Monique M. Hedderson, PhD

People

Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

(510) 891-3580 (phone)
Monique.m.hedderson@kp.org
Kaiser Permanente Researcher Profiles

Monique Hedderson, PhD, is a research scientist at the Kaiser Permanente Northern California Division of Research and associate director for the women's and children's health section.

She received her Master's in public health from the University of Washington in 2000 and her PhD in epidemiology from the University of Washington in 2005. Dr. Hedderson’s research interests lie principally, but not exclusively, in the field of maternal and child health. Her research portfolio investigates the influence of preconception, prenatal and early childhood exposures on maternal and child health. Specifically, she has sought to understand how potentially modifiable factors before and during early pregnancy contribute to the risk of metabolic complications in women during pregnancy and postpartum, as well as their children.

Dr. Hedderson has a long-standing interest in developing innovative targeted prevention and treatment strategies for high-risk populations, especially interventions among reproductive aged women that can be implemented into clinical practice. She is also interested in the pharmacogenetics of glycemic response to metformin among patients with type 2 diabetes. This area of research has the potential to inform data-driven prescribing and precision medicine for antidiabetic drug therapy.

Current Position(s):

Research Scientist III, Division of Research, Kaiser Permanente Northern California
Director of Research Clinics, Division of Research, Kaiser Permanente Northern California

Section Affiliations:

Associate Director, Women's and Children's Health

Primary Research Interests:

Reproductive and perinatal epidemiology
Gestational diabetes
In utero behavioral and environmental exposures related to maternal and child health

Studies

Evaluating patient engagement in "KP Connected Pregnancy Care" and its association with utilization, perinatal outcomes and patient satisfaction.

This cohort study evaluates a new prenatal care delivery pathway, KP Connected Pregnancy Care (KPCPC). KPCPC is an opt-in hybrid in-person and virtual care model using digital tools to expand remote patient monitoring and virtual visits for low-risk prenatal care patients. Study compares participation in KPCPC with standard in-person care pathway and patient satisfaction with prenatal care and health outcomes. It will explore if associations vary among patients at risk for health disparities due to racism or other social determinants of health.
Investigator: Hedderson, Monique
Funder: TPMG Delivery Science Projects Program

Can hydroxychloroquine prevent preeclampsia and preterm delivery in lupus pregnancy?

Pregnant women with lupus are at high risk to develop preeclampsia and preterm delivery. This work leverages three large population-based databases with detailed prescription and clinical data to determine whether use of hydroxychloroquine during pregnancy among women with lupus reduces the risk of preeclampsia and preterm delivery disentangling these outcomes from the effects of potential mediators. This study will provide key information on hydroxychloroquine use and prescription practices to improve the analytic paradigm and inform our clinical understanding hydroxychloroquine use in lupus pregnancy.
Investigator: Hedderson, Monique
Funder: National Institute of Arthritis and Musculoskeletal and Skin Diseases

The Study of Women's Health Across the Nation (SWAN)

SWAN VI aims to elucidate menopause transition characteristics and trajectories of midlife health markers (inflammation, metabolic and cardiovascular risk factors, body composition, and bone, genitourinary, and vascular health) that are related to the preservation of physical and cognitive functioning, avoidance or delay of adverse health outcomes, and enhancement of social and psychological well-being, all of which will optimize successful aging.
Investigator: Hedderson, Monique
Funder: National Institute on Aging

Understanding racial-ethnic disparities in preterm birth sub-types and prenatal care utilization

The study will examine racial-ethnic disparities in the risk of preterm birth overall and by preterm birth sub-types. It will also study whether the racial-ethnic disparities in preterm births and preterm birth sub-types are modified by the level of prenatal care received.
Investigator: Hedderson, Monique
Funder: Northern California Community Benefit Programs

Cluster-randomized Trial of a Mobile Health Intervention to Achieve Appropriate Gestational Weight Gain in Overweight and Obese Women

This randomized trial will test whether the implementation of an mHealth tool in the health-plan setting increases the proportion of overweight and obese women with appropriate total gestational weight gain, according to Institute of Medicine (IOM) guidelines in comparison to usual care. Primary outcomes include the proportion of women with total gestational weight gain meeting the IOM guidelines and the rate of gain from the first trimester to delivery (in kilograms per week).
Investigator: Hedderson, Monique
Funder: National Institute of Diabetes and Digestive and Kidney Diseases

Atopic Dermatitis Standing Cohort Using a Cohort of Kaiser Permanente Northern California Members

A cohort study of Kaiser Permanente Northern California patients with moderate-to-severe atopic dermatitis (AD) will be used to estimate baseline characteristics and background incidence rates of safety events. Data from this study will provide valuable information regarding the current incidence rates of adverse outcomes among patients with AD. Safety events of interest include: viral reactivation, malignancies, lymphoproliferative disorders, thrombocytopenia, major/minor bleeding events, major adverse cardiovascular events, alterations in lipid profiles, and thromboembolism.
Investigator: Hedderson, Monique
Funder: Pfizer Inc.

Development and Testing of a Mobile-Health (m-health) Intervention tool to Help Obese Women Achieve Appropriate Gestational Weight Gain

To determine whether a mobile-health (m-health) tool (accessible via smartphone or website) intervention for obese pregnant improves patient satisfaction with their gestational weight gain, quality of life, stress and depression during pregnancy. Provider satisfaction with discussing gestational weight gain among their patients who used the m-health tool will also be assessed.
Investigator: Hedderson, Monique
Funder: The Permanente Medical Group

Glyburide Versus Insulin for the Treatment of Women with Gestational Diabetes in Kaiser Permanente Northern California

We aim to compare the effectiveness and safety of glyburide and insulin at improving neonatal and maternal outcomes among women with gestational diabetes mellitus (GDM) requiring medication therapy in Kaiser Permanente Northern California from 2007 to 2016. We will use a cohort study design including women with GDM diagnosed from 2007 to 2016 where treatment groups contrasted are defined by therapy regimens (i.e., insulin versus glyburide or early versus late initiation of glyburide). This project will overcome shortcomings of past studies conducted in this area by using modern statistical methods that allow us to take advantage of variation in treatment patterns after the implementation of the universal Perinatal Center referral policy in 2007. More specifically, our approach consists of a cohort study with time-varying exposure to insulin and glyburide during pregnancy.
Investigator: Hedderson, Monique
Funder:

Iodinated Contrast Agents and Risk of Hypothyroidism in Young Children in the United States

This study will estimate the incidence of pulmonary hypothyroid in a pediatric population of children under age 4, based on data from the US-based Kaiser Permanente Northern California database, who were exposed to iodinated contrast agent through having a diagnostic procedure.
Investigator: Hedderson, Monique
Funder: Bayer AG

Pregravid Biomarkers and Risk of Gestational Diabetes Mellitus Risk, Fetal Growth and Progression to Diabetes

This study will examine pregravid biomarkers of metabolic risk (adiponectin, high molecular weight adiponectin, c-reactive protein, liver enzymes, fetuin-A and LDL particle size) in relation to risk of gestational diabetes mellitus among women who participated in the Kaiser Permanente Northern California (KPNC) multiphasic health check-up (1985-1996) and had a subsequent pregnancy in KPNC.
Investigator: Hedderson, Monique
Funder: National Institute of Child Health and Human Development

Discovery of Pharmacogenomic Biomarkers for Metformin Response

The primary goal of this multi-site study is to identify genetic variants that impact response to metformin in patients with diabetes from multiple ethnic groups in the U.S. and Europe
Investigator: Hedderson, Monique
Funder: National Institute of General Medical Sciences

Pharmacogenomics Study of Extreme Response to Metformin

In this collaboration with GlaxoSmithKline, University of California San Francisco and Kaiser Permanente Northern California, we propose to perform a genome-wide association study in 1,000 patients of European ancestry with extreme response phenotypes to metformin using genomewide array and human exome chip, which include rare nonsynonymous variants. Our aim is to determine whether rare variants, either acting alone or in combination, explain much of the variation in response to metformin, particularly in the extreme responder and non-responder groups.
Investigator: Hedderson, Monique
Funder: GlaxoSmithKline PLC

Highlighted Publications

No results found matching criteria

Publications

Association of serum folate levels during pregnancy and prenatal depression

Author(s): Avalos, Lyndsay A; Nance, Nerissa; Caan, Bette; Sujan, Ayesha C; Uriu-Adams, Janet Y; Li, De-Kun; Quesenberry, Charles P; Hedderson, Monique M

J Matern Fetal Neonatal Med. 2023 Dec;36(1):1-4. Epub 2022-11-17.

Current Position(s):

Section Affiliations:

Primary Research Interests:

Studies

Evaluating patient engagement in "KP Connected Pregnancy Care" and its association with utilization, perinatal outcomes and patient satisfaction.

Can hydroxychloroquine prevent preeclampsia and preterm delivery in lupus pregnancy?

The Study of Women's Health Across the Nation (SWAN)

Understanding racial-ethnic disparities in preterm birth sub-types and prenatal care utilization

Cluster-randomized Trial of a Mobile Health Intervention to Achieve Appropriate Gestational Weight Gain in Overweight and Obese Women

Atopic Dermatitis Standing Cohort Using a Cohort of Kaiser Permanente Northern California Members

Development and Testing of a Mobile-Health (m-health) Intervention tool to Help Obese Women Achieve Appropriate Gestational Weight Gain

Glyburide Versus Insulin for the Treatment of Women with Gestational Diabetes in Kaiser Permanente Northern California

Iodinated Contrast Agents and Risk of Hypothyroidism in Young Children in the United States

Pregravid Biomarkers and Risk of Gestational Diabetes Mellitus Risk, Fetal Growth and Progression to Diabetes

Discovery of Pharmacogenomic Biomarkers for Metformin Response

Pharmacogenomics Study of Extreme Response to Metformin

Highlighted Publications

Publications

Association of serum folate levels during pregnancy and prenatal depression

Prenatal exposure to per- and polyfluoroalkyl substances and childhood autism-related outcomes

Novel approaches to examining weight changes in pregnancies affected by obesity

Changes in Body Mass Index Among School-Aged Youths Following Implementation of the Healthy, Hunger-Free Kids Act of 2010

The prospective association of hyperandrogenism, oligomenorrhea and polycystic ovary syndrome with incident gestational diabetes: The coronary artery risk development in young adults women's study

Rates of malignancies among patients with moderate to severe atopic dermatitis: a retrospective cohort study

Using Peer Support to Prevent Diabetes: Results of a Pragmatic RCT

Accuracy of diagnostic codes for prenatal opioid exposure and neonatal opioid withdrawal syndrome

Perinatal Outcomes After Bariatric Surgery Compared With a Matched Control Group

Dietary Quality Indices in Early Pregnancy and Rate of Gestational Weight Gain among a Prospective Multi-Racial and Ethnic Cohort

Impact of the COVID-19 pandemic on children's sleep habits: an ECHO study

Trends in Screen Time Use Among Children During the COVID-19 Pandemic, July 2019 Through August 2021

Placental Histopathologic Findings of a Large Cohort of Patients With SARS-CoV-2 Infection During Pregnancy

Pregnancy post-bariatric surgery: Improved outcomes with telephonic nutritional management program

Efficacious lifestyle interventions for appropriate gestational weight gain in women with overweight or obesity set in the health care system: a scoping review

Urinary Phenols in Early to Mid-Pregnancy and Risk of Gestational Diabetes: A Longitudinal Study in a Multiracial Cohort

Changes in 24-Hour Movement Behaviors From Early to Late Pregnancy in Individuals With Prepregnancy Overweight or Obesity

Fibroids and vitamin D: another piece of the puzzle

Reconciling Between Medication Orders and Medication Fills for Lupus in Pregnancy

Gestational diabetes mellitus, prenatal maternal depression, and risk for postpartum depression: an Environmental influences on Child Health Outcomes (ECHO) Study

Changes in BMI During the COVID-19 Pandemic

Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children

Sociodemographic Variation in Children's Health Behaviors During the COVID-19 Pandemic

Reach, acceptability, and perceived success of a telehealth diabetes prevention program among racially and ethnically diverse patients with gestational diabetes: the GEM cluster-randomized trial

Coping strategies for COVID-19 pandemic-related stress and mental health during pregnancy

Impaired fasting glucose in pregnancy: improved perinatal outcomes with active glycemic management

A Web-Based mHealth Intervention With Telephone Support to Increase Physical Activity Among Pregnant Patients With Overweight or Obesity: Feasibility Randomized Controlled Trial

Uptake of guideline-recommended postpartum diabetes screening among diverse women with gestational diabetes: associations with patient factors in an integrated health system in USA

Perinatal Complications in Individuals in California With or Without SARS-CoV-2 Infection During Pregnancy

Contribution of Maternal Cardiometabolic Risk Factors to Racial-Ethnicity Disparities in Preterm Birth Subtypes

Association of Glyburide and Subcutaneous Insulin With Perinatal Complications Among Women With Gestational Diabetes

Contributions of COVID-19 Pandemic-Related Stressors to Racial and Ethnic Disparities in Mental Health During Pregnancy

Associations of COVID-19-Related Health, Healthcare and Economic Factors With Prenatal Depression and Anxiety

Rates of cardiovascular events among patients with moderate-to-severe atopic dermatitis in an integrated health care system: A retrospective cohort study

Disparities in Risks of Inadequate and Excessive Intake of Micronutrients during Pregnancy

Methods-Motivational Interviewing Approach for Enhanced Retention and Attendance

Lifestyle-related education and counseling resource utilization and cardiovascular biomarkers in midlife women with low physical activity

Healthy preconception and early-pregnancy lifestyle and risk of preterm birth: a prospective cohort study

Mediating Effects of Cardiometabolic Risk Factors on the Association Between Maternal Race-Ethnicity and Cesarean Delivery Among Low-Risk Women

Dual trajectories of physical activity and blood lipids in midlife women: The Study of Women's Health Across the Nation

Gestational weight gain and adverse pregnancy outcomes by pre-pregnancy BMI category in women with chronic hypertension: A cohort study

Exercise During the First Trimester of Pregnancy and the Risks of Abnormal Screening and Gestational Diabetes Mellitus

Racial and geographic variation in effects of maternal education and neighborhood-level measures of socioeconomic status on gestational age at birth: Findings from the ECHO cohorts

COVID-19 prevalence, symptoms, and sociodemographic disparities in infection among insured pregnant women in Northern California

Development and Validation of an Obstetric Comorbidity Risk Score for Clinical Use

Impact of nulliparity, hypertensive disorders of pregnancy, and gestational diabetes on vasomotor symptoms in midlife women

Gestational weight gain, birthweight and early-childhood obesity: between- and within-family comparisons

Study protocol: Using peer support to aid in prevention and treatment in prediabetes (UPSTART)

Prenatal Depression and Diet Quality During Pregnancy

A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial

Alternative Wear-time Estimation Methods Compared to Traditional Diary Logs for Wrist-Worn ActiGraph Accelerometers in Pregnant Women

Understanding childhood obesity in the US: the NIH environmental influences on child health outcomes (ECHO) program

Exercise During the First Trimester and Infant Size at Birth: Targeted Maximum Likelihood Estimation of the Causal Risk Difference

Pre- and Early Pregnancy Onset Depression and Subsequent Rate of Gestational Weight Gain

Prenatal Opioid Exposure: Neurodevelopmental Consequences and Future Research Priorities

Enhanced Recovery After Surgery to Change Process Measures and Reduce Opioid Use After Cesarean Delivery: A Quality Improvement Initiative

Iodinated Contrast Agents and Risk of Hypothyroidism in Young Children in the United States

Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity

Poor diet quality in pregnancy is associated with increased risk of excess fetal growth: a prospective multi-racial/ethnic cohort study

Dietary Quality and Glycemic Control Among Women with Gestational Diabetes Mellitus

Diagnostic thresholds for pregnancy hyperglycemia, maternal weight status and the risk of childhood obesity in a diverse Northern California cohort using health care delivery system data

Central Obesity Increases the Risk of Gestational Diabetes Partially Through Increasing Insulin Resistance