My Unique Midwifery Care

The following is a guest blog by our new CNM, Danielle Duquette.

Becoming a midwife has been my dream for a long time. When I finally accomplished that dream, I had to decide where I wanted to practice and what that practice would look like. Because of my own personal delivery experiences, I knew that here in Austin, we have wonderful options for patients who desire home birth and birthing center births, but the ability to have a midwife in the hospital was lacking. I am changing this.

I knew that Dr. Mushtaler and Dr. Browne’s practice (Capital Ob/Gyn Associates of Texas) was the small intimate practice I desired, that would allow my patients the comfort and compassion of a midwife, as well as having the physicians in the practice here to support me collaboratively in the care of higher risk patients. With the hearts and support behind me from Dr. Mushtaler and Dr. Browne, I knew I could give many women the options they desired.

The unique role I will have as a midwife at Capital Ob/Gyn allows me to see my patients all the way through their pregnancy and delivery, as well as to see patients for their well-woman and gynecological visits. Patients will have the opportunity to meet each of the physicians during the course of their prenatal care. The physician collaboration portion of my care allows patients to remain with me for prenatal care and deliveries even if patients “risk out” of traditional midwifery care or require cesarean section for safe delivery.

For some patients, this unique aspect of our practice is an important financial consideration. Many midwives have a separate fee for their care. However, in our practice model, our patients will be only be responsible for one set of fees for their pregnancy. This is not the case for patients who plan a birth outside of the hospital but need to change to a hospital birth because of additional risk factors. Some patients may not know this, but I am also a surgical first assistant for Dr’s Mushtaler and Browne, so if one of my patients were to need a cesarean section, I will be at their bedside through the whole process to help my patients and my physicians.

-Danielle

To learn more about Nurse Danielle Duquette, visit here. 


My Journey to Becoming a Certified Nurse Midwife

The following is a guest blog by our new CNM, Danielle Duquette.

First, I decided I wanted to be a mom, and through that process I became a midwife. When I had my first baby I was receiving prenatal care from a midwife at a birthing center. At that time, I was working at the birth center and I had a dream of delivering naturally there as well. The wonderful childbirth educator there was also a doula and one of the most amazing people I had ever met. She was a wealth of knowledge and such a tender soul.

My birth did not go as planned. I ended up being transferred to the hospital while pushing, but my doula made this experience a lot less scary and everything went smoothly. I became great friends with this doula, and after the birth of my first child, I decided to become a doula myself. I spent the next five years as a doula and loving my job.

Unfortunately, life doesn’t always go as planned. Following my husband’s diagnosis of a heart condition, I needed to find a job with benefits and flexible hours. I landed a job as a patient care tech on the labor and delivery unit in my town. I worked there for several years as I went to nursing school. I continued my career in the birth world as a labor and delivery nurse. After spending 6 years in several different labor and delivery environments, both in hospital, as well as birthing centers and home births, I knew that my dream of becoming a midwife was calling to me. I wanted to be the one helping moms achieve the births they desired and deserved.

After graduating, I was faced with finding a place to work. There were many times as a mom when I was faced with few options for delivering my baby. I attempted to have my 4th baby vaginally birth after 2 cesareans. That option didn’t exist in the hospital but I was able to find one homebirth midwife who was willing to take a risk with me. With her help I had a beautiful vaginal birth after 2 cesareans at home.

For the birth of my 5th child, I had relocated from Iowa to Texas. My pregnancy was complicated by gestational diabetes and history of cesarean section. I could not find a midwife who could care for me. I was lucky enough to find a practice that fell in line with my beliefs to deliver in the hospital, but I still had no option of a midwife. This was when I knew I wanted to provide obstetric care to moms in the hospital with the ability to have me for their entire pregnancy as well as deliver in the hospital if they risk out of care or require a hospital delivery. Many moms are not aware when planning delivery with a midwife, that if they risk out, not only could they be forced to change providers and location, but they could be hit with additional expenses they were not prepared for. It all boils down to options. I hope to provide these options.

-Danielle

To learn more about Nurse Danielle Duquette, visit here. 


Dr. Mushtaler offering Acessa alternative hysterectomy procedure

Dr. Jennifer Mushtaler is one of a select group of national laparoscopic surgeons offering the Acessa procedure to women suffering from uterine fibroids as an alternative to hysterectomy.

Acessa Health Inc. Technology Featured in Ten-Year Review of Symptomatic Fibroid Management

Acessa Procedure Demonstrated Minimal Blood Loss, Shorter Hospitalization, Low Readmission and Re-intervention Rates

September 07, 2017 08:43 PM Eastern Daylight Time

AUSTIN, Texas–(BUSINESS WIRE)–Acessa Health Inc., developer of the Acessa® System, announced today that its laparoscopic radio frequency ablation technology was featured in a ten-year systematic review and meta-analysis of treatment options for uterine fibroids. The review, presented at MIS Week 2017 by Dr. Yelena Havryliuk of Weill Cornell Medical College, included an assessment of 143 journal articles from 2006 to 2016 and featured a quantitative synthesis (meta-analysis) of 45 studies during that period.

“The Acessa team is thrilled with the results of this comprehensive data review that overwhelmingly supports our technology as a superior intervention for women with symptomatic fibroids”

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The weighted combined results from hysterectomy trials were compared with those from uterine-preserving fibroid studies including myomectomy, uterine artery embolization (UAE), laparoscopic radiofrequency ablation (Lap-RFA), and magnetic resonance-guided focused ultrasound (MRg-FUS). Key findings of the review include:

  • Mean estimated blood loss following hysterectomy and myomectomy procedures exceeded 269 mL and 175 mL, respectively; Acessa’s Lap-RFA technology averaged 35 mL (nearly 8 times less than hysterectomy);
  • Hospitalization after hysterectomy, myomectomy, and UAE averaged 2.0 – 2.4 days whereas Acessa’s Lap-RFA procedure was performed on an outpatient basis in all cases studied;
  • Weighted average re-intervention rates after UAE and MRg-FUS ranged from 14.8% to 30.5% at 13-14 months whereas Acessa’s Lap-RFA averaged only 4.2% at 27-35 months;
  • Readmission rates within 90 days of discharge for MRg-FUS, UAE, and myomectomy procedures were 7.4%, 3.4%, and 2.7%, respectively, whereas Acessa’s Lap-RFA was 0.7%; and
  • Patients treated with Acessa’s Lap-RFA reported superior improvement in health-related quality of life and symptom severity scores relative to patients receiving hysterectomy, myomectomy or UAE.

“The Acessa team is thrilled with the results of this comprehensive data review that overwhelmingly supports our technology as a superior intervention for women with symptomatic fibroids,” said Kim Rodriguez, chief executive officer of Acessa Health Inc. “Acessa has been featured in more than 20 peer reviewed studies supporting its use. Dr. Harvryliuk’s meta review provides yet another encouraging data point as we seek to redefine the standard of care for millions of women suffering from fibroids.”

“I have used the Acessa System and been impressed with minimal blood loss, quick recovery, low re-intervention rates, and resolution of symptoms expressed by my patients,” said Dr. Havryliuk.

Uterine fibroids are typically benign tumors that can cause heavy menstrual bleeding, painful periods, uncomfortable pressure, and distention of the abdomen.1 Approximately 70 percent of women in the U.S. will develop fibroids by age 50; prevalence is higher among African Americans.2 Annual direct and indirect costs of symptomatic fibroids in the U.S. are estimated to exceed $34 billion.3

The Acessa System offers a safe, effective, and minimally invasive treatment. With Acessa, physicians use a laparoscopic instrument to deliver radiofrequency energy to fibroids. After the procedure, treated fibroids shrink and are reabsorbed by surrounding tissue.

Unlike many alternative interventions, Acessa can treat almost all sizes and locations of fibroids, including those outside the uterine cavity and within uterine walls. The procedure requires no cutting or suturing of uterine tissue, and patients typically go home the same day, experiencing minimal discomfort and a rapid return to normal activities. More than 1,700 women have been successfully treated with the Acessa System.

About the Acessa System

The Acessa System is the only radiofrequency ablation system cleared by the U.S. Food and Drug Administration and CE marked for use in percutaneous, laparoscopic coagulation and ablation of soft tissue, including treatment of symptomatic uterine fibroids under laparoscopic ultrasound guidance. It has been the subject of 20 peer-reviewed publications across 750 study patients. In January 2017, the American Medical Association (AMA) issued a new Category 1 CPT code specifically for Laparoscopic Radiofrequency (RF) Ablation of Uterine Fibroids, paving the way for the Acessa procedure to become the standard of care for as many as 30 million women in the United States. For more information, visit acessaprocedure.com.

About Acessa Health, Inc.

Acessa Health is a women’s health innovator dedicated to advancing minimally invasive, uterine-sparing solutions for women with symptomatic fibroids. The company introduced the use of radiofrequency ablation for the treatment of uterine fibroids and is continuing to develop technologies that improve the lives of patients. Acessa Health is headquartered in Austin, TX.

1 www.womenshealth.gov
2 Baird DD et al. High cumulative incidence of uterine leiomyoma in black and white women: Ultrasound evidence. Am J Obstet Gynecol 2003; 188 (1):100-107.
Cardozo ER, Clark AD, Banks NK, Henne MB, Stegmann BJ, Segars JH. The estimated annual cost of uterine leiomyomata in the United States. Am J Obstet Gynecol. 2012;206:211.e1-211.e9

Contacts

Nobles Global Communications
Diana Soltesz, 818-618-5634
diana@noblesgc.com

Original article here.


Certified nurse midwife Danielle Duquette joins the Capital Ob/Gyn Staff!

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Danielle Duquette APRN, MSN, CNM is an experienced high-risk labor and delivery nurse and doula. She is excited to join us as an advanced practitioner and certified nurse midwife. She has merged her love of childbirth with medical education and experience and brings complete, compassionate and comprehensive birth care to her patients.

Mrs. Duquette will work collaboratively with our doctors in the clinic and in the hospital in the care of our obstetrical patients. In addition, she offers preventive WWE, birth control counseling, STD testing, and evaluation of breast concerns. Mrs. Duquette teaches our monthly birthing class and has received high accolades from patients for her knowledge, support and guidance. Capital Ob/Gyn is pleased to introduce Mrs. Danielle Duquette in support of natural birth in the safety of the hospital setting.

Read more about Danielle here.


Dr. Mushtaler’s Pie in the Face

All for a good cause, Dr. Mushtaler (OB JEN) was a good sport yesterday taking a pie in the face for a fundraiser.  Well, more accurately FIVE pies!  Benefitting the American Heart Association, Labor & Delivery nurses at St. David’s North Austin Women’s Center paid $5 per pie to smear the faces of participating physicians.  Dr. Mushtaler was one of several physicians who got hit, all in good fun.

Take a look!

 


Welcome Sendero Idealcare!

Capital Ob/Gyn Associates of Texas is pleased to welcome members of Sendero Idealcare to the practice. As of January 19,2016, we are par and in-network as preferred ob/gyn providers.

Capital of Ob/Gyn Associates of Texas provides complete care for women including gynecology, gynecologic surgery, birth control, preventive exams, routine obstetrical care and high risk obstetrical care. Our physicians – “Ob Jen” Mushtaler, Catherine Browne and Jennifer Uxer – are all experienced, board certified obstetricians/gynecologists giving direct to patient care.

Sendero Idealcare is an accredited open marketplace plan available to residents of Central Texas. To enroll follow the link www.senderoidealcare.com.


Capital Ob/Gyn On Par with Cigna Network

Capital Ob/Gyn Associates is pleased to welcome Cigna network members to the practice. All three of our doctors have previously been participants in the Cigna network. Recent changes with Aetna’s acquisition of Cigna raised concerns about the future of the contracting relationship. Our practice is pleased to have been selected for preferred in-network contracting based on the high quality of care measures we provide. Our patients are cared for directly by our physicians. We do not utilize mid levels to move large numbers. We provide quality, intimate women’s gynecologic and obstetrical care.

New to Cigna? Looking for an in-network ob/gyn? Check out the bios of our three physicians and our staff will be pleased to assist you with your scheduling needs.

Dr. Jennifer Mushtaler
Dr. Catherine Browne
Dr. Jennifer Uxer

For more information or for scheduling, please contact our office at 512.836.2536.


OB JEN on ZOOMALife Radio

zooma austinDr. Mushtaler (OB JEN) was recently featured on ZOOMALife Radio where she talks to Brooke and Brae from ZOOMA about what it takes to be a female who runs, biologically speaking…

Items discussed in this episode by Dr. Mushtaler (OB JEN): 

  • Most common question women runners ask their OB/GYNs
  • Risks (or lack thereof) to running during pregnancy, including in the early months
  • What you can do about “leakage” down there post-pregnancy
  • How “aunt flow” affects racing

Reposted from ZOOMALife Radio:

Episode 6:What it Means to Be a Woman Runner
Part 2, Where We Talk to an OB/GYN

This episode is part two in a three-episode series about what it means to be a woman runner. In this episode, we’ll talk with Dr. Jennifer Mushtaler, affectionately known as OB JEN. Dr. Mushtaler is an athlete herself and specializes, among other areas, in pelvic floor support, urinary incontinence and female athletics at her practice in Austin, TX. Oh boy – you can see where this is going! We met OB Jen at ZOOMA Texas where she and a great group of women from her office always come to volunteer.

Listen Here: http://zoomarun.com/?powerpress_embed=9524-podcast&powerpress_player=mediaelement-audio

Subscribe to ZOOMALife Radio on iTunes!

To schedule an appointment with Capital Ob/Gyn Associates of Texas, please visit www.capobgyn.com or call 512-83-OBJEN.


OB JEN Sponsors Zooma for Third Year

zooma texas sponsor

Capital Ob/Gyn Associates of Texas is proud sponsor The ZOOMA Texas Half Marathon, 10K and 5K for the third straight year in 2015.

Our practice consists of compassionate and caring women serving women in the community at all stages of life and activity levels, so partnership with ZOOMA couldn’t be a better fit for us.

Leading up to the race, we would love to meet you — say HELLO to OB JEN and her friendly staff at Thursday’s packet pickup!

Thursday, March 26
3-7pm
Athleta at the Domain
11601 Century Oaks Terrace, Suite 121
Austin, TX 78758

[youtube https://www.youtube.com/watch?v=TGiFGw0kVkY&w=560&h=315]

ZOOMA Texas lets you savor the splendor of spring wildflowers in the Texas Hill Country, as you wind your way through 13.1 miles well outside of the Austin city limits. Bluebonnets and Indian Paintbrush dance in the waving grasses on either side of the quiet roadways that make up this scenic race.  For the last few miles of the half marathon, you’ll traverse exclusively on the gorgeous grounds of the host property, the Hyatt Regency Lost Pines Resort.

Perks of this year’s race include:

  • Entry into a scenic, professionally-managed, and timed half marathon, 10K, or 5K race
  • Access to full fit girls weekend schedule – a Fitness Expo, a Mocktail Party, and an After-Party Expo featuring wine from Barefoot Wine & Bubbly, post-race massages, shopping, and live music
  • ZOOMA Signature Swag Bag
  • Water and energy drink stationed along the course and at the finish line
  • Food at the finish line
  • A sweet ZOOMA medal for half marathon finishers (pictured below), and a medal for 10K and 5K finishers
  • Access to special room rates at the official race resort, the Hyatt Regency Lost Pines Resort and Spa

Here’s to happy running and wishing you a weekend of memories with your girlfriends!  We know it’s a weekend we won’t forget.

Schedule an appointment with Dr. Jen Mushtaler (OB JEN) by visiting the Capital Ob/Gyn Associates of Texas Website www.capobgyn.com or by calling 512-83-OBJEN.  


Baby Birthing Classes July, August & September

Announcing NEW DATES for Baby Birthing Classes hosted by Capital Ob/Gyn Associates of Texas. Classes will be held on the following Wednesdays:

~ July 23
~ August 20
~ September 24

Registration is $60 per enrollee (patient & support person).

Topics for the birthing class will include:

  • Pregnancy & Post-Partum
  • Labor & Delivery Experience
  • Parent & Newborn Care
  • Car Seat Safety
  • Lactation Basis
  • Q&A Session
  • Tour of The St. David’s Women’s Center

Bring your infant car seat, favorite pillow(s) and wear comfortable clothing. There will be a few hands-on exercises involved.

The class will be taught by Cindy Warner, RN and will take place at our office.

Capital Ob/Gyn Associates of Texas
12201 Renfert Way, Suite 325
Austin, TX 78758
512-836-2536

Please make checks payable to Capital Ob/Gyn Associates of Texas prior to class date.  *Classes are limited so reserve your spot today!

Stay tuned for more available class times to be announced!
– The Staff at Capital Ob/Gyn Associates of Texas

Happy-Baby