Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • Fellowship in Maternal-Fetal Medicine, Obgyn, Duke University 2003 - 2006
  • Clinical Associate, Ob/Gyn, Tufts University 1999 - 2003
  • Residency in Obstetrics and Gynecology, Ob/Gyn, Baystate Medical Center 1999 - 2003
  • M.D., SUNY Upstate Medical University 1999
• 

  Medical Licensure

  • 200300778. North Carolina. 2003
• 

  Duke Appointment History

  • Assistant Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology 2006 - 2017
  • Clinical Associate in the Department of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine, Obstetrics and Gynecology 2003 - 2006
• 

  Leadership & Clinical Positions at Duke

  • Medical Director, Duke Perinatal, Burlington
    

    Co-Director, Duke Fetal Diagnostic Center, Durham
• Research
• 

  Selected Grants

  • Coherence-Based Fetal Ultrasonic Imaging awarded by National Institutes of Health 2014 - 2022
  • PRO-101-Samples awarded by Progenity, Inc. 2016 - 2019
  • PRO-102-Enigma awarded by Progenity, Inc. 2016 - 2018
  • PRO-111-Healthy awarded by Progenity, Inc. 2016 - 2018
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Helbig, Katherine L., Robert J. Lauerer, Jacqueline C. Bahr, Ivana A. Souza, Candace T. Myers, Betül Uysal, Niklas Schwarz, et al. “De Novo Pathogenic Variants in CACNA1E Cause Developmental and Epileptic Encephalopathy with Contractures, Macrocephaly, and Dyskinesias..” American Journal of Human Genetics 104, no. 3 (March 2019). https://doi.org/10.1016/j.ajhg.2019.02.015.
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    • Khan, Tahir N., Kamal Khan, Azita Sadeghpour, Hannah Reynolds, Yezmin Perilla, Marie T. McDonald, William B. Gallentine, et al. “Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies..” American Journal of Human Genetics 104, no. 1 (January 2019): 94–111. https://doi.org/10.1016/j.ajhg.2018.11.017.
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    • Long, Will, Dongwoon Hyun, Kingshuk Roy Choudhury, David Bradway, Patricia McNally, Brita Boyd, Sarah Ellestad, and Gregg E. Trahey. “Clinical Utility of Fetal Short-Lag Spatial Coherence Imaging..” Ultrasound in Medicine & Biology 44, no. 4 (April 2018): 794–806. https://doi.org/10.1016/j.ultrasmedbio.2017.12.006.
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    • Lee, Paula S., Samantha Kempner, Michael Miller, Jennifer Dominguez, Chad Grotegut, Jessie Ehrisman, Rebecca Previs, et al. “Multidisciplinary approach to manage antenatally suspected placenta percreta: updated algorithm and patient outcomes..” Gynecologic Oncology Research and Practice 4 (January 2017). https://doi.org/10.1186/s40661-017-0049-6.
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    • Kakkad, Vaibhav, Jeremy Dahl, Sarah Ellestad, and Gregg Trahey. “In vivo application of short-lag spatial coherence and harmonic spatial coherence imaging in fetal ultrasound..” Ultrason Imaging 37, no. 2 (April 2015): 101–16. https://doi.org/10.1177/0161734614547281.
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    • Kakkad, V., J. Dahl, S. Ellestad, and G. Trahey. “In vivo application of short-lag spatial coherence and harmonic spatial coherence imaging in fetal ultrasound.” Ultrasonic Imaging 37, no. 2 (January 1, 2015): 101–16. https://doi.org/10.1177/0161734614547281.
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    • Cowchock, F. S., S. E. Ellestad, K. G. Meador, H. G. Koenig, E. G. Hooten, and G. K. Swamy. “Religiosity is an important part of coping with grief in pregnancy after a traumatic second trimester loss..” Journal of Religion and Health 50, no. 4 (December 2011): 901–10. https://doi.org/10.1007/s10943-011-9528-y.
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    • Lee, Paula S., Ryan Bakelaar, C Brennan Fitpatrick, Sarah C. Ellestad, Laura J. Havrilesky, and Angeles Alvarez Secord. “Medical and surgical treatment of placenta percreta to optimize bladder preservation..” Obstetrics and Gynecology 112, no. 2 Pt 2 (August 2008): 421–24. https://doi.org/10.1097/aog.0b013e31817e7966.
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    • Cragun, Janiel M., Sarah C. Ellestad, and Moeen K. Panni. “Amniotic fluid embolism presenting after uterine manipulation under general anesthesia: a case with a positive outcome..” Resuscitation 77, no. 1 (April 2008): 145–46. https://doi.org/10.1016/j.resuscitation.2007.11.011.
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    • Ellestad, Sarah C., Geeta K. Swamy, Tammy Sinclair, Andra H. James, R Phillips Heine, and Amy P. Murtha. “Preterm premature rupture of membrane management--inpatient versus outpatient: a retrospective review..” American Journal of Perinatology 25, no. 1 (January 2008): 69–73. https://doi.org/10.1055/s-2007-1004830.
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    • Ellestad, S. C., S. A. Zimmerman, C. Thornburg, T. E. Mitchell, G. K. Swamy, and A. H. James. “Severe factor V deficiency presenting with intracranial haemorrhage during gestation..” Haemophilia : The Official Journal of the World Federation of Hemophilia 13, no. 4 (July 2007): 432–34. https://doi.org/10.1111/j.1365-2516.2007.01469.x.
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    • Ellestad, Sarah C., Steven R. Wells, and Jeffrey A. Kuller. “First trimester screening..” Gynecologic and Obstetric Investigation 60, no. 1 (January 2005): 58–62. https://doi.org/10.1159/000083485.
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    • Ellestad, Sarah C., Stuart Shelton, and Andra H. James. “Prenatal diagnosis of a trauma-related fetal epidural hematoma..” Obstetrics and Gynecology 104, no. 6 (December 2004): 1298–1300. https://doi.org/10.1097/01.aog.0000141568.66660.0f.
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  • Conference Papers

    • Flint, K., N. Bottenus, W. Long, D. Bradway, P. McNally, S. Ellestad, and G. Trahey. “Implementation and Clinical Evaluation of a Fetal ALARA Ultrasound System.” In Ieee International Ultrasonics Symposium, Ius, Vol. 2018-October, 2018. https://doi.org/10.1109/ULTSYM.2018.8579734.
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    • Long, W., D. Hyun, K. Choudhury, D. Bradway, P. McNally, S. Ellestad, and G. Trahey. “Translation of fetal short-lag spatial coherence (SLSC) imaging into clinical practice: A pilot study.” In Ieee International Ultrasonics Symposium, Ius, 2017. https://doi.org/10.1109/ULTSYM.2017.8091968.
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    • Cragun, J. M., S. C. Ellestad, and M. K. Panni. “Amniotic fluid embolism under general anesthesia: A positive outcome.” In Anesthesiology, 106:B117–B117. LIPPINCOTT WILLIAMS & WILKINS, 2007.
       Link to Item
• Teaching & Mentoring
• 

  Teaching Activities

  • 1. I work with, supervise and mentor medical students, Ob/Gyn residents and MFM fellows in both outpatient and inpatient settings including the prenatal clinic (which includes prenatal visits and consultations), the Fetal Diagnostic Center (performing prenatal diagnosis and procedures), and on Labor and Delivery and the Antepartum service.  
    2. I also participate in a weekly conference which provides CME credit to providers and sonographers on prenatal diagnosis and fetal ultrasound.  
    3. I have been developing an ultrasound/prenatal diagnosis curriculum for the Duke MFM Fellows which includes a monthly lecture series as well as some simulation exercises.  In addition, I have participated in our fellow retreat twice yearly to discuss and help to improve and develop ongoing educational activities for the MFM Fellowship. 
• Scholarly, Clinical, & Service Activities
• 

  Presentations & Appearances

  • Antenatal Testing Using Ultrasound. North Carolina Obstetrical and Gynecological Society. April 2018  2018
  • Basics of Obstetrics Imaging. North Carolina Obstetrical and Gynecological Society. April 2018  2018
  • First Trimester Ultrasound in the Day of Cell Free Fetal DNA. North Carolina Obstetrical and Gynecological Society. April 2018  2018
  • The Clinical Utility of Short-lag Spatial Coherence Imaging in Obstetric Ultrasound. AIUM. March 2018  2018
  • The Who, What, Why, When and Where of Prenatal Diagnosis. Percy Wadman Lecture. Baystate Medical Center. May 2017  2017
  • Adnexal Masses in Pregnancy: Who can we follow and who needs surgery now?. Southern Ob/Gyn Society Annual Meeting. July 2016  2016
  • Use of Ultrasound in the Diagnosis of Maternal and Fetal Anatomic Abnormalities Associated with First Trimester (and beyond) Loss. Southern Ob/Gyn Society Annual Meeting. July 2016  2016
  • Stuck in a Bad Situation: Evaluation and Management of Abnormal Placentation Disorders. Coastal Women's Healthcare Summit. SEAHEC. 2014  2014
  • Sonographic Surveillance for Cervical Length. 50th Anniversay Baystate Medical Center Ob/Gyn Residency Program. October 2011  2011
• 

  Academic & Administrative Activities

  • 1. I have been developing an ultrasound/prenatal diagnosis curriculum for the Duke MFM Fellows which includes a monthly lecture series as well as some simulation exercises.  In addition, I have participated in our fellow retreat twice yearly to discuss and help to improve and develop ongoing educational activities for the MFM Fellowship.
    2. As Medical Director of Duke Perinatal Burlington, I have helped to coordinate training of the sonographers in perinatal imaging, helped them to get certified in Nuchal Translucency imaging/certification and have reviewed with them the AIUM imaging protocols for Obstetric imaging.  I also help to co-manage patients with community providers in the Burlington area who serve as a referral source to Duke.  In this role, I am also helping to transition the clinic to EPIC as well as a new ultrasound reporting package that will provide improved communication between the clinic and referring providers.
    3. I also serve as Co-Director of the Duke Fetal Diagnostic Center.  Both Duke Perinatal Burlington and the FDC serve patients from community physicians and accept state-wide referrals which have helped to provide these practices with a regional reputation for the specialized care we provide for pregnant women who may have complex medical or social issues or fetuses that may have a genetic condition or anomaly requiring neonatal intervention.
    4. I participate in weekly CME sponsored ultrasound conferences/lectures which is predominantly attended by sonographers, Ob and MFM providers, residents and medical students
    5. I serve as a reviewer for the Journal of Clinical Ultrasound.
• 

  Clinical Activities

  • I am predominantly involved in prenatal diagnosis which includes ultrasound evaluation of fetal abnormalities, diagnosis of aneuploidy or other genetic abnormalities, and consultation regarding ultrasound findings, coordination of care and discussion of management options for the pregnancy.  I also participate in in the outpatient care of prenatal patients enrolled in the high risk obstetrics clinic and at Duke Perinatal.  I participate in inpatient care for antepartum and intrapartum patients and take call at night and on weekends.  In addition, I staff some of our other offices and am Medical Director at Duke Perinatal Burlington.  In this role, I help to coordinate care of patients in community practices, provide recommendations, and when necessary, facilitate transfer to Duke Hospital or Duke Perinatal Durham for ongoing care and consultations with pediatric subspecialists when indicated.  

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