Positions

Overview

  • Akila Subramaniam is an Assistant Professor in the Division of Maternal-Fetal Medicine. She completed her bachelor degree in Management Science from the Massachusetts Institute of Technology. Shen then went on to complete her medical degree and a master’s in public health at the Louisiana State University Health Sciences Center in New Orleans, Louisiana. She completed her residency as well as a dual fellowship in Maternal-Fetal Medicine and Medical Genetics. Given dual certification in MFM and genetics, Dr. Subramaniam’s clinical interest include fetal ultrasound, prenatal genetic diagnosis, and complicated twin pregnancies. She is also the assistant director of the UAB OBGYN Diagnostic and Research laboratory. Her current research interests include using novel metagenomic and molecular sequencing methods to study interactions between the microbiome, perinatal infections and preterm birth.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2022 A systematic review of biomarkers associated with maternal infection in pregnant and postpartum womenInternational Journal of Gynecology and Obstetrics.  157:42-50. 2022
    2022 The Association of Cesarean Skin Incision Length and Postoperative Wound ComplicationsAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  39:539-545. 2022
    2022 Factors Associated with Appropriate Gestational Weight Gain among Women with ObesityAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  39:272-280. 2022
    2022 Outcomes before and after Adopting Guidelines for Expectant Management of Severe PreeclampsiaAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  39:172-179. 2022
    2022 Racial disparities in peripartum cardiomyopathy: eighteen years of observationsThe Journal of Maternal-Fetal and Neonatal Medicine.  35:1891-1898. 2022
    2021 Pragmatic Experience with Risk-based versus Universal Hepatitis C Screening in Pregnancy: Detection of Infection and Postpartum Linkage to CareAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  38:1109-1116. 2021
    2021 Patient Satisfaction with Outpatient Cervical Ripening in Parous WomenAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  38:71-76. 2021
    2021 Neonatal Outcomes at Extreme Prematurity by Gestational Age Versus Birth Weight in a Contemporary CohortAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  38:880-888. 2021
    2021 Association between Number of Prior Cesareans and Early Preterm Delivery in Women with Abnormal PlacentationAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  38:326-331. 2021
    2021 Noninvasive Assessment of Right Ventricle Function and Pulmonary Artery Pressure Using Transthoracic Echocardiography in Women With Pre-Eclampsia: An Exploratory Study.Cureus.  13:e13419. 2021
    2021 Case Fatality Rates for Patients with COVID-19 Requiring Invasive Mechanical VentilationAmerican Journal of Respiratory and Critical Care Medicine.  203:54-66. 2021
    2021 Chlamydia Prevalence by Age and Correlates of Infection among Pregnant WomenSexually Transmitted Diseases.  48:37-41. 2021
    2021 Predicting long-term neurodevelopmental outcomes in very preterm neonates by umbilical cord gas parameters 2021
    2020 Racial Disparities in Asthma Control During PregnancyAnnals of Epidemiology.  52:103-103. 2020
    2020 High rates of persistent and recurrent chlamydia in pregnant women after treatment with azithromycin 2020
    2020 Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum HemorrhageObstetrics and Gynecology.  136:882-891. 2020
    2020 Resident Operative Vaginal Delivery Volume after Educational Curriculum ImplementationAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  37:1296-1300. 2020
    2020 Association between Maternal Serum Hormones along the Maternal-Fetal Hypothalamic-Pituitary-Adrenal Axis and Successful Vaginal Delivery Measured Prior to Labor InductionAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  37:1195-1200. 2020
    2020 Outpatient Foley Catheter for Induction of Labor in Nulliparous Women: A Randomized Controlled TrialObstetrics and Gynecology.  136:597-606. 2020
    2020 Air pollution exposure monitoring among pregnant women with and without asthmaInternational Journal of Environmental Research and Public Health.  17:1-16. 2020
    2020 Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping with Death or Severe Intraventricular Hemorrhage among Preterm InfantsObstetrical and Gynecological Survey.  75:212-214. 2020
    2020 Midtrimester microbial DNA variations in maternal serum of women who experience spontaneous preterm birthThe Journal of Maternal-Fetal and Neonatal Medicine.  33:359-367. 2020
    2020 Outpatient Cervical Ripening: A Cost-Minimization and Threshold AnalysisAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  37:245-251. 2020
    2019 Association of umbilical cord milking vs delayed umbilical cord clamping with death or severe intraventricular hemorrhage among preterm infantsJAMA: Journal of the American Medical Association.  322:1877-1886. 2019
    2019 Sensitivity of prenatal ultrasound for detection of trisomy 18The Journal of Maternal-Fetal and Neonatal Medicine.  32:3716-3722. 2019
    2019 Elective Induction of Labor in the 39th Week of Gestation Compared With Expectant Management of Low-Risk Multiparous WomenObstetrics and Gynecology.  134:282-287. 2019
    2019 Prevalence of group B streptococcus anogenital colonization and feasibility of an intrapartum screening and antibiotic prophylaxis protocol in Cameroon, AfricaInternational Journal of Gynecology and Obstetrics.  146:238-243. 2019
    2019 Azithromycin-based Extended-Spectrum Antibiotic Prophylaxis for Cesarean: Role of Placental Colonization with Genital Ureaplasmas and MycoplasmasAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  36:1002-1008. 2019
    2019 Evaluating Fundal Dominant Contractions on Spatiotemporal Electrohysterography as a Marker for Effective Labor ContractionsAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  36:924-929. 2019
    2019 Pregnancy Outcomes after Early Amniotomy among Class III Obese Gravidas Undergoing Induction of LaborAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  36:449-454. 2019
    2019 The cost-effectiveness of opportunistic salpingectomy versus standard tubal ligation at the time of cesarean delivery for ovarian cancer risk reductionGynecologic Oncology.  152:127-132. 2019
    2018 Maternal body mass index and oxytocin exposure in nulliparous women: is there an interaction associated with maternal and neonatal morbidities?The Journal of Maternal-Fetal and Neonatal Medicine.  31:2013-2018. 2018
    2018 Feasibility of complete salpingectomy compared with standard postpartum tubal ligation at cesarean delivery a randomized controlled trialObstetrics and Gynecology.  132:20-27. 2018
    2018 Herpesviridae Infection: Prevention, Screening, and ManagementClinical Obstetrics and Gynecology.  61:157-176. 2018
    2018 Outpatient foley catheter for induction of labor in parous women a randomized controlled trialObstetrics and Gynecology.  132:94-101. 2018
    2017 Obesity as an independent risk factor for group B streptococcal colonizationThe Journal of Maternal-Fetal and Neonatal Medicine.  30:2876-2879. 2017
    2017 Mode of delivery in nulliparous women with gestational hypertension undergoing early term induction of laborThe Journal of Maternal-Fetal and Neonatal Medicine.  30:2291-2296. 2017
    2017 Economic Evaluations Comparing a Trial of Labor with an Elective Repeat Cesarean Delivery: A Systematic ReviewValue in Health.  20:163-173. 2017
    2016 Gravidas with class III obesity: evaluating the abdominal skin microbiota above and below the panniculus*The Journal of Maternal-Fetal and Neonatal Medicine.  29:3312-3316. 2016
    2016 Midtrimester cervicovaginal microbiota: Identification of microbial variations associated with puerperal infection at termAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  33:1165-1175. 2016
    2016 Planned cesarean delivery compared to induction of labor in women with class III obesity: a cost-minimization analysis *The Journal of Maternal-Fetal and Neonatal Medicine.  29:3084-3088. 2016
    2016 Trisomy 18: A survey of opinions, attitudes, and practices of neonatologistsAmerican Journal of Medical Genetics Part A.  170:2638-2643. 2016
    2016 Preterm premature rupture of membranes (PPROM): Outcomes of delivery at 32°/7 -336/7 weeks after confirmed fetal lung maturity (FLM) versus expectant management until 34°/7 weeksThe Journal of Maternal-Fetal and Neonatal Medicine.  29:1895-1899. 2016
    2016 Abdominal Incision Selection for Cesarean Delivery of Women with Class III ObesityAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  33:547-551. 2016
    2016 Relationship between interpregnancy interval and cervical length in high-risk womenThe Journal of Maternal-Fetal and Neonatal Medicine.  29:1205-1208. 2016
    2016 Infection and preterm birthSeminars in Fetal and Neonatal Medicine.  21:100-105. 2016
    2016 Trisomy 18: A single-center evaluation of management trends and experience with aggressive obstetric or neonatal interventionAmerican Journal of Medical Genetics Part A.  170:838-846. 2016
    2016 Predictive Value of Initial Cervical Length for Subsequent Cervical Length Shortening in Women with a Prior Preterm BirthAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  33:350-355. 2016
    2016 Vaginal Microbiota in Pregnancy: Evaluation Based on Vaginal Flora, Birth Outcome, and RaceAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  33:401-408. 2016
    2014 Interaction between Maternal Obesity and 1-Hour Glucose Challenge Test Results on Maternal and Perinatal OutcomesAmerican Journal of Perinatology: neonatal and maternal-fetal medicine.  32:771-778. 2014
    2014 Mode of delivery in women with class III obesity: Planned cesarean compared with induction of laborAmerican Journal of Obstetrics and Gynecology.  211:700.e1-700.e9. 2014
    2014 Higher-Dose Oxytocin to Prevent Obstetric Hemorrhage at Vaginal Delivery-Does Duration of Infusion Matter?American Journal of Perinatology: neonatal and maternal-fetal medicine.  31:1003-1007. 2014
    2014 Risk factors for wound disruption following cesarean deliveryThe Journal of Maternal-Fetal and Neonatal Medicine.  27:1237-1240. 2014
    2013 Effect of corticosteroid interval on markers of inflammation in spontaneous preterm birthAmerican Journal of Obstetrics and Gynecology.  209:379.e1-379.e6. 2013
    2012 Completed versus aborted radical hysterectomy for node-positive stage IB cervical cancer in the modern era of chemoradiation therapyGynecologic Oncology.  126:69-72. 2012
    2012 Isolated symptomatic cardiac recurrence of endometrial stromal sarcoma treated successfully with surgical resectionJournal of Gynecologic Surgery.  28:140-142. 2012
    2012 Antimicrobials for preterm birth prevention: An overviewInfectious Diseases in Obstetrics and Gynecology.  2012. 2012
    2011 Incidence of mechanical malfunction in low-profile subcutaneous implantable venous access devices in patients receiving chemotherapy for gynecologic malignanciesGynecologic Oncology.  123:54-57. 2011
    2011 A cohort study evaluating robotic versus laparotomy surgical outcomes of obese women with endometrial carcinomaGynecologic Oncology.  122:604-607. 2011
    2011 Prognostic significance of the relative dose intensity of chemotherapy in primary treatment of epithelial ovarian cancerGynecologic Oncology.  122:532-535. 2011
    2011 Invasive cervical cancer and screening: What are the rates of unscreened and underscreened women in the modern era?Journal of Lower Genital Tract Disease.  15:110-113. 2011
    2011 Referral patterns and incidence of cervical intraepithelial neoplasia in adolescent and pregnant patients: The impact of the 2006 guidelinesJournal of Lower Genital Tract Disease.  15:124-127. 2011

    Research Overview

  • Fetal
    -Prenatal genetic diagnosis complex twin pregnancies
    -Fetal ultrasound
    -Fetal transfusions
    Maternal
    -Morbidly adherent placentation
    -Perinatal infections
    -Preterm labor
  • Principal Investigator On

  • Assessment of Azithromycin Impact to Optimize Future Program Design in Mali  awarded by University of Maryland
  • Childhood Follow-Up Study of Obesity and Neurodevelopment After Perinatal Exposure to Adjunctive Azithromycin Prophylaxis for Cesarean Delivery  awarded by National Institute of Child Health and Human Development/NIH/DHHS
  • Childhood Pulmonary and Related Outcomes after Perinatal Exposure to Adjunctive Azithromycin Prophylaxis For Cesarean Delivery (C/SOAP Follow-up Study)  awarded by National Institute of Child Health and Human Development/NIH/DHHS
  • Comparing Game-Facilitated Interactivity to Genetic Counseling for Prenatal Screening Education  awarded by University of Utah
  • Incidence of venous thromboembolism with use of chemical thromboprophyaxis: a retrospective cohort study  awarded by University of Utah
  • Mid-Pregnancy Prediction of Preterm Birth Occurring With and Without Preeclampsia: Validation and Tuning Of California-Built Models for Use in Black Compared To Non-Black Pregnant Women  awarded by University of California, San Francisco
  • Patient Perspectives, Uptake of Prenatal Diagnosis, and Healthcare Resource Utilization in a Population with Poor Insurance Coverage for Genetic Testing  awarded by Society for Maternal-Fetal Medicine
  • Private Grant  awarded by HOLOGIC, INC.
  • Private Grant  awarded by MEDTRONIC, INC.
  • Private Grant  awarded by ALYDIA HEALTH
  • Private Grant  awarded by SEQUENOM, INC.
  • Private Grant  awarded by ALYDIA HEALTH
  • The Pharmacoepigenomics of Recurrent Preterm Birth Non-Hispanic Black Women  awarded by University of North Carolina at Chapel Hill
  • The Relationship of the Cervicovaginal Microbiome to Local Inflammation, Cervical Length Shortening, and Ultrasound-Indicated Cerclage Success  awarded by Society for Maternal-Fetal Medicine
  • Education And Training

  • UAB Hospital, Internship
  • UAB Hospital, Residency
  • UAB SOM, Postdoctoral Fellowship
  • Doctor of Medicine, Louisiana State University System : University of New Orleans 2008
  • Full Name

  • Akila Subramaniam