Biography
Dr. Larry Rand, director of Perinatal Services at the UCSF Fetal Treatment Center, is an obstetrician and gynecologist who specializes in high-risk pregnancy and maternal-fetal medicine, with a special interest in fetal disorders. He counsels and coordinates care and participates in prenatal diagnosis, specializing in procedures such as chorionic villus sampling (CVS), amniocentesis, intra-uterine transfusion and fetal biopsies, as well as interventions such as lung and bladder shunt placements, fetal bladder taps and multi-fetal pregnancy reduction. In addition, Rand cares for patients during labor and delivery.
In his research, he has a special interest in complicated monochorionic twin pregnancies. He has presented research in the fetal treatment community internationally and was nominated for a Young Investigator Excellence in Research Award at the 2009 American Institute for Ultrasound Medicine national meeting. He holds leadership positions at the American College of Obstetrics and Gynecology, and serves on the Patient Safety and Quality Assurance Committee. He travels to West Africa and Central America several times a year to perform surgery and provide high-risk obstetric care to patients with limited access, and to create sustainable health programs in these countries.
Education
Institution | Degree | Dept or School | End Date |
---|---|---|---|
Harvard University | M.D. | School of Medicine | 1999 |
Board Certifications
- American Board of Surgery. 2005
Program Affiliations
- Fetal Treatment Center
In the News
Research Narrative
Dr. Rand focuses on both retrospective and prospective clinical investigation, including randomized and non-randomized controlled trials, and has a special interest in complicated monochorionic twin pregnancies. For example, he recently developed and maintains an extensive database to review and analyze short- and long-term maternal-fetal outcomes for affected pregnancies. He has presented his research in the fetal treatment community internationally and was nominated for a Young Investigator Excellence in Research Award at the 2009 American Institute for Ultrasound Medicine national meeting. In addition Dr. Rand channels his research time on global health initiatives. He travels to West Africa and Central America several times a year to perform surgery and provide high-risk obstetric care to patients with limited access, and to create sustainable health programs in these countries.
Research Interests
- Monochorionic twin pregnancies
- Long-term maternal-fetal outcomes
- Maternal/fetal health
Publications
- The Association Between Longer Maternal Leukocyte Telomere Length in the Immediate Postpartum Period and Preterm Birth in a Predominately Latina Cohort of Mothers.| |
PubMed
- Fetal Intracranial Hemorrhage due to Uniparental Disomy and Unmasked MPL-Related Congenital Amegakaryocytic Thrombocytopenia.| |
PubMed
- Longitudinal urine metabolic profiling and gestational age prediction in human pregnancy.| |
PubMed
- Early Newborn Metabolic Patterning and Sudden Infant Death Syndrome.| |
PubMed
- Risk and Protective Factors for Preterm Birth Among Racial, Ethnic, and Socioeconomic Groups in California.| |
PubMed
- Vaginal microbiomes show ethnic evolutionary dynamics and positive selection of Lactobacillus adhesins driven by a long-term niche-specific process.| |
PubMed
- Assessing for prenatal risk factors associated with infant neurologic morbidity using a multivariate analysis.| |
PubMed
- Estimating the effect of timing of earned income tax credit refunds on perinatal outcomes: a quasi-experimental study of California births.| |
PubMed
- Sub-optimal maternal gestational gain is associated with shorter leukocyte telomere length at birth in a predominantly Latinx cohort of newborns.| |
PubMed
- Association of maternal prenatal copper concentration with gestational duration and preterm birth: a multicountry meta-analysis.| |
PubMed
- Addressing anti-black racism in an academic preterm birth initiative: perspectives from a mixed methods case study.| |
PubMed
- Cultural considerations and beliefs surrounding preterm birth in Kenya and South Africa.| |
PubMed
- Systematic review of transcriptome and microRNAome associations with gestational diabetes mellitus.| |
PubMed
- Adverse infant outcomes among women with sleep apnea or insomnia during pregnancy: A retrospective cohort study.| |
PubMed
- Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa.| |
PubMed
- Using Community-Based Participatory Research to Design a Patient and Practitioner-Centered Group Prenatal Care Model.| |
PubMed
- Risk of early birth by body mass index in a propensity score-matched sample: A retrospective cohort study.| |
PubMed
- NAFTNet retrospective report on the treatment of anti-Ro/SSA mediated fetal heart block with dexamethasone.| |
PubMed
- Racial disparities in emergency mental healthcare utilization among birthing people with preterm infants.| |
PubMed
- Association of maternal prenatal selenium concentration and preterm birth: a multicountry meta-analysis.| |
PubMed
- Mortality and Major Neonatal Morbidity in Preterm Infants with Serious Congenital Heart Disease.| |
PubMed
- The association of COVID-19 infection in pregnancy with preterm birth: A retrospective cohort study in California.| |
PubMed
- Maternal nativity and risk of adverse perinatal outcomes among Black women residing in California, 2011-2017.| |
PubMed
- Correction: Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California.| |
PubMed
- Association of Maternal Immune Activation during Pregnancy and Neurologic Outcomes in Offspring.| |
PubMed
- The association between preterm birth and postpartum mental healthcare utilization among California birthing people.| |
PubMed
- Gestational age dating using newborn metabolic screening: A validation study in Busia, Uganda.| |
PubMed
- Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California.| |
PubMed
- Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study.| |
PubMed
- Outcomes of Monochorionic, Diamniotic Twin Pregnancies with Prenatally Diagnosed Intertwin Weight Discordance.| |
PubMed
- Adverse Pregnancy Outcomes by Degree of Maternal Serum Analyte Elevation: A Retrospective Cohort Study.| |
PubMed
- Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California.| |
PubMed
- Newborn metabolic vulnerability profile identifies preterm infants at risk for mortality and morbidity.| |
PubMed
- Early pregnancy prediction of gestational diabetes mellitus risk using prenatal screening biomarkers in nulliparous women.| |
PubMed
- Effects of Selective Exclusion of Patients on Preterm Birth Test Performance.| |
PubMed
- Research priorities of women at risk for preterm birth: findings and a call to action.| |
PubMed
- Associations between unstable housing, obstetric outcomes, and perinatal health care utilization.| |
PubMed
- An Evaluation of Sexually Transmitted Infection and Odds of Preterm or Early-Term Birth Using Propensity Score Matching.| |
PubMed
- Development and validation of a clinical model for preconception and early pregnancy risk prediction of gestational diabetes mellitus in nulliparous women.| |
PubMed
- Previous Adverse Outcome of Term Pregnancy and Risk of Preterm Birth in Subsequent Pregnancy.| |
PubMed
- Risk of preterm and early term birth by maternal drug use.| |
PubMed
- High risk of spontaneous preterm birth among infants with gastroschisis.| |
PubMed
- Pre-pregnancy or first-trimester risk scoring to identify women at high risk of preterm birth.| |
PubMed
- Effect of Fetal Growth on 1-Year Mortality in Neonates With Critical Congenital Heart Disease.| |
PubMed
- Risk of preterm birth by maternal age at first and second pregnancy and race/ethnicity.| |
PubMed
- Correction: Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics.| |
PubMed
- Altered metabolites in newborns with persistent pulmonary hypertension.| |
PubMed
- Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics.| |
PubMed
- Maternal factors influencing late entry into prenatal care: a stratified analysis by race or ethnicity and insurance status.| |
PubMed
- Initial Metabolic Profiles Are Associated with 7-Day Survival among Infants Born at 22-25 Weeks of Gestation.| |
PubMed
- Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth.| |
PubMed
- Stage I Twin-Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features.| |
PubMed
- A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting.| |
PubMed
- Polyhydramnios Affecting a Recipient-like Twin: Risk of Progression to Twin-Twin Transfusion Syndrome and Outcomes.| |
PubMed
- Racial and Ethnic Disparities in Preterm Infant Mortality and Severe Morbidity: A Population-Based Study.| |
PubMed
- Gestational Age and Outcomes in Critical Congenital Heart Disease.| |
PubMed
- Sleep Disorder Diagnosis During Pregnancy and Risk of Preterm Birth.| |
PubMed
- Dynamic outcome prediction in a socio-demographically diverse population-based cohort of extremely preterm neonates.| |
PubMed
- The Management of Myelomeningocele Study: obstetrical outcomes and risk factors for obstetrical complications following prenatal surgery.| |
PubMed
- Recurrence of Preterm Birth and Early Term Birth.| |
PubMed
- Population-based risks of mortality and preterm morbidity by gestational age and birth weight.| |
PubMed
- Survival and Major Morbidity of Extremely Preterm Infants: A Population-Based Study.| |
PubMed
- Prenatal surgery for myelomeningocele and the need for cerebrospinal fluid shunt placement.| |
PubMed
- Twin-reversed arterial perfusion sequence associated with decreased fetal cerebral vascular impedance.| |
PubMed
- Rapid and low-cost prototyping of medical devices using 3D printed molds for liquid injection molding.| |
PubMed
- Outcomes of fetal intervention for primary hydrothorax.| |
PubMed
- Prenatal tricuspid valve size as a predictor of postnatal outcome in patients with severe pulmonary stenosis or pulmonary atresia with intact ventricular septum.| |
PubMed
- Towards BirthAlert--A Clinical Device Intended for Early Preterm Birth Detection.| |
PubMed
- Diversity of the vaginal microbiome correlates with preterm birth.| |
PubMed
- Novel device to trend impedance and fluorescence of the cervix for preterm birth detection.| |
PubMed
- Alterations in maternal-fetal cellular trafficking after fetal surgery.| |
PubMed
- Long-term outcomes after fetal therapy for congenital high airway obstructive syndrome.| |
PubMed
- Open fetal surgery for myelomeningocele.| |
PubMed
- Antenatal antibiotic exposure in preterm infants with necrotizing enterocolitis.| |
PubMed
- Guide wire assisted catheterization and colored dye injection for vascular mapping of monochorionic twin placentas.| |
PubMed
- Diastolic Cardiac Pathology and Clinical Twin-Twin Transfusion Syndrome in Monochorionic/Diamniotic Twins.| |
PubMed
- Complete isochromosome 5p in one fetus of a monochorionic twin pair.| |
PubMed
- A randomized trial of prenatal versus postnatal repair of myelomeningocele.| |
PubMed
- Effect of selective fetoscopic laser photocoagulation therapy for twin-twin transfusion syndrome on pulmonary valve pathology in recipient twins.| |
PubMed
- Postpartum follow-up for women with gestational diabetes mellitus.| |
PubMed
- Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin.| |
PubMed
- Prenatal steroids for microcystic congenital cystic adenomatoid malformations.| |
PubMed
- The effect of a chlorhexidine-based surgical lubricant during pelvic examination on the detection of group B Streptococcus.| |
PubMed
- The challenges of caring for twins discordant for anomalies.| |
PubMed
- Prenatal detection of an extra-adrenal neuroblastoma with hepatic metastases.| |
PubMed
- Complicated monochorionic twin pregnancies: updates in fetal diagnosis and treatment.| |
PubMed
- Intrauterine umbilical cord hemorrhage with associated jejunal atresia captured by real-time ultrasound.| |
PubMed
- Glyburide for the management of gestational diabetes: risk factors predictive of failure and associated pregnancy outcomes.| |
PubMed
- Comparison of glyburide and insulin for the management of gestational diabetes in a large managed care organization.| |
PubMed
- Long-term outcomes in multiple gestations.| |
PubMed
- Current controversies in cervical cerclage.| |
PubMed
- Maternal leptin receptor gene variant Gln223Arg is not associated with variation in birth weight or maternal body mass index in UK and South Asian populations.| |
PubMed
- Post-term induction of labor revisited.| |
PubMed
- Cardiovascular autonomic neuropathy and proliferative diabetic retinopathy.| |
PubMed
- Metabolic control and progression of retinopathy. The Diabetes in Early Pregnancy Study. National Institute of Child Health and Human Development Diabetes in Early Pregnancy Study.| |
PubMed
- The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus.| |
PubMed
- Different determinants of neovascularization on the optic disc and on the retina in patients with severe nonproliferative diabetic retinopathy.| |
PubMed
- Risk of early-onset proliferative retinopathy in IDDM is closely related to cardiovascular autonomic neuropathy.| |
PubMed
- Predisposition to hypertension and susceptibility to renal disease in insulin-dependent diabetes mellitus.| |
PubMed
- Epidemiologic approach to the etiology of type I diabetes mellitus and its complications.| |
PubMed
- Magnitude and determinants of coronary artery disease in juvenile-onset, insulin-dependent diabetes mellitus.| |
PubMed
- Risk of proliferative diabetic retinopathy in juvenile-onset type I diabetes: a 40-yr follow-up study.| |
PubMed
- Multiple factors in the prediction of risk of proliferative diabetic retinopathy.| |
PubMed