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Table of Contents 


Single Embryo Transfer


New Discovery - Molecular Breast Imaging


Healthy Living: UV Safety Month


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



1119 Raritan Road
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,
Heavy, Painful Periods?    


Dr. Rubino is nationally recognized for his expertise on Her OptionŽ


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Medical Fact

 "I didn't know that!"

Betsy Ross is credited for making the American Flag. History claims not only did she make the flag, she made suggestions (such as 5-pointed stars instead of six-pointed). The flag had alternating red and white horizontal stripes and 13 white stars on a blue background in the corner representing the 13 colonies and the circle to represent the equality of the colonies.

The red is said to represent valor and hardiness, white is for innocence and purity, and blue for vigilance, perseverance, and justice.
Betsy tried nursing her husband John back to health when injured in the militia until he died on Jan 21st of 1776.
We wish everyone a happy 4th of July and hope you enjoy the time with family and friends as we appreciate the providential events of the founding of America on July 4, 1776. As John Adams said, "I am apt to believe that it will be celebrated, by succeeding generations, as the great anniversary festival. It ought to be solemnized with pomp and parade, games, sports, bells, bonfires and illuminations from on end of this continent to the other from this time forward forever more."
In this issue of our newsletter, you will an article authored by Dr. Allan Kessel on single embryo transfers during IVF treatment. We also alert you to an exciting new tool used for detecting breast cancer. In our Healthy Living section,  we share ways to protect yourself from UV damage. 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
Single Embryo Transfer: The Obstetrician's Perspective
By Allan Kessel, MD, FACOGfathersday

"Where you stand depends on where you sit."  These words could not be more true for couples undergoing in-vitro fertilization (IVF) treatments.  Some of these couples will have the opportunity to transfer one embryo (single embryo transfer, or SET) or two, in what becomes one of the most momentous decisions of their entire treatment.  For many, there will be a significant temptation to have two embryos implanted.  This is based on a desire to maximize the chances of at least one child, or to "get two pregnancies over with" at once.   But there is one person who will always be hoping for a single pregnancy:  the person who is going to be doing the actual delivery, the obstetrician.  


The vast majority of twin pregnancies via IVF conclude with healthy babies and a healthy mom.  But there are legitimate, increased risks.  The central risk of a twin pregnancy is of pre-term delivery.  Nearly 60% of twins deliver before term (term is 37 weeks), and 11 percent deliver before 32 weeks.  These early deliveries involve risks to the fetus such as respiratory distress, gastrointestinal infections and even intracranial bleeds and will require longer neonatal intensive-care unit (NICU) courses for the infants.  There is an increased risk of developmental delay even in deliveries between 32 and 36 weeks (8%, vs 4% at term). More substantial neuro-developmental risks are present at earlier gestational ages.


Twin pregnancies also carry a two-fold increased risk of pregnancy-induced hypertension and increased risk of growth restriction in one or both fetuses.   Twin pregnancies, eve after 20 weeks, have a 5% chance of loss of one of the twins prior to birth.  It also dramatically increases the chance cesarean section if the position of the fetuses in the uterus at delivery is not optimal.  Twin pregnancies require patients to consult with high risk OB doctors, called maternal fetal medicine physicians.   


It is important to note, for twin pregnancis that progresses to term, nearly 94% will continue to have a good outcome for both twins through infancy.  


The number of embryos to implant in an IVF cycle must always be done on a case-by-case basis.  There may be situations where the fertility doctor might actually advise for the transfer for more than one embryo.  Ultimately, an IVF cycle and embryo transfer must take into consideration the clinical situation unique to each couple.  


As a generalist obstetrician/gynecologist, I encourage couples that are deciding how many embryos to transfer to carefully consider the risks. Twin pregnancies usually progress very well, but every OB/GYN knows that singleton pregnancies will always carry a much lower complication rate.  


When I walk into the room to meet an IVF couple, and I see that there is one fetus, I know that this couple has the best chance for a smooth, uneventful pregnancy and a healthy baby at the end of of their long pregnancy journey.


In December, Dr. Allan Kessel participated in a radio program on WMTR 1250AM with Dr. Jamie Morris from Reproductive Medicine Associates (RMA) on the topic of fertility.  Single embryo transfer, as well as other issues were discussed.  A link to the program is below:

New Discovery: Molecular Breast ImagingHPV
There is a recent new discovery called molecular breast imaging (MBI), a new nuclear medicine technique that utilizes an injected tracer and a small camera in a mammography format to provide high-resolution images of breasts.  This new method for detecting breast cancer uses the radioactive tracer to "light up" any areas of breast cancer inside the breast. Breast cancer cells tend to take up the radioactive substance exponentially higher than normal breast cells.
Clinical trials of this new technique, still very new to the medical arena, shows the potential of detecting two-to-three times more cancers than mammography, with better specificity. Typically, tumors are more difficult to detect in women with dense breast tissue. This new option can greatly improve finding tumors in women with high-risk indicators.
MBI does require more radiation than mammograms and is currently being compared side to side with MRI's to determine the preferred and most accurate option for evaluating high risk women with dense tissue breast.
Mammography still remains the screening tool of choice for women who do not have dense breasts and have an average risk for breast cancer.
More information will be readily available as this new tool is introduced into the medical field.

Healthy Living: UV Safety Monthhealthyliving3

July is UV safety month. It's a good reminder to refresh our knowledge on sun safety and the best ways to protect your skin during this mid-summer month.


Skin cancer detection has increased exponentially over the last decade. Whether it's due to an increase in the strength of the sun, or more awareness for skin checks at your dermatologist, it's important to ensure you are protected from harmful UV rays. UV damage can not only increase your risk of skin cancer, it can create eye problems, a weakened immune system, age spots, wrinkles and leathery skin. In addition to the sun, indoor tanning beds are not safe and will also cause UV damage. Studies show you have a 70% increase in skin cancer by tanning in indoor tanning beds.


According to the CDC (Centers for Disease Control and Prevention) and the WHO (World Health Organization), UV rays are their strongest between 10 and 4 pm. It is suggested to seek shade during that time frame to ensure the least amount of harmful UV exposure.


Additional ways to protect your skin:

  • Use a broad spectrum SPF sunscreen of 30 or higher. Sunscreen should be applied liberally and re-applied every 2 hours, depending on the amount of time in the water or sweating.
  • Wear protective clothing including long sleeve shirts and pants when possible and SPF protective garments. Hats and sunglasses also help shade you from harmful rays.
  • Cloudy days can often be as dangerous as sunny ones. Continue to protect yourself from the sun, even if it seems the sun is not as strong.
  • Avoid sunburns. A single sunburn can increase your skin cancer risk significantly.
  • Use extra caution near reflective surfaces like water, sand and snow.
  • Use extra caution in higher altitudes. There is less atmosphere to absorb UV radiation.
  • Watch the UV index. UV index predicts exposure levels of low to high. There are several apps available to provide daily UV levels, including EPA UV Index.

Children are especially susceptible to UV rays with their outside play, sports and swimming. It is important to ensure your children follow the same guidelines as adults and protect their skin as much as possible from strong UV rays.

Pay Your Bill Onlinepayonlinebills

You can now 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

Video for The Rubino OB/GYN Group cordblood

To watch a video of our practice that includes an LOGO overview of our services, doctors and philosophy, visit the home page of our website:


We hope you enjoy seeing the practice on a more personal level and welcome your feedback! Simply reply to this newsletter.


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 Women's Multivitamin, Prenatal Plus, 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.


Save Time with Online Appointments &Personal Health Records
To schedule online appointments or view your personal health records at your convenience, just visit the home page of You can also call 973-736-1100 now to schedule an appointment at any of our four locations. 

"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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