lifecycles logo revised  Bilof

Table of Contents 

New Clark Office


 Decline In Birth Rate




Healthy Living: Veggie & Fruit Safety


Online Lab Results


Pay Your Bill Online


Office Announcements  


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Our Offices
101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052

33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ 07901

731 Broadway
Bayonne, NJ 07002

67 Walnut Avenue, Suite 101
Clark, NJ 07066

Robert J. Rubino,
M.D., F.A.C.O.G.
Audrey A. Romero, M.D., F.A.C.O.G.
Lisa Abeshaus,
M.D., F.A.C.O.G.
Jacqueline Saitta, M.D., F.A.C.O.G.

Allan D. Kessel,
M.D ., F.A.C.O.G.
Diana Huang,
M.D., F.A.C.O.G.
Priya R. Patel,
M.D., F.A.C.O.G.,MPH
Meryl Kahan,
M.D., F.A.C.O.G.
Heavy, Painful Periods?    


Dr. Rubino is nationally recognized for his expertise on Her Option®


in-office procedure.

Click here to find out more.

Permanent Birth Control 
 Essure® is a simple, non-invasive,
10-minute office procedure for permanent birth control (tubal ligation).  Click here
 to see if Essure is
 right for you.
Find out more about our Pelvic Floor Therapy Program for incontinence and painful intercourse.
Click here
Access our Patient Portal 24 hours a day, 7 days a week.
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Medical Fact
 "I didn't know that!

A woman can get pregnant even up to 3 days after intercourse.
June 20th marks the official first day of Summer! As we enter this next season, take a little extra time to enjoy the wonderful weather and all it has to offer.

In this issue of our newsletter, we include a reminder our Clark office is moving - with a slightly delayed move-in date. We discuss the decline in birth rates and provide an article on insomnia. In our  Healthy Living section, we outline specific guidelines for exercising during pregnancy. In addition, we once again provide information on how to easily access your lab results. And, you'll find a new interesting "Medical Fact". 

If there is topic you would like covered in our newsletter, please e-mail us at
As always, we will continue to provide topics that are current, informative and important to your good health.  

The Rubino OB/GYN Group
New Clark Office as Of June 13thClark
The opening of the new Clark office has been postponed by one week to June 13th. The new office is freshly renovated, bigger and much larger and is only  4 blocks from the current location.

New address as of June 13th:
67 Walnut Avenue, Suite 101
Clark, NJ 07066

The new office is a much larger, newly renovated space  within a modern facility. It includes  6 exam rooms & an on-site procedure room.

We look forward to seeing you in the new facility!
Are We Having Enough Babies?babies
A recent article in the Wall Street Journal shares t he  newest official tally playful-family-portrait.jpg from the  National Center for Health Statistics  showing an  unexpected drop  in the number of babies born in the U.S. in 2015. "The report was a surprise: Demographers had generally expected the number of births to rise in 2015, as it had in 2014. Instead, the U.S. appears to still be stuck in something of an ongoing "baby bust" that started with the recession and housing collapse and has yet to reverse."

In summary:
  • The general fertility rate fell in 2015 to tie the lowest level on record. Fertility, defined as the number of live births per 1,000 women ages 15-44, has never been lower than the rate recorded last year and in 2013.
  • The total number of births is still fairly high, with just under 4 million people born in 2015. That's still more babies than in the mid-1990s as well as most of the 1970s and 1980s. The record years for U.S. births were 2007 with 4.32 million and 1957 with 4.3 million new babies.
  • But even births and the birth rates mask the biggest change that's underway, which is the shift in when mothers have their children. This trend, of course, is also well known but it's fascinating to see how dramatically and quickly things have changed.
    • As recently as 40 years ago, women throughout their 20s had 2.5 times the births of women in their early 30s. Today, women in their early 30s have move children than women in their early 20s and if current trends continue, they could have the most children of all in a few years. 
  •  Only about 2,500 children were born to girls younger than 15 and only about 8,900 to women over 44. But even in these ranges, the shift away from pregnancy in youth and toward pregnancy later in life is starkly visible.
To read the full article and view the graphical trends, click here.
Is Insomnia Affecting You?insomnia
Insomnia  has become a common topic of discussion as many try to balance busy lifestyles with work, children, hectic schedules and the bedroom.jpg stress that naturally follows.

Insomnia is not only a disorder that makes it hard to fall asleep, it can also make it hard to stay asleep, cause you to wake up a lot or make you wake up too early in the morning. 

Typically, a person with insomnia wakes up feeling unrefreshed, which takes a toll on one's ability to function during the day. Insomnia can sap energy levels and affect your mood, health, work performance and quality of life. Insomnia tends to increase as women and men age and tends to affect more women than men due to hormonal changes during menstrual cycles, pregnancy and menopause.
According to, " Insomnia is defined as short and poor quality sleep that affects your functioning during the day. Although the amount of sleep a person needs varies, most people need between 7 and 8 hours of sleep a night to feel refreshed."
Insomnia can be mild to severe and varies in how often it occurs and how long it lasts.
Acute insomnia is a short-term sleep problem that is generally related to a stressful or traumatic life event and lasts from a few days to a few weeks.
Chronic insomnia is a longer-term sleep problem that happens at least three nights/week for more than a month.
There are 2 types of insomnia:
Primary insomnia is its own disorder. It can be life-long or triggered by a life event such as travel, shift work, stressful event, etc. It may end once the issue is resolved.
Secondary insomnia  has an underlying cause, so it's a symptom or side-effect of something else. It is the most common type. Secondary insomnia may have a medical cause, such as:
Secondary insomnia also can result from:
    • Some medicines, such as those that treat asthma, heart problems, allergies, and colds
    • Caffeine, tobacco, and alcohol
    • Poor sleep environment (such as too much light or noise, or a bed partner who snores)
Secondary insomnia often goes away once the underlying cause is treated, but may become a primary insomnia.
Some people with primary or secondary insomnia form habits to deal with the lack of sleep, such as worrying about sleep or going to bed too early. These habits can make insomnia worse or last longer.
How is insomnia treated?
If insomnia is caused by a short-term change in the sleep/wake schedule, as with jet lag, your sleep schedule may return to normal on its own. Making lifestyle changes can also help.
Treatment for chronic insomnia begins by:
  • Finding and treating any medical or mental health problems
  • Stopping or reducing behaviors that may lead to the insomnia or make it worse, like drinking moderate to large amounts of alcohol at night
Other treatments include:
  • Cognitive behavioral therapy (CBT) - helps you change thoughts and actions that get in the way of sleep including controlling negative thoughts, incorporating a sleep routine, stimulus control, relaxation techniques and re-training your mind.
  • Prescription medication - this can include prescription sleep medicines as a short-term treatment (to avoid a habit). It important to understand the implications of sleep medications in relation to existing medical conditions and side-effects.
  • Over-the-counter (OTC) sleep aids - OTC sleep aids are not meant for long-term use.  Most OTC sleep aids contain antihistamines (ant-ih-HISS-tuh-meenz), which are not always safe to use and have side-effects. Some dietary supplements claim to help people sleep. Some are "natural" products like melatonin (mel-uh-TOH-nuhn). Others are food supplements such as valerian (an herb) teas or extracts. The U.S. Food and Drug Administration does not regulate dietary supplements as it does medicine. It is unclear if these products are safe or if they actually work.
Overall suggestions on how to improve your sleep:
  • Try to go to sleep at the same time each night and get up at the same time each morning. Do not take naps after 3 p.m.
  • Avoid caffeine, nicotine, and alcohol late in the day or at night.
  • Get regular physical activity several hours before you go to sleep.
  • Eat dinner at least 2 to 3 hours before bedtime.
  • Keep your bedroom dark, quiet, and cool. If light is a problem, try a sleeping mask. If noise is a problem, try earplugs, a fan, or a "white noise" machine to cover up the sounds.
  • Follow a routine to help relax and wind down before sleep, such as reading a book, listening to music, or taking a bath.
  • If you can't fall asleep within 20 minutes or don't feel drowsy, get out of bed and sit in your bedroom or another room. Read or do a quiet activity until you feel sleepy. Then try going back to bed.
  • If you lay awake worrying about things, try making a to-do list before you go to bed so that you don't use time in bed for worry.
If you think you may be suffering from insomnia and have any concerns or questions, please make an appointment to see one of our doctors.
Healthy Living: Exercise During Pregnancypregnancy
The Rubino OB/GYN Group website offers valuable patient education, covering many topics (and even videos!) relating to gynecology, pregnancy, menopause, healthy living, etc. 

Following is one article that discusses exercise during pregnancy: pregnant_woman_squats.jpg

Regular exercise builds bones and muscles, gives you energy, and keeps you healthy. It is just as important when you are pregnant.

Benefits of Exercise
Becoming active and exercising at least 30 minutes on most, if not all, days of the week can benefit your health in the following ways:
  1. Helps reduce backaches, constipation, bloating and swelling
  2. May help prevent or treat gestational diabetes
  3. Increases your energy Improves your mood
  4. Improves your posture Promotes muscle tone, strength and endurance
  5. Helps you sleep better
Changes in Your Body
Pregnancy causes many changes in your body. Some of these changes will affect your ability to exercise.

The hormones produced during pregnancy cause the ligaments that support your joints to become relaxed.

Remember that during pregnancy you are carrying extra pounds - as much as 25 to 40 pounds at the end of pregnancy. The extra weight in the front of your body shifts your center of gravity and places stress on joints and muscles, especially those in the pelvis and lower back.

Heart Rate
The extra weight you are carrying will make your body work harder than before you were pregnant. Exercise increases the flow of oxygen and blood to the muscles being worked and away from other parts of your body. So, it's important not to overdo it.

Getting Started
Before beginning your exercise program, talk with your doctor to make sure you do not have any obstetric or health condition that would limit your activity.

Choosing Safe Exercises
Most forms of exercise are safe during pregnancy. However, some types of exercise involve positions and movements that may be uncomfortable, tiring or harmful for pregnant women. For instance, after the first trimester of pregnancy, women should not do exercises that require them to lie flat on their backs.

Certain sports are safe during pregnancy, even for beginners:
  1. Walking is a good exercise for anyone. Swimming is great for your body. Cycling provides a good aerobic workout.
  2. Aerobics is a good way to keep your heart and lungs strong.
Other exercises, if done in moderation, are safe for women who have done them for a while before pregnancy:
  1. Running 
  2. Racquet sports
  3. Strength training
The following activities should be avoided during pregnancy:
  1. Downhill snow skiing 
  2. Contact sports
  3. Scuba diving
Your Routine
Exercise during pregnancy is most practical during the first 24 weeks. During the last three months, it can be difficult to do many exercises that once seemed easy. This is normal.

If it has been some time since you've exercised, it is a good idea to start slowly. Begin with as little as five minutes of exercise a day and add five minutes each week until you can stay active for 30 minutes a day.

Always begin each exercise session with a warm-up period for five to 10 minutes.

Things to Watch
The changes your body is going through can make certain positions and activities risky for you and your baby. While exercising, try to avoid activities that call for jumping, jarring motions, or quick changes in direction that may strain your joints and cause injury.

While you exercise, pay attention to your body. Do not exercise to the point that you are exhausted.

After the Baby's Born
Having a baby and taking care of a newborn is hard work. It will take a while to regain your strength after the strain of pregnancy and childbirth. Taking care of yourself physically and allowing your body time to recover is important. If you had a cesarean delivery, difficult childbirth or complications, your recovery time may be longer. Check with your doctor before starting or resuming an exercise program.

Finally ...
Exercise during pregnancy can help prepare you for labor and childbirth. Exercising afterward can help get you back in shape. Before you begin an exercise program, talk to your doctor. Follow this guide to help maintain a safe and healthy exercise program during pregnancy.
Easy Access To Lab Reportslabreports
Did you know you have easy access to  your lab results 24 hours a day, 7 days a week, not only for The Rubino OB/GYN Group but for all of your doctors?

There are two major clinical laboratories for most patient tests: LabCorp and Quest. Simply register on their websites for access to your personal records.  

We also provide links to access both sites and to our patient portal right on The Rubino OB/GYN website. Our patient portal is specific to your records from The Rubino OB/GYN Group only and allows you to access your health history, update your profile page, request a prescription, submit a clinical question and access upcoming appointments. If you have not already received a username and password, please request one from our office.

Pay Your Bill Onlinepayonlinebills

You can pay your Rubino OB/GYN Group bills online right from the checkbook-pen.jpghomepage of our website. Simply click on the button at the top of the page that says "New! Pay Your Bill Online!".

Options include paying by credit card or  echeck. It is an easy one-time registration to create a password.


For easy reference, the direct link is: Pay My Bill

Office Announcements announcements
Pay Your Rubino OB/GYN Bills Online
Patients can pay their bills online at the following web site: 
Options include paying by credit card or echeck. 
vitaMedMD Vitamins
The Rubino OB/GYN Group offers vitaMedMD™ in all 4 office locations. VitaMedMD offers patients high quality physician recommended products at an affordable price. Available products include Prenatal One, Menopause Relief and Iron 150.

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.

"Important Announcements" on Our Website
You can find important new developments and time-sensitive announcements (such as office closings) right on the upper right hand portion of our  home page .
Enterprising Patients
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Products Available on Our Website
For more information visit the products page on our website.