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101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
33 Overlook Rd.
Summit, NJ 07901
Bayonne, NJ 07002
1119 Raritan Road
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!"
While women and men have the same basic digestive plumbing (stomach, liver, gallbladder, colon), the lower portion of the colon, called the sigmoid, tends to be longer in women. This means women have more stuff squeezed into a smaller space. Women's digestive systems don't have as much room to expand when troubled by excess gas, air or food, which is why we are likely to experience distress in our midsections.
We wish everyone a wonderful labor day weekend and great transition to the new school year.
In this issue of our newsletter, we introduce a new phone system for our practice. September is Baby Safety Month and we offer car safety information for pregnant women, children and babies. In our Healthy Living section, we discuss the affects of diet soda and simple ways to quit the addiction. And, you'll find a new interesting "Medical Fact". Reminder - we have a new user-friendly, interactive website! Please let us know your thoughts.
As always, we will continue to provide topics that are current, informative and important to your good health.
If there is topic you would like covered in our newsletter, please e-mail us at firstname.lastname@example.org.
|New Phone System
Please note, we have a new, state-of-the-art, internet based phone system to allow us to better facilitate patient calls and help improve the response times to your requests.
Please be aware this is a transition period and we will try to ensure a seamless switch-over. We apologize in advance for any unforeseen delays or issues.
Reminder - you can utilize our interactive website to make appointments, login to your personal patient portal and obtain other pertinent information for the practice: www.RubinoOBGYN.com.
|Car Safety for Women, Babies and Children
September is Baby Safety Month. Following are important reminders on car safety for pregnant women, babies and children.
Why is it important to wear a seat belt when I travel during pregnancy?
Although the baby is protected inside your body, you should wear a lap and shoulder belt every time you travel while you are pregnant for the best protection-even in the final weeks of pregnancy. You and your baby are much more likely to survive a car crash if you are buckled in.
How should I wear a seat belt while I am pregnant?
When wearing a seat belt, follow these rules:
- Buckle the lap belt below your belly so that it fits snugly across your hips and pelvic bone.
- Place the shoulder belt across your chest (between your breasts) and over the mid-portion of your collar bone (away from your neck).
- Never place the shoulder belt under your arm or behind your back.
- Pull any slack (looseness) out of the belt.
What should I know about air bags when I travel in a car?
- Keep 10 inches between the steering wheel and your breastbone.
- If the car has an air bag "on/off" switch, check to be sure it is turned to "on."
- As your belly grows, you may not be able to keep as much space between you and the steering wheel. If the car has a tilt steering wheel, make sure it is angled toward your breastbone, not your belly or head.
Are there laws regarding child safety seats while riding in a car?
All 50 states have laws requiring the use of child safety seats for infants and children at different ages. View car seat laws to find out the laws for your state. In most states, you can be stopped for a child seat violation as the only reason. Below is New Jersey's new car seat laws, as of September 1st.
If I am pregnant, when should I buy a car seat for my baby?
You cannot take your newborn home from the hospital without a car seat. Plan to have the car seat at least 3 weeks before your due date so you will have time to install it correctly and learn how to buckle the baby in safely. Most local police stations will inspect your car seat for proper installation.
Where should child car seats be installed in the car?
All car seats for children should be used in the back seat of the car-never in the front seat. Air bags in the front seat can cause serious injury to children. Until they reach age 13 years, children should always ride in the back seat.
What types of car seats are available for infants, toddler and school-aged children?
- In a rear-facing car seat, the baby is turned to face the back windshield of the car. Infants and toddlers should ride in a rear-facing car seat until they are 2 years of age or until they reach the highest weight and height allowed by their car seat's maker.
- A forward-facing car seat faces the front windshield of the car. Toddlers and preschoolers who have outgrown the height and weight limit of the rear-facing seat should use a forward-facing seat.
- A booster seat raises and positions your child so that the vehicle's lap and shoulder belts fit properly. Your child should use a booster seat until the car seat belts fit properly. This usually occurs when the child is between the ages of 8 years and 12 years and is at least 4 feet 9 inches in height.
What should I keep in mind when choosing a car seat?
- Know whether your car has the LATCH system. LATCH stands for Lower Anchors and Tethers for Children. Instead of seat belts, special anchors hold the seat in place. If your car and car seat do not have the LATCH system, you will need to use seat belts to install the car seat.
- Try locking and unlocking the buckle while you are in the store. Try changing the lengths of the straps.
- Read the labels to find out the seat's height and weight limits.
The National Highway Traffic Safety Administration offers parents a rating system based on how easy certain car seats are to use. Read some of the guidelines
What should I know if I am considering buying a used car seat?
Do not buy a used car seat if you know it has been in a car crash. Also, used car seats may be missing parts or instructions. Avoid a used car seat that looks old or worn or is missing labels with the model number and maker's name. Keep in mind that car seats have expiration dates. You can check the expiration date for any car seat on the maker's web site.
What do I need to do after I buy a car seat?
After you buy the seat, register it with the maker using the card that comes with the seat, or register it online with the National Highway Traffic Safety Administration. Registering your car seat allows you to get updates and recall notices. You can take your car and the seat to a car seat inspection station. These stations can check whether your car seat is installed correctly after you have installed it yourself.
What is distracted driving?
Distracted driving means doing something else while driving that takes your hands off the steering wheel or your eyes or mind off the road. It includes:
- Using a cell phone
- Feeding a child or picking up a toy
- Using a navigation system or changing a DVD
Parents who are distracted while driving with children in the car are more likely to be in a crash. Wait to send a text or make a call until your car is parked.
Following these safety recommendations will ensure you and your child are well protected.
Content for the article above was extracted from ACOG, American College of Obstetricians and Gynecologists.
|Healthy Living: Quitting The Habit
In our February newsletter, we discussed the risks of consuming too much diet soda. If you still haven't been able to kick the habit, below is additional information on the effects of consuming too much diet soda and suggestions on how to wean yourself quickly.
Marion Nestle, PhD, professor of nutrition at New York University and author of the forthcoming book, Soda Politics: Taking on Big Soda (and Winning), says "there's some evidence that diet drinks cause similar metabolic problems to sugary drinks."
A University of Minnesota study of nearly 10,000 adults found that just one diet soda a day triggered a 34% higher risk of metabolic syndrome with symptoms including belly fat and high cholesterol, which can lead to heart disease.
Anything with an excessively sweet taste can trigger insulin release. Too much insulin production will create insulin resistance, diabetes and even heart disease. Your taste buds get acclimated to the ultra sweetness and start to require more and more to feel satisfied.
The artificially sweetened soda has also been been shown to cause tooth decay, thinning bones, and kidney decline and to increase the odds of obesity. In a University of Texas Health Science Center study, sipping two or more cans a day expanded waistlines by 500%.
To try to break the habit, you have to address what is driving the craving.
If you are drinking diet soda for energy - it might be more of a caffeine addiction.
Try to replace your soda with 1/2 decaf coffee or fruit flavored tea (full of antioxidants) with a little sugar and milk (no artificial sweeteners). It's also a good idea to get more sleep so you're not chronically exhausted and dependent on caffeine to get through the day.
Low Blood Sugar
If you drink diet soda because your blood sugar is low and you experience symptoms such as irritability, shakiness, lightheadedness or feel overwhelmed by everyday stressors, it could be your adrenal glands need support. They make more sugar when you are stressed - if they are chronically activated, your blood sugar drops and you won't have the hormones to manage it.
Try to remove as many day-to-day stressors as you can and avoid blood sugar dips by not skipping meals (aim for three meals and two snacks daily); spread protein throughout the day (add grilled chicken or chickpeas to that pasta salad); and keep a supply of nourishing snacks (like ⅓ cup of nuts and raisins) on hand for a blood sugar reboot. You can also rehab your adrenal glands by taking supplements of vitamin C (500 mg) and vitamin B5 (50-100 mg) and by drinking licorice tea.
You're addiction could also be because you are unconsciously feeding yeast in your body. If you have chronic nasal congestion, sinusitis, spastic colon, or irritable bowel syndrome, you could be heeding sugar cravings caused by yeast or candida overgrowth in your intestinal tract.
Try to take a good probiotic and get off sugar to kill the yeast. Add cinnamon, and nutmeg to your tea and drinks or drink fruit-infused water or seltzer.
Lastly, your cravings might be a result of your hormones being in flux.
If you're PMSing or heading into perimenopause, hormonal fluctuations can cause insomnia, headaches, fatigue, or mild depression, all of which can trigger sugar cravings.
You may be able to add estrogen (which controls the feel-good brain chemicals serotonin, dopamine, and norepinephrine) naturally to your diet by eating edamame or drinking soy milk, as soy has isoflavones that mimic estrogen in the body.
If you still need something sweet, try fresh, sweet fruit like a banana, a handful of berries, or two squares of dark chocolate.
It may take 7 to 10 days to stop craving diet soda. It's ok to indulge once and a while, but the benefit of removing diet soda from your diet is immense.
Following article is an excerpt from Prevention.com
|Introducing Our New Website
Have you seen our new website? Take a look! RubinoOBGYN.com.
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 Online
You can pay your Rubino OB/GYN Group bills 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 |
New Phone System
We have incorporated a new, internet based advanced phone system into our practice. We apologize for any delays we go through the transition.
Pay Your Rubino OB/GYN Bills Online
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 TutorialsEmmi 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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