Napolitano Peter 10 10 17 orig copy

Peter G Napolitano, MD


Joined UW Medicine:


Clinical Focus:

Maternal-Fetal Medicine:
• Viral Infection in Pregnancy
• Prenatal Ultrasound
• Fetal echocardiography
• Prematurity


Washington, 1996


• Obstetrics and Gynecology, 1997
• Maternal-Fetal Medicine, 1999


• MD Degree
   (Loyola University of Chicago, Stritch School of Medicine, 1989)
• Residency in Obstetrics and Gynecology
   (William Beaumont Army Medical Center, 1993)
• Fellowship in Maternal-Fetal Medicine
   (Madigan Army Medical Center, 1996)

Research Interests:

• Placental physiology
• Neuro-inflammation and Prematurity
• Medical Simulation Team Training

Current Research:

• A Randomized Trial to Prevent Congenital Cytomegalovirus Infection (NICHD - CMV Pregnancy Trial)
• Dual Cotyledon Dual perfusion human placenta model for investigation of Infectious disease transmission and effects of Hyperglycemia
• Neuro-inflammation pregnancy murine model for investigation of prevention of Cerebral palsy in preterm deliveries


• American College of Obstetricians and Gynecologists
• Society for Maternal-Fetal Medicine
• Society for Reproductive Investigation
• Washington State Obstetrical Association


• Legion of Merit Medal - 2017
• “The Edward A. Zimmerman Award” – in Recognition of a Career of Outstanding Contributions to the Knowledge of Obstetrics and Gynecology - 2016
• Bronze Star Medal x2 -2011, 101st Sustainment Brigade, Bagram Air Field, OEF and 2008, 86th Combat Support Hospital, TF-Baghdad, OIF
• Major General Kenyon Joyce – Outstanding Research Performance Award 2004
•Brigadier General George J. Brown Mentor’s Cube – Awarded to outstanding research Mentor 2006
• National Faculty Award for Excellence in Resident Education 1999, from the Council On Resident Education In Obstetrics and Gynecology (CREOG).
• The Order of Military Medical Merit – June 3, 2005, member #7,087.

Selected Publications:

Thagard Andrew S, Napolitano PG, Bryant Allison S.  The Roles of Extremes in Interpregnancy Interval in Women at Increased Risk for Adverse Outcomes Due to Health Disparities: A Literature Review. Current Women’s Health Reviews 2017;3(2), 000-000 Accepted for Publication - In Press.  DOI: 10.2174/1573404813666170323154244    PMID: Pending

Estrada Sarah M, Thagard AS, Lane AD, Dehart MJ, Burd I, Napolitano PG, Ieronimakis N. Bacterial endotoxin exposure invokes transcriptional changes in embryonic murine neural stem cells. Am J Obstet Gynecol. 2017 Jul 19. pii: S0002-9378(17)30858-X. doi: 10.1016/j.ajog.2017.07.016.

Estrada SM, Magann EF, Napolitano PG.  Actinomyces in Pregnancy: A Case Report and Review of the Literature. Obstet Gynecol Surv. 2017 Apr;72(4):242-247.  PMID: 28426126

Lyndon, Audrey; Johnson MC, Bingham D, Napolitano PG, Joseph G, Maxfield DG, O’Keefe DF.  Transforming Communication and Safety Culture in Intrapartum Care – A Multi-Organization Bluepring.  Obstet Gynecol 2015 May;125(5):1049-55  Co-Publications in Journal of Midwifery and Women’s Health and Journal of Obstetric, Gynecologic, and Neonatal Nursing.    PMID: 25932832

Lutgendorf, Monica A, Ippolito D, Mesngon MT, Tinnemore D, DeHart MJ, Dolinsky BM, Napolitano PG. Effect of Dexamethasone Administered with Magnesium Sulfate on Inflammation- Mediated Degradation of the Blood-Brain Barrier Using an In Vitro Model. J Reprod Sci 2013 Sep 27; PMID: 24077438

Ko, Cynthia W, Napolitano PG, Lee SP, Schulte SD, Ciol MA, Beresford SAA.  Physical activity and the incidence of gallbladder sludge or stones during pregnancy. Funding source: National Institutes of Health, R01 DK46890 grant.  Am J Perinatol. 2013 Mar 1.  PMID: 23456902

MacDonald, Leslie A,  Walters T, Napolitano PG, Ryan M, Nielsen P, Hudock S. Clinical guidelines for occupational lifting in pregnancy. From the National Institute of Occupational Safety and Health.  Submitted under Expert Review Section with editor invitation.  Am J Obstet Gynecol. 2013 Mar 1. doi:pii: S0002-9378(13)00242-1. 10.1016/j.ajog.2013.02.047.  PMID: 23467051

Flood-Nichols Shannon K, Stallings JD, Gotkin JL, Tinnemore D, Napolitano PG, Ippolito DL. Longitudinal Analysis of Maternal Plasma Apolipoproteins in Pregnancy: A Targeted Proteomics Approach.  Mol Cell Proteomics. 2013 Jan;12(1):55-64. doi: 10.1074/mcp.M112.018192. Epub 2012 Oct 10. PMID: 23059768

Deering Shad H, Rosen MA, Munroe M, Ludi V, Pocrnich A, Laky C, Napolitano PG. On the Front Lines of Patient Safety: Implementation and Evaluation of Team Training in Iraq.  Jt Comm J Qual Patient Saf  2011:37(8);350-6. PMID: 21874970

Zelig, Craig M, Paonessa DJ, NJ Hoeldtke, Hill DL, Foglia LM, Napolitano PG.  Continuous Infusion with 17-Hydroxyprogesterone Caproate (17-P) in the Fetal or Maternal Arterial Circuits of the Ex Vivo Placental Cotyledon Model Attenuates Vasoconstriction by Thromboxane and Angiotensin-II.  Am J Obstet Gynecol 2010;202(2):189-91. PMID: 20004884

Napolitano PG, Wakefield CL, Elliott DE, Doherty DA, Magann EF. Umbilical cord plasma homocysteine concentrations at delivery in pregnancies complicated by preeclampsia. Australian & New Zealand Journal of Obstetrics & Gynaecology  2008;48:261-5.

Gotkin JL, McNutt P, Celver JP, Shields AD, Wright J, Hoeldtke NJ, Napolitano PG.  Progesterone Reduces Lipopolysaccharide Induced Inflammatory Cytokine Secretion in Fetoplacental Arteries and Fractionated Cord Blood. Oral presentation at the 26th Annual Meeting of the Society for Maternal-Fetal Medicine, Miami, Florida.  February 2006. Am J Obstet Gynecol 2005;193:S10.  Am J Obstet Gynecol 2006;195:1015-9.

Shields AD, Paonessa DJ, Gotkin J, Howard BC, Wright J, Napolitano PG. Progesterone Modulation of Inflammatory Cytokine Production in a Fetal Explant Model.  Presented at the 25th Annual Meeting of the Society for Maternal-Fetal Medicine, Reno, Nevada.  February 2005.– Awarded Outstanding SFMFM Poster Award for that session.  Am J Obstet Gynecol 2005;193:1144-8.

Napolitano PG, Ryan MAK, Grabenstein JD. Pregnancy Discovered After Smallpox Vaccination: Is Vaccinia Immune Globulin Appropriate?  Am J Obstet Gynecol, 2004;191(6):1863-7.

Napolitano PG, Hoeldtke NJ, Moore KH, Calhoun BC, Christensen ED, Markenson GR, Hume RF.  The Effect of Low Dose Acetylsalicylic Acid and Angiotensin II on Fetal-Placental Perfusion Pressure in the Ex-Vivo Cotyledon Model.  Presented at the 17th Annual Meeting of the Society of Perinatal Obstetricians, Anaheim, California.  January 1997, Published: Am J Obstet Gynecol, November 1997;177(5):1093-96.

Appointments & Practice Locations

Maternal-Fetal Medicine

Appointments:   206.543.3729