Premier Women's Health Specialists, PLLC

01/26/2026

To keep our patients and staff safe, our office will be closed today Monday January 26. All scheduled appointments have been rescheduled.
Stay safe and warm, family!

01/25/2026

We will try to occasionally address questions that are often asked by our patients. Please keep in mind, all care in our practice is individualized. We keep our patient population intentionally manageable to have time to discuss these issues with you. Today’s focus will be on vaginal delivery after prior cesarean section.

TOLAC

✅ TOLAC is generally considered safe for many patients, especially when:
• You’ve had one prior low-transverse (“bikini line”) incision
• No history of uterine rupture
• No other medical or pregnancy-related reasons a vaginal delivery isn’t recommended
• Delivery occurs in a hospital that can provide emergency C-section if needed

⚠️ When is TOLAC NOT recommended?
TOLAC is typically contraindicated with:
• Prior classical (vertical) uterine incision or T-shaped incision
• Prior uterine rupture
• Certain prior uterine surgeries (including some full-thickness myomectomies)
• Any condition where vaginal delivery is not advised (example: placenta previa)

VBAC / TOLAC + Uterine Wall Thickness: What the Evidence Shows

If you’ve had a prior C-section, a TOLAC (trial of labor after cesarean) may be an option. One factor sometimes discussed is lower uterine segment (LUS) thickness on late-pregnancy ultrasound.

📏 What studies show:
Research consistently finds that a thinner LUS is linked with higher rates of scar defect/uterine rupture. Several studies and protocols identify very low thickness (around ~2.0–2.3 mm) as the highest-risk range, and newer data suggest risk may increase even below ~3.0 mm in some populations.

⚠️ Important nuance:
Ultrasound thickness is not a perfect “yes/no” test—results depend on how it’s measured and it should be interpreted alongside your history (type of uterine incision, prior rupture, prior uterine surgery, number of prior C-sections, induction needs, etc.).

🤍 Our approach: individualized counseling—balancing your goals with the safest plan for you and baby, in a setting prepared for urgent intervention if needed.

01/02/2026

Allowing us to be part of your lives—through routine visits, big milestones, and everything in between—is a privilege we never take lightly.

At our practice, you are never just a number. You are an individual with a unique story, and you deserve care that reflects that. We strive to provide thoughtful, personalized care while following the highest standards of medical practice—because your health and your trust truly matter to us.

Thank you for choosing our small practice and allowing us to care for you.

Wishing our community, a healthy and prosperous new year 🩷💙



09/06/2025

Acetaminophen remains a safe, trusted option for pain relief during pregnancy. Despite recent unfounded claims, there’s no clear evidence linking prudent use to issues with fetal development. ACOG's guidance remains the same. When pain relief is needed during pregnancy, acetaminophen should be used in moderation, and after consulting your doctor.

08/26/2025

🩶 Silver Sponsor Spotlight 🩶

A heartfelt thank you to Premier Women's Health Specialists, PLLC for supporting the Kids of Kanawha Back to School Shoe Drive as a Silver Sponsor!

As an OB/GYN practice, they dedicate their work to caring for women and families and that commitment shines through here as well. By supporting this drive, they’re helping local families make sure their children start the school year with brand-new shoes and a fresh step forward. 👟💛

We’re so grateful for their generosity and the way they care for our community. 🌟

06/08/2025

Are you ready to start exercising in the postpartum period? Do you have questions about how to start and what to expect? Join this zoom class with the incredible Dr Ionescu!!

A free movement session led by Dr. Sara, physician and mom of 5, to help you gently reconnect with your deep core, rebuild pelvic floor, reclaim confidence, and move without judgement—no pressure, no perfection, just progress, encouragement, and support from someone who gets it. Whether you’re 6...

02/19/2025

01/07/2025

The office will open at 9:00 tomorrow, Tuesday, January 7th.

01/05/2025

Due to adverse weather conditions, our office will be closed on Monday, January 6th.

09/24/2024

Menopause and perimenopause is a challenging and complex time for women. The desire for optimizing health and well being during this time leads many women to falling into traps of purchasing products or paying for evaluations that are unnecessary and expensive. We are often asked about resources and books. This book is at the top of the list. Dr Gunter is seen as the best among the top OB/Gyns in the country. She sells no supplements nor is she paid by any lab companies, etc.
This book is a great resource!

08/14/2024

It was such an honor to be able to speak about the Advancing Women’s Care in Menopause and Midlife initiative with Halle Berry and Senator Shelley Moore Capito today. We are honored to take care of our patients during this frustrating yet incredible life transition. We are excited by the opportunity to help advance care for all of West Virginia’s women. Thank you Senator for your tireless work on this issue and thank you too Ms Berry for being such an inspiring and vocal advocate. 

Edited to add-thank you for spending your birthday with us Ms Berry

05/27/2024

These are the full circle moments that we love!! Congratulations Maddie! And the entire class of 2024 PWHS babies!! It’s such an incredible honor!!

https://www.facebook.com/share/p/71Wcs4KW8UEdXb8c/?mibextid=WC7FNe