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Maternal-Fetal Medicine

A Division of Texas Tech University Health Sciences Center , Obstetrics & Gynecology Department

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.

About the Amarillo campus

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

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
  • Diabetes
  • Maternal cardiac disease
  • Maternal renal disease
  • Hypertension
  • 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


About Heather Holmes, MD, MFM


Dr. Holmes is board certified and maintains her American College of Obstetricians and
Gynecologists certification as required. She currently serves as the Clerkship Director for
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. She
is a mentor for the Amarillo Independent Professional adn Career Development Program for high school seniors.


Reproductive Genetics

Reproductive GeneticsThe 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:

  • Amniocentesis
  • Chorionic Villus Sampling (CVS)
  • Fetal blood sampling
  • Fetal vesicocentesis
  • Fetal biopsies for specific conditions

Currently available universal neonatal screening tests include:

  • Hypothyroidism
  • Galactosemia
  • Congenital adrenal hyperplasia
  • Phenylketonuria
  • Sickle cell anemia


Ultrasound UnitThis 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:Ultrasound Staff

  • 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 in Medicine.

Pregnancy Loss

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 questions.

It is known that a systematic, comprehensive and directed support service helps these families in the process of grieving for their loss.

RibbonWith 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 Foundation.


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

Amarillo ObgynLocation Information:

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.