2NT by West would promise 15-18, usually. Choice of trap-pass or double (garanteeng spade 4-carder being under 16-count) dilemma appeares initially.
And obvious drawbacks:
In the former case - pass, partner would be put on pressure should North either pass (balancing hand) or raise (quite unlikely having 10 hearts already allocated). Thus, part-score or game in spades is endangered. Not such an issue exists holding 1444 and same count, in my view.
In the latter case - doubling 2♥, following a 3♦ response by partner your 3NT rebid could sound more as 16+ with four spades or 18(19)+ without spades. Consequently, pard may be tempted to start a slam try ending in a tough/undoable contract.
Is there a way to mitigiate these risks, and what to choose?