inflamed cervix)
- Benign (not cancer) growths, such as polyps
Sometimes colposcopy may need to be done more than once. It also can be used to check the result of a treatment.
How is the procedure performed?
Colposcopy is done in a doctor's office. You may be referred to another health care provider or to a special clinic to have it done.
The procedure is best done when a woman is not having her menstrual period. This gives the health care provider a better view of the cervix. For at least 24 hours before the test, you should not
- use tampons
- use vaginal medications
As with a pelvic exam, you will lie on your back with your feet raised and placed on foot rests for support. A speculum will be used to hold apart the vaginal walls so that the inside of the vagina and the cervix can be seen. The colposcope is placed just outside the opening of your vagina.
A mild solution will be applied to your cervix and vagina with a cotton swab or cotton ball. This liquid makes abnormal areas on the cervix easier to see. You may feel a slight burning.
When is a biopsy done during colposcopy?
During colposcopy, the health care provider may see abnormal areas. A biopsy of these areas may be done. During a biopsy, a small piece of tissue is removed from the cervix. The sample is removed with a special device.
Cells also may be taken from the canal of the cervix. A special device is used to collect the cells. This is called endocervical curettage (ECC).
What should I expect during recovery?
If you have a colposcopy without a biopsy, you should feel fine right away and can do normal activities. You may have a little spotting for a couple of days.
If you have a colposcopy with a biopsy, you may have pain and discomfort for 1 or 2 days and may include vaginal bleeding or dark discharge. Over-the-counter pain medications can be helpful. You may need to wear a sanitary pad until the discharge stops.
Your health care provider may suggest you limit your activity for a brief time. While the cervix heals, you will be told not to put anything into your vagina for a short time:
- Do not have sex.
- Do not use tampons.
- Do not douche.
Call your health care provider right away if you have any of these problems:
- Heavy vaginal bleeding (using more than one sanitary pad per hour)
- Severe lower abdominal pain
For more information, please make an appointment with one of our doctors.
Source: ACOG, American Congress of Obstetricians and Gynecologists.
Common Digestive Problems
Most common digestive problems are short term and easy to control with lifestyle changes and sometimes medication. In some cases, these problems can be a sign of more serious medical problems.
Some of the more common digestive problems include:
When do you know if you are constipated?
- acid reflux
Constipation involves having fewer than three bowel movements a week. Stools may be firm or hard to pass. Swelling or bloating of the abdomen may occur.
What causes constipation?
Common causes of constipation include not eating enough fiber, not drinking enough water, certain medications, and changes in routine (such as travel). Constipation can occur during pregnancy. The increased levels of hormones during pregnancy can slow down the digestive system.
How can constipation be treated?
If constipation continues, your health care provider may suggest a laxative. most often without a prescription. There are several different types of laxatives.
Bulk-forming laxatives absorb water and expand, which increases moisture in the stool and makes it easier to pass (these are thought to be the safest laxatives).
Stool softeners add liquid content to the stool to soften it. S
timulants use a chemical to increase bowel activity, which moves the stool through the intestines.
How can constipation be prevented?
You can help prevent constipation by
- drinking plenty of fluids
- eating at least 25 grams of fiber a day
- not holding your stool-using the bathroom when you feel the urge to have a bowel movement
Diarrhea is having three or more loose bowel movements a day and may including cramping.
What causes diarrhea?
Several things can cause diarrhea:
What should I do if I have diarrhea?
- Infection with harmful bacteria, viruses or germs which can be caused by eating or drinking contaminated food or water
- Consuming dairy products (if you are lactose intolerant), caffeine, artificial sweeteners, or certain additives
- Taking medications, especially antibiotics
- Digestive diseases, such as irritable bowel syndrome
If you have diarrhea, drink plenty of fluids to replace those that are lost. If diarrhea does not go away in a few hours, drink fluids and liquid foods that contain salt, such as broth. Avoid drinking dairy products, soda, and juices as they may
contain lactose, caffeine, or sugar, which may make diarrhea worse. Over-the-counter anti-diarrheal medications can be helpful. However, they should not be taken if you have a high fever or bloody diarrhea, which can be signs of a bacterial infection.
When do I need to see my health care provider about diarrhea?
If diarrhea lasts more than 2 days, see your health care provider. Also see your health care provider if your stools contain blood or pus or if you have a fever, severe abdominal pain, or signs of dehydration (thirst, dry skin, fatigue, dizziness, less frequent urination, or dark-colored urine).
What should I know about diarrhea if I use birth control pills?
If you use birth control pills, diarrhea or vomiting may decrease their effectiveness. Call your health care provider about what to do if you have vomiting or diarrhea that lasts for 48 hours or more after taking a combined birth control pill or that lasts for 3 hours or more after taking a progestin-only pill.
What is acid reflux?
Acid reflux occurs when the muscle in your esophagus that opens and closes when you swallow does not work properly. When this happens, food and digestive fluids, which contain acid, back up into your esophagus. Acid reflux can cause a burning feeling in your chest and throat, which sometimes is called heartburn.
How can I control acid reflux?
You can control or even prevent acid reflux by taking these steps:
How can acid reflux be treated?
- Elevate the head of your bed
- Eat small, more frequent meals
- Quit smoking
- Avoid foods and drinks that make your symptoms worse
- Avoid lying on your back right after eating
Several over-the-counter medications are available that may help reduce your symptoms. Antacids reduce the acid content in the stomach. Other medications stop the digestive system from making too much acid. Some of these medications are available over the counter.
What if I have acid reflux more than twice a week?
If acid reflux occurs more than twice a week, or if you have been taking over-the-counter medications for more than 2 weeks with no relief, you may have a condition called gastroesophageal reflux disease (GERD). Treatment includes lifestyle changes and medication and sometimes surgery. If you have GERD, it is important to see your health care provider regularly for treatment and follow-up.
What are hemorrhoids?
Hemorrhoids are swollen blood vessels in and around the anus and lower rectum. They can become painful, itchy, and irritated.
What causes hemorrhoids?
Hemorrhoids can result from several factors:
Can hemorrhoids be treated?
- Being overweight
- Standing or sitting for long periods
- Straining during physical labor
The symptoms of hemorrhoids can be relieved with ice packs to reduce swelling, sitting in a bath of warm water or using hemorrhoid creams or suppositories. Surgery may be needed to remove hemorrhoids in some cases. Adding fiber and fluids to your diet can help prevent hemorrhoids.
If you have any concerns about any of these digestive issues, please make an appointment to see one of our doctors.
Healthy Living: How To Effortlessly Lose Weight & Reduce Stress
Primary Care Physicians Group and Sally Younghans, certified mindfullness and Hatha yoga instructor, are joining together to offer a 6-week course in plant based nutrition and mindfulness stress reduction to help empower you with the knowledge and the tools to reach and sustain your weight and wellness goals.
You will learn:
- The latest in nutritional science and the healing power of plants
- How to rid yourself of cravings just by adding more fruits, greens, veggies, beans, nuts and seeds
- How to nourish your soul and mind with evidence based techniques deeply rooted in the ancient wisdom of Hatha yoga
When you change your nutrition, your body biochemically changes. You lose the cravings and the weight naturally, without the fight. You begin to nourish yourself, truly nourish yourself, and your body begins to tap into its self-healing mechanisms. While you nourish your body, and incorporate mind techniques, your stress and the extra weight will simply melt away.
The course includes the latest in plant based eating and nutritional science, menu planning, demos and tastings. Yoga theory and mindfulness based stress reduction techniques including breath work, meditation and deep relaxation techniques will be explored and experienced.
The support, the energy and the momentum that builds in a small group setting is undeniable and unbeatable.
You will leave each session feeling renewed, relaxed and well-equipped with knowledge and tools you can access anytime, anywhere.
6 weeks / 1.5 hour sessions
: Wednesdays, April 19th - May 24, 2017
: 7 - 8:30 pm
: Primary Care Physicians Group: 101 Old Short Hills Road, Suite 101, West Orange, NJ 07052
$450 (includes course materials -
Eat to Live
The Nutritarian Handbook
by Dr. Joel Fuhrman and a personal binder).
Class facilitated by Sally Younghans, certified wellness coach, and monitored by Dr. Susan Rubino of Primary Care Physicians
GroupClass size is limited and spots fill up quickly.
Call Sally for more information and to register: 908-432-2004.
Individual coaching sessions are available if you prefer to work one-on-one. Call Sally for an initial consult.
FemiLift - Available At The Rubino OB/GYN Group
The Rubino OB/GYN Group now offers FemiLift for vaginal rejuvination and labiaplasty.
This simple 5-minute, state-of-the-art procedure is performed in the comfort of The Rubino OB/GYN Group office and requires no post-procedure downtime.
FemiLift is used for:
- Issues caused by childbirth
- Involuntary leakage of urine
- Painful intercourse
- An alternative option to estrogen
- Treatment for menopause
- Vaginal laxity
- Vaginal dryness or atrophy
- Sexual dysfunction
- Vaginal rejuvenation
- Other hormonal issues
Patients report a near-immediate return to activity. FemiLift can dramatically improve sexual dysfunction, loose vaginal tissue and help restore a healthy sex life.
The versatile FemiLift technology can also be used for facial resurfacing to significantly diminish signs of aging and lack of elasticity.
Call today to make an appointment with one of our doctors to discuss if FemiLift is right for you: 973-736-1100.
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For easy reference, the direct link is: Pay My Bill.
8 AM Appointments
For your convenience, 8 am appointments are now available. Please call our main number 973-736-1100 to schedule.
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Emmi Video Tutorials
Emmi is a free, online video tutorial that makes complex medical information simple and easy to understand. Emmi provides clear and concise step-by-step information on common health topics and procedures right on our website. Click here to find out more.
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