Dr. Lubetkin Logo

(561) 300-0600

1001 NW 13th Street, Suite 101A

Boca Raton, FL 33486

Dr. David I Lubetkin, MD, FACOG

OBSTETRICS • GYNECOLOGY • INFERTILITY

Offering Comprehensive, Personalized

Obstetrics and Gynecology Care

Minimally Invasive Gynecologic Surgery

Contraceptive Management

VBAC Friendly

Well Woman Care

Most Insurance Plans Accepted

The American Congress of Obstetricians and Gynecologists The North American Menopause Society The American Board of Obstetrics & Gynecology
CONTRACEPTION


ESPECIALLY FOR TEENS



GYNECOLOGIC PROBLEMS



LABOR, DELIVERY, AND POSTPARTUM CARE



PREGNANCY



SPECIAL PROCEDURES



WOMEN'S HEALTH



Flu Vaccine in Pregnancy

Breastfeeding
  • La Leche League International is a non-profit organization dedicated to promoting breast feeding. Their website has great information, FAQs and links to breastfeeding supply websites.
  • BreastFeeding.com is a commercial site dedicated to breastfeeding. It has excellent resources including videos to help explain techniques.


ACOG (American Congress of Obstetrics and Gynecology) is the national professional organization of OBGYNs. They have patient education pamphlets on a variety of subjects.

American Urogynecologic Society is the national organization for specialists in bladder problems and uterine or vaginal prolapse.

Center for Disease Control (CDC) is a reliable resource for a variety of medical issues that is updated regularly and a good source of current medical issues on a national and international level.

Immunization Information for women, including what is safe in pregnancy. Sponsored by ACOG. 

March of Dimes is a non-profit organization dedicated to preventing birth defects, preterm birth, and infant mortality. Excellent source of pregnancy related information. 

MedlinePLUS is a joint effort from the National Institute of Health and the US National Library of Medicine. The site has a health encyclopedia, dictionary, current health news, and is available in 40 different languages including Spanish and Portuguese

National Cancer Institute has a patient education page on cancer related topics.

Planned Parenthood has excellent information on birth control options and sexually transmitted infections. 

WebMD is a commercial website with patient information on all health topics.


Pregnancy FAQs
Which over the counter medications are safe during pregnancy? 
Tylenol, Robitussin, saline nasal spray, Afrin and Benadryl are safe in pregnancy. Do not take aspirin, ibuprofen (Motrin or Advil) or naproxen (Aleve). 

What should I do if I have a sore throat? 
Try gargling with warm salty water, increasing fluids and rest. You may also try Tylenol and any over-the-counter throat lozenges. 

What may I use for hemorrhoids? 
You can use Preparation H, Tucks, Anusol, or Dermaplast as needed. 

What should I take for heartburn? 
First try Tums or Mylanta. Avoid spicy and greasy foods. Talk with your provider if symptoms persist. 

What should I do if I am constipated? 

Increase non-caffeinated fluids and fiber (fruits, vegetables, whole grains, dried fruit, prunes). Avoid constipating foods (cheese, bananas, rice and applesauce). If dietary measures do not help, you may add fiber supplements such as metamucil or fibercon. You may also try colace stool softener up to twice a day, milk of magnesia or sennakot. 

What can the dentist do/use when I am pregnant? 

Almost all dental work is safe in pregnancy. If you need an x-ray, tell the dentist and technician that you are pregnant and make sure they cover your abdomen with lead shields. If dental work is necessary, the dentist may use xylocaine without epinephrine for anesthesia. Penicillins and erythromycin are safe antibiotics in pregnancy. Most pain medications are safe in pregnancy with the exception of Motrin. If the dentist has questions, please have them call our office. 

What foods should I avoid in pregnancy? 

Certain fish containing higher levels of mercury (tuna, swordfish) should be limited to two servings per week. Caffeine should be limited to one serving per day. Soft cheese (unpasturized) should be avoided. Raw fish and deli meats should be avoided also. 

Can I dye my hair? 

There is no data that associates hair dye with birth defects. Your hair may not respond in the usual fashion when treated with chemicals. 

Can I exercise? 

Exercise (walking, swimming, yoga) is a good idea in pregnancy. Make sure you drink plenty of water and stop if you get lightheaded or uncomfortable. Avoid exercising on your back. Be aware that you are at increased risk of joint injury because of the hormonal effects of pregnancy on your ligaments. 

Is it safe to have sex? 
Sex is safe in most pregnancies. Your provider will tell you if you should avoid sex for any reason. 

Signs and Symptoms to NEVER Ignore
  • Severe or persistent abdominal or pelvic pain
  • Menstrual cramping that is not resolved with hydration and rest
  • Vaginal bleeding that is similar to a period. While spotting is generally not serious, you should contact your provider if this is persistent
  • Leaking of watery fluid from vagina
  • Pelvic pressure, back pain or cramping before 37 weeks
  • Painful urination or little urination
  • Severe persistent vomiting or diarrhea that lasts more that 24 hours
  • Persistent fever of more than 101°F that is not resolving with Tylenol
  • Persistent visual disturbances: black or white spots, seeing stars, bluriness, or loss of vision
  • Severe head pain not resolved with Tylenol
  • Swelling that is not improving while resting with your feet raised up
  • Persistent severe leg or calf pain
  • Decrease in fetal movement
  • Trauma to the abdomen
  • Fainting

High Risk Pregnancies
A pregnancy is considered high risk if the mother has certain medical conditions such as high blood pressure, diabetes, lupus, thyroid disease, obesity, infertility, heart disease, or kidney disease. Women with certain problems in previous pregnancies are also considered high risk. For example, problems such as preterm delivery, preeclampsia, eclampsia (pregnancy-related seizures), or fetal death, are considered high risk. In most cases, our practice is the perfect place for these patients to come for prenatal care. All high risk pregnancies are co-managed with a perinatologist.  

Pre-Pregnancy Advice
While over 50% of pregnancies in the United States are unplanned, planning your pregnancy always makes things a little easier. Here are some key points to remember: 

  • Ideally, start a folic acid supplement (0.4 mg) 6wks before attempting to get pregnant, this ensures folic acid levels are built up in your body before conception and prevents spinal cord defects in your baby.
  • Make sure your vaccines are up to date--check with your primary care doctor or our office.
  • Avoid alcohol, tobacco, or drugs when you are trying--they can affect fertility and the development of your baby.
  • Schedule an appointment to see us for a pre-pregnancy visit.
  • See the ACOG preconception pamphlet

We Now Offer the Following

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."


LASER HAIR REMOVAL

Using the State of the Art Advanced

VECTUS

RejuvChip logo
RejuvChip Information

As part of the normal aging process, our bodies hormonal function slowly declines. Restoring hormonal function naturally using Rejuvchip testosterone pellets, is a safe and effective way to reverse aging. REJUVCHIP pellets are bio identical, and are mode using a botanical source. The testosterone from REJUVCHIP enters the body in its natural molecular form and therefore doesn't disrupt normal physiology, as in the case of synthetic hormones. Both men and women who use the REJUVCHIP enjoy an array of health benefits. This makes sense, knowing that symptoms and conditions of low testosterone are universal and affect both sexes.

Benefits include increased mental and physical energy, improved libido and sexual satisfaction, healthier physique, and a better sense of well-being. Women, in addition, also benefit from relief of hot flashes, vaginal rejuvenation, increased bone density, and improved sleep. Research suggests that testosterone pellets may even reduce breast cancer risk. Pellets provide hormonal balance. Conditions of estrogen dominance, such as breast cancer, uterine fibroids, obesity, and fibromyolgia, have all been shown to be improved by T pellets. This is due to helping the body to obtain hormonal balance. Furthermore, natural testosterone when delivered in a slow and steady fashion, mimics the bodies inherent physiology, leading to minimal side effects, and superior results.

After appropriate evaluation and informed consent, REJUVCHIP testosterone pellets are placed with a local anesthetic, through a 3 mm incision in the hip. The procedure is done in about 3 minutes. and is relatively painless. An adhesive tape is removed in 4 days. Benefits are enjoyed within 2 weeks and last for 3-5 months in women, and for 6 months in men. Diet, exercise, and optimal supplementation are all discussed as on important part of this therapy.

The following are general guidelines but discuss all symptoms/issues/problems with your provider for definitive medical advice.

1.What to expect at your OB visits

2.Laboratories and fetal surveillance

3.Nutrition

4.Activities and FAQs

5.Medications

6.Preterm labor (before 37 weeks)

7.LABOR: When to go to the hospital

8.Emergencies: When to call your provider

Congratulations!

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)

10-14 Weeks (Performed by the Specialist when applicable)

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 pregnancy-associated plasma protein-A (PAPP-A).

2.The second part is done at 15 to 20 weeks of pregnancy, which tests the mother’s blood level of alpha-fetoprotein, unconjugated estriol, hCG, and inhibin A.

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 11-14 weeks.

NIPT (non-invasive prenatal testing) Non-Invasive Prenatal Testing (NIPT) is a screening test which can be performed on women at or after 10 completed weeks of pregnancy. The test is primarily to identify fetuses at risk to have extra or missing copies of chromosomes 13, 18, or 21. This test is not intended to diagnose these conditions, and additional tests are recommended to confirm any positive NIPT results.

16-20 Weeks

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 15-20 weeks.

24-28 Weeks

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 1-hour glucose test: You will be asked to drink a glucose solution, and the Nurse will draw your blood one hour later. There is no preparation for the test and you do not need to fast beforehand. If your test result is elevated, you will need the 3 hour glucose testing.

3-hour glucose tolerance test (GTT): For three days before the test, you

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.

RPR (syphilis)

HIV screen (recommended)

Chlamydia/Gonorrhea test (sexual transmitted diseases)

Hepatitis B

35-37 Weeks

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 (0-100%) and station (where is your baby in relation to your pelvic bones.)

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 24-34 weeks.

3. Nutrition

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 –12 glasses a day)

Eat small but frequent meals/snacks

Make every calorie count and avoid fast or junk food

4. Activities

I. Exercise is encouraged

You usually maintain your normal activity unless contraindicated by your provider.

Brisk walking, swimming, bicycling and prenatal yoga are fine

Tennis, low-impact aerobics, and golf are OK for those who have been conditioned.

Warm showers

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

REMEMBER :

Stop your activity if you feel out of breath or have pain.

II. Sex

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”

III. Traveling

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

X-ray is permitted with appropriate shielding (not preferred in first trimester)

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?

ABSOLUTELY NOT

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 well-chilled cold food at buffet. Limit canned tuna to less than 12 oz each week. Shellfish, if cooked properly is not considered harmful.

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 28-32 weeks

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.

5. Medications

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:

Symptoms

Medications

Alternatives

Fever & Headache

Extra strength Tylenol (Avoid ibuprofen) Head On: Roll on stick for forehead and temples during headaches. Report headache if you are more than 28 weeks pregnant.
Increase fluids
Luke warm bath
Ice packs for headache

Stuffy nose

Xlear nasal wash (OTC)
Normal saline drops
Eucalyptus inhalants
Neti pot

Heartburn

Tums (liquid works better)
Rolaids
Mylanta
Maalox
Pepcid AC
Zantac
Don’t lie down after meals
Avoid dairy, fatty and citrus products.
Rice water with a cinnamon stick
Ginger tea with or without cinnamon.
Chamomile tea
Propel water

Constipation

Citrucel
Metamucil
Senokot
Pericolace
Fibercon
Colace
Increase your fluid intake (Remember 10-12 glasses a day are ideal)
Increase your fiber intake.
Decaffeinated tea
4 oz of warm prune juice followed by one cup of decaffeinated tea.
Exercise (walking counts)

Coughs & Colds

Halls or Cepacol lozenges
Robitussin (DM)
Triaminic
Any Tylenol brand products (Tylenol cold)
Vicks vapor rub
Humidifier
Increase your fluid intake to keep yourself hydrated.
Soups
-Rest when possible

Rashes or Itching

Caladryl or Benadryl lotion
Benadryl capsules
Cortaid 5% or 10% cream
Claritin OTC 1 by mouth once a day.
Aveeno bath, lotion, shower gels
Cold compress onto itchy areas preferably chamomile infusion (Damped wash cloth)
Change your detergent to baby detergent (Dreft brand).
Loose clothing
Cotton clothing

Diarrhea

Kaopectate
Imodium
BRAT diet (banana, rice, applesauce, toast)
Gatorade
Propel
Coconut water

Hemorrhoids

Anusol cream or suppositories.
Preparation H
Tucks
Metamucil (to avoid constipation)
Avoid straining (drink plenty of fluid and increase your fiber intake to prevent constipation).
Sitz bath with or without Epsom salts
Cold packs
Witch- hazel pads

Vaginal itching

Avoid thongs
Wear loose cotton underwear
Boxers to bed
Avoid douching, perfume or soap.
Change to a dry bathing suit when out of the water.

Acne

Aveeno face wash
Neutrogena

Carpal tunnel

Decrease salt in your diet
Exercise your fingers
Wear a wrist guard

Leg edema (swelling)

Normal in pregnancy
Refer to your provider if other symptoms appear (headache, dizziness, blurry vision, unrelieved heartburns) especially if you are more than 28 weeks.
When resting elevate your legs.
Decrease processed/fast foods

Nosebleeds

Very common in pregnancy. Will arise without warnings
Pressure on nares (nose) and pull your head back.

Bleeding gums

Normal in pregnancy but practice good oral hygiene.
Risks of gum disease increases while pregnant
Brush and floss every day.
Schedule your regular dental visit and get your teeth cleaned by your hygienist routinely.

Nausea and vomiting

Vitamin B6 (50 mg cap) twice a day.
Sea band may help
Emetrol OTC
If vomiting does not stop and becomes severe (>72 hours), call your provider. Consume foods you tolerate well.
Stay away from strong smells.
Eat dry crackers before getting out of bed.
Change position slowly.
Eat small amounts of food more frequently throughout the day.
Try ginger cookies, ginger ale or ginger tablets.
Try some watermelon or cantaloupe or a cup of fruit.
Try a dry bagel, dry toast.

Breast pain, sore nipples

Normal in pregnancy
Wear a good supportive bra or a maternity bra.
Avoid wires.

Varicose Veins

Normal in pregnancy
Exercise
Elevate your legs when possible
Do not sit for too long (stand up and walk every 2 hours)
Avoid crossing your legs Wear maternity panty hose to stimulate circulation.

Abdominal Pain

All abdominal pain, back pain or pelvic pressure should be reported and discussed with your provider.

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

Vaginal bleeding

Leaking of fluid

Low back pain

Abdominal tightening

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

Nausea

Persistent diarrhea

Dehydration

7.Labor finally! (38-42 weeks) When to call your doctor/go to the hospital.

Your water bag has broken (note the time it occurred, and the color)

Your contractions are regular (5 minutes apart)

Bloody show

You have not felt the baby move 10 times in a 2 hour-period.

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:

Severe headache

Significant swelling (more than normal)

Dizziness

Visual disturbances (blurry vision for example)

Epigastric pain (at the top of your stomach)

8. How to contact us in case of an Emergenency?

Please limit non-emergency calls to our normal office hours:

Monday through Friday: 9:00 AM – 5:00 PM

If you have a true emergency and the office is closed

Call: 561-300-0600

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 561-488-8159

BOCA RATON REGIONAL HOSPITAL Labor and Delivery 561-955-3340

5.Don’t DELAY !!!!!!!!!!!!

PLEASE LIMIT AFTER HOUR CALLS TO TRUE EMERGENCIES. Thank you.

Dr. Lubetkin is a graduate of Johns Hopkins University and Albert Einstein College of Medicine.  He completed his residency in Obstetrics and Gynecology at North Shore University Hospital, Cornell University Medical Center in Manhasset, NY.  He has been in private practice in Boca Raton, FL since 1996.  He has served as Chief of Staff at West Boca Medical Center and President of the Palm Beach County Ob/Gyn Society,  He served as the Chairman of the Department of Obstetrics and Gynecology at Boca Raton Regional Hospital.  Dr. Lubetkin also serves as an Affiliate Assistant Professor of Clinical Biomedical Science at the Charles E. Schmidt College of Medicine at Florida Atlantic University.  Dr. Lubetkin is board certified by the American Board of Obstetrics and Gynecology and is a Fellow of the American College of Obstetricians and Gynecologists.
Dr. Lubetkin was named the Obstetrics and Gynecology Preceptor of the Year by the students and faculty of the Charles E. Schmidt College of Medicine at Florida Atlantic University.

Dr. David Lubetkin

Courtney McMillian, CNM, MSN, ARNP



Courtney McMillian is a Certified Nurse Midwife and Advanced Registered Nurse Practitioner.  She received her Master’s degree from the University of Florida after ten years of labor and delivery nursing. Courtney completed her undergraduate studies at Duke University where she graduated with high honors. She is a member of the American College of Nurse Midwives.

Courtney enjoys caring for women of all ages, from adolescence through menopause. Her special interests include pregnancy counseling, birth support, and breastfeeding promotion and assistance. She believes each woman should be supported and empowered to safely achieve the type of birth experience that is right for her. She is proud to provide VBAC deliveries to those women who desire vaginal childbirth after having had a prior cesarean section delivery.
Dr. David Lubetkin

Contact Us:

Call Our Emergency After Hours Number ( 561-300-0600 ) or 911 in Case of Emergency: If you think you may have a medical emergency, call your doctor or 911 immediately. DO NOT USE THIS WEBSITE FOR MEDICAL EMERGENCIES.




Copyright © 2017 David Lubetkin

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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.