Portsmouth, NH – Harbour Women’s Health is honored to announce it has been named the Best OBGYN in the 2019 Best of the Seacoast Awards for the third consecutive year. Dedicated to quality standards and providing optimal care, the providers at Harbour Women’s Health are committed to offering their patients personalized care with the quality of care they deserve.
“Harbour Women’s Health is so appreciative of its wonderful patients and seacoast community,” said Emily Amarosa, MD, of Harbour Women’s Health. “As a patient‐focused practice, we are committed to providing excellent quality of care to each and every patient. Our entire team is honored that our incredible patients and community would be inspired to take the time to vote for us. We are truly humbled to receive this award for the third consecutive year.”
The Best of the Seacoast Awards honors businesses and institutions on the seacoast which are selected by a public voting process. The awards celebrate and recognize the best organizations in the Seacoast community and 2019 winners were announced on August 22nd during the annual winner celebration.
About Harbour Women’s Health
Located in Portsmouth, New Hampshire, Harbour Women’s Health offers obstetrics and gynecology physicians, a fellowship‐trained Urogynecologist, North American Menopause Society (NAMS) certified practitioners, and Women’s Health Nurse Practitioners on staff to care for patients. Harbour Women’s Health has been awarded Patient‐Centered Specialty Practice Recognition by the National Committee for Quality Assurance and has achieved Safety Certification in Outpatient Practice Excellence from the American Congress of Obstetricians and Gynecologists. For over 50 years, Harbour Women’s Health providers have focused on both progressive and conventional care, while maintaining a conservative approach to surgery. Harbour Women’s Health supports local community and related women’s causes, including Families First, where Harbour Women’s Health providers offer obstetrical care as part of a collaborative effort with the organization. The practice was voted First Place for Best OB/GYN in 2017, 2018 and 2019 in the Best of the Seacoast and is proud to have two providers named as New Hampshire Magazine 2019 Top Doctors. For more information, visit www.harbourwomenshealth.com.
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Printed by the New Hampshire Union Header on August 25, 2019. Article written by Dr. Emily Amarosa and Dr. Caroline Scoones of Harbour Women’s Health.
Dr. Caroline Scoones
Dr. Emily Amarosa
In December 2018, the federal government signed the Preventing Maternal Deaths Act which allocates federal grants to states to investigate pregnancy-related deaths. This five-year initiative has sparked an increased discussion on how to best support mothers during pregnancy, labor and delivery, and post-partum.
Although surgical deliveries are certainly a component of
this concerning trend, the risks associated with maternal deaths are more
complicated than just the increase of cesarean sections. The crumbling primary
care system has resulted in more women beginning pregnancy with unidentified or
untreated health issues, which can present complications. With mothers having
children at a later age, these health issues can be further exacerbated during
pregnancy. These underlying health issues are significant contributors to
maternal deaths as these conditions can result in hemorrhaging, blood pressure
disorders (including preeclampsia), cardiac disease, blood clots and more.
At Harbour Women’s Health, our team focuses on preventative
care and quality initiatives to provide a thorough and detailed approach to
ensure a healthy pregnancy, delivery and post-partum period for each patient.
From the first obstetric appointment, the providers follow established
protocols to identify any potential complications so that the patient receives
complete care. Our team then works with patients to develop their optimal
pregnancy plan, including a healthy diet and regular exercise, which can
prevent the development of new pregnancy-related complications, such as gestational
diabetes.
If potential complications are identified which require specialized
care, our goal is to provide access to this care as soon as possible to best
support the pregnancy. Harbour Women’s Health has established collaborations with
related medical professionals, including endocrinology, cardiology and maternal
fetal medicine/ high risk pregnancy. In addition, an obstetrician specializing
in high-risk pregnancy works in our Portsmouth office twice each month to meet
with these unique patients.
Harbour Women’s Health is dedicated to facilitating natural
deliveries as often as possible and maintains a conservative approach to
surgery. However, an induction may be recommended if a significant potential medical
complication is identified. Before recommending a C-section, our providers use evidence-based
protocols following national guidelines to analyze whether a vaginal delivery
is still possible. If a C-section is deemed necessary, the surgical delivery is
audited to ensure that it was in the patient’s best interest.
Our team performs deliveries at Portsmouth Regional
Hospital, which upholds its own quality and safety protocols to prevent
maternal complications. These initiatives include weekly meetings addressing
prenatal concerns and risk factors as well as coordinating infant care with
consultants. Patients are screened on admission for risk factors, such as
sepsis, hemorrhage and blood pressure, using best practice protocols like California Collaboratives. This toolkit was developed by California
Maternal Quality Care Collaborative (CMQCC) to help obstetricians and hospitals
have a timely and swift response to hemorrhaging during labor and delivery and
have already demonstrated a profoundly positive impact on the California
maternal death rate. Should an unexpected complication or emergency arise, Seacoast
Family Care Services at Portsmouth Regional Hospital has immediate access to critical
services, including: a fully-functional blood bank; a cardiovascular health
center; intensive care unit (ICU); access to trauma surgeons; and, a close and
communicative relationship with maternal fetal medicine specialists.
Following delivery, the post-partum period is an extremely
vulnerable time for obstetric patients, especially those with medical issues during
labor and delivery. At Harbour Women’s Health, we recognize the need to
mitigate post-partum readmissions and exceed industry standards with our preventative-solutions
approach. Our providers strive to schedule post-partum patients two weeks
following hospital discharge with high-risk patients scheduled within days of
discharge.
While signing the Preventing Maternal Deaths Act is a step
in the right direction, this is just the first step to decreasing the number of
surgical deliveries, maternal health complications and ultimately, maternal
death. While this initiative in underway, obstetrics professionals must be
vigilant to provide their patients with reliable experience, preventative care
and inclusive support to identify and mitigate complications during and after
delivery. We owe it to our patients to provide the personalized care each mom
needs with the quality of care each woman deserves.
Dr. Emily Amarosa and Dr. Caroline Scoones are OB/GYNs at Harbour Women’s Health located in Portsmouth. The practice was voted First Place for Best OB/GYN in 2017, 2018 and 2019 in the Best of the Seacoast and is proud to have two providers named as New Hampshire Magazine 2019 Top Doctors.
For over 50 years, Harbour Women’s Health has provided compassionate, experienced care for high- and low-risk pregnancies as well as the full range of gynecologic services. Our practice offers obstetrics and gynecology physicians, a fellowship-trained Urogynecologist, North American Menopause Society (NAMS) certified practitioners, and Women’s Health Nurse Practitioners care for patients. Harbour Women’s Health has been awarded Patient-Centered Specialty Practice Recognition by the National Committee for Quality Assurance and has achieved Safety Certification in Outpatient Practice Excellence from the American Congress of Obstetricians and Gynecologists. Call 431-6011 for more information.
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