Rohan D’Souza MD, MSc, FRCOG, PhD (Candidate), FCPS, DNB, DGO, DFP
Assistant Professor
Maternal-Fetal Medicine
Rohan D'Souza

Contact Info

T: (416) 586-4800 5127
F: (416) 586-8649

Location

Mount Sinai Hospital
700 University Avenue, Room 3-908
Toronto, ON, M5G 1Z5

Appointment Status

Primary

Professional Memberships

IHEA
ACOG
NASOM
Society for Medical Decision making
ISOM
SOGC
International Society for the Study of Hypertension in Pregnancy
CMA
OMA
International Society of Ultrasound in Obstetrics and Gynecology
Royal College of Obstetricians & Gynaecologists, UK
College of Physicians and Surgeons of Bombay
Federation of Obstetricians & Gynaecologists of India
Mumbai Obstetrics & Gynaecology Society, India

Research Interests

Medical disorders in pregnancy, clinical decision analysis in pregnancy, controlled clinical trials, systematic reviews, clinical guidelines, observational studies and research methodology in obstetrics

Dr. D'Souza is a Maternal and Fetal Medicine Physician at Mount Sinai Hospital with a special interest in medical disorders in pregnancy especially hypertensive, endocrine, autoimmune, metabolic, neurologic and placental disorders. 

He also has a interest in intrapartum fetal monitoring, instrumental vaginal delivery and caesarean section for non-medical indications. 

Research/Teaching

Research Synopsis

His research interests include the elicitation and incorporation of patient-preference into obstetric decision making; the development of core-outcome sets  for pregnant women with medical disorders, the creation of prediction rules for various obstetric and medical conditions and the conduct of clinical trials and observational studies aimed at reducing rates of postpartum haemorrhage and improving the success of labour induction. In 2016 he received the CIHR Women’s Health Research Award for his work on pregnancy outcomes in women with mechanical heart valves and the International Lee-Lusted Award for his work on eliciting patient-preferences for health states related to the use of anticoagulants in pregnancy. ​

Grants

PEER-REVIEWED GRANTS

FUNDED

2017 Oct 1- 2020 Principal Investigator. Prevention of postpartum haemorrhage: addressing critical knowledge gaps for the use of Tranexamic acid. CIHR MFM New investigator Grants in Maternal, Reproductive, Child & Youth health competition. (225,000 CAD)

2017 Jul Co-Investigator. Mechanical ventilation in pregnant women. Ontario

Thoracic Society Grant-in-aid award. (50,000 CAD)

2017 Jul Co-Investigator. Mechanical ventilation in pregnancy. Chest Foundation Research Grant. (9,711 CAD)

2017 Mar Principal Investigator. The use of anticoagulants in pregnant women – whose preferences count? UofT Chair’s Awards. ( 7000 CAD)

2017 Feb Principal Investigator. Falling third-trimester insulin requirements and adverse pregnancy outcomes: a retrospective study. CREMS UofT (3500 CAD)

2017 Feb Principal Investigator. Determining the success of induction of labour: a prediction rule.. MSH-OBGYN Department grants. (11,242 CAD )

2016 Jul - 2016 Aug Principal Investigator. Eliciting preferences of pregnant women for health states related to iron-deficiency anaemia and available treatment options. Department of Obstetrics and Gynaecology Chair’s Summer Studentship Award Program. (3,500 CAD)

2016 Jul - 2016 Aug Principal Investigator. Eliciting preferences of pregnant women for health states related to epilepsy and the use of antiepileptic medications during pregnancy. Department of Obstetrics and Gynaecology Chair’s Summer Studentship Award Program. (3,500 CAD)

2016 Jul - 2017 Jun Co-Investigator. Maternal endotoxin concentration in peripheral blood predicts the latency period to delivery and the development of chorioamnionitis in pregnancies complicated by preterm premature rupture of membranes: a pilot study. Department of Obstetrics and Gynaecology at Mount Sinai Hospital and the University health Network. (8,500 CAD)

2015 Jun - 2015 Sep Principal Investigator. Eliciting Patient Preferences (health state utilities) for Combined Maternal and Fetal Health States Arising from the use of Anticoagulation in pregnant Women with Mechanical Heart Valves. 2015 Chair’s Summer Studentship Award / CREMS and Mount Sinai OBGYN Research Award. (7,000 CAD)

2012 Jul - 2013 Jun Principal Investigator. Effects of Low molecular weight Heparin on the Maternal Cardiovascular system in pregnant women with previous placental-mediated complications of pregnancy. Mount Sinai Hospital. (3,600 CAD)

 

NON-PEER-REVIEWED GRANTS

FUNDED

2017-Jul – 2017 Dec Principal Investigator. Development of a platform for patient involvement around research in obstetrics – Stage 1: Establishing a steering committee.. Department of OBGYN, University of Toronto. (2,000 CAD)

2016 Jun - 2016 Sep Principal Investigator. SF-36 and MSFI-SF scores in patients with antepartum anaemia receiving intravenous iron. Division of Maternal and Fetal Medicine, Mount Sinai Hospital. (97,500 CAD)

2016 Jun - 2016 Sep Principal Investigator. Preferences of patients with cardiac disease for combined maternal-fetal health states. Division of Maternal and Fetal Medicine, Mount Sinai Hospital (7500 CAD) and the Division of Adult Congenital Heart Disease, Toronto General Hospital (500 CAD). (8,000 CAD)

 

 

Publications and Awards

View PubMed search of this faculty member's recent publications.

Recent Publications

PEER-REVIEWED PUBLICATIONS

1.Glanc P, D’Souza R, Parrish J, Tomlinson G, Maxwell C. Should an early anatomy ultrasound scan be offered routinely to obese pregnant women? JOGC (accepted Jan 2018). Co-author

2.Wuebbolt D, Andrejevic K, Nguyen V, D'Souza R, Wynne A. Pregnancy outcomes in women with Devic Syndrome. Nov 2017. Obstetric Medicine (accepted Jan 2018). Coauthor.

3.Carmona S, Al-Ayed N, Al-Ibrahim A, D’Souza R. Realizing the potential of real-time clinical collaboration in Maternal-Fetal Medicine through WhatsApp. Obstetric Medicine. (accepted Dec 2017). Senior author

4.Lanys A, D'Souza R, Spitzer R. The Reproductive Health Needs of Immigrant and Refugee Women in Canada: Current Challenges and Priorities. Letter to the editor. JOGC (accepted Jan 2018). Co-author.

5.D’Souza R, Norwitz E. Induction of labour for low-risk women – is 39 the new 41? OBG Management. Dec 2017.

6.Leonardi M, Murji A, D'Souza R. International Ultrasound Curricula in Obstetrics and Gynecology Training Programs. Editorial. Ultrasound Obstet Gynecol. 2017 Dec 5. doi: 10.1002/uog.18978. [Epub ahead of print] Impact factor: 4.71. PMID: 29205571, Senior Author.

7.Malinowski AK, Cheung P, Yang, Junmin, D’Souza R, Shehata N, Ward R, Kuo K, Murphy​ K. Cord gas parameters in infants born to women with sickle cell disease: a retrospective matched cohort study. British Journal of Haematology. Nov 2017. DOI:10.1111/bjh.15142. Impact factor 5.67. Coauthor or Collaborator.

8.D’Souza R, Shah PS, Sander B. Clinical decision analysis in perinatology. Acta Obstet Gynecol Scand. 2017 Nov 21. Doi: 10.111/aogs.13264. Impact factor: 2.48 [Epub ahead of print]. PMID: 29164601.

9.D’Souza R, Soete E, Silversides C, Zaffar N, Van Mieghem T, Van Cleemput J, Bhagra C, Sermer M, Ross H. Pregnancy Outcomes following cardiac transplantation. J Obstet Gynaecol Can. 2017 Nov 15. Pii:S1701-2163(17)30416-4. Doi: 10.1016/j.jogc.2017.08.030. [Epub ahead of print]. PMID: 29153738.

10.Aoyama K, D’Souza R, Inada E, lapinsky SE, Fowler RA. Measurement properties of comorbidity indices in maternal health research: a systematic review. BMC Pregnancy Childbirth. 2017 Nov 13;17(1): 372. Doi:10.1186/s12884-17-1558-3. Impact factor: 2.19, PMID: 29132349. Coauthor

11.D’Souza R, Sermer M, Silversides C. The management of the cardiac patient in labour: primum non nocere. BJOG. 2017. Impact Factor 5.05. (Mini-commentary)

12.D’Souza R, Ostro J, Shah P, Silversides C, Malinowski A, Murphy K, Sermer M, Shehata N. Anticoagulation for pregnant women with mechanical heart valves: A systematic review and meta-analysis. European Heart Journal. 2017 May. 14;38(19):1509-1516. Impact Factor 21.2. (Original research paper)

13.Sehmbi H, D’Souza R, Bhatia A. A Narrative Review of Low Back Pain in Pregnancy: Investigations, Management, and Role of Neuraxial and Anesthesia. Gynaecologic and Obstetric Investigation. 2017;82(5):417-436 Impact Factor 1.66. (Original research paper) Coauthor or Collaborator.

14.Kfouri J, D’Souza R. Antenatal corticosteroids. CMAJ. 2017 Feb 27;189(8):E319. doi: 10.1503/cmaj.160392 Impact Factor 6.7 (Brief Report) Senior Author.

15.Bhagra CJ, D’Souza R, Silversides CK. Valvular heart disease and pregnancy part II: Management of prosthetic valves. Heart. 2017 Jan;103:244-252. Impact Factor 6.059. (Educational article) Coauthor.

16.D’Souza R, Silversides K, Mclintock C. Choosing the optimal method of anticoagulation for pregnant women with mechanical heart valves. Seminars in Thrombosis and Hemostasis. 2016 Oct;42(7):798-804. Impact Factor 3.629. (Review) Principal Author.

17.D’Souza R, Kingdom J. Preeclampsia. CMAJ. 2016 Nov 1;188(16):1178 Impact Factor 6.8 (Brief Report) Principal Author.

18.D’Souza R, Silversides C. Pregnancy following atrial-switch repair. BJOG. 2016 Apr;123(5):814. Impact Factor 3.45. (Mini-commentary) Principal Author.

19.Qiang J, Nyhof-Young J, D’Souza R, Bui E. Support systems of women with epilepsy in pregnancy: a retrospective needs assessment. Seizure. 2016 Mar;36:1-3.Impact Factor 1.82. (Original research paper) Coauthor.

20.Malinowski A, Shehata N, D’Souza R, Kuo K, Ward R, Shah P, Murphy K. Prophylactic transfusion for pregnant women with sickle cell disease: a systematic review and meta-analysis. Blood. 2015 Aug;126(21):2424-2435. Impact Factor 10.452. (Original research paper) Coauthor.

21.D’Souza, R., Sermer, M., Silversides, C. Pregnancy in Women with Congenital heart Disease. Obstetric Medicine. 2015 Mar;2015, Vol 8(1) 18-25. (Review) Principal Author.

22.D’Souza R, Prakesh Shah. Predicting Stillbirths – still a distant reality. 2015 Jan;122(1):56.. Impact Factor 3.45. Principal Author.

 

NON-PEER-REVIEWED PUBLICATIONS (BOOK CHAPTERS)

1.D’Souza R, Sermer M. Management of Labour and Delivery in a Cardiac Patient. Pregnancy and Cardiac Disease. 3rd Edition. Ed. Uri Elkayam

2.Alavifard S, Shukla M, D’Souza R. Obesity and Hypertension. In Farine and Maxwell, editors. Obesity and Pregnancy. First edition. De Gruyter; 2017 pg 176-188. Senior author.

3.D’Souza R. Chapter 13: Development and congenital anomalies of the gastrointestinal tract. In: Fiander and Thilaganathan, editors. MRCOGPART ONE: The official companion to the RCOG revision course (2nd edition). Cambridge (UK): Cambridge University Press; 2016 Oct p.181-192. Principal Author.

4.D’Souza R. Chapter 14: Development of the heart and the fetal circulation. In: Fiander and Thilaganathan, editors. MRCOGPART ONE: The official companion to the RCOG revision course (2nd edition). Cambridge (United Kingdom): Cambridge University Press; 2016 Oct p. 193-210. Principal Author.

5.D’Souza R. Chapter 32: Oligohydramnios and Polyhydramnios. In: Amarnath Bhide, Hema Divakar, Sabaratnam Arulkumaran, editor(s). Handbook of Obstetrics & Gynaecology for Asia and Oceania. (India): Jaypee Publishers; Aug 2016. p. 180-188. Principal Author.

6.D’Souza R. Chapter 33: Antepartum Fetal Surveillance. In: Amarnath Bhide, Hema Divakar, Sabaratnam Arulkumaran, editor(s). Handbook of Obstetrics & Gynaecology for Asia and Oceania. (India): Jaypee Publishers; Aug 2016. p. 189-200. Principal Author.

7.D’Souza R, Van Mieghem T, Amer-Wahlin I. Abdominal fetal electrocardiography – the way forward? In: Dr. Dan Farine, editor(s). New Technology on Labour and Delivery. Berlin (Germany): De Gruyter; 2015. p. 73-82. Principal Author.

8.Van Mieghem T, D’Souza R, Amer-Wahlin I. Analysis of the ST-segment of the fetal electrocardiogram in labor. In: Dr. Dan Farine, editor(s). New Technology on Labour and Delivery. Berlin (Germany): De Gruyter; 2015. p. 83-94. Coauthor or Collaborator.

 

Honours and Awards

Research Distinctions and Awards

INTERNATIONAL

Received

2016 Oct Lee B. Lusted Award (Patient and Stakeholder Preferences), Society of Medical Decision Making 2016 - 38th Annual North American Meeting. Vancouver, BC, Canada. Paper title: preferences of pregnant women and family members for combined maternal-fetal health states arising from anticoagulant use in pregnancy. Total Amount: 240 USD

Nominated

2015 Oct Finalist: Lee B Lusted Award, Society of Medical Decision Making- 37th North American Meeting. St. Louis, USA. Paper Title: Management of Epilepsy in Women Contemplating Pregnancy: A Decision Analysis Model.

 

NATIONAL

Received

2017 Mar Best poster award, Scottish Undergraduate Obstetrics and Gynaecology Conference, Edinburgh, UK. Thomas H, Krahn M, Nguyen V, Wuebbolt D, Sermer M, Siversides C, D’Souza R. Variation in preferences of pregnant women with and without cardiac disease for health states related to the use of anticoagulants in pregnancy. Presented by summer-student, Hannah Thomas.

2016 Jun Women’s Health Research Award, Canadian Student Health Research Forum, Winnipeg, Manitoba, Canada. (Research Award)
CIHR National Health Research Poster Competition: Honourable Mention and Women’s Health Research Award. Total Amount: 250 CAD

2016 May CIHR Travel Award, CIHR, Winnipeg, Manitoba, Canada. (Research Award)
Travel award towards participation at the CIHR National Research Poster Competition. Total Amount: 1,000 CAD

 

LOCAL

Received

2017 May Winter-Spring 2017 School of Graduate Studies Conference Grant. University of Toronto. This Grant provides added financial support to eligible students who are actively presenting their research at an academic conference (12th Annual World Congress of the International Health Economics Association, Boston U.S.A.). Total Amount: 950 CAD.

2016 Jun 2016 U of T Chair’s Summer Studentship Award, University of Toronto, Ontario, Canada. (Research Award) Award towards summer students. Research project 1: Eliciting patient preferences for maternal and fetal health states arising from the use of antiepileptic medications in pregnant women. Research project 2: Eliciting patient preferences for the health states related to anaemia and its therapeutic options in pregnancy. Total Amount: 7,000 CAD

2015 Jul - 2017 Jun Junior Faculty Research Merit Award, University of Toronto, Canada. (Distinction) University of Toronto Award towards research compensation for 2015-2017. Total Amount: 90,000 CAD

2015 Jun 2015 Chair’s Summer Studentship Award- CREMS and Mount Sinai OBGYN Research Award, University of Toronto, Toronto, Ontario, Canada. (Research Award) Award to hire four summer students in 2015 for research project entitled: Eliciting Patient Preferences (health state utilities) for Combined Maternal and Fetal Health States arising from the use of Anticoagulation in Pregnant Women with Mechanical Heart Valves. Total Amount: 20,000 CAD

2015 May Gillian Hawker Poster Award, University of Toronto IHPME Research Day, Toronto, Ontario, Canada. (Research Award) Best PhD CEHCR Poster Award. Poster selected to represent U of T at CIHR’s National Research Poster Competition in Winnipeg, Manitoba in June 2016. Total Amount: 150 CAD

2014 May iHPME Research Day Award, University of Toronto, Toronto, Ontario, Canada. Best oral presentation, “Brain and Stroke” category. “ The management of epilepsy on women planning pregnancy”. Total Amount: 150 CAD

2014 May J.W. Knox Ritchie Research Award 2014, University of Toronto. Best oral presentation by a Clinical Fellow at the U of T OBGYN research day. [Unfractionated Heparin, placental ultrasound and placental histopathology]. Total Amount: 200 CAD

 

Teaching Awards

Local

2016 Nov Award for Teaching Excellence (Undergraduate) 2015-16. Department of Obstetrics and Gynaecology, University of Toronto.

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