Dr. Jerome H. Rosenstein

Call: 607.763.8391

Dear Patients, Thank you for allowing me to be your physician in these last several years. It is with a heavy heart that I close my practice and take a new position in Central New York. It is an opportunity for me and my family that will allow us more family time and security in this changing health care climate.

I am referring my patients to the Women's OB/GYN Associates practice of Drs. Carol Miller and Marianne (Shantillo) Davis. Their address is 401 Main Street, Johnson City, New York 13790 and their phone number is 607-754-9870 They will retain my practice records after September 17, 2017. Please feel free to call our office with any questions at 607-763-8391.

Wishing all of you good health and much happiness.

Welcome
New
Patients

Please read the Press and Sun Guest Viewpoint article by Christie Finch, Director of Perinatal Services for the Mothers & Babies Perinatal Services regarding our breast feeding support to our patients!

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What to expect - details of 9 mths

What you Might Expect when you’re Expecting

When you’re pregnant, your baby’s health is your first concern. And ours too! Dr. Rosenstein specializes in normal and high-risk pregnancies. He also performs on-site ultrasounds. And when it’s time for your baby to enter the world, Dr Rosenstein and his team will keep you comfortable by handling your labor, delivery, recovery and postpartum care. Thanks to that more personalized approach, you can rest assured you’ll receive the best possible care from Dr. Rosenstein and his team.

Every woman experiences pregnancy differently. Some glow with good health and others feel absolutely miserable. Here are some of the changes you might experience during your first and second trimesters:

Timeline of visits, milestones ans symptoms

First trimester 0-12 weeks

  • Expected weight gain 3-5 lbs
  • Office visits every 4 weeks
  • Initial Prenatal Labs on your first visit
  • Initial ultrasound to establish your due date, the fetus’ wellbeing and check for the number of fetuses

Second trimester 12-28 weeks

  • You start to feel better, have more energy and experience less reduced nausea and vomiting
  • Expected weight gain 10-15 lbs
  • Office visits every 4 weeks
  • 11-21 Weeks: We offer the non-invasive Harmony™ Prenatal Blood Test for Down Syndrome and other chromosomal syndromes (can detect gender if requested).
  • 15-21 weeks:   AFP test to detect risk of Open Spinal Bifida (Neural Tube Defects)
  • 19- 20 weeks: Ultrasound for fetal anatomy check
  • 24-28 weeks: diabetes screen, anemia screen

    Symptoms:

  • Bleeding. About one in four pregnant women experience slight bleeding during their first trimester. Light spotting at 4-5 weeks may be a sign that the fertilized embryo has implanted in the uterus. If you have any bleeding, talk to Dr. Rosenstein.
  • Breast tenderness. Sore breasts are a common early sign of pregnancy. Triggered by hormonal changes, this condition will likely last through the first trimester.
  • Constipation. Constipation and gas can make you feel bloated throughout your pregnancy. Increase your fiber intake and drink extra fluids to keep things moving smoothly. Physical activity also helps.
  • Discharge. A thin, milky white discharge may occur in your pregnancy. Do not use tampons because they can introduce bacteria into the vagina. A foul-smelling, green or yellow discharge should be reported to Dr. Rosenstein. Wear cotton next to your skin as much as possible.
  • Exercise. Having a daily regimen is encouraged. However any activity that may lead to falling (i.e. rollerblading, outdoor cycling, water sports, etc… or any shaking or jarring like horseback riding, roller coasters, skiing or snowboarding ) should be avoided during your pregnancy. Also, avoid the sauna, steam room, and hot tub.
  • Fatigue. Your body is working hard for a growing fetus, which can wear you out. Take naps or rest as needed throughout the day. Make sure you’re getting enough iron to avoid anemia, which causes fatigue.
  • Food cravings/aversions. Your food tastes can change while you’re pregnant. Over 60% of pregnant women experience food cravings or food aversions. If you are generally eating healthy, it’s okay to give in to an occasional craving. Cravings for non-food items like clay, dirt and laundry starch – a condition known as pica – can be dangerous. Report this kind of craving to your doctor immediately.
  • Foods to Avoid. You should not eat sushi or any other raw fish, Tuna, shark, mackerel, and tile fish contain high levels of mercury (a known cause of birth defects) and should be avoided. If you eat deli meat, or unpasteurized cheese like brie or feta, you will need to bring it home and cook it. It can contain harmful bacteria. You should also avoid caffeine and tobacco, and no alcohol at all.
  • Frequent urination. Your growing uterus is putting pressure on your bladder. You may feel like you constantly have to urinate. Your body needs fluids, but it’s a good idea to cut down on caffeine, which stimulates the bladder. When the urge hits, go right to the bathroom. If this is painful, let us know since it could be a bladder infection.
  • Heartburn. Your body is producing more progesterone, which relaxes the ring of muscle in your lower esophagus. This normally keeps food and acids in your stomach. Muscle relaxation can lead to acid reflux or heartburn. Eat frequent, small meals throughout the day. Avoid greasy, spicy and acidic foods (like oranges or lemons). Try raising your pillows when you sleep. Tums, Rolaids, or liquid antacids are permissible.
  • Mood swings, anxiety or depression. If you are feeling overwhelmed- talk to Dr. Rosenstein - he can refer you to a mental healthcare professional if needed.
  • Morning sickness. Nausea is one of the most common and talked about pregnancy symptoms. It affects up to 85% of pregnant women. It can last through the entire first trimester. Nausea is usually worst in the morning. Try eating crackers, meat or cheese and sipping water, clear fruit juice, flat cola or ginger ale. Severe nausea can affect the amount of nutrition getting to your baby, so call Dr. Rosenstein if you can’t keep food down for 24 hours.
  • Weight gain. This is one of the few times in your life when weight gain is considered a good thing, but don’t overdo it. During the first trimester, you should gain about 3 to 6 pounds. Dr. Rosenstein may recommend that you adjust your weight gain up or down based on whether you started your pregnancy underweight or overweight. Don’t “eat for two.” You only need about an extra 150 calories a day during your first trimester. Get those calories by adding extra fruit and vegetables, milk and lean meat to your diet.

Third trimester 28-41 weeks

  • You should feel regular fetal movement, and possibly, Braxton- Hicks contractions
  • Office visits every 2 weeks up to 35 weeks - then every week
  • After 35 weeks travel is restricted

Guidelines for the last five weeks of pregnancy

The final five weeks of any pregnancy are critical to a successful birth. So here are some guidelines to help ensure that you know exactly what to expect.

  • Bleeding must be reported immediately! Please call us DAY or NIGHT as soon as you notice it. Bleeding is described as dripping or pouring of blood. (There may also be a mucous type discharge, a pinkish-brown with or without some streaks of blood which is not significant. Such mucous may occur for a period of hours or even days before the onset of labor). Any actual bleeding must be reported as soon as you notice it regardless of the presence or absence of cramps, pain, or other discomforts.
  • The “bag of water” will break in a certain percentage of all women prior to the onset of actual labor. This is the involuntary loss of clear liquid, which may either gush or drip out. This liquid cannot be controlled, and does not smell like urine. In most cases, the breaking of water is followed shortly (minutes to hours) by labor. In some cases labor may not follow for a week or more. PLEASE REPORT THE BREAKING OF WATER IMMEDIATELY! It is best if your baby is delivered within 24 after your water breaks (bag of water) to prevent a serious, possibly life threatening infection.
  • “Labor” is the onset of alternate contractions and relaxation of the uterus in which the baby is contained. The uterus is also known as the womb. The womb is the lump you feel in your abdomen. It may feel firm to you now, but it is the firmness of a relaxed muscle. When it contracts, the muscle will feel harder and much firmer. It is the same phenomenon as “making a muscle.” However it makes the muscle even harder. These contractions are called labor pains. Some women say they feel it only in their back, others feel it as a drawing in their legs. Some describe it as feeling colicky, menstrual cramp-like, or a bellyache type of pain. If you place your hand over your womb, on the top of your abdomen, you will feel the tightening and relaxing of the muscle.

Some women feel very mild, irregular contractions for weeks or even months prior to labor. Such irregular contractions, even though they may be quite painful at times, are usually not significant. Such contractions are referred to as “Braxton-Hicks”. When labor begins, the interval between contractions may be long, the duration of the contractions short, and the intensity of each contraction mild. It is at that point you should begin to note the time of each one. If you feel that you are in labor DO NOT EAT ANYTHING unless instructed to do so by one of our doctors or nurses. Drinking clear fluids is okay if you are not having a planned C-Section.

If this is your first baby, please call the office when the contractions are 5 minutes apart for at least one hour continuously. If the contractions should start coming closer than 5 minutes CALL THE OFFICE IMMEDIATELY, DAY OR NIGHT, REGARDLESS OF TIME.

 

Experience a relaxed and comfortable one-on-one time with Dr. Rosenstein. Schedule your visit at 607.763.8391 or use our online Request an Appointment form.