Scholars@Duke

• 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
• 

  Duke Appointment History

  • 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
• Expertise
• 

  Global Scholarship

  • Expertise

    • Rwanda (Country) 

  • Teaching

    • Rwanda (Country) 
• Research
• 

  Selected Grants

  • Human Resource for Health Program awarded by Yale University 2015 - 2018
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • 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, June 16, 2021. 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 (January 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 (January 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 (May 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. “Zika Virus screening and testing: preferences for prenatal diagnosis and tolerance of uncertainty.” In American Journal of Obstetrics and Gynecology, 216:S224–S224. MOSBY-ELSEVIER, 2017.
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    • Villers, Margaret S., James M. Edwards, R Phillips Heine, and Maria J. Small. “Knowledge of Zika virus and patient prenatal screening and testing preferences.” In American Journal of Obstetrics and Gynecology, 216:S206–S206. MOSBY-ELSEVIER, 2017.
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• Scholarly, Clinical, & Service Activities
• 

  Presentations & Appearances

  • Accuracy of International Ovarian Tumor Analysis (IOTA) group simple ultrasound rules to identify benign versus malignant ovarian tumors in a OBGYN training program in Rwanda. Poster Presentation (co-author). ISUOG International Symposium. April 2018  2018
  • Prenatal diagnosis of suspected abdominal pregnancy later noted to be an advanced gestation in a bicornuate uterus. Poster Presentation (co-author). ISUOG International Symposium. April 2018  2018
  • Preventability of Maternal Near Miss and Mortality in Rwanda: A Case Series from the University Teaching Hospital of Kigali (CHUK). Poster Presentation (co-author). Society for Maternal-Fetal Medicine. January 2018  2018
  • Patient Knowledge of Zika Virus and Prenatal Screening/Testing Preferences. Poster Presentation (co-author). Society for Maternal-Fetal Medicine. January 2017  2017
  • Point of care ultrasound for emergency OB/GYN conditions in a tertiary care hospital in Rwanda. Poster Presentation (co-author). International Society of Ultrasound in OB/GYN. 2017  2017
  • The use of ultrasound for the diagnosis of OB/GYN Emergencies in Rwanda. Poster Presentation (co-author). International Society of Ultrasound in OB/GYN. 2017  2017
  • Zika Virus Testing Preferences and Patient Tolerance of Uncertainty. Poster Presentation (co-author). Society for Maternal-Fetal Medicine. January 2017  2017
  • Post-Cesarean Section Peritonitis at a Referral Hospital in Rwanda. Poster Presentation (co-author). Society for Maternal-Fetal Medicine. February 2016  2016
  • Point of care ultrasound for emergency OB/GYN conditions in a tertiary care hospital in Rwanda. Oral Presentation (co-author). International Society of Ultrasound in OB/GYN. 2016  2016
  • Use of ultrasound in diagnosis and management of post-caesarean section peritonitis. Poster Presentation (co-author). ISUOG. 2016  2016
  • Global Opportunities for MFM Specialists in the Human Resources for Health Program in Rwanda. Poster Presentation (co-author). Society for Maternal-Fetal Medicine. 2015  2015
  • Human Resources for Health (HRH) Program in Rwanda: Building Capacity for Gynecology Oncology Training in Obstetrics and Gynecology Residency. Oral Presentation (co-author). International Federation of Gynecology and Obstetrics. 2015  2015
  • Near Miss and Maternal Mortality in the largest tertiary referral center in Rwanda. Oral Presentation (co-author). International Federation of Gynecology and Obstetrics. 2015  2015
  • Point of Care Ultrasound use for the Evaluation of bleeding in pregnancy in a Tertiary care Hospital in Rwanda. Oral Presentation (co-author). International Federation of Gynecology and Obstetrics. 2015  2015
  • Point of Care Ultrasound use for the management of postpartum infections in a Tertiary Care Obstetrics and Gynecology Department in Rwanda. Poster Presentation (co-author). International Federation of Gynecology and Obstetrics (FIGO). 2015  2015
  • Severe maternal morbidity and mortality due to postpartum infection: a cross-sectional analysis from Rwanda. Poster Presentation (co-author). International Federation of Gynecology and Obstetrics (FIGO). 2015  2015
  • Ultrasound Usage in Obstetrics and Gynecology in tertiary Care Hospital in Rwanda. Poster Presentation (co-author). International Federation of Gynecology and Obstetrics (FIGO). 2015  2015
  • Assessment of Maternal Cardiac Dysfunction following Doxorubicin Exposure: Is Any Level of Exposure During Pregnancy Cardiotoxic?. Oral Presentation (co-author). Journal of Ultrasound in Ob. 2012  2012
  • Global Use of Ultrasound for Maternal Mortality reduction in countries with high maternal mortality ratios”. Oral Presentation, 18th World Congress ISHHP. Oral Presentation. 18th World Congress ISHHP. 2012  2012
  • Hypertensive Disease in Pregnancy: An Examination of Ethnic Differences and the Hispanic Paradox”. Oral Presentation, 18th World Congress ISHHP. Oral Presentation. An International Journal of Women’s Cardiovascular Health. 2012  2012
  • Pilot Study of Feasibility and Safety of Autologous Cord Blood for Hypoxic-Ischemic Encephalopathy in Term Neonates. Oral Presentation (co-author). Hershey Conference. January 15, 2010  2010
  • Cervicovaginal Fistula Presenting during Spontaneous Abortion. Poster Presentation (co-author). 18th World Congress on Ultrasound in Obstetrics and Gynecology. 2008  2008
  • Prenatal diagnosis of an Obstructing Enterogenous Cyst. Poster Presentation (co-author). 18th World Congress on Ultrasound in Obstetrics and Gynecology. 2008  2008
  • First Trimester Trophoblasts Exposed to Sera of Women with Preeclampsia/eclampsia have increased Tissue Factor. Poster Presentation (co-author). 2006  2006
  • Obstetric Outcomes During Time of Conflict. Poster Presentation. 2005  2005
  • Placenta Previa-related Obstetric Morbidity: Consequences of the Increased Cesarean Delivery Rate. Poster Presentation (co-author). 2005  2005
  • A Comparison of Doppler Waveform Parameters vs. Flow-medicated and vascular dilation of the Brachial Artery in Preeclamptic and Normotensive women. Poster Presentation (co-author). 2004  2004
  • Circulating levels of Soluble CD 163 Correlate with the Degree of Hemolysis in Patients with Preeclampsia/eclampsia. Poster Presentation (co-author). 2004  2004
  • Vascular Dysfunction in Preeclampsia Assessed by Brachial Artery Ultrasound. Poster Presentation (co-author). 2004  2004
  • Acute Renal Failure Secondary to Preeclampsia or Eclampsia in Rural Haiti. Poster Presentation. 2003  2003
  • An independent Predictor of Congenital Heart Disease. Poster Presentation (co-author). 2002  2002
  • Pregnancy-related Mortality in Rural Haiti. Poster Presentation (co-author). 2002  2002
  • The Utility of Common Admission Clinical and Laboratory Parameters to Distinguish Eclamptic from Preeclamptic Patients in a Developing Country. Poster Presentation. 2002  2002

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