A Division of Texas Tech University Health Sciences Center , Obstetrics & Gynecology
As one of the only comprehensive referral centers in the Texas Panhandle, our unit
is capable of a variety of genetic and high risk consultations, tests, and ultrasound
services. We have an exceptional team composed of specialized doctors, nurses, and
ultrasound technicians. Our team members are professionals dedicated to serving the
needs of patients by providing the highest quality of care. To ensure that you receive
the best care, our certified and accredited ultrasound unit and personnel have met
standards you can rely on. You can review our information through the following sections.
Mission of Our Units:
Our first mission is to reduce the Texas Panhandle perinatal mortality rate to less
than 1 in a 1000. Our second mission is to further develop the reproductive and genetic
sciences in our communities. Our third mission is to improve cancer screening throughout
the lifespan of our patients.
We intend to achieve this by:
- Research that will allow for identification of our community's specific health problems.
- Delineation of specific clinical protocols and medical services.
- Commitment to education and support of our communities.
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
- 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
- Coordination of care and referral for fetal surgery
About Heather Holmes, MD, MFM
Dr. Holmes is board certified and maintains her American College of Obstetricians
Gynecologists certification as required. She currently serves as the Clerkship Director
the Senior ObGyn Clerkship.
Dr. Holmes is the five time recipient of the Ob/Gyn Clinical Teaching Award, recognizing
her service in the efforts of improving medical education and resident physician training.
Dr. Heather Holmes is spearheading the provider/practice ICD-10 preparedness on the
Amarillo campus and has presented several training courses for the faculty and
Dr. Holmes participates in community events; she has a special interest in mentoring
high school and college students who are interested in joining the healthcare field.
is a mentor for the Amarillo Independent Professional adn Career Development Program
for high school seniors.
The Human Genome Project is allowing for the discovery and testing of a number of genes known to have an important
role in human congenital anomalies and diseases. Clinical genetic services are available
to help families translate this scientific knowledge into practical information to
help them make personal decisions about themselves and their current or future pregnancies.
Modern obstetrical practice takes into consideration how a variety of diseases can
be passed down in a family or even appear for the first time during pregnancy. Our
clinical genetics unit is available to help Texas Panhandle patients identify the
etiology of genetic disorders and congenital anomalies that they may have or be at
risk to pass onto their progeny, to understand the natural history of the diseases
in question, to determine the individual risks to their family and to consider their
options for testing and treatment.
Many genetic abnormalities, environmental exposures and maternal diseases can be tested
for in at risk parents. Conventional indications for prenatal genetic counseling include:
anyone with questions about diseases or traits in their families; desire for more
information or testing about genetic conditions that are common in their ethnic group;
maternal medical conditions; previous pregnancy or infant loss; family history of
inherited disorder, birth defect, mental retardation or cancer; maternal age greater
than 34 at delivery; exposure to radiation, chemicals, medications, drugs or infections
during pregnancy; consanguinity; positive maternal serum screening, any suspected
abnormal ultrasound findings and twin/multiple gestations.
Preconceptual, prenatal, and neonatal genetic evaluation programs are now available
to every family in the Texas Panhandle. Individuals with a positive family history
or positive screening test can then recieve comprehensive genetic conseling in our
unit and further testing if desired.
As an integral part of our team, the genetic nurses perform risk assessment, analyze
the genetic contribution to disease risk and discuss the impact of risk on As an As
an integral part of our team, the genetic nurses perform risk assessment, analyze
the genetic contribution to disease risk and discuss the impact of risk on health
care management for individuals and families. They also provide genetic education,
provide nursing care to patients and families and conduct research in genetics.
Currently available universal genetic screening tests include:
- Advanced maternal age counseling and screening
- Second trimester maternal serum screening
- First and second trimester genetic ultrasound
- Cystic Fibrosis screening
- Hemoglobinopathy screening and testing for at risk populations
- Specific panel for Ashkenazi Jewish population
Currently available ultrasound guided prenatal diagnostic procedures include:
- Chorionic Villus Sampling (CVS)
- Fetal blood sampling
- Fetal vesicocentesis
- Fetal biopsies for specific conditions
Currently available universal neonatal screening tests include:
- Congenital adrenal hyperplasia
- Sickle cell anemia
This is the only Ultrasound Unit in the Texas Panhandle that has met the standards
for Accreditation in Obstetrics and Gynecological Imaging by the American Institute
of Ultrasound in Medicine (AIUM). We provide high quality evaluations for a variety
of women's needs using state of the art equipment and certified staff capable of obtaining
accurate and thorough medical information from ultrasound examinations.
Our highly trained medical providers use 2-D and 3-D imaging, Hemodynamic Doppler
evaluations, Color imaging, and a Computerized Reporting System to ensure that patients
and referring physicians will receive the best available and most comprehensive service
in human reproduction in the Texas Panhandle
Our Ultrasound services include:
- First Trimester screening for abnormalities
- Complete Pelvic and Infertility evaluations
- Chorionic Villus Sampling (CVS) referrals
- Non-surgical evaluation of uterine cavity-Saline Sonohysterography
- Endometrial cavity echo-contrast enhanced examinations.
- Pregnancy dating
- Evaluation of abnormal implantation
- Diagnosis and follow-up of multiple pregnancies.
- First and second trimester genetic ultrasounds.
- Ultrasound-guided prenatal genetic testing.
- Fetal evaluation due to maternal medications or teratogenic exposures.
- Level II and perinatal evaluations for maternal medical disorders.
- Screening for pregnancy induced hypertension.
- Screening for preterm delivery
- Fetal echocardiography
- Assessments of fetal growth
- Assessments of fetal well-being
- Biophysical profile
- Fetal and maternal blood velocity wave form studies.
- Placental and amniotic fluid evaluations.
Ultrasound examinations may look easy, but it takes the best equipment and well-qualified
staff to obtain accurate and complete medical information from every ultrasound exam.
To ensure that you receive the best care, our certified and accredited ultrasound
unit and personnel have met standards set by the American Institute of Ultrasound
Sometimes, even when the mother does everything possible to ensure a healthy pregnancy
outcome, something goes wrong and a pregnancy loss or infant death occurs. Parents
who have experienced a loss feel sad, alone, frightened and have many concerns and
It is known that a systematic, comprehensive and directed support service helps these
families in the process of grieving for their loss.
With the Panhandle Pregnancy Loss Program, an interdisciplinary team is available
to meet the psychological and medical needs of a family experiencing a miscarriage,
stillbirth, perinatal or infant death.
When a pregnancy ends in failure, the Panhandle Pregnancy Loss Program is available
to provide inpatient and outpatient counseling, to assist in informing and to support
the family during recovery. Through understanding the events and issues concerning
their loss, parents can begin to resolve their emotional conflicts and questions.
The Panhandle Pregnancy Loss Program staff is available to physicians and families
to assist in any way possible during this intense and complicated process.
We gratefully acknowledge past and current support by the Don and Sybil Harrington
Our personnel have certifications in:
- Obstetrics and Gynecology
- Maternal Fetal Medicine
- Critical Care in Obstetrics & Gynecology
- Clinical Genetics
- Women’s Health Nurse Practitioner
- Family Nurse Practitioner
- AIUM/ARDMS Ultrasound Technologists
- Registered Nurses
The unit has affiliations with: American College of Obstetrics and Gynecology, American
Fertility Society, Society of Maternal Fetal Medicine, Texas Pediatric Society, American
Association of Scientists, International Society of Nurses in Genetics, Inc., International
Society of Perinatal Obstetricians, Society of Pediatric Research, American Institute
of Ultrasound in Medicine, American Registry of Diagnostic Medical Sonographers, American
Society of Human Genetics, and the American Medical Association.
- Heather Holmes, MD, MFM
- Racheal A. Suffield, RT(R), RDMS
- Lynn Slocum, BSMT, RDMS
- Mary Aigaki , BSN, PAC, RDMS
- Heather S. Sanchez, AAS
- Shirley Myers, RNC, MSN, WHNP, FNP
- Shirley Karr, BSN, RN
- Christy Paulson
- Jean Anne Bostick
- Betty Michaels
Our offices are located in the Texas Tech University Health Sciences Center
- Department of Obstetrics and Gynecology
- Division of Reproductive Genetics, Maternal Fetal Medicine, and Ultrasound
- 1400 S. Coulter (3rd Floor), Suite 3600
- Amarillo , Texas 79106
To schedule an appointment call
- (806) 354-5700 extension 247 or 281
- Or toll free 1-800-287-3038
Our bilingual staff is available to assist with questions.
We gratefully acknowledge past and/or current support of the Amarillo Area Foundation and Amarillo 's Women's Health Research Institute
||The Vision of the American Society for Reproductive Medicine (ASRM) is to be the nationally and internationally recognized leader for multidisciplinary
information, education, advocacy and standards in the field of reproductive medicine.
The ASRM is a non-profit organization whose members must demonstrate the high ethical
principles of the medical profession, evince an interest in infertility, reproductive
medicine and biology, and adhere to the objectives of the Society.
||American Institute of Ultrasound in Medicine
||Learn more about the American Registry for Diagnostic Medical Sonography, its history and the credentials it offers.
||The mission of the March of Dimes is to improve the health of babies by preventing birth defects and infant mortality.
We carry out this mission through research, community services, education and advocacy
to save babies' lives. March of Dimes researchers, volunteers, educators, outreach
workers and advocates work together to give all babies a fighting chance against the
threats to their health: prematurity, birth defects, low birthweight.
||Simply described, the goal of NIH research is to acquire new knowledge to help prevent, detect, diagnose, and treat disease
and disability, from the rarest genetic disorder to the common cold. The NIH mission
is to uncover new knowledge that will lead to better health for everyone.
||Established in 1988 as a national resource for molecular biology information, NCBI creates public databases, conducts research in computational biology, develops software
tools for analyzing genome data, and disseminates biomedical information - all for
the better understanding of molecular processes affecting human health and disease.
||2001 marked the 50th Anniversary of The American College of Obstetricians and Gynecologists (ACOG). Founded in 1951 in Chicago, Illinois, ACOG today has over 46,000 members and is the
nation's leading group of professionals providing health care for women. Now based
in Washington, DC, it is a private, voluntary, nonprofit membership organization.
||The American Board of Obstetrics and Gynecology is an independent, non-profit organization that certifies obstetricians and gynecologists
in the United States.
||Our advanced monitoring and measurement technologies are designed to help guide decision
making through a neonate’s first critical days of life.