Maternal Fetal Medicine
For those pregnancies identified as ‘High Risk’ with an increased risk for perinatal death or infant morbidity we are available for and offer qualified consultations. Consultations in the Maternal-Fetal Medicine Unit will ensure a complete perinatal evaluation with recommendations and follow-up as desired or needed.
Indications for consultation include:
- Uterine malformations
- Family history of genetic disorder, congenital anomaly or mental retardation
- History of maternal medication or teratogenic exposure
- History of pregnancy loss
- History of preterm labor, preterm premature rupture of membranes, or preterm delivery
- History of maternal alloimmunization or fetal hydrops
- Abnormal maternal serum screening for genetic or fetal anomalies
- Maternal cardiac disease
- Maternal renal disease
- Systemic Lupus Erythematosus, antiphospholipid syndrome or other connective tissue disorders
- Other critically ill patients
- Twin/multifetal pregnancy
- Fetal anomalies
- Suspected or established abnormal fetal growth
- Fetal cardiac arrhythmias or abnormal heart rate
- Placental abnormality
- Oligohydramnios or polyhydramnios
Currently available ultrasound guided prenatal therapeutic procedures include:
- Amnio-reductions and amnioinfusions
- Fetal vesicocentesis, thoracocentesis, and shunting procedures
- Fetal blood transfusions
- Fetal biopsies for specific conditions
- Alternative managements for monochorionic twin pregnancies with Twin-Twin Transfusion syndrome.
- Coordination of care and referral for fetal surgery
Dr. James W. Van Hook received his MD degree from Louisiana State University Medical College in Shreveport , LA and completed residency training at the University of Texas Medical Branch in Galveston , TX . Dr. Van Hook completed his fellowship in Maternal Fetal Medicine at University of Washington Medical Center in Seattle , WA and completed his fellowship in Critical Care at the Wake Forest University Medical Center in Winston-Salem , NC . He also has received a certificate in Medical Management from the Southern Medical Association at Auburn University , in Auburn , AL . He is board certified in Obstetrics & Gynecology, Maternal Fetal Medicine and Critical Care. He is currently both a Professor and the Regional Chair for the Obstetrics and Gynecology Department and Director of the Maternal-Fetal Medicine and Ultrasound Units.
Professional Work History and Accomplishments :
- Director, Critical Care Medicine Research; Galveston, TX
- Director, Obstetric Ultrasound; Director, OB/GYN Department HIV in Pregnancy Program, Department of Obstetrics and Gynecology, University of Texas Medical Branch, John Sealy Hospital, Galveston, Texas
- Board Certified in three areas including:F boarded in OB/GYN, Critical Care, and Maternal Fetal Medicine
- Established a Critical Care Unit in Labor and Delivery, University of Texas Medical Branch
- Board Certified - Addiction Medicine - American Society of Addiction Medicine
- Resident Teaching Award, UTMB
- Instructor, American Heart Association ACLS
- Industry Consultant for Medical Therapeutics of Medical Complications in Pregnancy and CPR
Dr. Van Hook's approach to the practice of medicine is based upon a mixture of pragmatism and humor designed to create a positive, stimulating environment for his peers and patients. Dr. Van Hook brings together a diverse range of clinical expertise in the field of Obstetrics and Gynecology. These include general gynecology, urogynecology, high risk obstetrics, and critical care medicine. He is interested in medical outcome in under served minorities, mechanical ventilation in pregnancy, and novel methodology for medical education. Additionally, Dr. Van Hook is interested in physician welfare and work practices, and socioeconomic medical care barriers, and a variety of other issues related to OB/GYN and resident training. Dr. Van Hook has been an avid pilot for many years and enjoys flying when the opportunity arises.
Dr. Holmes received her MD degree from University of Texas Medical Branch in Galveston , TX and completed residency training at Texas Tech University Health Sciences Center in Amarillo , TX . Dr. Holmes completed her fellowship in Maternal Fetal Medicine at University of Texas Southwestern Medical Center in Dallas , TX . Dr. Holmes is a recipient of numerous honors and awards. She has affiliations with many societies, committees and hospitals including: American College of Obstetricians & Gynecologists, Junior Fellow; American Medical Association; Texas Association of Obstetricians & Gynecologists; Texas Medical Association; Association of Professors of Gynecology and Obstetrics; Dallas County Medical Society; Alpha Omega Alpha Honor Medical Society; Northwest Texas Hospital and Baptist St. Anthony’s Hospital in Amarillo, TX from Aug. 1, 2005-Present; and Parkland Memorial Hospital and St. Paul Medical Center in Dallas, Texas from 2002-June 2005. She is an active candidate for certification in Maternal-Fetal Medicine by the American Board of Obstetrics and Gynecology and is currently an Assistant Professor for the Obstetrics and Gynecology Department.
Dr. Holmes approaches her practice of medicine and her teaching responsibilities with a mix of enthusiasm and dedication. She has a genuine care and concern for her patients and approaches patient care with practicality. Her special interests include multi-fetal pregnancies and the effects of diabetes on pregnancy. Dr. Holmes loves the ballet along with the theater and is an avid reader.