Pregnancy and early life

We aim to improve women's and children's health by understanding disease mechanisms in pregnancy, delivering clinical trials in women and neonates, and helping to shape policy change.

To achieve this aim, we study three key areas:

  • Maternal health and disease in pregnancy
  • Perinatal determinants of child health
  • Developmental programming of life course health

Maternal health and disease in pregnancy

Researchers, focuses and related projects

Cogs with infant

Our researchers

Principal investigators: James Boardman, Sarah Murray, Caroline Ovadia, Rebecca Reynolds, Rosie Townsend

Clinical lecturer: Kahyee Hor

Boardman research group

Edinburgh Pregnancy Research Team

Ovadia research group

Research focuses

  • Discover the impacts of disease in pregnancy on future health
  • Dissect mechanisms of disease in pregnancy, including interactions with fetal development
  • Use of digital technology to advance pregnancy care
  • Global women's health: supporting healthy pregnancies around the world
  • Test interventions to improve pregnancy outcomes in clinical trials

Edinburgh Pregnancy Research Team

The Edinburgh Pregnancy Research Team are a group of health/science professionals, working across the University of Edinburgh and NHS Lothian. We are committed to promoting and supporting perinatal research to enhance pregnancy outcomes and improve the experiences of pregnant women and their families.

Perinatal determinants of child health

Researchers, focuses and related projects

Research focuses

  • Understand how the maternal environment shapes child development, focusing on maternal stress, intrahepatic cholestasis, diabetes, cardiovascular disorders of pregnancy, air pollution, steatotic liver disease, fetal growth restriction and intrauterine inflammation
  • Determine the biological axes that link preterm birth with atypical brain development and cardiometabolic health, and understand what makes some babies resilient to being born too soon
  • Understand the basis of sex differences in the immune response to preterm birth
  • Multiple birth and long-term outcomes

Neonatal brain tacts

Our researchers

Principal investigators: James Boardman, Sarah Murray, Caroline Ovadia, Rebecca Reynolds, Gemma Sullivan, Rosie Townsend

Clinical lecturer: Kahyee Hor

Boardman research group

Edinburgh Pregnancy Research Team

Ovadia research group

Theirworld Edinburgh Birth Cohort (TEBC)

Theirworld Edinburgh Birth Cohort (TEBC) is a research platform for improving life-course outcomes after perinatal brain injury caused by preterm birth. We have recruited a unique collection of mothers and infants, and follow children as they grow older, to study the causes and consequences of, and develop novel treatments and support strategies for improving outcomes after preterm birth.

PRENCOG

PRENCOG is a UKRI MRC-funded programme of research consisting of four interlinked studies.  We want to discover how and why premature birth affects the developing brain so that we can develop new treatments to help children who are born early. 

Developmental programming of life course health and disease

Researchers, focuses and related projects

Mouse fetus

Our researchers

Principal investigators: Rebecca Gentek, Niki Gray, Samanta Mariani, James Boardman, Sarah Murray, Caroline Ovadia, Rebecca Reynolds, Rosie Townsend

Boardman research group

Edinburgh Pregnancy Research Team

Gentek research group

Gray research group

Mariani research group

Research focuses

  • Immune system development in normal and aberrant conditions; contribution of (fetal- or fetal-derived) immune cells to developmental processes.
  • Understanding how mRNAs are regulated at the level of translation and the consequences of their misregulation for stillbirth, fetal growth restriction, and cardiovascular dysfunction
  • The role of embryonic macrophages in haematopoiesis and organogenesis in mammalian embryos, and how their biological functions can contribute to the in utero onset of infant diseases
  • Discovery of early life determinants of health at the population level through healthcare-record data-linkage and cohort studies

Born in Scotland

The Born in Scotland study links routinely available information on maternal and child outcomes, with biological samples (for example, blood leftover from routine pregnancy samples) and ultrasound data to answer ‘Why are some babies in Scotland born early, or ill?’ and ‘How does our time in the womb influence our health throughout our lives?’

Our approaches

Building richly phenotyped perinatal cohorts

We have built several richly phenotyped cohorts of pregnant women and babies, phenotyped by structure (brain MRI), biology (immune function, DNA methylation, stress axis activation, cardiovascular phenotype, gut microbiome), medicine, the social graph, and behaviour. We have developed tools for integrating multi-scale early life data. We host a biobank containing rare pregnancy-related tissue samples. These samples support a pipeline of translational research, spanning patient surveys, in vitro assays, model systems, the identification of new targets, prediction modelling, and clinical trials.

Edinburgh Reproductive Tissue Biobank

Preterm Neurodevelopment Cognition

Using cutting-edge technologies

We employ state-of-the-art techniques, including single-cell and spatial transcriptomics, high-resolution proteomics, epigenomics, retinal imaging, and quantitative magnetic resonance imaging of the neonatal brain and placenta. These advanced technologies help to drive progress in understanding disease mechanisms, identifying therapeutic targets, and developing new biomarkers to support precision medicine.

Edinburgh Imaging

IRR Core Technologies

Edinburgh Clinical Research Facility

Mass Spectrometry Core Facility

Population-level data for life course research

We utilise healthcare-record data linkage to investigate the consequences of a mother’s health during pregnancy and adversities in the perinatal period on the health, education, and well-being of the next generation.

Born in Scotland

Strong integration with the NHS, patients and the public

Our diverse research portfolio is integrated within the NHS to ensure that our findings are directly relevant to clinical practice. Public and patient engagement is fundamental to our research and its impact on healthcare and society. 

Academic and Clinical Central Office for Research and Development