Dr. Nikolaos Zacharias
Maternal-Fetal Medicine
Houston, TX
28 years experience male
Locations
Office
Houston, TX
My office hours
Thursday: 8:00am - 5:00pm
Show morePhone
Insurances accepted
Blue Cross Blue Shield of Texas
UnitedHealthcare
Medicare
Medicaid
Aetna
About
Bio
Nikolaos Zacharias, MD, FACOG, is a native of Greece; he earned his medical diploma with excellence from the National Kapodistrian University of Athens, Greece (1995) reciting the Hippocratic Oath as a top graduate in his class. Dr. Zacharias received numerous Hellenic scholarships for undergraduate and postgraduate education (1989-2002). He trained in Obstetrics Gynecology at Baylor College of Medicine, (1998-2002), elected chief resident in 2001. He received the Council of Resident Education in Obstetrics Gynecology Outstanding Academic Achievement Award four consecutive years (1999-2002) for scoring at the top 3% of his U.S. peers at these annual examinations.
His passion for prenatal sonography and profound interest in pregnancy complications led him to a fellowship in Maternal-Fetal Medicine at the University of Texas Medical Branch, in Galveston, Texas (2002-2005), where he received the UTMB Hospital Academic Fellowship Award (2002-2005) and enrolled in a Masters in Medical Science post-graduate program on clinical research design (2003-2005, all courses passed with excellence, thesis defense pending). Dr. Zacharias returned to Baylor as assistant professor of Obstetrics Gynecology, in the Maternal Fetal Medicine Division (2005 - 2013). He served as medical director of the Harris Health System Prenatal Ultrasound Screening Program (2005 - 2012) and as founding medical director of the Ben Taub Maternal Fetal Medicine Prenatal Ultrasound Unit (2008 - 2012), having supervised over 30,000 prenatal sonograms. Dr. Zacharias has been an active member of the Texas Children’s Fetal Center (2006-2013), teaching faculty at Ben Taub General (2005 - 2013) and Texas Children’s Hospital (2008 - 2013). He is board-certified in Obstetrics Gynecology (2008) and Maternal Fetal Medicine (2011). Dr. Zacharias received Baylor's medical student faculty teaching award (2011) and was elected to America's Top Obstetricians Gynecologists (2012). He co-directed the maternal-fetal medicine elective clerkship at Baylor College of Medicine with Dr. Robert Carpenter (2012-2013). Dr. Zacharias is a fellow of the American College of Obstetricians Gynecologists (2010) and a regular member of the Society for Maternal-Fetal Medicine (2012).
On August 2013 Dr. Zacharias became the inaugural Medical Director of Prenatal Ultrasound and Maternal-Fetal Medicine at the Center for Medical Genetics - collaborating with Geneticist Dr. Katherine Thompson. His focus will be on consultative perinatology and prenatal sonography with genetic testing, serving his beloved Southeast Texas population.
Languages spoken: English, Spanish, French and Greek.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Maternal-Fetal Medicine
Obstetric Medicine
Obstetrics and Gynecology
Languages spoken
Greek
Doctor Q&A
2.0K Answers
718 Agrees
The number of answers this doctor has agreed with.
A 23-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
No.: As spermicides are uniquely useful to sexually active women at risk of getting pregnant, they would hardly be clinically available if they could cause... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
PPROM!: The most devastating (and thankfully more uncommon) consequence of smoking during pregnancy is preterm premature rupture of membranes and preterm birt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes.: Only experts should attempt surgery during pregnancy due to manifold concerns regarding the fetus and mother. Preterm labor is the leading concern, as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes.: Any illness is more severe at the extremes of age ( neonatal/infantile period and elderly), including infections and streptococcal etiology.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 18-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Many things!: Pregnancy hormones, drug levels, exposure to infections or substances that could harm your baby (e.g. Hiv, lead), thyroid/kidney/liver/blood function ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Liability concerns.: Although the absolute risk for uterine rupture after one prior kerr cesarean section is 1/200, that risk increases with short inter-pregnancy interval... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Common finding.: Unless associated with placenta previa, this is a common and insignificant sonographic finding. In the presence of previa, it is the hallmark of place... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Otitis? Trauma?: Complicated otitis can cause lesions in the inner/middle ear that erode through the brain coverings (meninges) threatening meningitis and encephalitis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 28-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Blocks birth canal.: Placenta previa occurs when it implants over the maternal cervix of the uterus, thereby blocking the birth canal and precluding safe vaginal delivery.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years agoMerged
A 45-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Of course!: What a question! sex may resume as soon as you feel ready for it after any delivery, provided you avoid pregnancy until your child's first birthday. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Needed no; advisable: 80% of all twins are born via c-section in the us nowadays. That is due to concern for the well-being of the second twin - 20% or more increase in per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Archaic term.: Fetal distress is not ascertainable prospectively, which is why this term has become obsolete. It has been used to successfully ruin careers of compet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Vaginal bleeding.: Placenta accreta is a post-hoc diagnosis made after autopsy (if you are unlucky and it was undiagnosed until delivery), or after pathological examinat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 29-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Life/brain-saving: Cesarean section is a very safe (nowadays in the us) major surgery that is the most common life/brain-saving procedure performed in this country.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes, best postpartum: Your maternal-fetal medicine specialist and your gastroenterologist should compare notes and determine if you really need to have a colonoscopy during... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Not common in U.S.: In the United States it is estimated that 23% of the population >12 years have been infected with toxoplasma gondii. In various places throughout the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
History/findings.: If you had diabetes mellitus before your pregnancy, if you or a prior infant have congenital heart defects, if you were exposed to phenytoin/warfarin/... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Other defects?: I agree with dr. Onyeije's note! additionally, i would be interested in knowing if that first infant had other birth defects or any identifiable syndr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
1 comment
A 39-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Only for prevention!: Progesterone (injections or vaginal preparations) can help prevent preterm birth in high-risk women by up to 75%. It is no good once preterm labor is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Depends on race: African-american women have higher twin rates. Also, more obese women and those consuming multivitamins before they get pregnant are at higher risk fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 20-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Very rewarding.: I would consider neonatal nursing more of a calling than career - however it may well be both. If you have the stomach to manage severely ill newborns... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Big hospital: Trust hospitals with large numbers of similar procedures. If your anesthesiologist and pediatric surgeon both agree on this plan and you are at a tert... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Heart failure: Endocardial fibroelastosis is a hallmark of heart failure in utero and can be associated with calcium deposition on strained cardiac muscle - it is a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 26-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Not necessarily.: Your OB may recommend abstinence from sex, exercise, heavy lifting and all nsaids/ssris. Bed rest has no proven benefit but is commonly recommended in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 22-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
How about both?: Most psychotropic medications are acceptable during pregnancy to help stabilize the psyche and mood of the gravida. Psychotherapy works in some cases ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
No.: I would avoid all travel to developing countries during pregnancy and the postpartum/lactation period if possible. Focus on safety for mother and baby... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Not likely.: Ebv rarely crosses the placenta and even more rarely causes birth defects to the heart/brain or liver/kidneys. Reports of such cases are very few and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes.: One can contract toxoplasmosis by consuming food or water contaminated with cat feces or by contaminated environmental samples (such as fecal-contamin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 26-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes - prematurity,: Placenta previa/accreta typically leads to preterm contractions and rupture of membranes requiring delivery before 37 weeks. Thus, the minor risk is f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
~7 days B4 due date.: Studies have determined that the best time to perform a prelabor cesarean section is 39 weeks, or 7 days befor eyour due date. In rare circumstances, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 27-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Great question!: Caffeine crosses the placenta and may have fetal effects - including proarrhythmic tendency in the fetal heart and untold consequences in fetal brain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
No.: Pid can prevent you from getting pregnant, but should not affect the fetus' risk of anatomical defects once pregnancy is achieved. Pid during pregnanc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Manifold effects.: Fibroids can obstruct the birth canal and require cesarean section, even the classical type with excessive blood loss. They can also cause subfertilit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
ABSOLUTELY!: Invasive prenatal diagnosis is a deeply personal choice after information gathering and analysis. It is never mandated and is always elective/optional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 24-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
They can.: Mutations are sometimes caused by ionizing radiation (x-rays, ct-scans) applied to the maternal abdomen/pelvis during early pregnancy (4-12 weeks, bef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 30-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Genetic usually.: Most early pregnancy failures are due to abnormal dna of the conceptus. Other causes include sle (lupus), antiphospholipid antibody syndrome, uterine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years agoMerged
A 47-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yes.: The risk of vertical transmission increases with increasing gestational age at maternal infection. Conversely, the risks of intracranial lesions and s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 18-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Late preterm labor.: Your doctor is probably trying to keep you as comfortable as possible during your episode of late preterm labor. Muscle relaxants, however, do not wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 26-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Not unless it crashe: There is no evidence that air travel causes placental abruption.
Trauma can cause placental abruption, but most cases are related to hypertension/pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
BostonCHOPCincyTCH.: 1. -boston children's hospital
2. -children's hospital of philadelphia
3. -cincinatti children's hospital medical center
4. -texas children's hospi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 29-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
It should be OK.: There are two types of c-sections: emergent/urgent ones and scheduled/prelabor ones. The former are much higher risk and unpredictable than the latter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Usually day 14.: Most women with a 28-day cycle ovulate around the 14th day (starting to count from the first day of your last period). Take Folic Acid 1-5 mg daily an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Blood and U/S tests.: First trimester screen for any pregnancy includes a sonographic examination to determine plurality, basic fetal anatomy, gestational sac location, fet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 53-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
See obstetrician!: Your symptoms are suggestive of cervical and/or vaginal infection that could be significant for your pregnancy. Please consult your obstetrician asap ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 22-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Preeclampsia?: New onset headache and nausea can be a sign of a serious late pregnancy complication called pre-eclampsia! go to the emergency room as soon as possibl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
MaterniT21.: Your question was cut-off - but, if i understand correctly, you are concerned about the risk of Down syndrome in your current fetus because of your pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Yep.: Even low levels of human chorionic gonadotrophin (HCG) will turn the over-the-counter urine pregnancy tests positive (albeit faintly) and are diagnost... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 30-year-old male asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Depends.: If your wife had a quad screen with increased risk for fetal trisomy 21 or 18 then it is not diagnostic and a targeted fetal ultrasound should help m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
As soon as UR ready!: There is no minimum time for you to wait after an early miscarriage (before 12 weeks) before trying to get pregnant again. In fact the women who wait ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 26-year-old female asked:

Dr. Nikolaos Zachariasanswered
Maternal-Fetal Medicine 28 years experience
Round ligament pain?: Possibilities for your pain: round ligament stretching of the enlarging uterus (common, benign, should go away with tylenol (acetaminophen) and rest),... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
24
Recommendations
2.4K
Thank you notes
Nov 4, 2012
Dr. Zacharias is extremely well-versed in his field and consistently provides informative, practical answers to a wide variety of HealthTap questions. I enjoy learning from him!
May 11, 2013
Exceptional source of information on Maternal - Fetal Medicine. Provides an excellent public service through Health Tap. I recommend Dr. Zacharias.
Aug 10, 2015
Dr. Zacharias gives superb & accurate advice. He is certainly very experienced and is very well versed in his specialty.
HealthTap member
Want to monitor polyps on cervix that appeared w intoduction of extra estrogen from pregnancy. Were not visible two weeks before pregnancy. Want to make sure they aren't growing wildly. Make sense? I'...Read More
HealthTap member
Thanks! Feel much better. My verify was negative for downs and based on what you said that is far more accurate and I can disregard the 1 in 20. I will also take sequinom but assume the same result wi...Read More
HealthTap member
thank you.
my son had numerous chd's. he had a asd, missing dividing wall between chambers, and heterotaxia. this caused him to have malrotation of the intestines, and he had asplenia. due to not havi...Read More
Education & Training
Medical/Graduate school
National University of Athens Faculty of Medicine, Greece
Graduated 1995MD
Residency
Baylor College of Medicine
Awards
UTMB Hospital Academic Fellowship Award, 2002-2005.
CREOG/ACOG outstanding Academic Achievement Award, 1999-2002.
Papadakis Undergraduate Hellenic Award, 1989-1995.
Affiliations
Society for Maternal-Fetal Medicine
American College of Obstetricians and Gynecologists
Harris County Medical Society
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