He is the best. He delivered my first child after I had a 3 day long home birth and needed emergency assistance. He literally changed my whole opinion on hospitals and hospital births. He has the most wonderful, comforting bedside manner and truly inspires confidence in even the most skeptical of patients. I am pregnant with my second child and saw him again today to start with him from the beginning this time. He is a truly wonderful doctor. You are in very good hands with Dr. Lubetkin
by Caitlin S
All the ladies that work at Dr. Lubetkin's office are always so friendly! And Dr. Lubetkin has such a deep knowledge and is always willing to answer your questions. Best OBGYN!!
by Nicole E
He is the best doctor, period. I have been going to him for over 15 years now. I've had medial issues and he has always taken amazingly good care of me. I love his office staff, they are all wonderful as well. I really don't know what I would do without him.
by Linda S
I was squeezed in at the end of the day, so I expected to wait. Dr. Lubetkin still spent a good deal of time with us, answering a ton of questions. I never felt rushed. Great experience.
by Allison D
Everyone was very nice and professional! The doctor was very caring and understanding. He explained everything in a way for me to get what my opinions are. I highly recommend him!
by Stesha J
I never went to a male gyno before I had this preconceived notion they would be rough and not have that gentle finesse. This doc changed my way of thinking. I was pleasantly surprised He was very nice! Easy to talk to. Knows his stuff. Had Excellent bedside manner. I really liked him!
by Dana G
I really liked how I did not have to wait long in the waiting room nor was I thrown into a room and told to strip and the doctor will be right in, as in most gyno offices. Instead, I was brought into Dr. Lubetkin personal office, we spoke privately about my concerns and he then told me the exam process step by step. I was then brought to a room where a gown awaited me and not so long after, Dr. Lubetkin followed with the exam and I was up and out in less than 20 minutes and my prescription of medication was sent to the CVS pharmacy right downstairs of the office and was ready about 5 minutes after I arrived.
by Amanda A
Dr. Lubetkin was really thorough, easy to talk to, and quite importantly gentle. He has a sense of humor too, and was overall super cool. I had a somewhat traumatizing first experience with a gynecologist about a month ago so naturally I wasn't really looking forward to another exam, but Dr. Lubetkin quelled all fears. Would definitely recommend him to others.
by Milena N
This is my first time pregnancy so I naturally was very anxious, nervous and excited all at once. I had no idea what to expect but the second my grandmother and I met Dr. Lubetkin we felt instantly at ease. He was extremely thorough, calming and compassionate. I couldn't have asked for a better experience and absolutely recommend him to any first time mommies.
by Janell V
Dr. Lubetkin is awesome and so are everyone else in the office. He made my pregnancy enjoyable and secure. He was there for me every step of the way.. I'm so fortunate he was the one to deliver my daughter ! I'm truly going to miss this guy :) Thanks doc for everything you are truly the best !
by Vivia L
Can't say enough about Dr. Lubetkin! He delivered my twins, saved my life twice and just delivered my friends TWINS VIA VBAC when NO ONE else in all of south Florida would support her choice! A one of a kind amazing OBGYN!!!!
by Jillian R
My husband and I LOVE Dr. Lubetkin! He is so wonderful and kind! Both him and everyone else in the office are such a pleasure to talk to! They make you smile, and do whatever they can to make you feel comfortable. Lubetkin delivered our beautiful baby girl- she was happy and healthy and I owe it all to him and his nurses! Thank you so much!! We highly highly highly recommend him- We wouldn't choose any other OBGYN. If by chance we are blessed with another pregnancy, we WILL be back. :)
by Brandi C
We are pleased to announce that Vanquish ME is now available in our office. This FDA approved device uses radiofrequency to permanently destroy fat cells. BTL Vanquish ME is a "Breakthrough in non-invasive fat removal that lasts. Sit comfortably and relax while your fat is being selectively targeted and disrupted. Industry´s largest spot size covers the abdomen from flank to flank, cumulatively improving circumferential reduction. Treatment session is short and pleasant."
1. What to expect at your OB visits
Traditionally, a Midwife or a Doctor will see you in the ofﬁce for routine prenatal visits:
•Every 4 weeks until your 28th week.
•Every 2 weeks between 28th and 36th weeks
•After 36th weeks until you deliver, we will see you every week.
•Once you pass your due date, we will schedule you for twice weekly fetal monitoring and discuss induction of labor.
Your appointments may occur more frequently, depending on your medical status.
2. Laboratories and fetal surveillance
First prenatal visit – OB Panel: CBC (test for anemia), Antibody screen, Blood group and Rh type (if you are Rh negative, you will receive Rhogam around 28 weeks and again after delivery depending on your baby’s blood type), RPR (syphilis), Hepatitis screen, Rubella immunity (aka German Measles), Thyroid panel (to check for thyroid function), Glucose (to check blood sugar levels), HIV screen (recommended), Varicella (to check the immune status of chicken pox), Hemoglobin Electrophoresis (to check for inherited blood abnormalities.), Urinalysis/culture (to check for infection), Pap (for cervical cancer screening), Chlamydia/Gonorrhea test (sexual transmitted diseases), Cystic Fibrosis (to check for the genetic mutation that causes an inherited life- threatening disease. Cystic ﬁbrosis is a disease resulting in poorly hydrated, thickened mucous secretions in the lungs), Herpes Type II (to check if the virus is present), Jewish Panel (if indicated)
•Integrated Screen 1st trimester
Full integrated testing is done in two parts:
1.The ﬁrst part is done during the ﬁrst trimester, and includes an ultrasound examination of the fetus to measure nuchal translucency and a test from the mother’s blood to measure the maternal serum
2.The second part is done at 15 to 20 weeks of pregnancy, which tests the mother’s blood level of
The results of the ﬁrst and second parts of the test are integrated (combined) to give a single number that estimates the fetus' risk of Down syndrome. The result is reported after the second trimester testing is completed. The full integrated test correctly identiﬁes women carrying a baby with Down syndrome, and less than 5 percent of women who are screened have a false positive result (when the test is positive but the infant does not have Down syndrome). Thus, with integrated testing, fewer women will need to undergo a procedure to examine the baby's chromosomes (amniocentesis). However, the full integrated test has the disadvantage of not providing deﬁnitive results until later in pregnancy (typically after 16 weeks of pregnancy).
•NT (nuchal translucency) it is a type of Ultrasound that measures your baby’s neck fold
thickness. It screens for Down syndrome and is usually done at
•Integrated Screen 2nd trimester
•Sonogram (or Ultrasound) usually done at 20 weeks. Your baby’s anatomy is
measured and evaluated. This sonogram may detect potential problems but cannot detect every possible problem. During the sonogram you may ﬁnd out the gender of your baby.
•Repeated sonograms are done only for medical indications.
•Amniocentesis (if applicable). This test may be offered to you because of a family
history, an abnormal AFP test, you are 35 or older etc…this test is done between
•CBC (screening for anemia), Iron pill may be prescribed if you are becoming anemic.
•Gestational diabetes screening (Glucola) a screening for diabetes that occurs while pregnant. It is a
will follow a special diet. The 3 hour test requires 8 hours of fasting before drinking the 100g Glucose solution. If you test positive, you will be diagnosed with Gestational Diabetes. This is usually controlled by diet and exercise, yet some will need medication to help control their blood sugar level.
•Antibody screen (if Rh negative) followed by Rhogam injection.
•Rhogam A prophylactic administration (injection) given for pregnant mothers who are Rh negative at 28 weeks. This injection will protect the incompatability of both blood Rh type interactions.
•HIV screen (recommended)
•Chlamydia/Gonorrhea test (sexual transmitted diseases)
•GBS (Group B streptococcus): A swab of the vaginal and rectal canal obtained by your provider. This swab tests for bacteria that occur in about 40% of women who usually have no symptoms. It may increase incidence of newborn infections. If you are positive, you will receive antibiotics in labor.
38 weeks until delivery
•Vaginal Exam: You may be checked vaginally by your provider to see your dilatation (0 to 10 cm) effacement
Other test that may be ordered by your provider
•NST (fetal Non stress: external monitoring of the baby ‘s heartbeat)
•BPP (fetal Biophysical proﬁle: NST and sonogram)
•FFN (Fetal ﬁbronectin) a simple test to predict your risk of preterm labor if you are experiencing regular contractions/cramping or pelvic pressure between
Remember to take your prenatal vitamin everyday
1.Take it on a full stomach
2.If you experience nausea, try to take it at bedtime
3.If you have extreme nausea, try it every other day for a while
4.Try a different brand
5.If you experience constipation, ask your provider for a stool softener
Increase your ﬂuid intake (10
Eat small but frequent meals/snacks
Make every calorie count and avoid fast or junk food
I. Exercise is encouraged
•You usually maintain your normal activity unless contraindicated by your provider.
•Brisk walking, swimming, bicycling and prenatal yoga are ﬁne
•If you are going to start a new activity, please start in moderation
•Heavy lifting and excessive physical activity should be avoided to prevent back problems,
•Drink plenty of ﬂuid during all activities
Stop your activity if you feel out of breath or have pain.
•Sex is safe and does not harm the baby.
•It is normal to have more interest in sex.
•It is normal to have less interest in sex (tender breasts, nausea, fear, fatigue and overgrown abdomen may make sex out of a question for a while).
•It is normal to have mixed feelings and thoughts about sex: Open communication is important for your relationship.
•As pregnancy progresses, be creative with position changes. Gentle hugs or caresses can be a sweet substitute for intercourse.
Do NOT have sex if you have:
•Vaginal or abdominal pain
•Blood or ﬂuid coming out of your vagina
•Been put on “pelvic rest” or told by your provider “NOT TO HAVE SEX”
•Traveling by car, bus or airplane is SAFE for healthy pregnancy. (Discuss
your plans with your provider during your routine visits)
•Try to keep your destinations domestic and travel before 34 weeks.
•Wear your seat belt
•Bring a pillow for long journeys
•Drink lots of ﬂuid and avoid caffeine
•Pack nutritious snacks and water
•Request an aisle seat
•Bring a pair of loose ﬁtting shoes in case your feet swell
•Plan to get up, use the bathroom and walk around EVERY 2 HOURS.
IV. Dental Treatment
•Safe during pregnancy
•Lidocaine without epinephrine is OK
•Penicillin, Ampicillin and Keﬂex can be used for antibiotics
•Tylenol with codeine is OK for pain
•We can provide you with an authorization for dental treatment form if needed.
V.Massage therapy or chiropractic massage
•Make sure the therapist meets all the following criteria:
▪LMT (Licensed Massage Therapist)
▪Certiﬁed in prenatal massage. (Only therapists with additional training for prenatal massage know how to avoid bringing on contractions or hurting your baby)
▪Part of a recognized organization (American Massage Therapy Association, Association of Body works and massage and the International Massage Association)
VI. Frequently asked questions
•Can I do chemical peels? No, it is not recommended.
•Can I have new tattoos or piercing while pregnant?
Recommend removing piercing and talk to your provider about it.
•I have a cat, what I should I do?
Your cat is safe to pet but DO NOT change the litter box. Cat litter may contain toxoplasmosis, which could be harmful to your unborn baby.
•I heard ﬁsh could be harmful to my baby, should I stop eating ﬁsh? Fish may contain high level of mercury or other contaminants. Avoid shark, king mackerel swordﬁsh, and tileﬁsh. Avoid sushi if possible due to questionable storage standards and contamination risk. Avoid soft, unpasteurized cheeses and deli meats; choose
•What is a 3D ultrasound? Where can I get one?
3D ultrasound is usually not covered by your insurance. It is fun to watch. See what your baby looks like and collect memorable pictures. Ask your provider for more details. Best results between
•When should I attend prenatal classes? :
It is best during the early 3rd trimester. Topics discussed include: relaxation & breathing patterns, practice of comfort measures, signs of labor, pain relief measures, and the coach's role during labor. Classes are available at the hospital where you plan to deliver.
We recommend avoiding any medications unless deﬁnitely needed. If you have a question about a medication, please contact our ofﬁce BEFORE using it. There are some over the counter medications that are used during pregnancy and have been shown safe in all trimesters. Here is a partial list of the safe commonly used ones:
6. Preterm Labor (before 37 weeks), It can happen to you!
SIGNS & SYMPTOMS of PRETERM LABOR:
•Menstrual like cramping
•A change in your vaginal discharge
•A change in your bowel habits
•Leaking of ﬂuid
•Low back pain
•Contractions that become regular (6 or more contractions in one hour)
If you are experiencing any of the above
•Stop what you are doing!
•Empty your bladder
•Drink at least two 12 oz glasses of water.
•Lie down on your side
•If after one hour, your symptoms do not decrease or diminish:
•CALL THE OFFICE (section 8 of this manual if after hours)
Remember: An infection can cause you to have preterm labor
Symptoms to watch for:
•Burning with urination
•Frequency of urination
•Temperature of 100.4 or more
•Your water bag has broken (note the time it occurred, and the color)
•Your contractions are regular (5 minutes apart)
•You have not felt the baby move 10 times in a 2
•If you have a history of fast labor (call when you start having contractions)
•You have a fever
•If you previously had a cesarean section and any of the above applies.
Also if you know you have high blood pressure and experience any of the following symptoms you need to go to the hospital:
•Signiﬁcant swelling (more than normal)
•Visual disturbances (blurry vision for example)
•Epigastric pain (at the top of your stomach)
8. How to contact us in case of an Emergenency?
Monday through Friday: 9:00 AM – 5:00 PM
If you have a true emergency and the ofﬁce is closed
1.Leave a brief message with your name, phone number and the nature of the emergency.
2.The service will contact the provider on call
3.If 30 minutes have passed and you did not get a call, try again.
4.If you still don’t receive a response in the next 30 min go to the hospital.
▪WEST BOCA MEDICAL CENTER Labor and Delivery
▪BOCA RATON REGIONAL HOSPITAL Labor and Delivery
5.Don’t DELAY !!!!!!!!!!!!
PLEASE LIMIT AFTER HOUR CALLS TO TRUE EMERGENCIES. Thank you.
Copyright © 2017 David Lubetkin
All rights reserved.
IMPORTANT! All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease.