Trial of labor after prior Cesarean (TOLAC) is a widely debated issue in the obstetric community. With the right patient it can be safe a safe way to deliver a baby, but there are many complicating factors. Risk of uterine rupture during vaginal delivery following one prior Cesarean section is approximately 1% and with that comes numerous consequences such as repeat Cesarean, neurological and physical injury to the fetus, fetal death, hemorrhage requiring blood transfusion or hysterectomy, and maternal death.
When considering TOLAC, it is very important that the lines of communication are open between the mother and her obstetrician. Several factors have to be considered (prior Cesarean section, type of uterine incision, maternal body type, any prior vaginal births, etc.) for a safe educated decision to be made.
We offer general care, gynecology, and obstetrics services that span all stages of a woman's life. Dr. Taryll L. Jenkins, MD received his undergraduate degree from Louisiana State University and Doctorate of Medicine from Meharry Medical College School of Medicine, TN. He completed his residency training at the University of Texas and Hermann Hospital, TX and is Board-certified from the American College of Obstetrics and Gynecology, with years of research experience.
Having graduated from the University of Texas at Arlington with a Bachelors of Science in Biological Chemistry in 2011, Dr. Stephanie Roy received her Doctor of Medicine Degree in 2015 from the University of Texas Medical Branch. Today she is a leading Board-certified physician who works hard to provide you and your family with high quality services. In addition to spending time at the practice, Dr. Roy possesses extensive volunteer experience in the community. She was also a tutor at the Medical Careers Diversity Program in 2012 and since then has spent her free time volunteering for the St. Vincent’s Clinic.
Dr. Tiffany Ikwuagwu is passionate about caring for the diverse communities in Katy and Houston, TX. Having completed her undergraduate degree at the University of Houston, her medical degree at the Baylor College of Medicine, and her residency in obstetrics and gynecology at the McGovern Medical School, she worked as principal investigator on a research project with Dr. Nana Ankumah at UT Houston. A member of the American Medical Association, Texas Medical Association, and American College of Obstetricians and Gynecologists, Dr. Ikwuagwu has served in several leadership roles and has made many contributions to the community.
Yara Ramirez, MD earned her Bachelor of Science degree from Baylor University and her doctorate in medicine from the University of Texas Medical Branch (UTMB) in Galveston where she also completed her residency. She won the Resident Teaching Award from UTMB’s Department of Obstetrics and Gynecology for two consecutive years.
Dr. Ramirez has researched extensively on many obstetrics-related topics. She has been a Junior Fellow Representative for the UTMB Residency Program and a Medical Student Education Committee Member at the American College of Obstetrics and Gynecology. She has volunteered for various local and foreign community programs. Her fluency in Spanish and French is an asset to her organization.
Nadia Alexander is a Board-certified Family Nurse Practitioner with a Master’s of Science degree in Nursing from the University of Texas Health Science Center. With seven years of experience in women’s health and a focus on obstetrics and ambulatory gynecology (vaginitis, UTI, and vaginal bleeding), she provides quality, compassionate care to patients in various stages of reproductive life. She is fluent in English and Spanish and is the lead contact for our Telehealth service.