Our Office COVID-19 Information

We are updating our guest and Covid-19 policies. 

  • No guests are allowed except for one guest during your ultrasound visit.
  • Children are not allowed in the office.
  • We require masks for all patients, both vaccinated and unvaccinated.

Failure to follow these policies could result in rescheduling your appointment. Thank you for your cooperation.

Protecting your health, and the health of our staff and providers is a priority. We ask that if you are experiencing a fever of 100.4 plus or productive cough to call us at 512-425-3825, Option 3 so that we can determine the best way to meet your medical needs.


See our Childbirth Education Updates HERE.

St. David' Healthcare Visitation Policy Changes & COVID-19 Vaccine Booster

It’s been a year and a half since the first COVID-19 case was confirmed in Texas. As the virus continues to evolve, and COVID-19 continues to bear down on our community, we have remained steadfast in our resolve to combat it. Below are updates on some important and timely issues related to COVID-19 that we wanted to share with you.

Visitation Policy Changes
Due to a recent legislative mandate (Texas House Bill 2211), we are making changes to our visitation policy to comply with the new law. As of September 1, all patients will be allowed one visitor per day during visiting hours.
• Visiting hours are 5am-8pm
• Visitors must be 18 years of age or older
• Visitors must pass the entrance screening
• Visitors must wear a mask at all times
• Any patient seeking emergency care may have one visitor

One visitor may remain overnight for the following services or circumstances:
• Pediatrics under 18 years old
• NICU
• Laboring mothers
• Patient advocates for elderly, disabled or impaired patients
• Undergoing surgery or a procedure
• End-of-life care

We are committed to providing a safe environment for our patients, physicians, colleagues and visitors. Universal masking remains in effect and additional PPE may be required. All visitors are required to comply with these policies.

Visitation may be denied if an attending physician determines in-person visitation with the patient may lead to the transmission of an infectious agent that poses a serious community health risk.

COVID-19 Vaccination Booster
After careful consideration of the latest medical data, the FDA recently authorized mRNA COVID-19 booster shots for immunocompromised people. A recommendation for the general population is expected soon. This measure is designed to further protect you from COVID-19 as immunity wanes with time and this virus continues to spread.

As a result, we are actively planning for hospital-based third dose vaccination clinics in late September or early October. These vaccinations will only be available to colleagues who have already received both prior doses of either the Moderna or Pfizer vaccine. Please remember to verify your vaccination status prior to September 15 through the HCA Healthcare COVID-19 immunization link.

A third shot is now available and recommended for those who are immunocompromised and, therefore, at greater risk of serious, prolonged illness. Immunocompromised colleagues are encouraged to speak with their physician about whether getting an additional dose is appropriate. This helpful link can identify the closest and most convenient location to receive the vaccine.

For now, booster shots are being advised for the mRNA vaccines only, which does not currently include the Johnson & Johnson shot. It is also recommended to receive the same vaccine administered during the prior two dose series.

For the thousands of St. David’s HealthCare colleagues who have received the COVID-19 vaccine, thank you for choosing to protect yourself and the people around you.
Moment of Silence

The Texas Hospital Association is encouraging hospitals throughout the state to observe “five minutes of silence” at noon on Friday, September 3, to honor those impacted by COVID-19. The observance hopes to shine light on the number of people who have died from COVID-19, on healthcare heroes – like you – who have bravely fought the pandemic, and on the importance of taking action to prevent further illness. We encourage you to participate in this time of reflection, honor and remembrance.

COVID-19 Vaccination
Our physicians are among the most trusted in Central Texas. The community has trusted us to care for them for decades, and now we’re asking them to trust us about the COVID-19 vaccine. We encourage you to watch the below video that features several of our physicians talking about the COVID-19 vaccine, and join us in sharing it with friends and family.

Watch Video Here

Thank you for your tireless work to beat COVID-19. Together, we can move forward and end the pandemic.

Individualized care at
every stage & every age

New Patients Welcome!

512-425-3825

located near Mopac & Parmer
gynecologic consultant to the

UT Women’s Athletic Program

Individualized care at
every stage & every age

New Patients Welcome!

512-425-3825

located near Mopac & Parmer
gynecologic consultant to the

UT Women’s Athletic Program

Natural Beginning Birth Center

Common Birth Practices

Our Labor & Delivery Practices

You probably have many questions related to our usual management of labor and delivery. We have put together this list of how we manage normal labor and birth based on our non interventionist philosophy. While these are standard practices for all of our providers, many factors could change the management of your particular situation. Please take into consideration that these are ideals and complications may change how we approach your specific care.

When to Call for Possible Labor:

1. When your contractions become regular, uncomfortable, last 60 seconds, and are 3 to 5 minutes apart for at least an hour, please call our office. We will want to speak directly with you rather than your partner. We will then call the hospital and meet you there. While you work through early (latent phase) labor, you may try sleeping if you can or may get into a warm bath. These both help to determine if your labor is active and help you cope with the contractions.

2. If your water breaks, please call and we will discuss your specific situation. In general, if you are Group B Streptococcus negative and the water is clear, you can wait up to 12 hours at home for active labor to start. Only 10% of women have their water break prior to labor and 70% of these women will labor spontaneously during this time. If labor (regular contractions causing cervical change) does not begin during those 12 hours, then pitocin will be required to start labor and reduce the risk of infection to mom and baby.
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When You Arrive in Labor:

1. The nursing staff will monitor the baby for 30 minutes while they are asking you questions about your health history and how your labor is progressing. We like to evaluate you by checking your cervix and assessing your contraction pattern ourselves to determine if you are in active labor and ready to stay in the hospital.

2. A saline lock (base of an IV) will be started and your blood will be drawn.

3. If you and your baby are doing well and tolerating the labor, we will encourage you to be out of bed (walking, showering, sitting on birthball, standing…) and will intermittently monitor your baby for 5 minutes out of every 30 minutes. You are encouraged to bring a labor ball, music, essential oils/aromatherapy, dark colored night gown or whatever will make you more comfortable during your labor.

4. We want you to drink liberally because you will not have IV hydration. You may bring whatever drinks you would enjoy during your labor. You should drink both water and drinks with sugar to provide energy for your uterus to work well. Many women prefer not to eat during labor because they are either not hungry or are nauseated. If you are hungry during early labor, we encourage you to eat foods that are easily digested (toast, crackers, jello, etc).

5. We will likely not check your cervix again until you or your baby show us signs of labor progression. We try to avoid exams after your water is broken due to infection risk.

6. A nurse will assist you during labor and we will be in to check on you intermittently (about every 2 hours). We will always be available when you need us.

7. When you are ready to push, you will be free to try multiple positions to find what works best for you. We are very flexible on position for birth whether squatting, hands-knees, side-lying. We request that you not deliver on the floor but on the bed so that we can best help support your perineum and your baby’s birth. There are squat bars available if you would like to squat for your birth. We will usually be with you the entire time you are pushing.

8. We can use warm compresses and olive oil to assist the stretching of your tissue to help decrease tearing. We prefer not to cut episiotomies but to allow time for your perineum to stretch. Rarely episiotomies are necessary in emergency situations.

When You Give Birth:

1. There will be a nurse present to take care of you as well as a nurse to care for your baby. You may have as many support people with you as you wish, but we encourage you to include only those who are supportive of your birth preferences and will offer your encouragement (not stress). If you want to have a younger child in the room for your labor and birth, we request that you have a specified support person for the child so they can leave the room together if the child finds the birth too intense.

2. Your baby will be placed on your abdomen and vigorously dried off and encouraged to cry to clear the lungs. We prefer to leave the umbilical cord attached until it stops pulsating. This usually occurs between 1 and 3 minutes of life. If you are collecting your baby’s stem cells for banking, we need to cut the cord within 1 minute after birth to obtain an adequate sample of cord blood. The benefits of delayed cord clamping are equivalent at 1 and 3 minutes of life.

3. Your baby will be assessed while resting on your chest or abdomen unless intervention is needed to help your baby make the transition to breathing for himself.

4. We frequently give pitocin through the IV after the placenta passes to help contract your uterus and decrease blood loss. We assess your individual situation to determine if pitocin would be beneficial. Minimizing blood loss is important for your recovery from childbirth and initiation of breastfeeding.

After Your Birth

1. You and your baby will remain in your labor room for about 1-2 hours for recovery and evaluation. The nurse will check your vital signs and bleeding frequently. The baby will be quickly weighed in the room prior to breastfeeding; the nurse will help you to breastfeed thereafter when your baby begins to root.

2. When you are ready to go to your postpartum room, the standard practice is for your partner and baby to go to the nursery for a bath and full physical exam. You may accompany your partner and baby to the nursery and can give the baby his first bath or delay the bath if you choose. Most women settle in their postpartum room and entrust their partner with these responsibilities. The vitamin K injection and erythromycin eye ointment are hospital and state mandated respectively, and must be given in the first 2 hours of life; they can be declined if you are strongly opposed. You can opt to give the Hepatitis B vaccine at this time as well, but this is easily declined or deferred until a later date. Because the placenta is an organ, Texas law requires the hospital to properly dispose of your placenta. If you want to keep your placenta, you must get a court order before you come to the hospital in labor. Please see our website for a detailed description of how this is accomplished.

3. The standard hospital stay is 2 days not including your day of delivery. If you want to leave earlier than 36 hours, you should make arrangements with your pediatrician in advance as it is the baby’s discharge that generally causes the delay.

4. Following an uncomplicated vaginal birth, we will see you in the office 6 weeks after your birth.

OBGYN NORTH

is the practice of:

Maansi Piparia

MD, FACOG

Rebecca Teng

MD, FACOG

Dr. Allie Evans headshot

Allie Evans

MD, FACOG

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