Associate Professor


Curriculum vitae



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



Characterizing maternal and neonatal trauma associated with forceps and vacuum delivery


Operative vaginal delivery (OVD) is considered safe if carried out by trained personnel. However, opportunities for training in OVD have declined and, given these shifts in practice, the safety of OVD is unknown.

This project aims to describe the incidence of maternal and neonatal trauma following OVD in Canada and to quantify the variability in trauma rates by instrument, region, level of obstetric care and institutional OVD volume.

Publications


Defining mode of delivery as 'instrumental vaginal delivery': are results generalizable to both forceps and vacuum?


Giulia M Muraca

American Journal of Obstetrics and Gynecology, vol. 232(2), 2025, pp. e53


Severe neonatal morbidity in forceps versus vacuum birth among individuals with previous cesarean birth: A population-based retrospective cohort study


Irina I. Oltean, Abi Kirubarajan, Vanessa Hébert, Elizabeth K. Darling, Rohan D'Souza, Giulia M Muraca

American Journal of Perinatology, 2025


Racial and ethnic disparities in obstetric anal sphincter injury: cross-sectional study in the USA


Maya Rajasingham, Parnian Hossein-Pour, Rohan D'Souza, Roxana Geoffrion, Cande V. Ananth, Giulia M Muraca

Ultrasound in Obstetrics and Gynecology, 2025


Variation in episiotomy use among nulliparous individuals by maternity care provider and associated rates of obstetric anal sphincter injury


Giulia M Muraca, Anvi Desai, Vanessa Hébert, Gurkiran Mann, Meejin Park, Sarka Lisonkova, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 46(5), 2024, p. 102415


Dispelling confusion about the effect of episiotomy with operative vaginal delivery: A reply to "Large databases cannot illuminate practice variation in the use of episiotomy"


Giulia M Muraca, Sarka Lisonkova, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 46(8), 2024, p. 102589


Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked


Giulia M Muraca, Laura E Ralph, Penny Christensen, Rohan D’Souza, Roxana Geoffrion, Sarka Lisonkova, K.S Joseph

British Medical Journal, vol. 383, 2023, pp. e073991


Maternal and neonatal trauma following operative vaginal delivery


Giulia M Muraca, Amélie Boutin, Neda Razaz, Sarla Lisonkova, Sid John, Joseph Y Ting, Heather Scott, Michael S Kramer, KS Joseph

Canadian Medical Association Journal, vol. 194(1), 2022, pp. E1-E12


Associations between maternal trauma rates in spontaneous vaginal, attempted forceps, and attempted vacuum deliveries in Canadian hospitals


Giulia M Muraca, Sarka Lisonkova, Amelie Boutin, Neda Razaz, Sid John, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 44(5), 2022, p. 621


The authors reply regarding transparency, balance and perspective on intervention at full dilation


Giulia M Muraca, Sarka Lisonkova, KS Joseph

Canadian Medical Association Journal, vol. 194(34), 2022, pp. E1174


Variation in episiotomy use by maternity care provider and associated rates of obstetric anal sphincter injury


Giulia M Muraca, Sarka Lisonkova, Neda Razaz, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 44(5), 2022, p. 620


Temporal trends in episiotomy use among spontaneous and operative vaginal deliveries in Canada and the association with obstetric anal sphincter injury


Giulia M Muraca, Sarka Lisonkova, Yasser Sabr, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 41(5), 2019, pp. 726-27


Episiotomy use among vaginal deliveries and the association with anal sphincter injury: a population-based retrospective cohort study


Giulia M Muraca, Shiliang Liu, Yasser Sabr, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, Olof Stephansson, Neda Razaz, KS Joseph

Canadian Medical Association Journal, vol. 191(42), 2019, pp. E1149-E1158


Morbidity and mortality associated with forceps and vacuum delivery at outlet, low, and midpelvic station


Giulia M Muraca, Yasser Sabr, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 41(3), 2019, pp. 327-337


Authors' reply re: "Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery"


Giulia M Muraca, Amanda Skoll, Sarka Lisonkova, Yasser Sabr, Rollin Brant, Geoffrey W Cundiff, KS Joseph

British Journal of Obstetrics and Gynaecology, 125 (6), 2018, p. 760


Ecological association between operative vaginal delivery and obstetric and birth trauma


Giulia M Muraca, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, Yasser Sabr, KS Joseph

Canadian Medical Association Journal, vol. 190(24), 2018, pp. E734-E741


Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study


Qi Wen, Giulia M Muraca, Joseph Y Ting, Sarah Coad, Kenneth I Lim, Sarka Lisonkova

BMJ Open, vol. 8(3), 2018, pp. e020578


Operative delivery options in the second stage of labour : optimizing maternal and perinatal safety


Giulia M Muraca

University of British Columbia, Vancouver, British Columbia, Canada, 2017


Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery


Giulia M Muraca, Amanda Skoll, Sarka Lisonkova, Yasser Sabr, Rollin Brant, Geoffrey W Cundiff, KS Joseph

British Journal of Obstetrics and Gynaecology, vol. 125(6), 2017, pp. 693-702


Response to “Data limitations may affect conclusions in study of vaginal delivery at midpelvic station”


Giulia M Muraca, Amanda Skoll, Sarka Lisonkova, Yasser Sabr, Rollin Brant, Geoffrey W Cundiff, KS Joseph

Canadian Medical Association Journal, vol. 189(43), 2017, pp. E1344-E1345


The authors reply to “The end of forceps deliveries?” and “Beware selection bias”


Giulia M Muraca, Sarka Lisonkova, KS Joseph, Amanda Skoll, Geoffrey W Cundiff, Rollin Brant, Yasser Sabr

Canadian Medical Association Journal, vol. 189(34), 2017, pp. E1098


Delivery options for second stage dystopia: a comparison of operative vaginal and cesarean delivery in terms of severe perinatal and maternal morbidity and mortality


Giulia M Muraca, Sarka Lisonkova, Yasser Sabr, Amanda Skoll, Rollin Brant, Geoffrey Cundiff, KS Joseph

American Journal of Obstetrics and Gynecology, vol. 216(1), 2017, pp. S521-S522


Perinatal and maternal morbidity and mortality after attempted operative vaginal delivery at midpelvic station


Giulia M Muraca, Yasser Sabr, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, KS Joseph

Canadian Medical Association Journal, vol. 189(22), 2017, pp. E764-E772


Temporal and regional variations in operative vaginal delivery in Canada by pelvic station, 2004-2012


Giulia M Muraca, Yasser Sabr, Rollin Brant, Geoffrey W Cundiff, KS Joseph

Journal of Obstetrics and Gynaecology Canada, vol. 38(7), 2016, pp. 627-35


Temporal trends in obstetric trauma and inpatient surgery for pelvic organ prolapse: an age-period-cohort analysis


Sarka Lisonkova, Jessica A Lavery, Cande V Ananth, Innie Chen, Giulia M Muraca, Geoffrey W Cundiff, KS Joseph

American Journal of Obstetrics and Gynecology, vol. 215(2), 2016, pp. 208.e1-208.e12



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