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11 Consecutive Years 
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Our Offices
101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
973-736-1100
33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ 07901
908-522-4558
340 Main Street
Madison, NJ 07940
731 Broadway
Bayonne, NJ 07002
201-339-3300
67 Walnut Avenue, Suite 101
Clark, NJ 07066
732-396-1881
Physicians
Robert J. Rubino,
MD, FACOG
Audrey A. Romero, MD, FACOG
Lisa Abeshaus,
MD, FACOG
Allan D. Kessel
,
MD
, FACOG
Priya R. Patel,
MD, FACOG, MPH
Dana Ortiz, MD
Anne-Marie Tang, MD
Jennifer Fitzgibbons,
APN
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Dr. Rubino is nationally recognized for his expertise on Her OptionĀ® Cryoablation, 15-minute, in-office procedure. Click here to find out more. |
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Find out more about our Pelvic Floor Therapy Program for incontinence and painful intercourse.
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Access our Patient Portal 24 hours a day, 7 days a week.
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Medical Fact
"I didn't know that!
The history of caesarean section (C-section) dates back as far as Ancient Roman times. Pliny the Elder suggested that Julius Caesar was named after an ancestor who was born by C-section. During this era, the C-section procedure was used to save a baby from the womb of a mother who had died while giving birth.
One of the first
written records of a mother and baby surviving a cesarean section
comes from Switzerland in 1500 when a sow gelder, Jacob Nufer, performed the operation on his wife. After several days in labor and help from thirteen midwives, the woman was unable to deliver her baby.
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We are officially in the midst of Spring, as flowers and trees are starting to bloom.
We are building our online community. Have you
joined us?
As always, we will continue to provide topics that are current, informative and important to your good health.
Sincerely,
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Quick Recovery of C-Sections
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In keeping with our mission to provide "advanced solutions for a healthier life' The Rubino OBGYN group has embraced
the
ERAS
(enhanced recovery after surgery) protocol for cesarean sections.
This evidence based approach is aimed at a more complete, post operative pain relief with a TAP (Transverse Abdominals Plane) block
for earlier diet advancement, mobilization and reduced opioid use. The data is clear that this protocol is effective and well tolerated by patients.*
ERAS pathways have the potential to improve patient quality of life, in both the immediate and long term post-surgical periods. Factors such as earlier resumption of normal activities, reduced fatigue and reduced number of days that patients require sick leave
have all been reported in patients for whom ERAS was implemented.
*References:
Kalogera E, Dowdy SC. Enhanced recovery pathway in gynecologic surgery: improving outcomes through evidence-based medicine. Obstet Gynecol Clin North Am 2016;43:551-73.
Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 2008;248:189-98.
W
ilmore DW. From Cuthbertson to fast-track surgery: 70 years of progress in reducing stress in surgical patients. Ann Surg 2002;236:643-8
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Alternate Options for Miscarriage
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The news of a miscarriage is a very difficult realization.
According to the March of Dimes, "as many as
50%
of all pregnancies end in miscarriage -- most often before a woman misses a menstrual period or even knows she is pregnant.
About 15-25%
of recognized pregnancies will end in a miscarriage. More than 80% of miscarriages occur within the first three months of pregnancy."
Early pregnancy loss (EPL) is experienced by approximately 1 million women every year.
In many cases of EPL, a D&C (dilation and curettage - a surgical procedure often performed after a first-trimester miscarriage) is scheduled to remove the baby from the uterus. A recent article in Contemporary OBGYN discusses the option of avoiding a D&C, through the use of medication.
Medication may be an option for those EPLs diagnosed through an ultrasound, prior to onset of symptoms. In this case, a single dose of the medication misoprostol will effectively complete the removal of the pregnancy. However, this method can result in prolonged results and emotional drain for the mother.
New evidence suggests, when combined with an oral pre-treatment of the medicine mifepristone, the vaginal application of misoprostol is much more effective, with 84% of patient success vs. only 67% of women given misoprostol only. The pre-treatment also reduced the need for additional surgical intervention.
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New Male Birth Control Pill
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A recent article on CNN.com announces the progression of a new male birth control pill, although there still may be a long way to go.
Currently, men only have 2 options for birth control - condoms or vasectomy. In contrast, women have multiple birth control options readily available in many different forms.
The challenge with male birth control pills is finding the balance of reducing testosterone levels while maintaining normal sexual function.
Results from a new drug, in a pill form,
abbreviated as 11-beta-MNTDC, were presented at the
annual meeting
of the Endocrine Society in March.
According to the article in CNN, "Experts say the drugs signal to the brain that testosterone levels are adequate, inhibiting the pathways that ultimately lead to the production of sperm....The new drug is meant to mimic testosterone's effects in other parts of the body, which could be how it avoids major side effects. It may not stimulate sperm production in the testicles because the drug itself might not pass over from the blood stream -- but that theory could only be fleshed out with future research."
More research and more time will determine if there is a viable birth control solution for men in the future.
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Hospital Birth Three Times More Successful
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Recent research indicates babies born inside a hospital have much higher survival rates than those babies born outside the hospital or home birthed.
The findings were presented at the Society for Maternal-Fetal Medicine's 39th Annual Pregnancy Meeting.
The American College of Obstetricians and Gynecologists (ACOG) recommendations women "be informed that although planned home birth is associated with fewer maternal interventions than planned hospital birth, it also is associated with a more than twofold increased risk of perinatal death (1-2 in 1000) and a threefold increased risk of neo-natal seizures or serious neurological dysfunction.
According to the ACOG, "the number of home births in the United States is even lower than that reported in the current study, at just less than 1% of all births (0.9%; about 35,000 births per year), and approximately a quarter of those are unplanned or unattended."
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Healthy Living: Nutrition Advice for Kids
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It is a common struggle for parents to instill healthy eating habit for their children. Tools you teach them today, can carry well on into adolescence and early adulthood.
How do you ensure you child grows up with the right information for becoming a healthy adult?
It's hard to convince a child to eat healthy when their peers next to them are eating cookies and chips as a part of their daily lunch. That may appear to be the "norm" - why should they have to eat any differently?
It's important to point out to your children that eating healthy impacts all aspects of their lives - good sleeping habits, high energy levels, good grades, healthy stress levels, sports performance and so much more.
According to Buono Pediatrics & Wellness, "the goal of nutrition counseling is to help children achieve better overall health through proper nutrition. Because adolescents have choices to make every day about the foods they eat, nutritional counseling can help them make the right choice for their health.
Making the right choices about food and exercise is important for adolescent health," says. Amy Buono, MD.
It's especially important to offer "
a proper diet plan for existing health conditions, including diabetes, malnutrition concerns, or an eating disorder," continues Buono.
Healthy eating plans aren't just important for health concerns, they can be a critical piece for
kids involved in sports or other high-energy activities to promote healthy muscles and reduce the risk for injuries.
Learning the right nutritional choices for children at a young age can help them make better choices for their diet and lifestyle to prevent long-term health issues related to obesity or due to a family history risk.
Source: buonopediatrics.com:
171 Millburn Ave., Millburn, NJ 07041 /
P: 973.912.0400 F: 973.912.8340
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Recognizing Autism
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We recognize National Austism Awareness month this April.
The official organization,
Autism Speaks, invites
friends and neighbors around the world to come together to
pledge to go blue
to increase global understanding and acceptance
of people with autism.
They encourage a more inclusive world and ask people to stay involved all month long.
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It Only Takes A Second!
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We are building our Rubino OB/GYN Group Facebook community - we need you!
Simply click on the icon below and "Like" our page. It's a simple way to ensure you are informed of important office announcements, office closings, relevant news topics, breaking news, patient updates and so much more.
Our goal is to have 100% participation from our patients
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Easy Access To Lab Reports
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Our patient portal provides patients direct access to their records at 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.
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Pay Your Bill Online
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| You can pay your Rubino OB/GYN Group bill online right from the  homepage 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
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Ask The Doctors
We have added a new video series, "Ask Your Doctor" addressing common health care topics. Take a look.
New Office Hours
We have added new office hours. Please reference our website.
Early & Evening Appointments
Jennifer Fitzgibbons, our nurse practitioner, is available for early morning and evening hours in Clark and Madison.
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
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Enterprising Patients
If you would like to add your business or service to the website,
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