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
- Leukocyte telomere length and birth characteristics associated with obesity in infancy in a predominantly Latinx cohort.| | PubMed PubMed
- The Association Between Longer Maternal Leukocyte Telomere Length in the Immediate Postpartum Period and Preterm Birth in a Predominately Latina Cohort of Mothers.| | PubMed PubMed
- Fetal Intracranial Hemorrhage due to Uniparental Disomy and Unmasked MPL-Related Congenital Amegakaryocytic Thrombocytopenia.| | PubMed PubMed
- Longitudinal urine metabolic profiling and gestational age prediction in human pregnancy.| | PubMed PubMed
- Early Newborn Metabolic Patterning and Sudden Infant Death Syndrome.| | PubMed PubMed
- Risk and Protective Factors for Preterm Birth Among Racial, Ethnic, and Socioeconomic Groups in California.| | PubMed PubMed
- Vaginal microbiomes show ethnic evolutionary dynamics and positive selection of Lactobacillus adhesins driven by a long-term niche-specific process.| | PubMed PubMed
- Assessing for prenatal risk factors associated with infant neurologic morbidity using a multivariate analysis.| | PubMed PubMed
- Estimating the effect of timing of earned income tax credit refunds on perinatal outcomes: a quasi-experimental study of California births.| | PubMed PubMed
- Sub-optimal maternal gestational gain is associated with shorter leukocyte telomere length at birth in a predominantly Latinx cohort of newborns.| | PubMed PubMed
- Association of maternal prenatal copper concentration with gestational duration and preterm birth: a multicountry meta-analysis.| | PubMed PubMed
- Addressing anti-black racism in an academic preterm birth initiative: perspectives from a mixed methods case study.| | PubMed PubMed
- Cultural considerations and beliefs surrounding preterm birth in Kenya and South Africa.| | PubMed PubMed
- Systematic review of transcriptome and microRNAome associations with gestational diabetes mellitus.| | PubMed PubMed
- Adverse infant outcomes among women with sleep apnea or insomnia during pregnancy: A retrospective cohort study.| | PubMed PubMed
- Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa.| | PubMed PubMed
- Using Community-Based Participatory Research to Design a Patient and Practitioner-Centered Group Prenatal Care Model.| | PubMed PubMed
- Risk of early birth by body mass index in a propensity score-matched sample: A retrospective cohort study.| | PubMed PubMed
- NAFTNet retrospective report on the treatment of anti-Ro/SSA mediated fetal heart block with dexamethasone.| | PubMed PubMed
- Racial disparities in emergency mental healthcare utilization among birthing people with preterm infants.| | PubMed PubMed
- Association of maternal prenatal selenium concentration and preterm birth: a multicountry meta-analysis.| | PubMed PubMed
- Mortality and Major Neonatal Morbidity in Preterm Infants with Serious Congenital Heart Disease.| | PubMed PubMed
- The association of COVID-19 infection in pregnancy with preterm birth: A retrospective cohort study in California.| | PubMed PubMed
- Maternal nativity and risk of adverse perinatal outcomes among Black women residing in California, 2011-2017.| | PubMed PubMed
- Correction: Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California.| | PubMed PubMed
- Association of Maternal Immune Activation during Pregnancy and Neurologic Outcomes in Offspring.| | PubMed PubMed
- The association between preterm birth and postpartum mental healthcare utilization among California birthing people.| | PubMed PubMed
- Gestational age dating using newborn metabolic screening: A validation study in Busia, Uganda.| | PubMed PubMed
- Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California.| | PubMed PubMed
- Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study.| | PubMed PubMed
- Outcomes of Monochorionic, Diamniotic Twin Pregnancies with Prenatally Diagnosed Intertwin Weight Discordance.| | PubMed PubMed
- Adverse Pregnancy Outcomes by Degree of Maternal Serum Analyte Elevation: A Retrospective Cohort Study.| | PubMed PubMed
- Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California.| | PubMed PubMed
- Newborn metabolic vulnerability profile identifies preterm infants at risk for mortality and morbidity.| | PubMed PubMed
- Early pregnancy prediction of gestational diabetes mellitus risk using prenatal screening biomarkers in nulliparous women.| | PubMed PubMed
- Effects of Selective Exclusion of Patients on Preterm Birth Test Performance.| | PubMed PubMed
- Research priorities of women at risk for preterm birth: findings and a call to action.| | PubMed PubMed
- Associations between unstable housing, obstetric outcomes, and perinatal health care utilization.| | PubMed PubMed
- An Evaluation of Sexually Transmitted Infection and Odds of Preterm or Early-Term Birth Using Propensity Score Matching.| | PubMed PubMed
- Development and validation of a clinical model for preconception and early pregnancy risk prediction of gestational diabetes mellitus in nulliparous women.| | PubMed PubMed
- Previous Adverse Outcome of Term Pregnancy and Risk of Preterm Birth in Subsequent Pregnancy.| | PubMed PubMed
- Risk of preterm and early term birth by maternal drug use.| | PubMed PubMed
- High risk of spontaneous preterm birth among infants with gastroschisis.| | PubMed PubMed
- Pre-pregnancy or first-trimester risk scoring to identify women at high risk of preterm birth.| | PubMed PubMed
- Effect of Fetal Growth on 1-Year Mortality in Neonates With Critical Congenital Heart Disease.| | PubMed PubMed
- Risk of preterm birth by maternal age at first and second pregnancy and race/ethnicity.| | PubMed PubMed
- Correction: Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics.| | PubMed PubMed
- Altered metabolites in newborns with persistent pulmonary hypertension.| | PubMed PubMed
- Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics.| | PubMed PubMed
- Maternal factors influencing late entry into prenatal care: a stratified analysis by race or ethnicity and insurance status.| | PubMed PubMed
- Initial Metabolic Profiles Are Associated with 7-Day Survival among Infants Born at 22-25 Weeks of Gestation.| | PubMed PubMed
- Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth.| | PubMed PubMed
- Stage I Twin-Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features.| | PubMed PubMed
- A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting.| | PubMed PubMed
- Polyhydramnios Affecting a Recipient-like Twin: Risk of Progression to Twin-Twin Transfusion Syndrome and Outcomes.| | PubMed PubMed
- Racial and Ethnic Disparities in Preterm Infant Mortality and Severe Morbidity: A Population-Based Study.| | PubMed PubMed
- Gestational Age and Outcomes in Critical Congenital Heart Disease.| | PubMed PubMed
- Sleep Disorder Diagnosis During Pregnancy and Risk of Preterm Birth.| | PubMed PubMed
- Dynamic outcome prediction in a socio-demographically diverse population-based cohort of extremely preterm neonates.| | PubMed PubMed
- The Management of Myelomeningocele Study: obstetrical outcomes and risk factors for obstetrical complications following prenatal surgery.| | PubMed PubMed
- Recurrence of Preterm Birth and Early Term Birth.| | PubMed PubMed
- Population-based risks of mortality and preterm morbidity by gestational age and birth weight.| | PubMed PubMed
- Survival and Major Morbidity of Extremely Preterm Infants: A Population-Based Study.| | PubMed PubMed
- Prenatal surgery for myelomeningocele and the need for cerebrospinal fluid shunt placement.| | PubMed PubMed
- Twin-reversed arterial perfusion sequence associated with decreased fetal cerebral vascular impedance.| | PubMed PubMed
- Rapid and low-cost prototyping of medical devices using 3D printed molds for liquid injection molding.| | PubMed PubMed
- Outcomes of fetal intervention for primary hydrothorax.| | PubMed 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 PubMed
- Towards BirthAlert--A Clinical Device Intended for Early Preterm Birth Detection.| | PubMed PubMed
- Diversity of the vaginal microbiome correlates with preterm birth.| | PubMed PubMed
- Novel device to trend impedance and fluorescence of the cervix for preterm birth detection.| | PubMed PubMed
- Alterations in maternal-fetal cellular trafficking after fetal surgery.| | PubMed PubMed
- Long-term outcomes after fetal therapy for congenital high airway obstructive syndrome.| | PubMed PubMed
- Open fetal surgery for myelomeningocele.| | PubMed PubMed
- Antenatal antibiotic exposure in preterm infants with necrotizing enterocolitis.| | PubMed PubMed
- Guide wire assisted catheterization and colored dye injection for vascular mapping of monochorionic twin placentas.| | PubMed PubMed
- Diastolic Cardiac Pathology and Clinical Twin-Twin Transfusion Syndrome in Monochorionic/Diamniotic Twins.| | PubMed PubMed
- Complete isochromosome 5p in one fetus of a monochorionic twin pair.| | PubMed PubMed
- A randomized trial of prenatal versus postnatal repair of myelomeningocele.| | PubMed PubMed
- Effect of selective fetoscopic laser photocoagulation therapy for twin-twin transfusion syndrome on pulmonary valve pathology in recipient twins.| | PubMed PubMed
- Postpartum follow-up for women with gestational diabetes mellitus.| | PubMed PubMed
- Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin.| | PubMed PubMed
- Prenatal steroids for microcystic congenital cystic adenomatoid malformations.| | PubMed PubMed
- The effect of a chlorhexidine-based surgical lubricant during pelvic examination on the detection of group B Streptococcus.| | PubMed PubMed
- The challenges of caring for twins discordant for anomalies.| | PubMed PubMed
- Prenatal detection of an extra-adrenal neuroblastoma with hepatic metastases.| | PubMed PubMed
- Complicated monochorionic twin pregnancies: updates in fetal diagnosis and treatment.| | PubMed PubMed
- Intrauterine umbilical cord hemorrhage with associated jejunal atresia captured by real-time ultrasound.| | PubMed PubMed
- Glyburide for the management of gestational diabetes: risk factors predictive of failure and associated pregnancy outcomes.| | PubMed PubMed
- Comparison of glyburide and insulin for the management of gestational diabetes in a large managed care organization.| | PubMed PubMed
- Long-term outcomes in multiple gestations.| | PubMed PubMed
- Current controversies in cervical cerclage.| | PubMed 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 PubMed
- Post-term induction of labor revisited.| | PubMed PubMed
- Cardiovascular autonomic neuropathy and proliferative diabetic retinopathy.| | PubMed 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 PubMed
- The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus.| | PubMed PubMed
- Different determinants of neovascularization on the optic disc and on the retina in patients with severe nonproliferative diabetic retinopathy.| | PubMed PubMed
- Risk of early-onset proliferative retinopathy in IDDM is closely related to cardiovascular autonomic neuropathy.| | PubMed PubMed
- Predisposition to hypertension and susceptibility to renal disease in insulin-dependent diabetes mellitus.| | PubMed PubMed
- Epidemiologic approach to the etiology of type I diabetes mellitus and its complications.| | PubMed PubMed
- Magnitude and determinants of coronary artery disease in juvenile-onset, insulin-dependent diabetes mellitus.| | PubMed PubMed
- Risk of proliferative diabetic retinopathy in juvenile-onset type I diabetes: a 40-yr follow-up study.| | PubMed PubMed
- Multiple factors in the prediction of risk of proliferative diabetic retinopathy.| | PubMed PubMed
 
    