Kara Hoppe, DO
Associate Professor (CHS)
|B.S.||Winona State University, Winona, MN|
|D.O.||Midwestern University, Downers Grove, IL|
|Residency||University of Washington, Seattle, WA|
|Fellowship||University of Washington, Seattle, WA|
|M.S.||Clinical Investigation, University of Wisconsin Institute for Clinical and Translational Research, Madison, WI|
American Board of Obstetrics and Gynecology
Wisconsin Association for Perinatal Care
American Board of Obstetrics and Gynecology
Society of Maternal-Fetal Medicine
American College of Obstetrics and Gynecology
My Roles: Local Multi-Site Principal Investigator
Sponsor(s): UnityPoint Health-Meriter Foundation
My Roles: Principal Investigator
My Roles: Principal Investigator
Sponsor(s): Wisconsin Partnership Program
My Roles: Principal Investigator
Kara Hoppe, DO, MS, associate professor in the Division of Maternal-Fetal Medicine, has been appointed the new Vice Chair of Clinical Research in the UW Department of Ob-Gyn! This appointment is effective November 1, 2022.
Hoppe will be an incredible asset to the Department of Ob-Gyn’s research platform as Vice Chair of Clinical Research. In this role, she will provide oversight and leadership for clinical research happening across the Department of Ob-Gyn, including: monitoring trial quality; coordinating with department, university, UW Health, and external groups to align trials with patient and institutional needs; overseeing regulatory, budgetary, data collection, and other crucial processes; recruiting and mentoring faculty with an interest in clinical research; supporting clinical research programs for trainees; representing the department in campus and institutional research spaces; and much more.
Hoppe is an experienced and very successful clinical researcher, making her well-suited for this role. In addition to earning a Master of Clinical Investigation from the UW Institute for Clinical and Translational Research in 2019, Hoppe has been the principal investigator of several clinical studies she designed, as well as co-investigator on multi-site collaborative trials like the Chronic Hypertension and Pregnancy (CHAP) study. Her depth of knowledge of university, industry, and federal research funding and processes will be invaluable to the growth and development of our clinical research platform.
Congratulations, Dr. Hoppe!
In the first UW Ob-Gyn Healthy Women Community Talk of the year, Kara Hoppe, DO, MS, associate professor in the Division of Maternal-Fetal Medicine, shared research and resources about hypertension and pregnancy.
In “High Blood Pressure During Pregnancy and Beyond”, Hoppe helped participants understand blood pressure basics, get to know blood pressure ranges during pregnancy and when not pregnant, learn about lifetime risks for cardiovascular disease and other complications after hypertension during pregnancy, and more.
You can watch the whole presentation on YouTube – please share with anyone who may have questions about preparing for healthy pregnancy with high blood pressure, preeclampsia signs and symptoms, or managing their health after having high blood pressure in pregnancy.
Jenna Racine, MD, assistant professor in the UW Ob-Gyn Division of Maternal-Fetal Medicine, is the lead author on a new study published in the Wisconsin Medical Journal!
In “Perinatal Outcomes Associated With Institutional Changes Early in the COVID-19 Pandemic”, Racine and co-authors (including Maternal-Fetal Medicine Division Director Igor Iruretagoyena, MD, and Kara Hoppe, DO, MS) used a retrospective cohort study of singleton births at one hospital. They compared birth outcomes of a pre-COVID and post-COVID group, finding:
“…significant changes in clinical practice secondary to policy changes and patient behaviors during the COVID-19 pandemic. As an institution that globally adopted ARRIVE (A Randomized Trial of Induction Versus Expectant Management) practices, we noted fewer inductions, more women presenting in labor and more women delivering at or after 41 weeks. We also noted a shorter length of hospital stay for the mother-baby dyad. Overall, these changes in clinical practice did not affect perinatal outcomes.”
Read the whole study here!
Kara Hoppe, DO, MS, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, was a co-author on the recent Chronic Hypertension and Pregnancy study published in the New England Journal of Medicine.
She joined Spectrum News to discuss updated treatment recommendations for hypertension during pregnancy, strategies for staying on top of blood pressure during pregnancy, and more.
Watch Dr. Hoppe’s interview here!
On June 9, 2022, UW Ob-Gyn associate professor of maternal-fetal medicine Kara Hoppe, DO, MS, presented the Grand Rounds lecture “Hypertension in Pregnancy and Young Adults”.
In the lecture, Hoppe shared how to classify hypertension, outlined current management recommendations for pregnant and non-pregnant young people with hypertension, discussed the recent Chronic Hypertension and Pregnancy study results published in the New England Journal of Medicine, and offered recommendations for practice changes.
Watch the whole lecture here!
Results from the national Chronic Hypertension and Pregnancy study were recently published in the New England Journal of Medicine. Kara Hoppe, DO, MS, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, was the lead investigator for the UW arm of the study and a co-author on the article!
In “Treatment for Mild Chronic Hypertension during Pregnancy”, Hoppe and co-authors shared results from the multicenter, randomized CHAP study comparing pregnancy outcomes when mild chronic hypertension was treated with antihypertensives, or when it was not treated unless hypertension became severe. You can read the whole study here.
Their study found:
“In pregnant women with mild chronic hypertension, a strategy of targeting a blood pressure of less than 140/90 mm Hg was associated with better pregnancy outcomes than a strategy of reserving treatment only for severe hypertension, with no increase in the risk of small-for-gestational-age birth weight.”
The National Institutes of Health issued a press release about the results, which could have widespread impact on pregnancy outcomes for people with mild high blood pressure:
Hoppe spoke with reporters at multiple news outlets in Wisconsin to discuss the results and what they could mean for hypertension treatment during pregnancy in the future:
Treating mild high blood pressure in pregnant women helps mom and baby, study says – Wisconsin State Journal
Study co-authored by UW and MCW researchers finds benefit to treating women even with just mild high blood pressure – Milwaukee Journal Sentinel
Though the meeting was virtual this year, the UW Ob-Gyn Division of Maternal-Fetal Medicine brought an impressive raft of research to the Society for Maternal-Fetal Medicine’s 42nd Annual Pregnancy Meeting! Read about some of the incredible posters and presentations they shared at the conference:
Risk calculator for hypertension related postpartum readmission - Jinxin Tao, Yonatan Mintz, Ramsey Larson, Dakota Dalton, Kara Hoppe
A Spatial Approach to Examining Individual and Disparity-Level Factors and Hypertensive Disorders of Pregnancy - Erin Bailey, Maria Kamenestky, Alexa Lowry, Ronald Gangnon, Kara Hoppe
Is isolated small head circumference at 20 weeks predictive of FGR or SGA at delivery? - Brad Bosse, Madeline Wetterhahn, Erin Bailey, Janine Rhoades, J. Igor Iruretagoyena, Jacquelyn Adams
A Spatial Approach to Examining Individual and Disparity-Level Factors and Birth Outcomes - Alexa Lowry, Maria Kamenetsky, Erin Bailey, Ronald Gangnon, Kara Hoppe
Understanding endothelial dysfunction in preterm preeclampsia with severe features: utility of bedside brachial artery Doppler - Jenna Racine, Ryan Pewowaruk, Alejandro Roldan-Alzate, Ian Bird, Jason Austin, Dinesh Shah, J. Igor Iruretagoyena
Diabetes Distress Scores and Black race predicts poorer diabetes control in third trimester - Jennifer Jacobson, Amy Godecker, Jennifer Janik, April Eddy, Jacquelyn Adams
Is an isolated short femur an indication for growth ultrasounds? - Erin Bailey, Brad Bosse, Madeline Wetterhahn, J. Igor Iruretagoyena, Janine Rhoades, Jacquelyn Adams
Predicting small for gestational age infants: is it time to update the Hadlock model? - Joseph Chou, Brad Bosse, Madeline Wetterhahn, Jacquelyn Adams
Do obese women without comorbid conditions need a growth ultrasound during pregnancy? - Madeline Wetterhahn, Kathleen Antony, Brad Bosse, Jacquelyn Adams
Congratulations to all!
Kara Hoppe, DO, MS, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, published an article in a recent issue of the Journal of Maternal-Fetal and Neonatal Medicine.
In the article “Cost-effectiveness of telehealth with remote patient monitoring for postpartum hypertension”, Hoppe and co-authors (including UW Ob-Gyn residency alum Brenda Niu, MD) evaluate the costs of a remote telehealth blood pressure monitoring program compared to the costs of readmission to the hospital for postpartum hypertension. The study found:
“Telehealth monitoring significantly reduced postpartum readmissions, 3.7% (8/214) versus 0.5% (1/214), and resulted in higher quality-adjusted life years. Telehealth monitoring was cost-effective and cost-saving. Average cost of telehealth per patient was $309, and was cost-effective to a cost of $420 per patient. Telehealth monitoring remained cost-effective down to an admission cost of $10,999 compared to our baseline-estimate for the average admission cost of $14,401. Telehealth monitoring also remained cost-effective when the postpartum readmission rate was 3.0% or higher with standard monitoring. With a cost saving of $93 per patient and an estimated 333,253 pregnant women with hypertension in the US a year, telehealth could reduce health care costs in the US by approximately $31 million a year.”
Read the whole study here.
Kara Hoppe, DO, MS, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, published a new study in the Journal of Maternal-Fetal and Neonatal Medicine.
The article “Longitudinal blood pressure patterns of women with hypertensive disorders of pregnancy: preconception through postpartum” details a retrospective study on nearly 900 people diagnosed with hypertension disorders of pregnancy, using blood pressure measurements taken at 47 points from preconception through the postpartum period:
“This study data could be used to develop evidence-based recommendations for women with an HDP. Diastolic BPs remaining significantly higher than the preconception level indicates the long-term risk of cardiovascular disease. In our cohort, 26% of women had unresolved hypertension by PPD42, which reinforces the necessity to ensure long-term follow-up.”
Read the whole study here.
Huge congratulations to Kara Hoppe, DO, MS, of the UW Ob-Gyn Division of Maternal-Fetal Medicine! Hoppe’s Staying Healthy After Childbirth program, a home telehealth monitoring program for postpartum hypertension, was one of 20 recipients of the U.S. Department of Health and Human Services Phase I Hypertension Innovator Awards.
The Hypertension Innovator Award Competition was created to identify effective hypertension programs that could be applied to hypertension during pregnancy or postpartum:
“The goal of the competition is to demonstrate sustainability and the ability to replicate and/or expand programs that provide effective monitoring and follow-up of hypertension for women who are pregnant and/or postpartum.”
Preeclampsia affects about 1 in 25 pregnancies. In an incredible new video produced by UnityPoint Health-Meriter Hospital, Kara Hoppe, DO, MS of the UW Ob-Gyn Division of Maternal-Fetal Medicine, discusses her Meriter program that helps new parents with high blood pressure stay home and stay healthy after giving birth.
In the video, a former patient who experienced preeclampsia with a past pregnancy shared her story, as well as what it was like to use the remote telehealth monitoring program after going home from the hospital. Hoppe shared statistics about postpartum follow-up for preeclampsia, and common signs and symptoms that would suggest immediate evaluation.
As part of a meeting with the Women First Research Coalition with the National Heart, Lung, and Blood Institute (NHLBI), UW Ob-Gyn maternal-fetal medicine specialist Kara Hoppe, DO discussed high blood pressure during pregnancy and some ongoing research in the U.S.
The meeting served as an opportunity to discuss current women’s health research at the NHLBI, consider future training opportunities, and highlight important areas where women’s health research could be expanded. According to other meeting attendees, Hoppe was a key participant, and her contributions were invaluable.
Incredible work, Dr. Hoppe!
Kara Hoppe, DO, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, spoke with WKOW News in Madison about pregnancy complications that can lead to long-term cardiovascular health issues.
In the interview, Hoppe discussed the need for continued care after experiencing some pregnancy complications:
"It underlines the need for early prevention and treatment of these risk factors. Primary prevention of cardiovascular disease for women who experience these complications, as they transition out of pregnancy and postpartum care are really important. It's important to highlight the need for a long term primary care and follow up."
Watch the interview here!
The UW SMPH CHS Faculty Appointments and Promotions Committee approved promotion to the rank of Associate Professor (CHS) for Kara Hoppe, DO, effective July 1, 2021.
Hoppe joined the UW Department of Ob-Gyn and Division of Maternal-Fetal Medicine in 2015. Please join us in congratulating Dr. Hoppe on this exciting achievement!
Faculty, residents, fellows, researchers and more brought numerous posters and presentations to the virtual 2021 Society for Maternal-Fetal Medicine Annual Meeting at the end of January! Learn more about the wealth of research shared by our colleagues at the conference:
Racial disparities in post-operative pain experience and treatment following cesarean birth
John Poehlmann; Tiffany Green, Katie Antony, Amy Godecker
Trouble with the curve: Is an ultrasound growth curve needed to predict SGA infants?
Bradley Bosse; Jacquelyn Adams, Melissa Meyer, John Poehlmann, Janine Rhoades, Igor Iruretagoyena
Obtaining accurate blood pressures: A quality improvement initiative to increase obstetric nursing knowledge and confidence
Matt Wagar; Jacquelyn Adams, Amy Godecker, Katie Antony
Prediction of vaginal delivery utilizing intrapartum transperineal ultrasound
Stephanie Peace; Melissa Meyer, Jacquelyn Adams, Katie Antony; Luther Gaston
Comparing 32-week vs 36-week growth ultrasound for prediction of LGA infants in obese gravidae
John Poehlmann; Jacquelyn Adams, Melissa Meyer, Jenna Racine, Janine Rhoades, Igor Iruretagoyena
Impact of a Standardized Post-Cesarean Analgesia Regimen on Postpartum Opioid Use
Melissa Meyer; Katie Antony
The impact of pre-existing maternal anxiety on pain and opioid use following cesarean birth
John Poehlmann; Amy Godecker, Katie Antony
Blood pressure pattern of women with hypertensive disorders of pregnancy is highly affected by obesity
Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored
Postpartum blood pressure of Black women is significantly higher compared to non-Black women
Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored
Did institutional changes and patient behaviors surrounding COVID-19 affect perinatal outcomes?
Jenna Racine; Igor Iruretagoyena, Kara Hoppe
Distance matters. The effect of distance to the hospital on estimated blood loss.
Kara Hoppe; Alexa Lowry
Blood pressure pattern pre-pregnancy through 42-day postpartum of women with preeclampsia, gestational, and chronic hypertension
Narmin Mukhtarova (MFM research intern); Kara Hoppe
A new article from the Wisconsin Partnership Program features the “Advancing Postpartum Care For Black Women in Wisconsin By Engaging Community Partners With a Home Telehealth Service for Hypertension” program, led by UW Ob-Gyn Maternal-Fetal Medicine specialist Kara Hoppe, DO! The program is funded by a WPP New Investigator grant.
In the article, Hoppe discusses the postpartum health concerns that led her to start the Staying Healthy After Childbirth home telehealth hypertension program. Tia Murray, co-investigator on the grant and co-founder of Harambee Village Doulas, offers insight into the community-academic partnership of the grant, and the importance of including doulas in the work:
“The role of community-based doulas and certified lactation counselors in this project is essential in providing social and emotional support for mothers while fostering a trusting relationship. The doulas work on addressing postpartum care, lactation, and social and mental health needs for women in the program.”
Read the whole article here!
A new article by Maternal-Fetal Medicine fellow Jennifer Jacobson, MD outlines treatment of a severe COVID-19 infection in a pregnant patient, offering insight into care for other such patients in the future.
“Use of dexamethasone, remdesivir, convalescent plasma and prone positioning in the treatment of severe COVID-19 infection in pregnancy: A case report” is online now, and will appear in the January 2021 volume of Case Reports in Women’s Health:
“Severe infection with COVID-19 virus in pregnancy offers unique management challenges for the obstetrician and critical care specialist. We report the case of a woman at 26 weeks of gestation with acute respiratory distress syndrome secondary to COVID-19 infection treated with dexamethasone, remdesivir, convalescent plasma and mechanical ventilation. Cesarean delivery was performed at 29 weeks due to worsening maternal status. This case offers insight into the assessment and successful use of treatment strategies, including dexamethasone, remdesivir, convalescent plasma, early prone positioning, conservative fluid management, permissive hypoxia and low tidal volume parameters with ventilator support for pregnancies affected by severe COVID-19 infection.”
UW Ob-Gyn MFM faculty Katie Antony, MD, Michael Beninati, MD, and Kara Hoppe, DO are co-authors on this case report. Read the whole article here. Amazing work, Dr. Jacobson!
Three faculty from the UW Department of Ob-Gyn were honored at the UW Health Physician Excellence Awards ceremony on December 7, 2020. The virtual ceremony recognized recipients of 17 excellence awards across the health system. Recipients in our department:
Luther Gaston, MD, of the Division of Academic Specialists in Ob-Gyn, received the UW Health Physician Excellence Rising Star – Clinical Educator Award, which recognizes outstanding educators, with significant emphasis on teaching residents and medical students, as well as other interdisciplinary team members, patients and their families.
Kara Hoppe, DO, of the Division of Maternal-Fetal Medicine, received the UW Health Physician Excellence Rising Star Clinical Practice Award, which honors outstanding clinicians who demonstrate an extraordinary commitment to safety and quality patient-and-family centered care.
Ryan Spencer, MD, of the Division of Gynecologic Oncology, received the UW Health Physician Excellence Rising Star – Leadership Award.
Congratulations to these wonderful physicians!
Kara Hoppe, DO, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, published results from her telehealth postpartum hypertension management study in the American Journal of Obstetrics and Gynecology!
“Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension” compares outcomes for patients who participated in the telehealth with remote monitoring program with patients who followed current postpartum hypertension standard of care. The study primarily evaluated for postpartum hospital readmission, with secondary variables of “hypertension-related postpartum emergency room (ER) or triage visits, the number of BPs acquired within 10 days of delivery, and the use of antihypertensives in the 6-week postpartum period.”
The study found:
“Telehealth with remote BP monitoring in combination with standardized management of postpartum hypertension was associated with a reduction in the number of readmissions when compared with standard outpatient care. Telehealth with remote BP monitoring offers a promising strategy for achieving higher number of postpartum BP acquisitions, early identification and treatment of uncontrolled hypertension, and ultimately reducing the number of hospital readmissions.”
Read the whole paper here!
Huge congratulations to Kara Hoppe, DO, of the UW Ob-Gyn Division of Maternal-Fetal Medicine! Hoppe was selected to receive the 2020 UW Health Physician Excellence Rising Star Clinical Practice Award.
The Clinical Practice Rising Star award honors outstanding clinicians who demonstrate an extraordinary commitment to safety and quality patient-and-family centered care. Hoppe and other awardees will be honored in a virtual ceremony on December 7, 2020.
Incredible work, Dr. Hoppe!
On October 8, nearly 170 people tuned in for the virtual UW Women’s Health and Health Equity Research Lecture and Symposium for amazing presentations: Erica Marsh, MD, of the University of Michigan, presented the keynote lecture “Ministration without Representation: The Essential Roles of Inclusion and Voice in Creating Health Equity.” We also learned about substance use policies in health systems and how they affect neonatal abstinence syndrome from Christine Durrance, PhD; patient-centered and autonomy-based contraceptive counseling from Health Disparities Research Scholar Leigh Senderowicz, ScD, MPH; and disparities in gynecologic cancer research funding from Ryan Spencer, MD.
This year’s event also included a virtual poster session, and we’re pleased to announce the 2020 Women’s Health and Health Equity Research Lecture & Symposium poster award winners:
Basic science and pre-clinical
Agonist-dependent effects on sustained Ca2+ signaling in Human Umbilical Vein Endothelial Cells
Author: Carly Albright
Clinical and translational
Examining the joint effect of race and neighborhood socioeconomic disadvantage on adverse obstetric outcomes: retrospective cohort study
Authors: Kara Hoppe, DO; Linnea Evans, PhD; Alexa Lowry, MD; Felicity Harl, MD
Congratulations to the authors of these excellent research posters!