Assistant Professor
Assistant Professor
Department of Obstetrics and Gynecology
Department of Health Research Methods, Evidence and Impact
McMaster University
1280 Main St. West,
HSC3V - 43B
Hamilton, Ontario L8S 4K1
Canada
About
Dr. Muraca received her Ph.D. in epidemiology from the University of British Columbia where her doctoral research characterized maternal and perinatal morbidity and mortality in deliveries requiring forceps, vacuum, and cesarean delivery. She completed a Postdoctoral Fellowship in the Clinical Epidemiology Unit at the Karolinska Institute in Stockholm, Sweden, where she developed epidemiologic approaches to identify optimal intrapartum intervention rates – such as the cesarean delivery rate or the rate of induction – that minimize the frequency of adverse maternal and neonatal outcomes including postpartum hemorrhage, obstetric anal sphincter injury, maternal sepsis, neonatal sepsis, and birth injury.
Muraca Perinatal Epidemiology Research Lab (PERL)
The PERL specializes in linking and analyzing large datasets to improve safety and well-being for mothers and babies from the preconception period, during pregnancy, childbirth and the postpartum period, and beyond throughout the mother and child's life course.
Recent publications
Giulia M Muraca, Anvi Desai, Vanessa Hébert, G. Mann, Meejin Park, S. Lisonkova, K. S. Joseph
Journal of Obstetrics and Gynaecology Canada, 2024
741 The association between hysterotomy extension and subsequent preterm birth
Giulia M. Muraca, Tzuria Peled, Abi Kirubarajan, A. Weiss, H. Sela, S. Grisaru-Granovsky, Misgav Rottenstreich
American Journal of Obstetrics and Gynecology, 2024
Giulia M. Muraca, Tzuria Peled, Abi Kirubarajan, A. Weiss, H. Sela, S. Grisaru-Granovsky, Misgav Rottenstreich
American Journal of Obstetrics & Gynecology MFM, 2024
1042 Racial disparities in maternal transfusion in the United States by mode of delivery
Parnian Hossein Pour, Maya Rajasingham, Giulia M. Muraca
American Journal of Obstetrics and Gynecology, 2024
COVID-19 Pandemic–Related Changes in Rates of Neonatal Abstinence Syndrome
S. Lisonkova, Jeffrey N Bone, Q. Wen, G. Muraca, Joseph Y Ting, N. Razaz, K. Joseph
JAMA Network Open, 2024
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Selected Projects
Asian-White disparities in obstetric anal sphincter injury
Studies from high-income countries have identified an increased risk of OASI in individuals who identify as Asian race vs those who identify as White; we are conducting a systematic review and meta-analysis to evaluate this relationship.
Previous studies suggest that racialized groups experience higher rates of severe maternal and perinatal outcomes; however, underlying causes of disparities in these outcomes among racial/ethnic groups remain unclear.
The Robson classification is a global standard for comparing cesarean delivery (CD) rates across populations; however, this classification does not account for differences in maternal, fetal, and obstetric practice factors known to impact CD rates.
Characterizing maternal and neonatal trauma associated with forceps and vacuum delivery
In Canada, rates of trauma following OVD are higher than previously reported, irrespective of region, level of obstetric care and volume of OVD among hospitals. These results support a reassessment of OVD safety in Canada.
Trends in second-stage cesarean delivery in Canada and associated maternal and perinatal morbidity
Trends in second stage cesarean delivery, forceps, vacuum have yet to be characterized and the impact of potential shifts in operative delivery use on maternal and perinatal morbidity rates has not been studied.
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