Julie S. Moldenhauer, MD, FACOG

Julie Moldenhauer, MD, is medical director of the Garbose Family Special Delivery Unit and an attending obstetrician at the Center for Fetal Diagnosis and Treatment.

Areas of Expertise: Fetal genetic disorders, Prenatal diagnosis and fetal therapy
Locations: Main Campus
Phone: 800-468-8376

  • Background

    Dr. Julie Moldenhauer is an attending physician at the Center for Fetal Diagnosis and Treatment at The Children’s Hospital of Philadelphia, and Medical Director of the Garbose Family Special Delivery Unit. Her clinical focus is in prenatal diagnosis and fetal therapy. She cares for mothers carrying babies with fetal anomalies that place both mother and baby at high risk.

    One of Dr. Moldenhauer’s research interests lies in improving the prenatal management of gastroschisis, a defect that causes the fetal intestines to extend into the amniotic fluid through an opening in the abdominal wall. Dr. Moldenhauer also has a particular interest in outcomes after open fetal surgery and EXIT procedures, examining how fetal conditions and their treatment can place mothers at increased risk for complications. She believes that with a better understanding of the interrelation of mother and baby, we can improve the outcome for both.

    Before joining CHOP in 2009, Dr. Moldenhauer was the Director of Reproductive Genetics in the Division of Maternal Fetal Medicine at the University of North Carolina. Her extensive background in reproductive genetics gives her unique insight into the practice of prenatal diagnosis.

    “I tell every patient that our job is to teach them everything they need to know about their baby’s condition. We need to give them the tools to help them feel comfortable making the best care decisions possible,” Dr. Moldenhauer says. “I speak to patients and families the way I would want to be spoken to myself — I am a mom, too.”

    Dr. Moldenhauer has great compassion for her patients and their families, and is interested in how a prenatal diagnosis affects the mother from a psychological standpoint. “I hope to build on caring for the mental well-being of these families,” she says.

    Dr. Moldenhauer is conducting further studies into post-partum depression as it relates to mothers carrying babies with fetal anomalies, with the goal of integrating that learning into patient care. “If we can define how often depression occurs and create management strategies to help women and their families, we may be able to make a significant impact.”

    Dr. Moldenhauer earned her B.S. in chemistry from Hillsdale College and her medical degree from Wayne State University, both in Michigan, She performed her residencies in Obstetrics and Gynecology and Human Genetics at Wayne State University. She also completed her fellowship in Maternal-Fetal Medicine at Wayne State University . She is board certified in Obstetrics & Gynecology, Maternal-Fetal Medicine and Clinical Genetics.
     

  • Education and Training

    Medical School

    MD - Wayne State University School of Medicine, Detroit, MI

    Internship

    Obstetrics and Gynecology - Wayne State University, Detroit, MI

    Residency

    Human Genetics - Wayne State University, Detroit, MI
    Obstetrics and Gynecology - Hutzel Hospital/Wayne State University, Detroit, MI

    Fellowship

    Maternal Fetal Medicine - Wayne State University, Detroit, MI
    Maternal Fetal Medicine - University of Cincinnati College of Medicine, Cincinnati, OH

    Additional Training

    Licensed in PA, IL and MI

    Board Certification

    Clinical Genetics
    Maternal Fetal Medicine
    Obstetrics and Gynecology

  • Titles and Academic Titles

    Attending Physician

    Medical Director of the Garbose Family Special Delivery Unit

    Assistant Professor of Clinical Obstetrics and Gynecology in Surgery, Perelman School of Medicine at the University of Pennsylvania

  • Conditions Treated
  • Centers and Programs
  • Research Interests

    Prenatal diagnostic imaging

  • Publications

    Books

    2011

    Moldenhauer JS, contributing editor. Abnormalities and Complications of Labor and Delivery. In Beers MH (ed). The Merck Manual, 19th edition. 

    Moldenhauer JS, contributing editor. Postpartum Care. In Beers MH (ed). The Merck Manual, 19th edition.

    2010

    Moldenhauer JS, contributing editor. Postpartum Care. In Beers MH (ed). The Merck Manual, 18th edition.

    Papers

    2014

    Cohen AR, Couto MA, Cummings JJ, Johnson A, Joseph G, Kaufman BA, Litman RS, Menard MK, Moldenhauer JS, Pringle KC, Schwartz MZ, Walker WO, Warf BC, Wax JR, MMC Maternal-Fetal Management Task Force. Position statement on fetal myelomeningocele repair. Am J Obstet Gynecol. 2014 Feb;210(2):107-11. doi: 10.1016/j.ajog.2013.09.016. Epub 2013 Sep 18. Read the abstract.

    2011

    Adzick NS, Thom EA, Spong CY, Brock JW 3rd, Burrows PK, Johnson MP, Howell LJ, Farrell JA, Dabrowiak ME, Sutton LN, Gupta N, Tulipan NB, D’Alton ME, Farmer DL; MOMS Investigators. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med 2011;364(11):993-1004.

    Carver A, Haeri S, Moldenhauer J, Wolfe H, Goodnight W. Monochorionic diamniotic twin pregnancy: timing and duration of sonographic surveillance for detection of twin-twin transfusion syndrome. J Ultrasound Med. 2011 Mar;30(3):297-301.

    Potluri K, Moldenhauer J, Karlman R, Hou S. Beta HCG levels in a pregnant dialysis patient: a cautionary tale. NTD Plus 2011;4:42-43.

    2010

    Rychik J, Tian Z, Bebbington M, Moldenhauer J, Khalek N, Johnson M. Evaluation of the cardiovascular system in twin-twin transfusion syndrome: it’s not about ‘scores’ but about ‘goals’. Ultrasound Obstet Gynecol 2010;36:647-8.

    Skupski DW, Luks FI, Walker M, Papanna R, Bebbington M, Ryan G, O’Shaughnessy R, Moldenhauer J, Bahtiyar O; North American Fetal Therapy Network (NAFTNet). Preoperative predictors of death in twin-to-twin transfusion syndrome treated with laser ablation of placental anastomoses. Am J Obstet Gynecol 2010;203:388.e1-388.e11.

    Baker AM, Haeri S, Shafer A, Moldenhauer JS. Maternal gastric carcinoma metastatic to the placenta. Eur J Obstet Gynecol Reprod Biol 2010;153:225-6.

    Plante BJ, Beamon C, Schmitt CL, Moldenhauer JS, Steiner AZ. Maternal antimullerian hormone levels do not predict fetal aneuploidy. J Assist Reprod Genet 2010;27(7):409-414.

    Moldenhauer JS, Lai Y, Schatz M, Wise R, Landon MB, Newman RB, Rouse DJ, Simhan HN, Leveno KJ, Miodovnik M, Lindheimer MD, Wapner RJ, Varner MW, O’Sullivan MJ, Conway DL; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Influence of maternal asthma and asthma severity on newborn morphometry. J Asthma 2010;Mar 47(2):145-9.

    Roman A; Papanna R, Johnson A, Hassan S, Moldenhauer J, Molina S, Moise Jr. KJ. Selective reduction in complicated monochorionic pregnancies: Radiofrequency ablation vs. bipolar cord coagulation. Ultrasound Obstet Gynecol 2010;36:37-41.

    Posters and Presentations

    Oral Presentations

    Daniel W. Skupski for NAFTNet. Preoperative predictors of fetal and neonatal death after laser ablation of placental anastomoses for twin to twin transfusion syndrome. Oral presentation at the 30th Annual Meeting of the Society for Maternal-Fetal Medicine, February 1-6th, 2010, Chicago, IL.

    Melissa A Dempsey, Betsy S Swope, Julie S Moldenhauer, Karen Chong, David Chitayat, Sarah Keating, Stephanie Hurst, Anne Summers, Howard Berger, Lauren Briere, Helen Lyon, Nancy Palmer, Sameer Gopalani, Eden Haverfield, Soma Das. Molecular confirmation of six cases of Cornelia de Lange syndrome diagnosed prenatally. Platform presentation at the 16th Annual Clinical Genetics Meeting of the American College of Medical Genetics, March 25 - 29, 2009, Tampa, Florida.

    Manickam K, Gucsavas-Calikoglu M, Moldenhauer J, Vargo D, Crowe C, Powell C, Aylsworth A. Chondrodysplasia punctata and maternal mixed connective tissue disease. Platform presentation at the 15th Annual Clinical Genetics Meeting of the American College of Medical Genetics, March 12-16, 2008, Phoenix, AZ.

    Sachar V, Moldenhauer JS, Ismail M, Wang E. Vitamin K Embryopathy Post-Maternal Gastric Bypass: A Case of Fetal Rhizomelic Chondrodysplasia Punctata. Presented at the 26th Annual Meeting of the International Fetal Medicine and Surgery Society, April 29 – May 2, 2007, Palm Beach, Aruba.

    Poster Presentations

    Moldenhauer JS, Johnson MP, Endo M, Khalek N, Bebbington MW. Maternal obesity and outcomes with laser therapy for twin-twin transfusion syndrome. Poster presentation at the 31st Annual Meeting of the Society for Maternal-Fetal Medicine, February 7-12, 2011, San Francisco, CA.

    Sachar V, Ismail M, DiGiovanni L, Rust O, Moldenhauer J. Sludge in the presence of cervical cerclage is associated with poor obstetric outcomes. Poster presentation at the 31st Annual Meeting of the Society for Maternal-Fetal Medicine, February 7-12, 2011, San Francisco, CA.

    Moldenhauer JS, Kasperski SB, Huff DS, Victoria T, Johnson MP. Use of low dose fetal computed tomography (CT) for the prenatal diagnosis of achondrogenesis: A case report. Poster presentation at the 17th Annual Clinical Genetics Meeting March 24-28, 2010, Albuquerque, New Mexico. 

    Moldenhauer JS, Endo M, Bebbington MW, Adzick NS, Flake AW, Hedrick HL, Johnson MP. Maternal morbidity associated with the Ex-Utero Intrapartum Treatment (EXIT) procedure. Poster presentation at the 30th Annual Meeting of the Society for Maternal-Fetal Medicine, February 1-6th, 2010, Chicago, IL.

    Carver AR, Haeri S, Goodnight W, Wolfe HM, Moldenhauer JS. Monochorionic Diamniotic Twin Pregnancy: Determining an Optimal Surveillance Frequency for Detection of Twin-Twin Transfusion Syndrome. Poster presentation at the 30th Annual Meeting of the Society for Maternal-Fetal Medicine, February 1-6th, 2010, Chicago, IL.

    Swope BS, Manickam K, Dempsey M, Wolfe HM, Das S, Moldenhauer JS. Prenatal diagnosis of Cornelia de Lange Syndrome by ultrasound confirmed through mutation analysis. Poster presentation at the 16th Annual Clinical Genetics Meeting March 25 - 29, 2009, Tampa, Florida.

    Plante BJ, Beamon C, Landy C, Moldenhauer JS, Steine AZ. Low maternal antimullerian hormone levels are not associated with fetal aneuploidy. Poster presentation at the 56th Annual Meeting of the Society for Gynecologic Investigation March 17-21, 2009, Glasgow, Scotland.

    Schmitt CL, Moldenhauer J, Powell C, Wolfe H. Longest known survival in prenatally diagnosed duplication of the complete long arm of chromosome 1. Poster presentation at the 15th Annual Clinical Genetics Meeting of the American College of Medical Genetics, March 12-16, 2008, Phoenix, AZ.

    Sachar, V; Moldenhauer, J; Wang, E. Maternal Gastric Bypass and Fetal Rhizomelic Chondrodysplasia Punctata: A Case Report. Poster presentation at the 55th Annual Scientific Meeting of the Society for Gynecologic Investigation, March 26-29, 2008, in San Diego, CA.

    Sachar V, Moldenhauer JS, Westerhoff M, Wang E. Case Report: Extra-intestinal peel in gastroschisis. Poster presentation at the 17th World Congress on Ultrasound in Obstetrics and Gynecology (International Society of Ultrasound in Obstetrics and Gynecology), October 7-11, 2007, Florence, Italy.

    Mahoney M, Moldenhauer JS, Treadwell MC. Subsequent pregnancy outcome with prior uterine rupture. Poster presentation at the 26th Annual Meeting of the Society for Maternal-Fetal Medicine, Miami, FL, January 30-February 4, 2006.

    Moldenhauer JS, Platts A, Goodrich R, Martins R, Krawetz SA. Gene expression of the human growth hormone locus in the placentas of growth restricted and normally grown fetuses. Poster presentation at the 26th Annual Meeting of the Society for Maternal-Fetal Medicine, Miami, FL, January 30-February 4, 2006.

    Invited Lectures

    Reproductive Life Planning for Women With Chronic and Genetic Conditions. Eastern AHEC Conference on Preconception
    Health Promotion, Greenville, NC. December 2008.

    Preconception, Pregnancy and PKU. UNC PKU Women’s Retreat,
    Chapel Hill, NC. September 2008.

    Prenatal Diagnosis: Impact on Diagnosing Turner Syndrome. Turner Syndrome Society of the United States Annual Conference, Raleigh, NC. August 2008.

    Screening for Aneuploidy—Where Are We Now? North Carolina Medical Genetics Association Semi-Annual Meeting, Chapel Hill, NC. November 2007.

    Continuing Education Lectures

    Open Fetal Surgery and EXIT Procedure: Putting It All Together.
    Update on Prenatal Diagnosis and Treatment of Fetal Anomalies, Continuing Medical Education Conference, The Children’s Hospital of Philadelphia. March 2011.

    The Special Delivery Unit: A Unique Maternal-Fetal Paradigm.
    Update on Prenatal Diagnosis and Treatment of Fetal Anomalies,
    Continuing Medical Education Conference, The Children’s Hospital of Philadelphia. March 2011.

    Managing Ventral Wall Defects From the Womb To Home. Care of the Surgical Neonate from the Womb And Beyond Conference, Continuing Medical Education Series, The Children’s Hospital of Philadelphia. October 2010.

    Can We Predict Which Twins Are at Increased Risk? How to Manage TTTS in Your Practice Before and After Therapy. Twin-Twin Transfusion Syndrome: Making the Right Connections Conference,
    Continuing Medical Education Series,The Center for Fetal Diagnosis and Treatment, The Children’s Hospital of Philadelphia. June 2010.

    Prenatal Diagnosis and Management Challenges Of Ventral Wall Defects. Continuing Medical Education Series, The Center for Fetal Diagnosis and Treatment, The Children’s Hospital of Philadelphia. October 2009/April 2010.

    Go With the Flow: Dopplers for Prenatal Assessment Made Easy.
    Labor and Delivery Nurse Education Lecture Series, University of North Carolina Hospitals, Chapel Hill, NC. January 2009.

    Updates in Genetic Testing. Area Health Education Center- Nash County, NC. March 2007.

    Updates in Maternal Serum Screening. Area Health Education Center- Wilmington, NC. February 2007.

    Hypertension in Pregnancy. Area Health Education Center – Nash County, NC. February 2007.

    Educational Lectures

    Prenatal Diagnosis and Management of Ventral Wall Defects.
    Neonatology Fellows Core Lecture Series, Children’s Hospital of Philadelphia. March 2011.

    Gametes and Fertilization. Year I Medical Student Lecture,
    Introduction to Human Embryology Course, University of Pennsylvania School of Medicine. August 2009.

    Tools of Prenatal Diagnosis. Year II Medical Student Lecture, Reproductive Medicine Course, University of North Carolina at Chapel Hill. March 2009.

    Pregnancy Options. Year II Medical Student Lecture, Reproductive Medicine Course, University of North Carolina at Chapel Hill. March 2009.

    Black, White or Shades of Gray? The Utility of Ultrasound in Aneuploidy Screening. OB/Gyn Resident Lecture. University of North Carolina at Chapel Hill. July 2008.

    Tools of Prenatal Diagnosis. Year II Medical Student Lecture, Reproductive Medicine Course, University of North Carolina at Chapel Hill. March 2008.

    Preconception Care. Year II Medical Student Lecture, Reproductive Medicine Course, University of North Carolina at Chapel Hill. March 2008.

    Normal Labor and Preterm Labor. Year II Medical Student Lecture,
    Reproductive Medicine Course, University of North Carolina at Chapel Hill. March 2008.

    Genetics Review for the Obstetrician Gynecologist. OB/GYN Resident Lecture, University of North Carolina at Chapel Hill. November 2007.

    Prenatal Diagnosis. Year III Medical Student Lecture Series,
    University of Chicago Hospitals. May 2006.

    Teratogenesis: Occupational and Environmental Perspectives of Birth Defects. Resident Education Lecture Series,University of Chicago Hospitals. April 2006.

  • Editorial and Academic Positions

    Chapter Reviewer, Women’s Health Across the Lifespan (textbook) , 2008.