Recent Publications by the Mount Sinai St. Luke’s and Mount Sinai West OB/GYN Department
OB/GYN faculty, fellows, and residents at Mount Sinai St. Luke’s and Mount Sinai West have given birth in the last 2 months to a variety of scholarly publications, reviewing the role of minimally-invasive surgery in ovarian cancer, investigating factors that predict IVF success or failure, optimizing methods of pre-implantation embryo biopsy and genetic screening during IVF, comparison-testing methods for labor induction, and characterizing fetal uterine development.
Sept 25, 2012 - In an interview on Channel 4's New York Live, Urogynecologist Lisa Dabney, MD, debunks several myths about urinary incontinence.
High Risk Pregnancy and Age
In a recent video interview (below), Lois Brustman, MD, explains that women of any age can be at risk for pregnancy complications. Dr. Brustman is a maternal-fetal medicine specialist at West Hospital.
FDA Reports to Patients on Risks of Vaginal Mesh
March 27, 2013
The FDA wants patients with pelvic-organ prolapse to know that having a surgery with transvaginal mesh may put you at risk for needing additional surgery, and in some cases, repeat surgery may not resolve complications. Click here for the full patient advisory PDF.
Controversies in the Field of Urogynecology: Mesh Used in Vaginal Surgery
Message from the Urogynecology Division, Department of Obstetrics and Gynecology, Mount Sinai St. Luke’s and Mount Sinai West
An ongoing public controversy was stimulated by the FDA’s 2011 warning regarding the use of synthetic mesh in vaginal surgery for prolapse.
As a matter of fact, departmental urogynecologists Lisa Dabney, MD, and Anne Hardart, MD, have never used much mesh in their practices. They have been especially reluctant to use mesh to augment pelvic-organ-prolapse repairs performed through the vaginal route. Fortunately, they have extensive expertise in performing these procedures vaginally without the use of mesh—and they have had excellent results. Read full story here.
The Least-Invasive Route for Gynecologic Surgery is Through the Vagina
AN EXPERT’S VIEWPOINT:
There has been a lot of talk in the media about minimally-invasive surgery for uterine fibroids, endometriosis, and other noncancerous gynecologic problems. The route discussed for these surgeries is usually laparoscopic; that is, through small incisions in the abdomen for insertion of a camera and instruments. While this approach has revolutionized some procedures, especially those for cancer cases, sometimes the practice of laparoscopy overshadows the least invasive approach for noncancerous gynecological conditions: the vaginal approach. Read full story here
Welcome to the Department of Obstetrics & Gynecology at Mount Sinai St. Luke’s and Mount Sinai West
The department is dedicated to the finest and most comprehensive women's reproductive health care and perinatal care, and we are committed to the teaching and training of fully-qualified, well-rounded obstetricians and gynecologists. In addition, we are committed to furthering research into the most promising therapies in the field. Mount Sinai St. Luke’s and Mount Sinai West (formerly Roosevelt Hospital) are affiliated with the Icahn School of Medicine at Mount Sinai.
This website is designed to provide you with information about our clinical, residency and research programs, and our physicians and other clinical staff, whether you are seeking medical care, considering a residency in obstetrics and gynecology, or pursuing research. Also, an overall view of departmental leadership is described under Administration on the main navigation bar.
Our department includes a large group of general obstetrician-gynecologists, each trained to provide comprehensive care for a woman's overall health. Highly-trained midwives are also available for normal obstetric and gynecologic care. In addition, we have groups of specialists in seven major divisions that together encompass a woman's total reproductive health at all stages of her life, including the full range of obstetric needs and early infant care.
On this website, you can find out about these providers and programs. From the main navigation bar on the left side of every page, you can visit the Clinical Services section to develop an understanding of the various clinical programs we offer, as well as their physicians and other clinical staff. As an alternative, you can go to Find A Provider and begin by browsing information about our physicians, specialists, genetic counselors, and midwives.
If you are interested in having a baby at Mount Sinai West, go to Clinical Services on the main navigation bar, and choose Giving Birth With Us. Mount Sinai West has Manhattan's first in-hospital Birthing Center, located only a floor away from our complete, state-of-the-art Labor and Delivery Suite. These unique facilities allow us to offer many options along with great flexibility and safety in the birthing process. We can help you from the time you begin planning you pregnancy until you and your baby arrive at home.
When you decide you would like to give birth at Mount Sinai West, the first step is to choose a general obstetrician or midwife for a normal pregnancy, as described above. Alternatively, our Division of Maternal-Fetal has several physicians who are expert in supporting women with complicated pregnancies.
Whether you have a doctor at Mount Sinai St. Luke’s and Mount Sinai West or not, our genetics and ultrasound sections can provide state-of-the-art screening and diagnostic services. The Genetics Division offers complete prenatal testing and counseling services. The Ultrasound and Evaluation Center diagnoses all maternal, fetal and gynecologic problems using the latest technology.
Our Reproductive Endocrinology and Infertility Division practices at RMA Westside, providing comprehensive treatment for infertility, including in vitro fertilization.. They also treat recurrent pregnancy loss and hormonally related health problems. The Gynecologic Oncology Division provides an advanced and complete program for women with gynecologic cancers. Our Urogynecology Division offers a wide range of treatment and education options for bladder control problems, including all the latest nonsurgical options.
Meet Department Chairman Peter G. McGovern, MD
Dr. McGovern is certified by the American Board of Obstetrics and Gynecology in reproductive endocrinology and infertility, and in obstetrics and gynecology. After graduating from the New York University School of Medicine, he completed his residency in obstetrics and gynecology at NYU-Bellevue Medical Center. He subsequently completed his fellowship in reproductive endocrinology and infertility at UMDNJ-New Jersey Medical School. He came to Mount Sinai St. Luke’s and Mount Sinai West from the University of Medicine and Dentistry of New Jersey (UMDNJ)-New Jersey Medical School, where he was Professor of Obstetrics, Gynecology, and Women’s Health; Director of the Division of Reproductive Endocrinology and Infertility since 1999; and REI Fellowship Program Director.
Among many notable accomplishments, Dr. McGovern was a steering-committee member of the NIH-funded National Cooperative Multicenter Reproductive Medicine Network from 2000-2007. While in this role, he served as the network’s principal investigator at UMDNJ, leading research on polycystic ovary syndrome (PCOS) and its interaction with infertility therapy. The randomized, controlled trial evaluated pregnancy rates in 626 women with PCOS who were treated with clomiphene citrate (Clomid), metformin (Glucophage), or the combination. Published in the New England Journal of Medicine, this groundbreaking research conclusively demonstrated that clomiphene citrate was the superior therapeutic option. Additional studies performed by Dr. McGovern and the Reproductive Medicine Network revealed that home ovulation (urine-LH) testing is less reliable than believed, that body weight is a predictor of success in PCOS treatments, and that spontaneous or induced bleeding before initiation of ovulation induction in PCOS actually lowers pregnancy rates significantly.
In recent work at the New Jersey Medical School, Dr. McGovern and his colleagues showed that traditional predictors of multiple pregnancy, estrogen level and number of ultrasound-visible follicles, are not effective cancellation criteria for artificial insemination after stimulation with injectable fertility drugs (gonadotropins); that antral (fluid-filled) follicle count is a significant predictor of live-birth pregnancy in IVF treatment cycles; that singleton pregnancies after IVF treatment have a greater risk of preterm delivery than do those in the general population; and that adnexal/ovarian torsion is not associated with an increased risk of thromboembolic phenomena (blood clots), so it is safe to attempt ovarian preservation in such cases.
From 2001-2005, Dr. McGovern served as UMDNJ site co-investigator for the NIH-funded Women’s Health Initiative, which answered many questions about the role of hormone replacement therapy in postmenopausal women. In addition, he is an oral examiner for the American Board of Obstetrics and Gynecology in general obstetrics and gynecology and in the reproductive endocrinology and infertility subspecialty. He is a reviewer for the journals Fertility and Sterility, Obstetrics and Gynecology, and Journal of Clinical Endocrinology and Metabolism, and is an associate editor of Fertility and Sterility.
He serves on the Content Review Committee for the American Society for Reproductive Medicine (ASRM), and is the Clinical Director for the Society for Assisted Reproductive Technology (SART) which is responsible for oversight of all IVF centers in the USA.
In his capacity as chairman, Dr. McGovern can be contacted at Mount Sinai West, 1000 Tenth Avenue, Suite 10C-01, New York, New York, 10019; phone 212-523-8234.
Dr. Rosenn Gives His Expert Opinion:
6 Ways Pregnancy is Different With Twins
Beyonce’s recent announcement that she is pregnant with twins has spurred a lot of public interest. In answer to how twin pregnancies differ from single pregnancies, our own Director of Obstetrics and Maternal-Fetal Medicine, Barak Rosenn, MD, gave his expert advice to Jenna Birch of www.health.com. Read the full story resulting from that interview here:
If you are expecting a new baby, making sure the seat is properly installed and knowing how to adjust it for your infant are important goals to achieve well before your due date. Your car needs to be ready when you bring your baby home from the hospital. Here are some resources to help you.
The Parent’s Central Car Seat Webpage allows you to find a child car seat inspection station nearest you. Certified technicians will inspect your child car seat, in most cases, free of charge - and show you how to correctly install and use it. The page also includes links on finding the correct seat for your make and model of vehicle.
Please visit the Parent/Family Education Program Page for a full listing of all our classes on how to find a physician or midwife and decide where and how to give birth. Included: preconception, choices in childbirth, Lamaze, Introduction to the Birthing Center, breastfeeding, and many more!
Minimally-Invasive Surgery in the Department of Obstetrics and Gynecology
Physician leaders from several areas of the Department of Obstetrics and Gynecology have come together to offer a wide range of minimally-invasive surgical treatments for gynecologic problems.
These new treatments are as safe and effective as their traditional counterparts requiring a major incision, and come with a host of advantages: less scarring, shorter hospital stay and recovery time, and fewer potential complications.
Barely-there underwear, Brazilian bikini waxes, and shaved pubic hair have become cultural beauty standards for women. And yet, the skin of a woman’s genital area is more sensitive than the skin on her face. Lisa Dabney, MD, urogynecologist in the Department of Obstetrics and Gynecology at Mount Sinai St. Luke’s and Mount Sinai West, wants to remind women that redness and irritation from harsh grooming procedures and tight clothing are the body’s way of saying “stop torturing me.” Here are the general guidelines that Dr. Dabney hands out to her patients with pain and discomfort in the vaginal area and recurrent yeast infections. Most of the time, says Dr. Dabney, these patients don’t have some horrible infection; they just need to change their grooming habits.