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Maria Jacqueline Small

Associate Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Maternal Fetal Medicine
4010 Duke South, Purple Zone, Box 3967, Durham, NC 27710

Overview


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 Duke Appointments & Affiliations


Associate Professor of Obstetrics and Gynecology · 2019 - Present Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology
Affiliate, Duke Global Health Institute · 2023 - Present Duke Global Health Institute, University Institutes and Centers

Recent News Items


Published December 14, 2022
2022 in Review: Duke Faculty Offer Expertise in Media Briefings

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Recent Scholarly Works


The Effects of Climate Change on Obstetric and Gynecologic Health.

Journal article Obstet Gynecol · July 1, 2026 In the United States and globally, the negative effects of climate change, such as extremes of heat, wildfire smoke, and air pollution, are associated with early pregnancy loss, preterm birth, preeclampsia, hypertensive disorders of pregnancy, and stillbir ... Full text Link to item Cite

Substance Use Disorder as a Contributing Factor to Pregnancy-Associated Deaths

Journal article O&G Open · April 2025 Substance use disorder (SUD) is increasingly linked with risk of accidental overdose and suicide among pregnant and postpartum people. However, less is understood about SUD as a contributing factor to natural manner of death among peripartum people ... Full text Cite

Racial, Ethnic, and Color-Based Discrimination and Pre-Pregnancy Risk Factors for Preeclampsia Among Nulliparous Patients.

Journal article Health Equity · 2025 INTRODUCTION: Obesity and chronic hypertension are well-known risk factors for maternal morbidity and mortality. Evidence suggests racism contributes to the development of these chronic conditions. METHODS: We conducted a secondary analysis of the Nullipar ... Full text Link to item Cite
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Recent Grants


Thriving Hearts: Healing-Centered, Integrated, Community Maternity Care

ResearchCo Investigator · Awarded by University of North Carolina - Chapel Hill · 2024 - 2030

Decision analytic model to investigate primary and secondary prevention strategies to reduce racial/ethnic disparities in hypertensive disorders of pregnancy in the US

ResearchCo Investigator · Awarded by National Institute on Minority Health and Health Disparities · 2024 - 2027

Mixed method study of novel usage of machine learning and traditional methods to improve obstetric ultrasound capacity in low resource settings

ResearchPrincipal Investigator · Awarded by University of North Carolina - Chapel Hill · 2026 - 2026

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Education


East Carolina University · 1994 M.D.

External Links


Duke Health Profile