Who We Are

Your Greatest Resource for Healthy Pregnancies

The Center for Better Beginnings is one of North America’s foremost institutes for breakthrough pregnancy research and education in maternal health and child development. Our team consists of world-renowned medical professionals and researchers who are at the top of their field and who are supported by a dedicated staff. Within UC San Diego’s Department of Pediatrics, our Center houses multiple programs that are actively generating research, disseminating knowledge, and engaging in public service. Healthy pregnancies and healthy babies are our priority and our passion.

Our Vision

To end preventable birth defects and other adverse pregnancy outcomes, and to improve pre- and postnatal outcomes for both the person who is pregnant and their baby.

Our Goal

To improve the health of all families through:

  • Innovative pregnancy research that improves our knowledge of the causes of preventable birth defects and adverse pregnancy outcomes;
  • Clinical services that are state-of-the-art, comprehensive, and family-centered; and
  • Evidenced-based education that empowers the next generation of professionals and parents.

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  • History

    From Breaking Ground to Groundbreaking Discoveries

    When babies are born healthy, everyone thrives. The Center for Better Beginnings at UC San Diego has been organizing efforts since 1974 based on this vision of success. As a natural extension of the Department of Pediatrics, the history of the Center for Better Beginnings stems from early discoveries of how environmental factors can influence a baby’s development. Optimal prenatal care, the avoidance of harmful substances, and the prevention of illness in pregnancy requires improved healthcare and health practices, and we’re glad to be at the forefront of these activities through our illustrious past, groundbreaking present, and ambitious future.

    Learn more about these early discoveries and the many contributions made to the field by the esteemed Center for Better Beginnings team.

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  • Dr. Christina D. Chambers, PhD, MPH

    Dr. Chambers is Chief of the Division of Environmental Science & Health, a Professor in the Department of Pediatrics, and Family and Preventative Medicine at the University of California, San Diego School of Medicine, and co-Director of the Center for Better Beginnings. She is also Clinical Professor in the Skaggs School of Pharmacy and Pharmaceutical Sciences at UCSD, Vice Chair of Clinical Research in the UCSD Department of Pediatrics, Director of the UCSD CTRI Center for Life Course Research, and Director of Clinical Research at Rady Children’s Hospital-San Diego.

    Dr. Chambers is a perinatal epidemiologist specializing in the area of environmental causes of adverse pregnancy outcomes, birth defects, and childhood disabilities, with a special focus on human teratogens (environmental agents that cause birth defects or other adverse prenatal outcomes). She is currently conducting research on the prevention of alcohol related birth defects, the safety in pregnancy of several new medications used for the treatment of maternal health conditions, and the safety of vaccines during pregnancy. Dr. Chambers serves as an advisor to national and international organizations such as the National Institutes of Health (NIH), the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and the World Health Organization (WHO).


    Gretchen Bandoli, PhD

    Dr. Bandoli is an Assistant Professor in the Center for Better Beginnings at the University of California, San Diego. Dr. Bandoli earned her PhD in Epidemiology at the University of California, Los Angeles in 2015, where her research and training focused on pediatric and perinatal epidemiology and epidemiologic methods. Dr. Bandoli completed a postdoctoral fellowship in the Center for Better Beginnings, and was the recipient of a NIH TL1 fellowship, where she researched maternal psychological health and neurodevelopment in the offspring.

    Dr. Bandoli’s research primarily focuses on maternal exposures in pregnancy, including mental illness, medications, and alcohol and adverse outcomes in the offspring. She is particularly interested in ways to refine exposure assessment, primarily through statistical methodologies or inclusion of biomarkers. She is also an Associate Director in the Center for Life Course Research at UCSD, and teaches a graduate level course on life course research.


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  • Publications & Funding

    Advancing the Margins of Knowledge | Research on Pregnancy & Birth Defects Publications

    At the heart of the Center for Better Beginnings is an active pregnancy research program, including related publications, that help improve and advance our understanding of the causes of preventable birth defects. Our partners in these efforts include other universities, government agencies, non-profit organizations, hospitals, health care providers, biomedical research institutions and pharmaceutical companies. Our work is getting noticed on campus, in the community and around the world.

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