OB JEN in NSIDE Magazine!

We are thrilled to announce that Dr. Jen Mushtaler was featured in NSIDE Magazine’s July/August issue.  Read the article to find out how OB JEN got started in her medical career and what the future holds for Capital Ob/Gyn Associates of Texas!

Dr. Jennifer Mushtaler grew up fascinated by science. Her father was a NASA engineer who worked on projects like the Mars Land Rover, Hubble telescope and Mission Control.

In school, classes would always stop to watch the space shuttles launch into space.

With a mathematics teacher for a mother and surrounded by engineers, astronauts and PhDs, Mushtaler thought she would become an engineer.

In fact, she did, earning a degree in electrical engineering at UT. However, she soon became drawn to medicine and continued on to medical school at UT Southwestern Parkland Memorial Hospital.

“It brings together science, innovation and healing people,” Mushtaler says of her chosen field. “The surgical specialty of ob/gyn was truly my calling. For me, there is very little that rivals the miracle of birth.”

The incredibly important journey of pregnancy and childbirth, along with general women’s reproductive health, is clearly something Mushtaler deeply loves and respects.

After 10 years of private practice experience, in October 2010, she founded Capital Ob/Gyn Associates of Texas, which operates on a collaborative philosophy of partnering with women in their health care needs, rather than the more traditional medical atmosphere of doctor and patient. The office setting is warm, intimate, compassionate and private.

“Each woman presents with her own unique health concerns and philosophies, so care plans are developed to address that uniqueness while adhering to the highest professional standards,” Mushtaler says. “My patients are so pleased with the atmosphere and the high level of care we offer. I sincerely hope there continues to be a future for this style of practice in the new age of medicine before us.”

Mushtaler is excited about today’s advances in minimally invasive surgery, which allows her to routinely perform major gynecological surgeries in an outpatient setting. Complete cancer resections and lymph node samplings are being done robotically.

“Patients avoid lengthy hospital stays and recoveries,” she says, “and the cosmesis is beautiful.”

She chuckles when answering a question about a “typical day.”

“There is nothing typical about ob/gyn, managing my own practice, balancing marriage, two wonderful young daughters and time for athletic endeavors,” she says. “I often find myself thinking, ‘Well, that was an exciting day. I wonder what will happen tomorrow!’”

Indeed, Mushtaler is incredibly active, counseling by example for her patients, as well as her daughters. She encourages women’s fitness and athletics, and is highly involved with causes such as LIVESTRONG, breast and cervical cancer awareness, triathlon training and much more.

Affectionately known as “OB Jen,” she constantly updates her blog at www.whosyourobjen.com with news and resources on these topics.

“I swim, I bike, I run because I believe there is a strong relationship between the physical and nutritional lifestyles we choose and our complete health,” she says.

In fact, her expertise with women’s fitness issues has led to her invitation to speak in forums such as the GOTRIbal podcast, which focuses on female endurance athletes.

“You don’t have to completely stop training when you get pregnant,” Mushtaler told GOTRIbal CEO Tanya Malasch. “You shouldn’t be going hard, but get out there for the love of it, and continue your base.”

Mushtaler recommends training at about 80 percent of your maximum heart rate while pregnant to stay safely in your aerobic zone; and for pregnant women who decide to begin a fitness routine, she recommends beginning very moderately and building up.

“I try to get them started by walking,” she says. “My recommendation is 30 minutes a day, five days a week. I do not recommend training in the anaerobic zone, as that has been shown to compromise blood flow to the baby.

“My patients come in all shapes, sizes, lifestyles, and no matter where they are in their health needs, I want them to feel empowered and encouraged.”

“Dr. Mushtaler is amazing,” says Tessa Spencer, who has been a patient for three years. At 35 years old, Spencer discovered she was pregnant, which came as a big surprise.

“Dr. Mushtaler and I worked out a plan of treatment for me and the baby, and she monitored me weekly,” Spencer says. “I had a very high-risk pregnancy, and she spent a lot of time talking to me and helping me make the right choices for my baby.”

Spencer had a Caesarean delivery at 34 weeks, but she and her baby were able to go home in two days.

“I always feel a sense of being at home with a good friend when I am with Dr. Mushtaler,” Spencer says. “She treated me and my baby with respect and love. I really felt she cared about us as individuals, not just patients.”

Such experiences and outcomes are very rewarding to Mushtaler.

“I find it particularly rewarding that my patients know that my interests are synonymous with theirs and trust that if medical intervention is needed, I will use it judiciously,” she says. “I love the long-term relationships I have developed with my patients and the opportunities to heal by simply listening, by medicine and by surgery when it is needed. The relief to a patient following a successful surgery and delivering healthy babies to happy, healthy mommies are equally gratifying.”

For more information, contact Dr. Jennifer Mushtaler and Capital Ob/Gyn Associates of Texas at 512-83-OBJEN or visit www.capobgyn.com.


What should I do for back pain relief during pregnancy?

As pregnancy progresses, your center of gravity shifts forward which can cause strain and discomfort in your lower back. Here are some tips from Dr. Jennifer Mushtaler to help you enjoy your pregnancy free from back pain!

1. Practice good posture by standing and sitting tall with your shoulders back and your knees slightly bent. When sitting, place your feet on a low stool.

2. Squat and lift from your legs instead of bending at the waist to pick something up.
3. Try sleeping on your side with a pillow between the knees.
4. Alternate warm and cool packs to the lower back.
5. Gently stretch your lower back muscles by resting on your hands and knees with your head in line with your back, then round your back slightly and hold for ten seconds.
6. Consider complimentary therapies such as massage, chiropractic reatment, acupuncture or a maternity belt.
7. Keep up with regular physical activity.

To schedule an appointment or consultation with Dr. Jennifer Mushtaler, please visit www.capobgyn.com or call 512-83.OBJEN.  We look forward to seeing you at Capital Ob/Gyn Associates of Texas.


OBJEN Sponsoring Couples Triathlon!

OB JEN is excited to be back as a sponsor of the 2011 Couple’s Triathlon! Jen and her husband, Trent, will be out on the course again this year so keep your eyes peeled for this couple!

Don’t be afraid to ask OB JEN questions about training or health while you’re there!

Couples Triathlon 2011! – Sunday July 10th

The Event:
Using a format that is unique in the sport of triathlon, teams of two, whether they be friends, spouses, family members or complete strangers combine their ages and sign up in the appropriate category. Each person on the team completes the triathlon individually, and then their times are combined for an overall result. One may also participate as an individual.

The Couples Triathlon course is an 800 meter swim in Decker Lake, 11.2 mile bike ride, and 3.2 mile run park roads and smooth off road paths.
The transition area will open bright and early Sunday morning at 6:00am and the race will begin at 8:00 am. Don’t be late!

There is tons of space and we’ve secured parking nearby, so bring the family and friends. As usual with our events, we’ll finish off with a great outdoor party, awards, and prize giveaway.

The Couples Triathlon is brought to you by High Five Events and Jack & Adam’s Bicycles: http://www.jackandadams.com/

For more information on the race please visit: http://www.couplestri.com/


We Are Having Twins!


Twins are a source of delight to parents, family and friends. Yet behind the awe of a twin pregnancy are challenges that expecting parents should be aware of so that they may partner with their obstetrician to achieve optimum outcomes.

In our practice we currently have quite a number of patients excitedly expecting twins. The rate of twin pregnancy in the United States is approximately 32 per 1000 births. An important aspect of our initial evaluation of a twin pregnancy is determining the chorionicity. When we determine chorionicity, we want to know whether the babies are sharing one placenta or if each baby has its own placenta. When the babies share one placenta there are different concerns for the infants than when there are two distinct placentas and two amniotic sacks. Another initial aspect of twin pregnancies is determining if chromosome abnormalities are present. Interestingly, the likelihood of an abnormality is higher in twin pregnancies. Fortunately, nuchal translucency, a non-invasive early ultrasound, is very sensitive for detecting trisomy 18 and 21. However, while we offer screening to all of our expectant mothers, this is a very individual decision that ultimately rests with the parents.

 
Undeniably, twin pregnancies are more likely to deliver preterm, and it is this risk that is often underappreciated. Sometimes preterm delivery is necessary because of medical concerns for the mommy or one or both babies. Often, preterm birth ensues after spontaneous onset of preterm labor or after premature rupture of the membranes. In our practice, we discuss openly these statistics so that our mommy’s and their families can make modifications in their daily lives to help support and nourish these special pregnancies. We will evaluate the cervical length via ultrasound between 22 and 32 weeks of gestation to look for any risks of preterm delivery. The use of oral medications to reduce preterm birth is not proven to work nor is prophylactic cerclage. However, the use of steroids has been shown to dramatically improve infant outcomes.

 

While twin pregnancies can be twice the fun, they can also be twice the ouch! Beyond 16-20 weeks into the pregnancy, growth of the abdomen will quickly outpace growth experienced in singleton pregnancies. This means that it becomes more difficult for mommy to reach down to tie her shoes (hint: a great gift is a pedicure) and it becomes more difficult to reach the steering wheel. Mommy may find that she tires easily, feels pelvic pressure and has lower back discomfort (another hint: a great gift is a pregnancy massage). We recommend at least 8 to 10 hours of sleep nightly, regular gentle exercise and increased intake of vitamins, vegetables and fruits.

 
Many of our mothers who are expecting with twins want to know if they can still have a natural, vaginal birth. Yes! That being said, we want to ensure a safe delivery for all three of the lives in our hands. A patient is a good candidate for a vaginal birth if the first baby is facing head down, the babies have achieved a safe minimum weight and the babies weights are within 10% of each other. We recommend that our patients have regular, interval ultrasounds of the babies to monitor these and other parameters of well-being. We have a lot of experience with breech and transverse presentations and when circumstances permit, we are pleased to offer these patients the opportunity for a vaginal delivery, too.

To schedule an appointment or consultation with Dr. Jennifer Mushtaler, please visit www.capobgyn.com or call 512-83.OBJEN.  We look forward to seeing you at Capital Ob/Gyn Associates of Texas.


What's New in May!

OB JEN was thrilled to be a part of another GOTRIbal Podcast last week!  Back to speak with the ladies about “Knowing Your Bod,” OB JEN addresses some of the following questions:

1. Your position is plainly that women Can and SHOULD train during pregnancy.  Can you elaborate on that?
2. You have children of your own…  what was your experience training, or exercising for fitness, while you were pregnant?
3. To wax or not to wax, what’s the best thing to do?
4. What are the top three things we can do to manage our menstrual cycle as we get closer to a race?

Listen to OB JEN’s conversation here (and don’t forget, she’s always open to your questions and concerns!): GOTRIbal Podcast.

Check out this swag!

Coming up this Sunday, May 8th is the Skeese Greets Tri: 300 m swim, 11.1 mi bike and a 2 mi run.  OB Jen is excited to be a sponsor of this race and will be helping out at packet pickup on Sturday (today) between 11 and 3.  Hope you all are able to get outside and enjoy this Texas spring — before it becomes a Texas summer!

Here’s a shot of OB JEN Team in action:

Gorgeous, ladies.

 Please visit Dr. Mushtaler’s practice website at www.capobgyn.com or contact 512-83-OB-JEN to schedule an appointment with OB JEN.


OB JEN is on the air

For those who have been there, those who will be there, or those who weren’t able to tune-in last night, here is the link to the podcast with GoTribal CEO Tanya Malasch and OB JEN on exercise and pregnancy. Great questions! Great chat! OB JEN was very flattered to be invited to speak with this group. 

http://www.gotribalnow.com/content/gotribal-podcast-series

The total talk time is about 35 minutes so grab a smoothie, put your feet up and relax (for once)!  Doctor’s orders.


Tune in tonight! OB JEN on GOTRIbal 8pm Central.

Dr. Jen will answer your questions LIVE tonight!

Tonight at 8PM Central – Dr. Jen Mushtaler answers your questions on how to be a healthy endurance athlete!

Dr. Mushtaler will be talking with the women of GOTRIbal about “all things” health and fitness.  GOTRIbal is an organization that empowers female endurance athletes  by allowing them to connect with other women around the world! From pregnancy to menopause, OB JEN has the answer.

No question is off-limits- if you are wondering about something in particular, odds are you aren’t the only one!  If there is a question you’d like to ask in addition to those below, please tune in tonight.   You can also connect with past podcasts here

OB Jen will discuss the following common questions from female athletes:

  • Can I run during my pregnancy?
  • What exercises do you recommend during pregnancy?
  • I am a competitive athlete, but my OB said I have to stop.  Is this true?
  • Does my heart rate really have to stay below 140 bpm?
  • What special dietary modifications do I need to make?
  • I am worried about weight gain.  How much weight do I need to gain?
  • I was told not to do sit-ups.  Is this true?

Can’t wait to connect with you all on the call tonight.  Follow the link to the podcast call at 8PM Central and have your questions ready!

Visit Dr. Mushtaler’s practice website at www.capobgyn.com or contact 512-83-OB-JEN to schedule an appointment with OB JEN.


Countdown to ZOOMA Austin Race Day!

OB JEN is a proud sponsor of the ZOOMA Women’s Half Marathon & 5K!

Coming up on Saturday, April 16, the ZOOMA Austin Half Marathon & 5K races feature a challenging course through the Texas countryside and a fabulous post-race party with mini spa treatments, wine tastings, live music, and shopping at The Hyatt Regency Lost Pines Resort.

Highlight’s of this year’s race include:
◦Complimentary training programs
◦Water, energy drink and runners’ food along the course and finish line
◦Commemorative gift for all half marathon race finishers
◦Post-race massage and shopping at ZOOMA After-Party Expo
◦Wine from Barefoot Wine & Bubbly at the ZOOMA After-Party Expo
◦Live music at the ZOOMA After-Party Expo

OB JEN at Packet Pickup
Leading up to the race, meet and mingle with OB JEN and her friendly staff at Thursday’s packet pickup! OR keep an eye out for OB JEN “strutting her stuff” along the Half Marathon course. Dr. Mushtaler is a “weekend warrior” out to have a fun and fantastic race on Saturday morning!

ZOOMA Austin Half Marathon & 5K
Packet Pickup
Thursday, April 14
Luke’s Locker Downtown
3pm – 7pm

Additional details about the ZOOMA Austin Half Marathon & 5K can be found on their website www.zoomarun.com/austin or by visiting their Facebook page.

This is a fabulous “girls weekend” event that you don’t want to miss!

Schedule an appointment with Dr. Jen Mushtaler, affectionately known as OB JEN, by visiting the Capital Ob/Gyn Associates of Texas Website.  www.capobgyn.com


New Capital Ob/Gyn Associates of Texas Website!

Visit our new website at www.capobgyn.com!
 
We are excited to launch a beautiful new website for Capital Ob/Gyn Associates of Texas!  It is our continued goal to provide you with the most comfortable and helpful service possible, and we took great care to create a site that outlines pertinent and important information just for you.  In addition to a comprehensive listing of our obstetrics and gynecology treatment services, we have also provided a host of educational resources for women of all generations — including pregnancy, breastfeeding, menopause, general ob/gyn, nutrition, healthy living and more.
Pregnancy and Insurance FAQ’s are available at your fingertips to answer any commonly asked questions.  If you are a new patient, all the forms you need for your first appointment are listed on the site.  Just download the forms and bring them with you!
Whether you have been with Dr. Mushtaler for years or are just getting acquainted with Capital Ob/GynAssociates of Texas, thank you for trusting us with your care.  We look forward to welcoming you soon at our new office.

Please call us directly at 512-83-OBJEN (512-836-2536) if you have any questions or visit our new site at www.capobgyn.com.


National Cervical Cancer Awareness Month

Welcome January 2011 and National Cervical Cancer Awareness Month!
 
It is that time of year for new beginnings and resolutions. Many of my patients have embraced this as an opportunity for self-improvement. If you are still searching for that ideal goal, I have the perfect resolution for you. January is National Cervical Cancer Awareness Month. Make a resolution to come in for your preventive health exam or encourage a family member who has neglected her own health to do so. The CDC reported as recently as 2002 that 13,000 new cases of cervical cancer will be diagnosed annually in the U.S. This is disheartening. Cervical cancer is a 100% preventable disease!

women's healthTwo of the biggest risk factors for the development of cervical cancer are lack of regular screening and human papilloma virus (HPV) infection. We can now detect infection by high risk HPV even when the PAP smear cytology is normal. Further, surveillance and early treatment is proven to prevent progression to cancer. Patients need not fear a PAP smear or hearing that their result is abnormal. It is normal to be shy about such a personal exam, but PAP smears need not be painful at all. Indicated surveillance is done in the office using a special microscope called a colposcope to identify areas of abnormality. If treatment is required, it can be done with a simple outpatient procedure.

The worst thing a woman can do is to neglect or ignore this basic health need. For additional information check out http://www.womenshealth.gov/faq/pap-test.cfm.

Schedule an appointment with OB JEN at Capital Ob/Gyn Associates of Texas by calling 512-83-OB-JEN.  Visit us online at www.capobgyn.com.