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Giulia Muraca
Assistant Professor, Obstetrics & Gynecology

Dr. Giulia Muraca received her B.Sc. in Biological Anthropology and African Studies from the University of Toronto and her M.P.H. and Ph.D. degrees from the School of Population and Public Health at the University of British Columbia. Dr. Muraca’s doctoral research used population-based data to characterize 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 intervention rates (e.g., cesarean delivery rate, induction rate) that minimize the frequency of adverse maternal and neonatal outcomes (e.g., postpartum hemorrhage, obstetric anal sphincter injury, maternal sepsis, neonatal sepsis, birth injury). At McMaster, Dr. Muraca heads the McMaster Perinatal Epidemiology Research Unit, which aims to produce evidence to support enhanced safety and satisfaction in the care of pregnant individuals and their children, with emphasis on care quality, accessibility and equity.

Visit her lab website at: or at

Featured Publications

Muraca GM, Joseph KS, Razaz N, Ladfors LV, Lisonkova S, Stephansson O. Crude and adjusted comparisons of cesarean delivery rates using the Robson classification: A population-based cohort study in Canada and Sweden, 2004 to 2016. PLoS Med 2022;19: e1004077. PMID: 35913981.


Muraca GM, Boutin A, Razaz N, Lisonkova S, Ting J, Scott H, Kramer MS, Joseph KS. Maternal and neonatal trauma following operative vaginal delivery. CMAJ 2022;194:E1-12. PMID: 35012946.


Muraca GM, Liu S, Sabr Y, Lisonkova S, Skoll A, Brant R, Cundiff GW, Stephansson O, Razaz N, Joseph KS. Episiotomy use among vaginal deliveries and the association with anal sphincter injury: a population-based retrospective cohort study. CMAJ 2019;191:E1149-58. PMID: 31636163.


Muraca GM, Sabr Y, Lisonkova S, Skoll A, Brant R, Cundiff GW, Joseph KS. Morbidity and mortality associated with forceps and vacuum delivery at outlet, low and midpelvic station. J Obstet Gynaecol Can 2018;41:327-37. PMID: 30366887.


Muraca GM, Lisonkova S, Skoll A, Brant R, Cundiff GW, Sabr Y, Joseph KS. Ecological associations between operative vaginal delivery and obstetric and birth trauma. CMAJ 2018;190:E734-41. PMID: 29914910.


Muraca GM, Skoll A, Lisonkova S, Sabr Y, Brant R, Cundiff GW, Joseph KS. Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery. BJOG 2018;125:693-702. PMID: 28692173.


Muraca GM, Sabr Y, Lisonkova S, Skoll A, Brant R, Cundiff GW, Joseph KS. Perinatal and maternal morbidity and mortality after attempted operative vaginal delivery at midpelvic station. CMAJ 2017;189:E764-72.


See a full list of Dr. Muraca’s publications here.


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