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Table of Contents 

Rh Factor


Important Tests For Women 


Healthy Living: Spice It Up 


Office Announcements  


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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.
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Medical Fact

 "I didn't know that!"


80% of women's wrinkles are caused by excessive sun exposure.



We hope you had a wonderful 4th of July holiday with friends and family!


In this issue of our newsletter, we provide information on the Rh Factor and how it can affect your pregnancy. We also highlight the most important medical tests for women and the age you should have them completed. In our Healthy Living section, we offer information on how to "Spice It Up" for health benefits. And, you'll find a new interesting "Medical Fact".  Reminder - we have a new user-friendly, interactive website! Please let us know your thoughts.
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

RH Factor: How It Can Affect Your PregnancyRH

The following excerpt is from the ACOG, Congress of Obstetricians and Gynecologists

What is the Rh factor?

Just as there are different major blood groups, such as type A and type B, there also is an Rh factor. The Rh factor is a protein that can be present on the surface of red blood cells. Most people have the Rh factor-they are Rh positive. Others do not have the Rh factor-they are Rh negative.


How does a person get the Rh factor?

The Rh factor is inherited-passed down through parents' genes to their children. If the mother is Rh negative and the father is Rh positive, the fetus can inherit the Rh gene from the father and could be either Rh positive or Rh negative. If the mother and father are both Rh negative, the baby also will be Rh negative. Some causes are unknown. 


Can the Rh factor cause problems during pregnancy?

The Rh factor can cause problems if you are Rh negative and your fetus is Rh positive. This is called Rh incompatibility. These problems usually do not occur in a first pregnancy, but they can occur in a later pregnancy.


What happens if there is Rh incompatibility during pregnancy?

When an Rh-negative mother's blood comes into contact with blood from her Rh-positive fetus, it causes the Rh-negative mother to make antibodies against the Rh factor. These antibodies attack the Rh factor as if it were a harmful substance. A person with Rh-negative blood who makes Rh antibodies is called "Rh sensitized."


How does Rh sensitization occur during pregnancy?

During pregnancy, the woman and fetus do not share blood systems. However, a small amount of blood from the fetus can cross the placenta into the woman's system. This sometimes may happen during pregnancy, labor, and birth. It also can occur if an Rh-negative woman has had any of the following during pregnancy:

  • Amniocentesis
  • Chorionic villus sampling (CVS)
  • Bleeding during pregnancy
  • Manual rotation of a baby in a breech presentation before labor
  • Blunt trauma to the abdomen during pregnancy
Do problems usually occur during the pregnancy that causes Rh sensitization?

During an Rh-negative woman's first pregnancy with an Rh-positive fetus, serious problems usually do not occur because the baby often is born before the woman's body develops many antibodies. If preventive treatment is not given during the first pregnancy and the woman later becomes pregnant with an Rh-positive fetus, the baby is at risk of Rh disease.


Can I still develop antibodies if my pregnancy is not carried to term?

It also is possible to develop antibodies after a miscarriage, an ectopic pregnancy, or an induced abortion. If an Rh-negative woman becomes pregnant after one of these events, she does not receive treatment, and the fetus is Rh positive, the fetus may be at risk of Rh-related problems.


How does Rh sensitization affect the fetus during pregnancy?

Problems during pregnancy can occur when Rh antibodies from an Rh-sensitized woman cross the placenta and attack the blood of an Rh-positive fetus. The Rh antibodies destroy some of the fetal red blood cells. This causes hemolytic anemia, where red blood cells are destroyed faster than the body can replace them. Red blood cells carry oxygen to all parts of the body. Without enough red blood cells, the fetus will not get enough oxygen. Hemolytic anemia can lead to serious illness. Severe hemolytic anemia may even be fatal to the fetus.


How can I find out if I have become Rh sensitized?

A blood test, called an antibody screen, can show if you have developed antibodies to Rh-positive blood and how many antibodies have been made. If you are Rh negative and there is a possibility that your baby is Rh positive, your health care provider may request this test during your first trimester and again during week 28 of pregnancy.


Can Rh sensitization be prevented?

Yes. If you are Rh negative, you will be given a shot of Rh immunoglobulin (RhIg). RhIg is made from donated blood. When given to a nonsensitized Rh-negative person, it targets any Rh-positive cells in the bloodstream and prevents the production of Rh antibodies. When given to an Rh-negative woman who has not yet made antibodies against the Rh factor, RhIg can prevent fetal hemolytic anemia in a later pregnancy.


Can RhIg help me if I am already Rh sensitized?

RhIg is not helpful if you are already Rh sensitized.


When is RhIg given?

RhIg is given to Rh-negative women in the following situations:

  • At around the 28th week of pregnancy to prevent Rh sensitization for the rest of the pregnancy
  • Within 72 hours after the delivery of an Rh-positive infant
  • After a miscarriage, abortion, or ectopic pregnancy
  • After amniocentesis or chorionic villus sampling
What if I am Rh sensitized and my fetus is Rh positive?

If you are Rh sensitized, you will be monitored during pregnancy to check the condition of your fetus. If tests show that your baby has severe anemia, it may be necessary to deliver your baby early (before 37 weeks of pregnancy) or give a bloodtransfusion while your baby is still in your uterus (through the umbilical cord). If the anemia is mild, your baby may be delivered at the normal time. After delivery, your baby may need a transfusion to replace the blood cells. 


If you would like to discuss the Rh Factor further, please make an appointment with one of our doctors. 

Most Important Medical Tests For Womentests

The  Office for Women's Health at the US Department of Health and Human Services suggests the following standard tests for women, at the noted ages:

  • Blood pressure test -- At least every two years beginning at age 18
  • Cholesterol test -- Start at age 20; your doctor should suggest frequency.
  • Bone mineral density test -- Have baseline test around age 65 and have your doctor decide on frequency. You may need early screening if you have certain risk factors.
  • Blood sugar test (diabetes) -- Get tested if your blood pressure is higher than 135/80 or if you have medication for high blood pressure. The U.S. Preventive Services Task Force is now considering recommending that all adults 45 and older, and younger people with risk factors should be tested for diabetes.
  • Mammogram -- Screening is recommended every 2 years from age 50 through 74. Women in different age groups should talk to their doctor about whether they should be screened and what might be right for you, taking risk factors into consideration.
  • Cervical cancer screening -- It is recommended to get a Pap test at least every three years from age 21 to 30 if you are sexually active unless your doctor recommends more frequent tests.
  • Colorectal health testing -- Get screened starting at age 50 with either fecal occult blood testing, sigmoidoscopy, or colonoscopy. Ask your doctor which test is right for you. You may need earlier screening if you have certain risk factors.

Your own screening recommendations may vary depending on your personal risk factors. Talk to your doctor about a screening plan that is best for you. 

Healthy Living: Spice It Upgiving

Health benefits associated with adding spices to your foods have received a lot of buzz in the food industry lately. Some spices have been associated with heart healthy benefits, anti-bacterial and antiviral properties and are high in vitamins and trace minerals. They can also help boost the taste of so many meals.


Some of the most common spices known for their benefits include the following:


Cayenne pepper - "hot" due to its capsaicin content, a substance that helps heat up your body and can help burn extra calories and fat. It has also been known to relieve aches and soreness. Other benefits may include improved circulation, heart health and fighting some cancers and ulcers.


Ginger - commonly known to treat upset stomachs, ginger may also help gas and bloating, sore throats, colds, arthritis and motion sickness.  It has also been known to lessen workout induced soreness and inflammation and may even be attributed to higher memory. It can be ingested in multiple ways and is readily available.


Cinnamon - has one of the highest antioxidant values of any spice and has been shown to reduce inflammation, lower blood sugar and triglyceride levels, help with nausea and help the body in burning fat. It is also a great source of manganese, iron and calcium...and can reduce risk factors for diabetes and heart disease. Oh...and it kills bacteria!


Fennel - high in calcium and rich in niacin, fennel is also high in vitamin C and can help promote a strong immune system and is an excellent source of dietary fiber and iron - helping to boost your metabolism and keep your digestive tract healthy. And, it's a natural appetite suppressant and can help detoxify and exfoliate the skin.


Turmeric - a common ingredient in mustard, butter and cheese to add to their yellow hue. Turmeric contains curcumin, a powerful anti-inflammatory and has been known to provide pain relief and may have benefits to treating Alzheimer's disease, arthritis and breast, stomach and colon cancer. It also contains anti-bacterial properties and helps digest fat quickly.


Oregano - has been known to have antiviral, antibacterial, antioxidant and antibiotic properties. It contains vitamin K, which has bone-building properties, and can help fend off the stomach flu. The oil and leaves of the plant have been used medicinally to body aches and illnesses.


Basil - known for it's powerful antioxidant properties that can protect the body from premature aging, skin issues and some types of cancer. The plant pigments are said to protect your cell structure from oxygen and radiation damage and can also be applied to wounds to help prevent bacterial infections.


Cumin - super rich in iron, cumin helps keep your energy level high and your immune system strong. It has also been associated to boosting brainpower, especially memory.


It's especially important to keep your spices fresh and use them before the expiration date. Your best option is to buy the plant source and use it directly to spice up your meals.

Introducing Our New Websitewebsite

We are excited to introduce our new Rubino OB/GYN Group website!:

We have worked hard to ensure information on the site is user-friendly, informative, content rich and mobile friendly.


There are so many features to the website including:

  • Access to our new patient portal
  • Our practice video
  • News about the practice and new information relative to our patients
  • Physician bios and staff photos
  • Detailed information about our services
  • Patient registration information
  • Appointment and prescription requests
  • Patient education center
  • Online bill payment
  • Physicians we recommend
  • Our newsletter archive & sign-up
  • Enterprising patients
  • Office hours by doctor
  • Directions
  • FAQs
  • And so much more!

Please take a minute to browse the site and become familiar with the available resources so you can utilize them often. We welcome your comments! 

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.


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.


Enterprising Patients

If you would like to add your business or service to the website, 

please e-mail us at


Products Available on Our Website

For more information visit the products page on our website.