Far Hills OBGYN
Far Hills OBGYN

Far Hills OBGYN

The quality care you deserve.

We make every effort to honor the trust you have placed in us by providing you with the quality care you require and deserve.

OUR EMPHASIS

We emphasize quality care in a low-stress environment, friendly to you and your family.

Caroline H. Kennebeck, MD

Caroline H. Kennebeck, MD

  • Board-Certified: American Board of OB/GYN
  • Residency and Internship: Travis Airforce Base, CA, University Davis & San Francisco Affiliate, 1998
  • MD: Uniformed Services, University of The Health Sciences, 1994
  • BA: University of California, Berkeley, 1990
  • Joined Far Hills OB/GYN: 2005

Kelly L. McCluskey, MD

Kelly L. McCluskey, MD

  • Board-Certified: American Board of OB/GYN
  • Residency: Miami Valley Hospital, Dayton, OH; Wright State University Boonshoft School of Medicine, Dayton, OH
  • MD: Wright State University Boonshoft School of Medicine, Dayton, OH
  • BS: University of Notre Dame, Notre Dame, IN
  • Member: ACOG, Dayton OB/GYN Society, OSMA
  • Special Interests: Maple Tree Cancer Alliance, running, enjoying time with family
  • Joined Far Hills OB/GYN: 2010

Shannon N. McAfee, DO

Shannon N. McAfee, DO

  • Board-Certified: ACOOG / American Board of OB/GYN
  • Residency: Grandview / Southview Hospitals
  • DO: Ohio University College of Osteopathic Medicine
  • BA: Miami University of Ohio
  • Member: ACOG, ACOOG, AOA, Dayton OB/GYN Society
  • Special Interests: Proudest hockey, baseball, dance and Destination Imagination Mom; also enjoy boxing and sleeping
  • Joined Far Hills OB/GYN: 2010

Jennifer A. Mittlestead, MD

Jennifer A. Mittlestead, MD

  • Board-Certified: American Board of OB/GYN
  • Residency: Akron General Medical Center, Akron, OH
  • MD: University of Cincinnati College of Medicine, Cincinnati, OH
  • BS: The Ohio State University, Columbus, OH
  • Member: ACOG, Dayton OB/GYN Society, OSMA, AMA
  • Joined Far Hills OB/GYN: 2015

Samantha E. Houser, DO

Samantha E. Houser, DO

  • Board-Certified: American Board of OB/GYN
  • Residency: Miami Valley Hospital, Dayton, OH; Wright State University Boonshoft School of Medicine, Dayton, OH
  • DO: Edward VIA Virginia College of OSteopathic Medicine, Blacksburg, VA
  • BS: The Ohio State University, Columbus, OH
  • Member: ACOG, Dayton OB/GYN Society, OSMA
  • Special Interests: Spending time with family, camping, boating
  • Joined Far Hills OB/GYN: 2015

Joseph Hancox, MD

Joseph Hancox, MD

  • Residency: Miami Valley Hospital, Dayton, OH; Wright State University Boonshoft School of Medicine, Dayton, OH
  • MD: University of Illinois Rockford College of Medicine, Rockford, IL
  • BA: Marquette University, Milwaukee, WI
  • Member: ACOG
  • Special Interests: Biking with my wife and daughter, running, cooking and hiking
  • Joined Far Hills OB/GYN: 2022

Jennifer A. Smith, MD

Jennifer A. Smith, MD

  • Board-Certified: American Board of OB/GYN, Fellow American College of Obstetricians and Gynecologists
  • Residency: Wright State University Boonshoft School of Medicine
  • MD: Loyola University Chicago Stritch School of Medicine
  • BS: University of Illinois at Urbana-Champaign
  • Member: Ohio State Medical Society, Menopause Society Certified Practitioner
  • Special Interests: Values educating and empowering patients. Enjoys reading, cooking, music, and travelling with husband and two children
  • Joined Far Hills OB/GYN: 2025

Our Services

Our goal for our patients is to offer the best care from our Board Certified Physicians. Our Physicians specialize in almost all obstetric and gynecological care.

Obstetrics from Minimal Risk to High Risk

We provide care for patients that have a normal and uncomplicated pregnancy but also are happy to help with more complicated pregnancies including patients with high blood pressure, diabetes, multiple gestation (twins etc), and other complications.

Colposcopy and LEEP for Abnormal PAP Smears

This is done in the office and can be reviewed with you by your doctor prior to the procedure. Currently a secondary procedure is carried out in the laboratory on abnormal pap smears. It is a test for Human Papilloma Virus (HPV) high risk types. This test will determine if you are harboring this virus and, if so, which one it is. There are many types of HPV: some that can lead to cancer, some that can cause warts, and some that do both. This additional testing is usually done and its report ready by the time the pap smear comes back to your doctor, meaning the additional HPV testing results are part of the pap smear report. A pap smear is nothing more than a gentle scraping at the cervix during a GYN exam, sometimes resulting in some mild cramping and spotting.

If your pap smear or HPV screening returns abnormal, your doctor may recommend a colposcopy procedure. A colposcope, although nothing more than a microscope, evaluates the entire pap smear area, easily guiding the specialist to the areas that caused an abnormal pap smear–areas that are biopsied with tiny clippings–again, perhaps some mild cramping. The results from this testing will help guide the doctor in their recommendation for treatment or monitoring. Depending on the results of your colposcopy, your provider may recommend a procedure to remove a small portion of the cervix called a LEEP procedure. This procedure will remove many of the abnormal cells and help to prevent progression of the HPV infection. For more information, visit ASCCP.org

Manipulation for Pregnancy and Female Musculoskeletal Discomfort

The thought that your body can heal itself remains one of the focal philosophies of Osteopathic Manipulative Treatment. Osteopathic Manipulation Treatment, or OMT, is a form of treatment that uses physical diagnosis and hands-on therapy to help the body restore its normal structure and function. OMT incorporates various techniques applied to the musculoskeletal system (the joints and surrounding soft tissues, muscles, their surrounding fascia, and bones) intended to relieve stress and tension in these tissues and restore the body’s normal homeostasis.

OMT is performed in your physician’s office and is typically performed by Osteopathic Physicians who have been specially trained in manipulative therapy. This type of therapy is often combined with other medical treatments and medications to aid in the holistic treatment of the patient. The treatments range from indirect (passive) treatments including stretch and massage, to direct (active) treatments including muscle activation and spinal adjustments. Osteopathic manipulation can help patients of all ages in the treatment of numerous medical conditions. It has a number of different uses, including easing pain, promoting healing, and increasing mobility. For OB/GYN patients, OMM can also help with menstrual pain and postoperative care, as well as pregnancy issues including low back pain, carpal tunnel, headaches, and postpartum discomforts. Before performing any OMT, the physician will take your history and perform a physical exam to determine which problems you are experiencing and if OMT will benefit you, or if you will need other medical imaging or treatment related to your complaint. During treatment, the physician will explain each step, what they find on physical exam, and why a certain treatment may be beneficial. Questions are encouraged and the physician will make every attempt to make the patient comfortable, including alternate positioning for the comfort of pregnant patients. Immediately following treatment, it is important to avoid strenuous activity and drink water. Follow-up, if needed, will allow for evaluation of the patients response to treatment, as well as maintenance therapy.

3D Ultrasound

3D/4D ultrasound is a fun and exciting way to see your baby before her or she is born. We recommend this between 28-32 weeks of pregnancy and drink plenty of water for the day or two before your ultrasound in order to help with getting better pictures. Please let our helpful front desk staff know if you would like to schedule this ultrasound.

Endometrial Ablation: Novasure

NovaSure endometrial ablation is a one-time, 5-minute procedure that gently removes the lining of the uterus—the part that causes the bleeding. The NovaSure procedure can reduce or stop bleeding altogether. Women with heavy or long-lasting periods who do not wish to have children in the future may be candidates for the NovaSure procedure. Your doctor can decide if the NovaSure procedure is right for you. If you’re sure you don’t want any children in the future, and your doctor rules out more serious causes of heavy bleeding, you may be a good candidate for the NovaSure procedure. Please see novasure.com for more information.

Hysteroscopy

Hysteroscopy is a powerful way of looking into and evaluating the uterine cavity. This is particularly important since abnormalities of the cavity may prevent implantation and therefore fertility, or may interfere with the normal growth and progression of pregnancy.

We recommend hysteroscopy to our patients when:
  1. Results of a tubal x-ray (HSG) indicate a uterine abnormality
  2. Diagnosis of repeated miscarriage
  3. Evidence of an intrauterine growth such as a polyp on sonogram
  4. To evaluate postmenopausal bleeding
  5. Congenital abnormalities of the uterus
  6. Infertility

Laparoscopy

Laparoscopy is an outpatient surgical procedure usually performed under general anesthesia. The procedure consists of inserting a camera like instrument through a small incision at the belly button (umbilicus) into the abdomen. Carbon dioxide is used to inflate the abdomen pushing the abdominal organs and bowel aside to allow full visualization of the pelvic organs. Small incisions are made along the lower abdomen where graspers and other fine instruments may be inserted to visualize the entire pelvic (or abdominal) cavity for diagnostic purposes.

The fallopian tubes may be inspected and dye passed through the cervix and uterus to evaluate tubal function and patency. Evidence of tubal disease, and blockage, endometriosis, pelvic adhesions and ovarian cysts are a few of the fertility related diagnoses that can be made and, under most circumstances, repaired. Photo-documentation allows for a permanent record of the findings and procedures for the patients edification and the possibility of additional consultation. At the end of the procedure, the carbon dioxide is released, deflating the abdomen, and the incisions are closed. Recovery time is usually around one hour in the recovery room and patients are discharged once they are able to urinate, tolerate fluid intake, and walk with assistance.

Hysterectomy - Robotic, Vaginal, Laparoscopic, and Abdominal

Hysterectomy is the surgical removal of the uterus, or womb.

  • Why you may need to have a hysterectomy
  • How hysterectomy is performed
  • What to expect before and after the operation

Remember, no two women undergoing a hysterectomy are alike. The reasons for and the outcome of any surgical procedure depend on your age, the severity of your problem, and your general health. This article is not intended to take the place of your surgeon’s professional opinion. Rather, it is intended to help you understand the basic elements of this surgical procedure. Read this information carefully. If you have questions after reading this material, discuss them openly and honestly with your surgeon.

ON-Q Post Surgical Pain Relief System

The ON-Q PainBuster Post-Op Pain Relief System provides continuous infusion of a local anesthetic directly into the patient’s surgical site for effective, non-narcotic post-operative pain relief for up to 5 days. The ON-Q System, a market leading post-op pain relief system, uses a small balloon-like pump that is filled with a local anesthetic medicine. The pump is attached to a catheter (tiny tube) that the doctor places near your incision site. The system is very easy to use. The pump automatically delivers the medicine at a slow flow rate. The pump may last anywhere from two to five days. The pump is completely portable, lightweight and can be attached to your gown or clothing or placed in a carrying pouch. When the infusion is complete, the catheter is removed and the pump is thrown away. Depending on your surgery, you may go home with one of these pain relief systems.

HPV Vaccine

A vaccine is available to prevent the human papillomavirus (HPV) types that cause most cervical cancers as well as some cancers of the anus, vulva (area around the opening of the vagina), vagina, and oropharynx (back of throat including base of tongue and tonsils). The vaccine also prevents HPV types that cause most genital warts.

Important Update: Telehealth Coverage Changes

Please note that telehealth services are currently not included in coverage. However, video calls may be eligible for insurance coverage. We recommend contacting your insurance provider to verify coverage details.

Endometriosis Surgery and Medical Treatment

Infertility Treatment and Surgery

Evaluation of Recurrent Miscarriage and Infertility

Evaluation and Treatment for Urinary Incontinence and Bladder Problems

Menopausal Evaluation and Treatment Evaluation for Candidancy for Uterine Artery Embolization

Uterine Fibroids

Counseling regarding STD’s, sexual dysfunction and hormone options available in a private and relaxed and non-judgmental environment.

Patient Resources

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