n a future-focused world, many of the questions driving biomed ical research center on what comes next: the next break through, the next treatment, or the next technological advancement. Those questions are essential. But researchers Katherine Kissler, C.N.M., Ph.D., and Matthew Olm, Ph.D., are asking something slightly different: How can we move medicine forward by looking more closely at the moments when life begins? Kissler, a nurse-midwife and researcher at the University of Colorado Anschutz, and Olm, a microbiologist at the University of Colorado Boulder, both study the ear liest stages of human development. Their work focuses on different points in early life, but both are driven by the belief that what happens at the beginning may hold important clues for improving health throughout the lifespan. That research is supported by the Boettcher Foundation’s Webb-Waring Biomedical Research Awards, which invests in Colorado’s next generation of scientific leaders. As two of eight award recipients, Kissler and Olm will each receive $250,000 over the next three years to advance innovative projects with the potential to improve human health. Answering Questions from the Bedside with AI Long before she became a researcher, Kissler was captivated by questions about health, disease, and human physiology. “I was introduced to midwifery in a medical anthropology class, and it raised questions about disease, health, and wellness that broadened my perspective beyond health as simply the absence of disease,” she says. Those questions influenced her clinical practice as a nurse-midwife, where she found herself drawn to the complexity of labor and birth. “One of the reasons I love labor care is that it’s one of the few places where you watch physiology unfold right in front of you,” Kissler says. “You’re watching this very complex adaptation happen in real time while also caring for people during an incredibly meaningful life event.” Those experiences eventually shaped the research she wanted to pursue. “The questions started at the bedside rather than at the bench,” she says. Today, Kissler’s research focuses on pre cision labor care and improving how clini cians identify infection and inflammation during labor. While maternal and fetal vital signs are continuously monitored, much of that information remains underutilized. The challenge isn’t a lack of information; instead, it’s knowing which signals matter. During labor, normal physiologic changes and potential warning signs often overlap, making it difficult to determine which pat terns warrant intervention. “We struggle to differentiate inflammation from infection, and things like epidural use or the normal physiologic work of labor can muddy the water,” she says. Rather than focusing solely on static mea surements, Kissler hopes to better under stand the subtle physiologic signals that occur throughout labor. Her research uses artificial intelligence to identify patterns in collected physiological data—both from the mother and baby—that may provide earlier warning signs of infection or inflamma tion. For example, a patient whose heart rate rises significantly from their normal baseline may be experiencing an important physiologic change even if they never cross the threshold that would trigger concern under current monitoring guidelines. Those subtle physiologic changes may provide clinicians with a more precise way to identify infection and inflammation before traditional diagnostic criteria would detect a problem. “The strength of AI is that it can take con tinuously collected physiologic data and recognize patterns that the human eye simply can’t compute,” she says. The goal is not simply better diagnostics, but better decision-making. Her research explores whether those signals can be used earlier and more intel ligently to identify patients who truly need intervention while avoiding unnecessary treatment for those who do not. Earlier identification could allow clinicians to intervene before serious complications develop, potentially improving outcomes for both mothers and babies. “We could fundamentally shift care from reacting to clinical deterioration to treating earlier and preventing those negative effects altogether,” Kissler says. “If we I “ I hope AI can support some of the uncertainty in decision-making and leave me with more time to sit with my patients. K AT H E R I N E K I S S L E R, C.N. M . , P H . D. CO L L E G E O F N U R S I N G U N I V E R S I T Y O F CO LO R A D O A N S C H U T Z 2026-27 BIOSCIENCE COLORADO 43
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