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

Vaginal Birth after
PreviousCesarean Section

About Vaginal delivery after Cesarean:

Vaginal birth after cesarean section (VBAC) is an option for women who have had one or two c-sections with low transverse incisions on the uterus. VBAC has come in and out of favor over the years. In the past, after having one c-section, all future births were required to be by c-section. In the 1960s, research indicated that this was not necessary, but it wasn’t until the 1980s that VBAC became more common place. In the late 1990s, the VBAC rate began to drop because of a multitude of factors including the worsening medical-legal climate (risk of doctor getting sued) and the recommendation for 24 hour in- hospital anesthesia and operating teams. More recently, maternal mortality rates have increased in correlation with rising c-section rates. This has brought a resurgence in attention to VBAC, and to the decision-making process regarding when to perform a c-section.

As all birth has risk, whether vaginal of cesarean, the National Institute of Health drafted a consensus statement on VBAC to collate the data on risks and benefits of VBAC versus repeat c-section.

In one retrospective trial, the VBAC success rate was 63% for those with no prior vaginal births, 83% for those with a prior vaginal birth, and 94% for those with a prior successful VBAC. The risk to the infant with a successful VBAC is similar to that of a first-time mom delivering vaginally. In deciding between a Trial of Labor after C-section (TOLAC) or a repeat c-section, it is important to consider the risks to mom and baby, as well as the potential success rate and intended number of children as surgical risks increase with higher numbers of c-section. The table below shows the number of adverse events per 100,000 episodes of VBAC or repeat csection; only moderate to high quality data is included.

There are clear risks to both VBAC and repeat C-section. The relative importance of each factor can only be determined by the individual woman. With both VBAC and repeat c-section as safe choices, each woman must make a decision that is appropriate for her and her family.

VBAC is considered a women’s rights issue with the American College of Obstetrician Gynecologists. Doctors are advised to educate patients about all of their options – VBAC and repeat C-section. If a doctor individually opts to not perform VBACs, (s)he is obligated to refer to other doctors who do. ACOG recommends that VBAC only be performed at hospitals that offer 24 hour in-hospital anesthesia coverage which limits the number of hospitals at which VBACs can be offered. Unfortunately, even in hospitals which provide 24 hour in-hospital anesthesia, many doctors refuse to allow their patients to VBAC. Frequently, fear tactics regarding permanent infant damage or death are used to discourage women from choosing to VBAC. These statements are not based on fact. The physician preference for repeat C-section is often due to the ability to schedule and quickly complete a C-section (40 minutes). VBAC usually involves spontaneously labor which can occur during the day, night or weekend, and might take 24 hours or more. The convenience, efficiency, and money earned per unit time are very influential, but should never supersede a women’s right to choose her method of delivery.

At ObGyn North, we strongly support VBAC as a safe option for women and as their right if they so choose. Our statistics are similar to those quoted above, with a VBAC success rate for all patients of 81%. We are very proud of our success rate which we attribute primarily to having patience, and following the evidence-based guidelines for when a labor has truly failed to progress. We continue to advocate for greater availability of VBAC and look forward to a time when VBAC is an option for all women in appropriate hospitals.

More information about VBAC:

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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