Dr. Paulino-Morente OB GYN / Perinatology / High Risk Pregnancy

Dr. Paulino-Morente OB GYN / Perinatology / High Risk Pregnancy Obstetrician-Gynecologist | Maternal-Fetal Medicine Specialist (High Risk Pregnancy) / OB ultrasound

Our second rainbow baby together πŸ₯°Delivered to this healthy baby girl to a high risk mom:- advanced maternal age (44yo)-...
07/04/2026

Our second rainbow baby together πŸ₯°

Delivered to this healthy baby girl to a high risk mom:
- advanced maternal age (44yo)
- history of preterm labor, underwent cerclage (G2)
- history of 1 miscarriage (G1)
- gestational diabetes, insulin-requiring
- with nodular non-toxic goiter

Mommy C. was a referral from a colleague during her second pregnancy last 2022. That time ay nagpi preterm labor sya at 26 weeks lang. I was hesitant to do emergency cerclage dahil ang dilated na ng cervix nya and at the same time ay may mababa na ang bag of water kaya natakot ako at baka ma puncture ko yung bag during cerclage. Pero by God’s grace, nang na control namin ang preterm labor, naglakas loob akong icerclage carefully at nagawa naman namin. That same night ay naghilab uli sya at nag bumaba na ang heartbeat, kaya her previous OB decided to transfer her to my care. Tinyaga namin na pagandahin pa ang trace ni baby and eventually ay napauwi pa namin sya. Naka insulin sya that time for GDM and medyo growth-restricted but naging ok din. She delivered to a healthy baby girl at exactly 37 weeks via normal spontaneous delivery (hinintay nya ako na kumaripas from my MFM certifying exam bago sya umire hehe). πŸ₯°

Imagine my surprise (and slight fear πŸ˜†) when she came back pregnant again. We scheduled her cerclage (history-indicated) at 12 weeks, dahil lagi rin syang nag bi bleed. At 20 weeks, umiiksi pa further ang cervix nya. So we decided to put pessary din (Last 2022, hind pa ako naglalagay ng pessary). Everything went well, normal ang thyroid function test, though yung GDM nya was managed again with insulin.

At exactly 37 weeks, we removed her pessary and cerclage. Upon IE, her cervix was already 4cm dilated kaya we admitted her, and she gave birth that night to a cute baby girl weighing 3050 grams! 🐣

It was a full circle moment for both of us. Marami kaming natutunan along the way. Mas relax kami this time dahil mas maaga ang lahat ng intervention. And although ayaw na ni momsh na magbuntis uli, her story will stay with me forever.

Salamat, Lord for this wonderful blessing. πŸ™πŸ»πŸ™πŸ»πŸ™πŸ»

Our easter babies🐰🐰! Sulit ang pagod, both mommies have met their 🌈 rainbow baby girls 🌈 today. Both are Reproductive Im...
05/04/2026

Our easter babies🐰🐰! Sulit ang pagod, both mommies have met their 🌈 rainbow baby girls 🌈 today. Both are Reproductive Immune Disorder and advanced maternal age cases.

Happy easter momshies! He has risen!!!
πŸ™βœοΈ

Clinic resumes on Sunday, April 5 at TMC (by appointment; fully booked).
01/04/2026

Clinic resumes on Sunday, April 5 at TMC (by appointment; fully booked).

ADVISORY: Holy Week Schedule 2026

In observance of the Holy Week, please be informed that our Outpatient Department (OPD) will be closed on the following dates:

πŸ—“οΈ April 2 (Maundy Thursday)
πŸ—“οΈ April 3 (Good Friday)
πŸ—“οΈ April 4 (Black Saturday)

Regular OPD operations will resume on April 6, 2026 (Monday).

⚠️ Note: For any medical emergencies during this period, our Emergency Room (ER) remains open 24/7 to serve you.

Plan your visits accordingly and stay safe.

Have a meaningful and peaceful Holy Week!

πŸ“ Gen. Luna Ave, Brgy. Ampid 2, San Mateo, Rizal
πŸ“ž 8-539-1400

San Mateo Medical Center
"Your health is our concern."

01/04/2026
19/03/2026

CS PER MATERNAL REQUEST: SKL

Naalala ko during the time na nagstart ako magGentleBirth practice at lahat ng pwede ay kinakausap ko magnormal delivery o VBAC, may isa akong patient na never ko nagawan ng IE. Bakit? Sobrang sakit daw to the point na umiiyak na siya humihiga pa lang sa k**a. So di ako nagIE dahil grabe ang anxiety level niya. Kaya nag-usap kami.

πŸ‘©β€βš•οΈ: Mommy, paano ka manganganak niyan, nakapwesto ng maayos si baby, ok siya at ok ka, pwedeng pwedeng magnormal delivery.
🀰: CS niyo na lang ako, Doc. Sure na ako.

Ang ending, naCS din siya, dahil yun ang personal choice niya. At after ko siya macounsel ng mga benefits and risks ng CS.

Pag-follow up niya, binabantayan ko if may pagsisisi ba siya sa desisyon niya kasama ng gastusin (mas mataas PF namin sa mga operative delivery kasama ang CS).

Masaya naman siya. Nagbreastfeed. At peace sa desisyon niya. Next na pagbubuntis niya, CS pa din daw.

While we advocate for normal delivery, we cannot supercede the decision of our patients when it comes to the management without their consent.

Ako lang ang nanghinayang nung una, pero at the end of the day, pag well-informed decision naman ang ginawa nila, at desidido sila, sila pa din ang masusunod. Of course, this is based on our princoples and preference. Kase minsan pag hinfi acceptable, then we refer to our colleagues.

- Doc Arbie OBGYN Peri



CTTO: AJOG for the infographic

Daddy beke nemen pwede ikaw muna πŸ˜†πŸ˜†πŸ˜†
19/03/2026

Daddy beke nemen pwede ikaw muna πŸ˜†πŸ˜†πŸ˜†

E ayaw daw talaga magpa pap smear πŸ€·β€β™€οΈ
15/03/2026

E ayaw daw talaga magpa pap smear πŸ€·β€β™€οΈ

Mga mima ang sabi ko lang naman p**i log yung monitoring nyo ng sugar, pero bakit may explanation?! 🀣Dun kayo sa presint...
12/03/2026

Mga mima ang sabi ko lang naman p**i log yung monitoring nyo ng sugar, pero bakit may explanation?! 🀣

Dun kayo sa presinto magpaliwanag πŸ˜‚πŸ˜‚πŸ˜‚

Maligayang araw ng mga buntis momshies!!! πŸ€—
10/03/2026

Maligayang araw ng mga buntis momshies!!! πŸ€—

07/03/2026
05/03/2026

Will accept icare and kaiser na po for consultation.

Address

Rizal

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