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School of Medicine
Ernest Marshall Graham, M.D.
Director, Maternal-Fetal Medicine Fellowship Program
Associate Professor of Gynecology and Obstetrics
Expertise: Gynecology, Gynecology and Obstetrics, Maternal and Fetal Medicine, Obstetrics
Research Interests: intrapartum fetal monitoring; perinatal brain injury
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The Johns Hopkins Hospital
Appointment Phone: 410-502-1033
600 N. Wolfe Street
Sheikh Zayed Tower
Baltimore, MD 21287 map
Johns Hopkins Outpatient Center
Appointment Phone: 410-502-9200
601 N. Caroline St.
Baltimore, MD 21287 map
Johns Hopkins Bayview Medical Center
Appointment Phone: 410-550-3020
4940 Eastern Avenue
Baltimore, MD 21224 map
Dr. Ernest Graham is an associate professor in the Johns Hopkins Medicine Department of Gynecology and Obstetrics. His areas of clinical expertise include high-risk pregnancy conditions and fetal heart rate monitoring. Dr. Graham serves as the director of the Maternal-Fetal Medicine Fellowship Program at the Johns Hopkins School of Medicine.
Dr. Graham received his undergraduate degree in biochemistry from the University of Alabama. He earned his M.D. from the University of Mississippi School of Medicine and completed his residency in obstetrics and gynecology at the University of Florida College of Medicine. Dr. Graham performed a fellowship in maternal-fetal medicine at the Hospital of the University of Pennsylvania. Dr. Graham joined the Johns Hopkins faculty in 1999.
Dr. Graham is a fellow of the American College of Obstetricians and Gynecologists and a member of the Society for Maternal-Fetal Medicine and the Society for Gynecologic Investigation. He has served as a reviewer for several medical journals, including the American Journal of Infection Control, American Journal of Obstetrics and Gynecology, American Journal of Perinatology and the British Journal of Obstetrics and Gynecology. He has published numerous peer-reviewed research articles on perinatal brain injury and perinatal disease.
- Director, Maternal-Fetal Medicine Fellowship Program
- Associate Professor of Gynecology and Obstetrics
- MD, University of Mississippi School of Medicine (1987)
- Shands Hospital at the University of Florida / Obstetrics and Gynecology (1991)
- Hospital of the University of Pennsylvania / Maternal & Fetal Medicine (1993)
- American Board of Obstetrics and Gynecology / Maternal and Fetal Medicine (1997, 2017)
- American Board of Obstetrics and Gynecology / Obstetrics And Gynecology (1995, 2017)
Research & Publications
Dr. Graham has a long history of research in the area of perinatal brain injury that involves both basic science and clinical work. Past research includes neuronal cell membrane Na+,K+-ATPase damage following hypoxia-ischemia in animal models, risk factors for seizures and periventricular white matter in the neonate, and the relationship between severe intrapartum metabolic acidosis, electronic fetal heart rate monitoring and neurologic morbidity and mortality. Current research involves using biomarkers measured in cord blood at birth and in neonatal serum during the 1st week of life to identify neonates at risk for neurodevelopmental abnormalities and to follow the efficacy of new therapies such as whole body cooling for hypoxic-ischemic encephalopathy.
Selected PublicationsView all on Pubmed
Peer-reviewed scientific articles:
Wayock CP, Meserole RL, Saria S, Jennings JM, Huisman TAGM, Northington FJ, Graham EM. Perinatal risk factors for severe injury in neonates treated with whole-body hypothermia for encephalopathy. Am J Obstet Gynecol 2014;211:41.e1-8.
Stewart A, Tekes A, Huisman TA, Jennings JM, Allen MC, Northington FJ, Everett AD, Graham EM. Glial fibrillary acidic protein as a biomarker for periventricular white matter injury. Am J Obstet Gynecol 2013;209:27.e1-7.
Rhee CJ, Kibler KK, Brady KM, Everett AD, Graham EM, Andropoulos DB, Easley RB. Detection of neurologic injury using vascular reactivity monitoring and glial fibrillary acidic protein. Pediatrics 2013;131:e950-4.
Ennen CS, Huisman TA, Savage WJ, Northington FJ, Jennings JM, Everett AD, Graham EM. Glial fibrillary acidic protein as a biomarker for neonatal hypoxic-ischemic encephalopathy treated with whole body cooling. Am J Obstet Gynecol 2011;205:251.e1-7.
Al-Hussein HA, Graham EM, Tekes A, Huisman TA. Pre and postnatal imaging of a congenital hepatoblastoma. Fetal Diagn Ther 2011;30:157-9.
Bembea MM, Savage W, Strouse JJ, Schwartz JM, Graham E, Thompson CB, Everett A. Glial fibrillary acidic protein as a brain injury biomarker in children undergoing extracorporeal membrane oxygenation. Pediatr Crit Car Med 2011;12:572-9.
Northington FJ, Chavez-Valdez R, Graham EM, Razdan S, Gauda EB, Martin LJ. Necrostatin decreases oxidative damage, inflammation, and injury after neonatal HI. J Cereb Blood Flow Metab 2011;31:178-89.
Stewart A, Graham E. Preterm Birth: An Overview of Risk Factors and Obstetrical Management. Dev Disabil Res Rev. 2010;16:285-88.
Figueiredo G, Pinto PS, Graham EM, Huisman TA. Congenital giant cervical teratoma: pre- and postnatal imaging. Fetal Diagn Ther 2010;27:231-2.
Elliott C, Warrick PA, Graham EM, Hamilton EF. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. Am J Obstet Gynecol 2010;202:258.e1-8.
- Holcroft CJ, Graham EM, Penning DH. In response to: Cord gas analysis, decision-to-delivery interval, and the 30 minute rule for emergency cesareans. J Perinatol 2005;25(9):616.
- Graham EM, Petersen SM, Fox HE. In response to: Intrapartum electronic fetal heart rate monitoring and the prevention of perinatal brain injury. Obstet Gynecol 2006;108:1554.
- Graham EM. Comment on "Elevated uterine activity increases the risk of fetal acidosis at birth." Am J Obstet Gynecol 2007;197:441.
- Graham EM, Thompson RE. Reply concerning "Intrapartum electronic fetal heart rate monitoring and the identification of metabolic acidosis and hypoxic-ischemic encephalopathy." Am J Obstet Gynecol 2008;198:343-4.
Selected Book Chapters, Monographs
Birsner M, Graham EM. Chapter 15: Cardiopulmonary Disorders of Pregnancy. In Hurt KJ, Guile JL, Bienstock JL et al, eds. The Johns Hopkins Manual of Gynecology and Obstetrics. 4th Edition. Philadelphia: Lippincott Williams & Wilkins, 2011: 195-207.
Ennen CS, Graham EM. Obstetric Factors Related to Perinatal Brain Injury. In Zimmerman AW, Connors SL eds. Maternal Influences on Fetal Neurodevelopment. New York: Springer, 2010: 79-95.
Graham EM, Larma JD. Abnormal fetal heart rate in labor. In Adams Hillard PJ ed. The 5-Minute Obstetrics and Gynecology Consult. Philadelphia: Lippincott Williams & Wilkins, 2008: 560-1.
Davidson S, Graham EM. Chapter 15: Cardiopulmonary Disorders of Pregnancy. In Fortner KB, Szymanski LM, Fox HE, Wallach EE, eds. The Johns Hopkins Manual of Gynecology and Obstetrics. 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2007: 192-203.
Holcroft CJ, Graham EM. Peripartum Cardiomyopathy. Postgraduate Obstetrics & Gynecology. Vol. 24, No.15, July 2004.
Graham EM. Hypoxic-Ischemic Brain Injury in the Fetus and Neonate. Postgraduate Obstetrics & Gynecology. Vol. 24, No. 8, April 2004.
Activities & Honors
- Selected by the editors of the British Journal of Obstetrics and Gyneacology as one of the top 5% of reviewers., 2011
- Selected by the editors of Obstetrics & Gynecology as one of the top 10% of reviewers., 2008 - 2013
- Selected by the editors of the American Journal of Obstetrics & Gynecology as one of the top 100, 2007
- Selected by the editors of Obstetrics & Gynecology as one of the top 100, 2003
- Association of Professors of Gynecology and Obstetrics Excellence in Teaching Award, Allegheny University of the Health Sciences, 1997