Obstetricians & Gynecologists
22 years of experience
Video profile
Accepting new patients
East Dallas
Maternal Fetal Healthcare PA
411 N Washington Ave
Ste 1000
Dallas, TX 75246
214-824-9600
Locations and availability (3)

Education ?

Medical School Score
The University of Texas at San Antonio (1988)
  • Currently 2 of 4 apples

Awards & Distinctions ?

Awards  
Castle Connolly's Top Doctors™ (2012 - 2013)
Patients' Choice 5th Anniversary Award (2012 - 2013)
Patients' Choice Award (2008 - 2013)
Compassionate Doctor Recognition (2010 - 2013)
Castle Connolly Top Doctors: Texas™ (2009)
Associations
American Board of Obstetrics and Gynecology

Affiliations ?

Dr. Magee is affiliated with 23 hospitals.

Hospital Affilations

Score

Rankings

  • Medical City Dallas Hospital
    7777 Forest Ln, Dallas, TX 75230
    • Currently 4 of 4 crosses
    Top 25%
  • Mother Frances Hospital
    Obstetrician & Gynecologist
    1405 W Jefferson St, Waxahachie, TX 75165
    • Currently 4 of 4 crosses
    Top 25%
  • Baylor University Medical Center *
    3500 Gaston Ave, Dallas, TX 75246
    • Currently 4 of 4 crosses
    Top 25%
  • UT Southwestern University Hospital - St. Paul
    5909 Harry Hines Blvd, Dallas, TX 75235
    • Currently 4 of 4 crosses
    Top 25%
  • Methodist Medical Center
    1441 N Beckley Ave, Dallas, TX 75203
    • Currently 3 of 4 crosses
    Top 50%
  • Longview Regional Medical Center
    2901 N 4th St, Longview, TX 75605
    • Currently 3 of 4 crosses
    Top 50%
  • Children's Medical Center of Dallas
    Obstetrician & Gynecologist
    1935 Motor St, Dallas, TX 75235
    • Currently 3 of 4 crosses
    Top 50%
  • Texas Health Presbyterian Hospital Of Dallas
    8200 Walnut Hill Ln, Dallas, TX 75231
    • Currently 3 of 4 crosses
    Top 50%
  • Good Shepherd Medical Center
    Obstetrician & Gynecologist
    9525 Greenville Ave, Dallas, TX 75243
    • Currently 2 of 4 crosses
  • Doctors Hospital Dallas
    9440 Poppy Dr, Dallas, TX 75218
    • Currently 2 of 4 crosses
  • Good Shepherd Medical Center
    700 E Marshall Ave, Longview, TX 75601
  • Frisco Medical Center
  • Doctors Hospital
    1901 Doctors Hospital Dr, Bridgeport, TX 76426
  • TX Health Dallas
  • Parkland Health & Hospital System
  • Baylor Medical Center At Irving
  • Methodist Med Ctr, Dallas, Tx
  • Baylor Medical Center at Frisco
  • Ut Southwestern Medical Center - St Paul
  • Good Shepherd
  • Margaret J Charlton Methodist, Dallas, Tx
  • UT Southwestern St. Paul Hospital
  • Methodist Richardson Medical Center
  • * This information was reported to Vitals by the doctor or doctor's office.

    Publications & Research

    Dr. Magee has contributed to 16 publications.
    Title Mri of Fetal Genitourinary Anomalies.
    Date December 2003
    Journal Ajr. American Journal of Roentgenology
    Excerpt

    OBJECTIVE: The objective of our study was to show examples of fetal MRI evaluations of congenital genitourinary anomalies and to review the embryology in relation to the MRI findings. CONCLUSION: MRI was performed on 35 pregnant women with sonographic findings that suggested that their fetuses had genitourinary anomalies. Oligohydramnios or anhydramnios was identified in 22 of 35 women and did not hinder visualization of anomalies. MRI allowed the amniotic fluid and the presence, location, and morphology of kidneys and bladder to be assessed in all fetuses at any stage of gestation and depicted sufficient anatomic detail for us to evaluate the perineum in 27 of 35 pregnancies. Therefore, we found MRI to be an excellent technique for revealing the anatomy of genitourinary anomalies in the fetus.

    Title Fetal Central Nervous System Biometry on Mr Imaging.
    Date April 2003
    Journal Ajr. American Journal of Roentgenology
    Excerpt

    OBJECTIVE: We sought to compare the biometry of the fetal head on MR imaging with sonographic measurements in fetuses with and without suspected central nervous system abnormalities. MATERIALS AND METHODS: Blinded retrospective measurements of biparietal diameter, head circumference, and cerebellar width obtained on MR imaging were assigned a gestational age on the basis of median sonographic measurements and compared with sonographic and clinical assignment of gestational age in fetuses with no central nervous system abnormalities. In fetuses with central nervous system abnormalities, the same MR measurements were compared with sonographic measurements obtained within 1 week. Single-shot fast spin-echo sequences were obtained. Pearson's product moment correlation coefficients and paired sample t tests were performed. RESULTS: In 22 fetuses with no suspected central nervous system abnormalities, significant correlation was seen in the assignment of gestational age by MR measurements and sonographic gestational age. In 25 fetuses with central nervous system abnormalities, significant correlation was also seen between biparietal diameter and head circumference measurements. The mean biparietal diameter on MR imaging was greater than on sonography in those fetuses with central nervous system abnormalities (p = 0.038). CONCLUSION: MR imaging measurements of biparietal diameter, head circumference, and cerebellar width are strongly correlated to gestational age in fetuses without central nervous system abnormalities. Significant correlation is found between MR imaging and sonographic measurements of biparietal diameter and head circumference in fetuses with central nervous system abnormalities. Larger biparietal diameter measurements were seen with MR imaging than with sonography in the abnormal group. Fetal central nervous system biometry can be performed as part of the MR imaging evaluation of the fetal central nervous system.

    Title Second-opinion Magnetic Resonance Imaging for Suspected Fetal Central Nervous System Abnormalities.
    Date March 2003
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: The purpose of this study was to evaluate the relationship of magnetic resonance imaging and gestational age in the setting of fetuses with suspected abnormalities of the central nervous system that were detected by ultrasound scanning. STUDY DESIGN: Multiplanar magnetic resonance studies were performed in fetuses with suspected central nervous system abnormalities on ultrasound scanning. Magnetic resonance imaging was evaluated for its ability to provide additional information, change the diagnosis, or impact obstetric treatment. Patients were grouped by gestational age at the time of magnetic resonance imaging. RESULTS: Magnetic resonance imaging provided additional information in 46 of 72 pregnancies (64%), changed the diagnosis in 20 of 72 pregnancies (28%), and potentially altered the timing or mode of delivery in 8 of 72 pregnancies (11%). Additional information increased with increasing gestational age groups (P =.03). CONCLUSION: Magnetic resonance imaging provided additional information in two thirds of the fetuses with central nervous system abnormalities, which was significantly increased with increasing gestation. Antenatal treatment was influenced by magnetic resonance imaging in 11% of the cases.

    Title Fetal Central Nervous System Ventricle and Cisterna Magna Measurements by Magnetic Resonance Imaging.
    Date November 2002
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: Our purpose was to evaluate the ventricular atria and cisterna magna in fetuses with and without suspected central nervous system (CNS) anomalies by magnetic resonance (MR). STUDY DESIGN: Measurements of the right and left ventricular atria and cisterna magna were obtained by MR in two groups: those with and without CNS anomalies. Published mean ultrasound measurements of the far field atrium were compared with MR. RESULTS: MR measurements were obtained in 23 fetuses without and 37 fetuses with CNS anomalies. Atrial measurements were independent of gestational age in healthy subjects. MR atrial widths were larger in abnormal compared with normal subjects (P <.05). The atrial cutoff value derived by 2 SDs above the mean with MR is 10 mm. MR cisterna magna measurements increased with gestational age (P =.005). CONCLUSION: The cutoff value for ventriculomegaly on MR is >10 mm. MR cisterna magna measurements are dependent on gestational age. Both ventricular atria and cisterna magna are readily measured with MR.

    Title Galileo at Io: Results from High-resolution Imaging.
    Date May 2000
    Journal Science (new York, N.y.)
    Excerpt

    During late 1999/early 2000, the solid state imaging experiment on the Galileo spacecraft returned more than 100 high-resolution (5 to 500 meters per pixel) images of volcanically active Io. We observed an active lava lake, an active curtain of lava, active lava flows, calderas, mountains, plateaus, and plains. Several of the sulfur dioxide-rich plumes are erupting from distal flows, rather than from the source of silicate lava (caldera or fissure, often with red pyroclastic deposits). Most of the active flows in equatorial regions are being emplaced slowly beneath insulated crust, but rapidly emplaced channelized flows are also found at all latitudes. There is no evidence for high-viscosity lava, but some bright flows may consist of sulfur rather than mafic silicates. The mountains, plateaus, and calderas are strongly influenced by tectonics and gravitational collapse. Sapping channels and scarps suggest that many portions of the upper approximately 1 kilometer are rich in volatiles.

    Title Ex Vivo Human Placental Transfer and the Vasoactive Properties of Hydralazine.
    Date February 2000
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: The purpose of this study was to determine the placental transfer and fetal vascular effects of hydralazine in an ex vivo human placental system. STUDY DESIGN: Nine placentas from uncomplicated term vaginal or cesarean deliveries were studied by means of the ex vivo single-cotyledon perfusion system. Antipyrine was used for the reference compound in the determination of the clearance index of hydralazine. Fetal vascular effects of hydralazine were determined by the effects on the perfusion pressure of the fetal artery in a constant-flow open system. Variations in fetal pressure were analyzed with the 1-sample Student t test. RESULTS: The clearance index of hydralazine ranged from 0.61 +/- 0. 18 to 0.73 +/- 0.14. The accumulation of hydralazine in the recirculated fetal compartment was linear in relationship to the maternal concentration. Fetal pressure changes were noted in 6 of the 9 placentas, or 66.6%. The mean change in pressure was -4.1 +/- 4.4 mm Hg (P =.0231). CONCLUSIONS: Hydralazine readily crosses the ex vivo human placental perfusion system.

    Title Coarctation of the Abdominal Aorta in Pregnancy: Diagnosis by Magnetic Resonance Imaging.
    Date May 1995
    Journal Obstetrics and Gynecology
    Excerpt

    BACKGROUND: Coarctation of the aorta is rare, affecting one per 2000-3000 women. Abdominal coarctation is more commonly identified in women than in men, but only two cases have been reported in pregnancy. CASE: A 26-year-old woman was diagnosed with hypertension at 15 years of age. Her blood pressure was controlled adequately with beta-blockers. During her pregnancy, she was found to have coarctation of the abdominal aorta by magnetic resonance imaging. CONCLUSION: Magnetic resonance imaging is a safe, reliable means by which to confirm clinically suspected coarctation of the aorta during pregnancy.

    Title Endometritis After Cesarean: the Effect of Age.
    Date May 1994
    Journal American Journal of Perinatology
    Excerpt

    In this study, we compared the rate of endometritis after cesarean section in two age groups. The first group consisted of patients who were 17 years old or younger (teenage group) and the second group of patients were 35 years of age or older (advanced maternal age group). Patients in each group were matched for length of labor, length of rupture of membranes, and the use of prophylactic antibiotics. In the teenage group, 18 of 41 (43.9%) developed endometritis compared with 6 of 41 (14.6%) in the advanced maternal age group (P < 0.003). This study supports the concept that young age is a risk factor for endometritis after cesarean section.

    Title Gentamicin Levels in Pregnant Women with Pyelonephritis.
    Date May 1994
    Journal American Journal of Perinatology
    Excerpt

    This study was performed at University Medical Center, Lubbock, Texas, from July 1989 to June 1990. We obtained serum gentamicin peak and trough levels in 23 pregnant women with pyelonephritis. The patients were given a loading dose of 2 mg/kg gentamicin, followed by 1.5 mg/kg gentamicin adjusted for obesity every 8 hours. Peak levels were obtained 1 hour after the fifth dose and trough levels were drawn 30 minutes before the sixth dose. Statistical analysis was performed using chi 2 analysis. The mean (+/- SD) peak gentamicin level was 2.7 +/- 1.4 micrograms/mL and the mean trough level was 0.5 +/- 0.3 micrograms/mL. Twenty-two of 23 (96%) patients had peak levels 5 micrograms/mL and 1 of 23 (4%) patients had peak levels between 5 and 10 micrograms/mL. The mean peak gentamicin level in pregnancy is significantly less than in puerperal women (2.70 versus 5.78; P < 0.000001). We conclude that the majority of pregnant women treated for pyelonephritis with standard doses of gentamicin do not achieve therapeutic levels. Also, peak gentamicin levels are significantly below that reported for puerperal women.

    Title Massive Septic Pelvic Thrombophlebitis.
    Date October 1993
    Journal Obstetrics and Gynecology
    Excerpt

    BACKGROUND: Septic pelvic thrombophlebitis is a major complication of endometritis. The thrombi commonly occur in the uterine and/or ovarian veins and may extend into the inferior vena cava. CASE: Following vaginal delivery, a 19-year-old woman, gravida 2, developed postpartum septic pelvic thrombophlebitis extending from the right ovarian vein up to the diaphragm and down to the femoral vein. The patient was treated successfully with heparin and antibiotics, and eventually was discharged on oral anticoagulants for an extended period. Follow-up revealed complete resolution of the thrombus. CONCLUSION: Septic pelvic thrombophlebitis is not limited to the pelvis and lower abdominal vessels.

    Title Uterine Contractions After Antibiotic Therapy for Pyelonephritis in Pregnancy.
    Date March 1993
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: The purpose of our study was to investigate the pathogenesis of preterm labor in pyelonephritis, we determined the number of uterine contractions occurring in patients with pyelonephritis before and after antibiotic therapy. STUDY DESIGN: We recorded the uterine contractions before and after antibiotic administration in 30 patients with acute pyelonephritis at Lyndon B. Johnson Hospital in Houston. Exclusion criteria were cervical dilatation > or = 4 cm, < 26 weeks' gestation, antibiotics within 7 days, clinical intraamniotic infection, rupture of membranes, or other maternal infection. Statistical analysis was by Kruskal-Wallis analysis of variance and Wilcoxon rank sum tests. RESULTS: The patients averaged eight contractions per hour on admission. The contraction rate significantly increased in hours +1 to +4 after antibiotic administration. The increase in uterine contractility occurred in patients with urinary tract gram-negative isolates. CONCLUSIONS: Pregnant women with pyelonephritis resulting from gram-negative bacteria increase their rate of uterine contractility after antibiotic treatment. This observation may be important in understanding the pathogenesis of preterm labor in pyelonephritis.

    Title Single-dose Ampicillin Prophylaxis Does Not Eradicate Enterococcus from the Lower Genital Tract.
    Date January 1993
    Journal Obstetrics and Gynecology
    Excerpt

    OBJECTIVES: To determine the carriage rate of enterococcus in the lower genital tract of women having a cesarean delivery and to determine whether a single 2-g intraoperative dose of ampicillin eradicates enterococcus from the lower genital tract. METHODS: Lower genital tract cultures were taken in 84 women who were in labor or had ruptured membranes and who were about to have an indicated cesarean delivery. The subjects were randomized to receive either a single 2-g dose of ampicillin or a cephalosporin as prophylaxis. Cultures were repeated 24 hours postpartum. RESULTS: Enterococcus was isolated preoperatively in 33 subjects (39.3%) and postoperatively in 36 (42.9%). The enterococcus was eradicated in five of 17 women (29.5%) who received ampicillin. CONCLUSION: These results suggest that a single 2-g dose of ampicillin does not eradicate enterococcus from the lower genital tract.

    Title Roseola Infantum in Pregnancy. A Case Report.
    Date January 1993
    Journal The Journal of Reproductive Medicine
    Excerpt

    Roseola infantum (exanthem subitum) was first described as a specific syndrome by Zahorsky in 1913. It is a benign disease that occurs almost exclusively in infants and young children (six months to three years of age). We report a case of roseola in a pregnant woman. We were unable to find any prior reports of roseola in pregnancy. The classic presentation of roseola is characterized by high temperatures (103-105 degrees F) that last 3-5 days and resolve by crisis followed by the appearance of a morbilliform rash that lasts a few hours to a few days. The infectious agent is human herpesvirus-6. We recommend the addition of roseola to the differential diagnosis of rashes that occur in pregnancy. The potential danger to the fetus from this virus is unknown.

    Title Screening for Hepatitis B Among Pregnant Patients in a Rural Population.
    Date July 1992
    Journal Southern Medical Journal
    Excerpt

    From February 1988 to April 1990, we collected blood for hepatitis B surface antigen (HBsAg) from all women coming to the Texas Tech University Health Science Center in Lubbock for prenatal care. These patients were from rural western Texas and eastern New Mexico. They were also screened for hepatitis B risk factors, as outlined by the Centers for Disease Control. We reviewed the prenatal records of all HBsAg-positive women. Six of 4452 women (0.13%) had a positive HBsAg test. Four of the six women had identifiable risk factors and two did not; two were non-Hispanic caucasian (Anglo), two were Hispanic, and two were black. Anglos comprised 49.5% of the rural population, Hispanics 34.9%, blacks 12.8%, and Asians 2.8%. No Asian women were positive for HBsAg. The prevalence of HBsAg positivity was lower in this rural population than in previously reported urban populations. While the prevalence in the studied blacks and Hispanics was similar to that in previous reports, the prevalence in the rural Anglos was lower.

    Title The Zavanelli Maneuver: a Different Perspective.
    Date May 1992
    Journal Obstetrics and Gynecology
    Excerpt

    Some obstetricians recommend the Zavanelli maneuver to resolve shoulder dystocia. Descriptions in the literature report an almost automatic ease in performance of the maneuver. We report a case of severe shoulder dystocia in which management with the Zavanelli maneuver and immediate cesarean was extremely difficult. The procedure involved exact reversal of all the cardinal movements of labor, and the delivery required terbutaline, general anesthesia, and added personnel to ensure successful extraction of the fetus. A delivery requiring the Zavanelli maneuver can be difficult to perform and may be worsened by insufficient personnel and inexact reversal of all the cardinal movements of labor.

    Title Ex Vivo Human Placental Transfer of Rifampin and Rifabutin.
    Date
    Journal Infectious Diseases in Obstetrics and Gynecology
    Excerpt

    Objective: The purpose of this study was to determine the ex vivo human placental transfer of rifampin and rifabutin.Methods: Seven placentas from uncomplicated term vaginal or cesarean deliveries were studied utilizing the ex vivo single cotyledon perfusion system. Antipyrine was used for the reference compound in the determination of the clearance indices of rifampin and rifabutin.Results: The clearance indices of rifampin at maternal concentrations of 1.0 and 10.0 mug/ml were 0.12 +/- 0.05 and 0.12 +/- 0.11, respectively. The clearance indices of rifabutin at maternal concentrations of 1.0 and 10.0 mug/ml were 0.44 +/- 0.11 and 0.37 +/- 0.15, respectively.Conclusions: Because of its greater lipophilicity, rifabutin was found to have a greater clearance than rifampin. However, because of rifabutin's trend toward greater deposition in tissue, there was proportionately less accumulation of rifabutin in the fetal circulation when compared to rifampin.

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