An incoming OBGYN can expect to work a 5-day week as a standard, totaling 36 patient hours and 4 admin hours, and they will take up office space in the Women’s Health clinic down the road in downtown Middlesboro. They usually start their day around 8am and schedule patients during clinic days up until 4pm. Yearly deliveries are consistent from between 150-200, depending on the year, and currently there is not a full-time OB/GYN on staff. Blakelee Barnett is their experienced Midwife, and Rebecca Lee Akers, experienced NP, are the two providers in the women’s clinic doing most deliveries. An incoming provider can also take the vast majority of robotic-assisted surgeries with the brand-new Davinci robot on site. Of course, with the variety of complications that can occur during pregnancy, there are some 32 and later- week deliveries. In general, there are different levels of care offered at ARH for pregnancy. Low-risk and some high-risk pregnancies are delivered at ARH. High-risk pregnancies are complicated with issues, such as diabetes, hypertension, placenta previa, pre-eclampsia, preterm labor, advanced maternal age, and substance abuse.
Should an expecting mother present to the ED, they are triaged by the staff of capable, round-the-clock nurses, monitored on their path to the ER, and sent to either the OR if they are over 20 weeks, or to the ED if they are under 20 weeks pregnant.
From here, ARH has great relationships with its surrounding Level 1 care centers, including the University of Kentucky and/or the Johnson City Medical Center, depending on the case.
An incoming OBGYN can expect to work a 5-day week as a standard, totaling 36 patient hours and 4 admin hours, which Dr. Amro and Dr. Lee both take pride in. They usually start their day around 8am and schedule patients during clinic days up until 4pm. Yearly deliveries are consistent from between 150-200, depending on the year, and Harlan usually focuses on 37/38-week deliveries. Of course, with the variety of complications that can occur during pregnancy, there are some 32 and later- week deliveries. In general, there are different levels of care offered at ARH for pregnancy. Low-risk and some high-risk pregnancies are delivered at ARH. High-risk pregnancies are complicated with issues, such as diabetes, hypertension, placenta previa, pre-eclampsia, preterm labor, advanced maternal age, and substance abuse.
At Harlan, a pediatrician is in the room during C-sections, and an APP can do MAT (Medication-Assisted Treatment) during pregnancy for women dealing with addiction. In Southern Appalachia, this number of immune-compromised mothers is higher than the national average, at 11% in Harlan and the surrounding areas.
Should an expecting mother present to the ED, they are triaged by the staff of capable, round-the-clock nurses, monitored on their path to the ER, and sent to either the OR if they are over 20 weeks, or to the ED if they are under 20 weeks pregnant.
From here, ARH has great relationships with its surrounding Level 1 care centers, including the University of Kentucky and/or the Johnson City Medical Center, depending on the case.