PIPages
Labs

Stefanie Hinkle

University of Pennsylvania, PA·Public Health & Epidemiology

What a woman's health looks like before she becomes pregnant may shape how her pregnancy goes, yet most advice and interventions start only once pregnancy has begun. Complications such as pregnancy loss, preterm birth and metabolic problems are common, and there is little solid evidence on which preconception habits or nutrients matter most.

Fields

Public Health & Epidemiology

Medicine & Clinical Research

Topics

preconception health

pregnancy outcomes

Medicaid

Grants
2 known grants, through May 2028

What they work on

  1. Create a preconception cohort by linking NHANES national health survey data with later Medicaid pregnancy records for low-income women of reproductive age.
  2. Estimate how preconception dietary patterns, physical activity and sleep affect adverse pregnancy outcomes, using a target trial framework that mimics a randomized trial with observational data.
  3. Test whether body composition and fat distribution, rather than BMI alone, and specific weight loss attempts and strategies before pregnancy relate to pregnancy complications.
  4. Classify iodine status before and throughout pregnancy in the 1,228-woman EAGeR cohort, using a hybrid design of urine biospecimen pooling and random sampling.
  5. Estimate how iodine deficiency in different periods affects time to pregnancy, fertility, very early pregnancy loss, preterm delivery and birth size, using trial emulation.
  6. Measure iodine in placentas to see how it relates to maternal urinary iodine and to pregnancy outcomes.

More about the research

This work uses large, existing population datasets and careful statistical methods to estimate how diet, exercise, sleep, body composition and iodine levels before and during pregnancy relate to fertility and pregnancy outcomes.

Why it matters

Preconception care often focuses on weight loss without clear evidence on how much or what strategy helps. This research could inform evidence-based preconception guidelines for diet, exercise, sleep and weight, especially for low-income women covered by Medicaid. If iodine deficiency proves harmful, iodine fortification, supplementation or dietary advice could offer a low-cost way to reduce infertility, pregnancy loss and preterm birth.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Utilizing the NHANES-Linked Medicaid Data to Understand the Role of Preconception Lifestyle Factors on Pregnancy Outcomes

NIH · Sep 2024 – May 2028

Iodine Deficiency: Novel assessment methods and implications for reproductive health

NIH · Apr 2023 – Mar 2028

Closest labs

Sonia Hernandez-Diaz

Harvard University, MA·Public Health & Epidemiology

Estimate whether specific anti-obesity drugs used before conception reduce obesity-related obstetric and newborn complications among more than 100,000 women with obesity in the MarketScan pregnancy–infant cohort.

Jonathan Purnell

Oregon Health & Science University, OR·Public Health & Epidemiology

Compare birth size for gestational age, infant weight gain and BMI through age six in children of 2,120 women who had bariatric surgery before pregnancy versus 21,200 children of women without surgery, matched on pre-surgery or pre-pregnancy BMI.

Payal Chakraborty

University of North Carolina at Chapel Hill, NC·Public Health & Epidemiology·Early-career

Quantify differences in unintended pregnancy rates by sexual orientation by combining data from two large national longitudinal cohorts.

The school

University of Pennsylvania: 90 labs on PI Pages, $2.2B a year on research, 750 research doctorates a year.

More about University of Pennsylvania

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