Maria Jacqueline Small | Scholars@Duke

Maria Jacqueline Small
Associate Professor of Obstetrics and Gynecology

Reducing severe maternal morbidity and mortality remain an important focus of my work both clinically, scholarly and in my community engagement. Maternal hypertensive disease and cardiac disease are areas of particular interest. Prenatal diagnosis, including the diagnosis and management of conditions such as fetal growth restriction and fetal anomalies are also a key part of my clinical, teaching and scholarly work. My teaching and scholarly interest in global health focuses on these areas.

Current Research Interests

Severe maternal morbidity and mortality (SMM/MM)
--Racial and ethnic disparities/inequities in SMM/MM
--PTSD and SMM
--Hypertensive disorders in pregnancy

Current Appointments & Affiliations

Associate Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology 2019

Contact Information

4010 Duke South, Purple Zone, Box 3967, Durham, NC 27710
maria.small@duke.edu (919) 681-5220
Duke Health Profile

Background
Education, Training, & Certifications
- Fellowship - Maternal Fetal Medicine, Obstetrics & Gynecology, Yale University 2000 - 2003
- Residency, Obstetrics & Gynecology, Temple University 1995 - 1999
- Internship, Primary Care Medicine, Yale University 1994 - 1995
- M.D., East Carolina University 1994
Medical Licensure
- 2007-00392. North Carolina. 2007
Previous Appointments & Affiliations
- Associate Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology 2016 - 2019
- Assistant Professor of Maternal and Fetal in the Department of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology 2007 - 2016
- Instructor, Temporary in the Department of Obstetrics and Gynecology, Obstetrics and Gynecology, Clinical Science Departments 2007
Recognition
In the News
- DEC 14, 2022 Duke Today
  
  2022 in Review: Duke Faculty Offer Expertise in Media Briefings
Awards & Honors
- Leonard Tow Humanism in Medicine Award. Duke University School of Medicine. 2021
- Presidential Award. Duke University School of Medicine. 2020
Expertise
Global Scholarship
- Expertise
  - Rwanda (Country)
- Teaching
  - Rwanda (Country)
Research
Selected Grants
- Machine-learning & Analytics for Maternal-health Interventions (MAMI): A Cross-CTSA Collaboration awarded by University of North Carolina - Chapel Hill 2022 - 2026
- Trajectories of Maternal Needs and their Impact on Mother Infant Interactions in the First Six Weeks Postpartum awarded by National Institutes of Health 2022 - 2024
- Large-scale Implementation of Community Co-led Maternal Sepsis Care Practices to Reduce Morbidity and Mortality from Maternal Infection awarded by National Institutes of Health 2021 - 2023
- Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees: NC MMR awarded by NC DHHS 2020 - 2022
- Human Resource for Health Program awarded by Yale University 2015 - 2018
External Relationships
- ACOG
- Frontier Nursing University
- UpToDate, Inc
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Putman, Rachael, Sarah A. Goldstein, Brita Boyd, Sarah Dotters-Katz, Maria Small, and Kateena L. Addae-Konadu. “Sonographic Evaluation of the Placenta in Fontan Patients: A Case Series.” Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine 42, no. 6 (June 2023): 1361–65. https://doi.org/10.1002/jum.16135.
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  - Yurashevich, Mary, Morgan Rosser, Maria Small, Chad Grotegut, Nancy Kota, John Toffaletti, and Terrence Allen. “Evaluating the Association Between Fibrinogen and Rotational Thromboelastometry and the Progression to Severe Obstetric Hemorrhage.” Clin Appl Thromb Hemost 29 (2023): 10760296231175088. https://doi.org/10.1177/10760296231175089.
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  - Whitney Gondwe, Kaboni, Debra Brandon, Maria J. Small, William F. Malcolm, Eveles Chimala, Joyce Beyamu, Ellen Chirwa, Martha Kamanga, and Diane Holditch-Davis. “The Role of Family Members in Providing Support For Malawian Women With Preterm Infants During Infant Hospitalization.” Neonatal Netw 41, no. 6 (November 11, 2022): 348–55. https://doi.org/10.1891/NN-2022-0008.
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  - Gondwe, Kaboni Whitney, Debra Brandon, Maria J. Small, William F. Malcolm, Eveles Chimala, Joyce Beyamu, Ellen Chirwa, Martha Kamanga, and Diane Holditch-Davis. “Experiences of Malawian Mothers During Their Infants' Hospitalization.” Adv Neonatal Care 22, no. 2 (April 1, 2022): E48–57. https://doi.org/10.1097/ANC.0000000000000915.
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  - Brown, Haywood L., Maria J. Small, Camille A. Clare, and Washington C. Hill. “Black women health inequity: The origin of perinatal health disparity.” J Natl Med Assoc 113, no. 1 (February 2021): 105–13. https://doi.org/10.1016/j.jnma.2020.11.008.
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  - Kwizera, Alfred, Diomede Ntasumumuyange, Maria Small, Stephen Rulisa, Alexandra N. Moscovitz, and Urania Magriples. “Assessment of perinatal outcomes of pregnant women with severe versus simple malaria.” Plos One 16, no. 2 (2021): e0247053. https://doi.org/10.1371/journal.pone.0247053.
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  - Small, Maria J., Kaboni W. Gondwe, and Haywood L. Brown. “Post-Traumatic Stress Disorder and Severe Maternal Morbidity.” Obstet Gynecol Clin North Am 47, no. 3 (September 2020): 453–61. https://doi.org/10.1016/j.ogc.2020.04.004.
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  - Sebajuri, Jean Marie Vianney, Urania Magriples, Maria Small, Diomede Ntasumbumuyange, Stephen Rulisa, and Lisa Bazzett-Matabele. “Obstetrics and Gynecology Residents Can Accurately Classify Benign Ovarian Tumors Using the International Ovarian Tumor Analysis Rules.” J Ultrasound Med 39, no. 7 (July 2020): 1389–93. https://doi.org/10.1002/jum.15234.
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  - Mutabazi, L., L. Bazzett-Matabele, M. Small, D. Ntasumbumuyange, S. Rulisa, and U. Magriples. “Seasonal variation in preeclampsia and eclampsia in Kigali.” Rwanda Medical Journal 77, no. 1 (March 1, 2020): 1–5.
  - Gondwe, Kaboni Whitney, Debra Brandon, Qing Yang, William F. Malcolm, Maria J. Small, and Diane Holditch-Davis. “An Observational Study on Early Dyadic Interactive Behaviors of Mothers With Early-Preterm, Late-Preterm, and Full-Term Infants in Malawi.” Adv Neonatal Care 20, no. 1 (February 2020): 90–99. https://doi.org/10.1097/ANC.0000000000000673.
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  - Gondwe, Kaboni Whitney, Debra Brandon, Qing Yang, William F. Malcom, Maria J. Small, and Diane Holditch-Davis. “Emotional distress in mothers of early-preterm infants, late-preterm infants, and full-term infants in Malawi.” Nurs Outlook 68, no. 1 (2020): 94–103. https://doi.org/10.1016/j.outlook.2019.05.013.
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  - Small, Maria J., Belinda Pettiford, Tara Owens Shuler, and Kathleen Jones-Vessey. “Addressing Maternal Deaths in North Carolina: Striving to Reach Zero.” N C Med J 81, no. 1 (2020): 55–62. https://doi.org/10.18043/ncm.81.1.55.
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  - Khorrami, Najma, Juliana Stone, Maria J. Small, Elizabeth M. Stringer, and Homa K. Ahmadzia. “An overview of advances in global maternal health: From broad to specific improvements.” Int J Gynaecol Obstet 146, no. 1 (July 2019): 126–31. https://doi.org/10.1002/ijgo.12841.
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  - Small, Maria, Urania Magriples, Rahel Ghebre, Lisa Bazzett-Matabele, David Ntirushwa, Doee Kitessa, Diomede Ntasumbumuyange, et al. “Increased Rwandan Access to Obstetrician-Gynecologists Through a U.S.-Rwanda Academic Training Partnership.” Obstet Gynecol 134, no. 1 (July 2019): 149–56. https://doi.org/10.1097/AOG.0000000000003317.
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  - Goodman, David M., Pendo Mlay, Nathan Thielman, Maria J. Small, and John W. Schmitt. “Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania.” Bmc Pregnancy Childbirth 19, no. 1 (February 13, 2019): 71. https://doi.org/10.1186/s12884-019-2212-z.
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  - Dusingizimana, V., M. Small, R. Teteli, S. Rulisa, and U. Magriples. “Maternal and neonatal morbidity and mortality associated with preterm premature rupture of membranes prior to 34 week gestation at kigali university teaching hospital: A retrospective and prospective study.” Rwanda Medical Journal 76, no. 4 (January 1, 2019): 1–5.
  - Sebajuri, J. M. V., D. Ntasumbumuyange, S. Rulisa, M. Small, and L. Bazzett-Matabele. “OC03: Use of IOTA guidelines in Rwanda to determine the presence of ovarian cancer in patients with adnexal masses.” Ultrasound Obstet Gynecol 52, no. 4 (October 2018): 555–56. https://doi.org/10.1002/uog.19203.
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  - Benimana, Christophe, Maria Small, and Stephen Rulisa. “Preventability of maternal near miss and mortality in Rwanda: A case series from the University Teaching Hospital of Kigali (CHUK).” Plos One 13, no. 6 (2018): e0195711. https://doi.org/10.1371/journal.pone.0195711.
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  - Small, Maria J., Terrence K. Allen, and Haywood L. Brown. “Global disparities in maternal morbidity and mortality.” Semin Perinatol 41, no. 5 (August 2017): 318–22. https://doi.org/10.1053/j.semperi.2017.04.009.
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  - Rwabizi, Denis, Stephen Rulisa, Aidan Findlater, and Maria Small. “Erratum to: Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda.” Bmc Pregnancy Childbirth 17, no. 1 (June 6, 2017): 173. https://doi.org/10.1186/s12884-017-1368-7.
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  - Ntirushwa, D., S. Rulisa, F. Muhorakeye, L. Bazzett-Matabele, T. Rurangwa, and M. Small. “Gastric Rupture in Pregnancy: Case Series from a Tertiary Institution in Rwanda and Review of the Literature.” Ajp Reports 6, no. 4 (October 1, 2016): e436–41. https://doi.org/10.1055/s-0036-1597619.
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  - Hill, C. C., E. L. Lockhart, E. Thames, M. J. Paglia, M. J. Small, A. H. James, and C. A. Grotegut. “Comparison of the trends in risk factors and management of severe postpartum hemorrhage: Years 2000–2004 versus 2005–2008.” Journal of Reproductive Medicine 61, no. 4 (August 1, 2016): 320–26.
  - Hill, Cherie C., Evelyn L. Lockhart, Elizabeth Thames, Michael J. Paglia, Maria J. Small, Andra H. James, and Chad A. Grotegut. “Comparison of the Trends in Risk Factors and Management of Severe Postpartum Hemorrhage Years 2000-2004 Versus 2005-2008.” J Reprod Med 61, no. 7–8 (August 2016): 320–26.
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  - Rwabizi, Denis, Stephen Rulisa, Aidan Findlater, and Maria Small. “Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda.” Bmc Pregnancy Childbirth 16, no. 1 (July 20, 2016): 177. https://doi.org/10.1186/s12884-016-0951-7.
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  - Lambert, Tashima E., Jeffrey Kuller, Maria Small, Eleanor Rhee, and Piers Barker. “Abnormalities of Fetal Situs: An Overview and Literature Review.” Obstet Gynecol Surv 71, no. 1 (January 2016): 33–38. https://doi.org/10.1097/OGX.0000000000000262.
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  - Williams, Keith P., France Galerneau, and Maria Small. “Transfer function analysis of dynamic cerebral autoregulation in preeclampsia.” Pregnancy Hypertens 5, no. 4 (October 2015): 322–24. https://doi.org/10.1016/j.preghy.2015.09.001.
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  - Rulisa, Stephen, Immaculee Umuziranenge, Maria Small, and Jos van Roosmalen. “Maternal near miss and mortality in a tertiary care hospital in Rwanda.” Bmc Pregnancy Childbirth 15 (September 3, 2015): 203. https://doi.org/10.1186/s12884-015-0619-8.
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  - Malino, Cris, Trace Kershaw, Meaghan Angley, Rikerdy Frederic, and Maria Small. “Social capital and hypertension in rural Haitian women.” Matern Child Health J 18, no. 10 (December 2014): 2253–60. https://doi.org/10.1007/s10995-013-1351-5.
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  - Omonuwa, T., M. Small, and S. Ghate. “Prenatal maternal-fetal imaging for global health radiology” 9781461406044 (October 1, 2014): 219–32. https://doi.org/10.1007/978-1-4614-0604-4_20.
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  - Landres, I. V., M. Small, A. Sirjusingh, S. Ramsewak, and K. P. Williams. “A comparison of Doppler waveform parameters versus flow-mediated vascular dilation of the brachial artery in pregnant women.” Pregnancy Hypertension 4, no. 3 (January 1, 2014): 220–23. https://doi.org/10.1016/j.preghy.2014.04.005.
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  - Gunatilake, Ravindu P., Michael P. Smrtka, Benjamin Harris, Daniel M. Kraus, Maria J. Small, Chad A. Grotegut, and Haywood L. Brown. “Predictors of failed trial of labor among women with an extremely obese body mass index.” Am J Obstet Gynecol 209, no. 6 (December 2013): 562.e1-562.e5. https://doi.org/10.1016/j.ajog.2013.07.023.
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  - Carr, A., T. Kershaw, H. Brown, T. Allen, and M. Small. “Hypertensive disease in pregnancy: an examination of ethnic differences and the Hispanic paradox.” J Neonatal Perinatal Med 6, no. 1 (2013): 11–15. https://doi.org/10.3233/NPM-1356111.
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  - Peragallo Urrutia, Rachel, Delson Merisier, Maria Small, Eugene Urrutia, Nicole Tinfo, and David K. Walmer. “Unmet health needs identified by Haitian women as priorities for attention: a qualitative study.” Reprod Health Matters 20, no. 39 (June 2012): 93–103. https://doi.org/10.1016/S0968-8080(12)39602-X.
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  - Brown, Haywood, and Maria Small. “The role of the maternal-fetal medicine subspecialist in review and prevention of maternal deaths.” Semin Perinatol 36, no. 1 (February 2012): 27–30. https://doi.org/10.1053/j.semperi.2011.09.006.
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  - Small, Maria J., Andra H. James, Trace Kershaw, Betty Thames, Ravi Gunatilake, and Haywood Brown. “Near-miss maternal mortality: cardiac dysfunction as the principal cause of obstetric intensive care unit admissions.” Obstet Gynecol 119, no. 2 Pt 1 (February 2012): 250–55. https://doi.org/10.1097/AOG.0b013e31824265c7.
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  - Ituk, U., O. C. Constantinescu, T. K. Allen, M. J. Small, and A. S. Habib. “Peripartum management of two parturients with ornithine transcarbamylase deficiency.” Int J Obstet Anesth 21, no. 1 (January 2012): 90–93. https://doi.org/10.1016/j.ijoa.2011.09.007.
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  - Brown, Haywood L., Maria Small, Yhenneko J. Taylor, Monique Chireau, and Daniel L. Howard. “Near miss maternal mortality in a multiethnic population.” Ann Epidemiol 21, no. 2 (February 2011): 73–77. https://doi.org/10.1016/j.annepidem.2010.10.009.
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  - Gupta, J., M. J. Small, and T. Kershaw. “Gender and HIV/AIDS in Haiti: Women's lack of power as an overarching vulnerability,” December 1, 2009, 85–99.
  - Small, Maria J., Jhumka Gupta, Rikerdy Frederic, Gabriel Joseph, Melanie Theodore, and Trace Kershaw. “Intimate partner and nonpartner violence against pregnant women in rural Haiti.” Int J Gynaecol Obstet 102, no. 3 (September 2008): 226–31. https://doi.org/10.1016/j.ijgo.2008.05.008.
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  - Small, M., E. Magee, I. C. Colimon, R. Frederic, K. P. Williams, and T. Kershaw. “Does armed conflict impact maternal heath? A report from rural Haiti.” Journal of Neonatal Perinatal Medicine 1, no. 2 (January 1, 2008): 105–9.
  - White, Kari, Maria Small, Rikerdy Frederic, Gabriel Joseph, Reginald Bateau, and Trace Kershaw. “Health seeking behavior among pregnant women in rural Haiti.” Health Care Women Int 27, no. 9 (October 2006): 822–38. https://doi.org/10.1080/07399330600880384.
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  - Bianco, Katherine, Maria Small, Svena Julien, Trace Kershaw, Maaike Michon, and Joshua Copel. “Second-trimester ductus venosus measurement and adverse perinatal outcome in fetuses with congenital heart disease.” J Ultrasound Med 25, no. 8 (August 2006): 979–82. https://doi.org/10.7863/jum.2006.25.8.979.
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  - Magee, Edward M., Maria Small, Rikerdy Frederic, Gabriel Joseph, and Trace Kershaw. “Determinants of HIV/AIDS risk behaviors in expectant fathers in Haiti.” J Urban Health 83, no. 4 (July 2006): 625–36. https://doi.org/10.1007/s11524-006-9063-4.
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  - Kershaw, Trace S., Maria Small, Gabriel Joseph, Melanie Theodore, Reginald Bateau, and Rikerdy Frederic. “The influence of power on HIV risk among pregnant women in rural Haiti.” Aids Behav 10, no. 3 (May 2006): 309–18. https://doi.org/10.1007/s10461-006-9072-z.
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  - Small, Maria J., Trace Kershaw, Rikerdy Frederic, Christian Blanc, Donna Neale, Joshua Copel, and Keith P. Williams. “Characteristics of preeclampsia- and eclampsia-related maternal death in rural Haiti.” J Matern Fetal Neonatal Med 18, no. 5 (November 2005): 343–48. https://doi.org/10.1080/14767050500312433.
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  - Small, M. J., and J. A. Copel. “Practical guidelines for diagnosing and treating fetal hydronephrosis.” Contemporary Ob/Gyn 49, no. 2 (December 1, 2004): 59–77.
  - Small, M., and J. A. Copel. “Indications for fetal echocardiography.” Pediatr Cardiol 25, no. 3 (2004): 210–22. https://doi.org/10.1007/s00246-003-0587-z.
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  - Bahado-Singh, Ray, Chih-Chien Cheng, Paul Matta, Maria Small, and Maurice J. Mahoney. “Combined serum and ultrasound screening for detection of fetal aneuploidy.” Semin Perinatol 27, no. 2 (April 2003): 145–51. https://doi.org/10.1053/sper.2003.50013.
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  - Nyirjesy, P., J. D. Sobel, M. V. Weitz, D. J. Leaman, M. J. Small, and S. P. Gelone. “Cromolyn cream for recalcitrant idiopathic vulvar vestibulitis: results of a placebo controlled study.” Sex Transm Infect 77, no. 1 (February 2001): 53–57. https://doi.org/10.1136/sti.77.1.53.
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- Book Sections
  - Brown, H. L., J. Edwards, and M. Small. “Postpartum hemorrhage.” In Operative Obstetrics, Fouth Edition, 277–98, 2017. https://doi.org/10.1201/9781315382739.
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- Conference Papers
  - Small, Maria J., Urania Magriples, Rahel Ghebre, Lisa Bazzett-Matabele, David Ntirushwa, Doee Kitessa, Diomede Ntasumbumuyange, et al. “58: Human resources for maternal health: expanding geographic access to obstetrician/gynecologists in rwanda.” In American Journal of Obstetrics and Gynecology, 220:S46–S46. Elsevier BV, 2019. https://doi.org/10.1016/j.ajog.2018.11.064.
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  - Edwards, James, Margaret S. Villers, R Phillips Heine, and Maria J. Small. “370: Zika Virus screening and testing: preferences for prenatal diagnosis and tolerance of uncertainty.” In American Journal of Obstetrics and Gynecology, 216:S224–S224. Elsevier BV, 2017. https://doi.org/10.1016/j.ajog.2016.11.628.
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  - Villers, Margaret S., James M. Edwards, R Phillips Heine, and Maria J. Small. “340: Knowledge of Zika virus and patient prenatal screening and testing preferences.” In American Journal of Obstetrics and Gynecology, 216:S206–S206. Elsevier BV, 2017. https://doi.org/10.1016/j.ajog.2016.11.598.
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  - Moyett, Julia, Linda Zambrano Guevara, Divya Mallampati, M Kathryn Menard, Brenna Hughes, Maria Small, Elizabeth Livingston, Johanna Quist-Nelson, Marie Meng, and Jerome Federspiel. “Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action,” n.d.
  - Moyett, Julia, Linda Zambrano Guevara, Jerome Federspiel, Maria Small, and Elizabeth Livingston. “North Carolina Delivery Hospitalizations Among Patients with Complex Heart Disease,” n.d.
Scholarly, Clinical, & Service Activities
Presentations & Appearances
Service to Duke
- Faculty Anti-Racism Committee. 2020 - 2021 2020 - 2021
- Institutional Review Board. 2007 2007

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Education, Training, & Certifications

Medical Licensure

Previous Appointments & Affiliations

In the News

Awards & Honors

Global Scholarship

Expertise

Teaching

Selected Grants

External Relationships

Selected Publications

Academic Articles

Book Sections

Conference Papers

Presentations & Appearances

Service to Duke