Larry Rand

MD

  • Associate Professor, Ob/Gyn, Reproductive Sciences
  • Perinatologist

Biography

Dr. Larry Rand uses his special training and experience with high-risk pregnancies to care for women with fetal complications. Dr. Rand was a medical/cultural anthropologist and studied biochemistry before entering the field of medicine. He travels to West Africa several times a year to perform surgery and provide high risk obstetric care to patients with limited access. In addition to counseling our patients in the fetal treatment center, Dr. Rand also performs high-level obstetric ultrasound at UCSF and in UCSF satellite centers in surrounding communities, and specializes in chorionic villus sampling (CVS), amniocentesis, and multi-fetal pregnancy fetal reduction. Dr. Rand attends patients on Labor and Delivery, and has a special interest in medical education and quality improvement.

Education & Training

  • Harvard University

    School of Medicine

Publications

  • Jain S, Baer RJ, McCulloch CE, Rogers E, Rand L, Jelliffe-Pawlowski L, Piao X. Association of Maternal Immune Activation during Pregnancy and Neurological Outcomes in Offspring. J Pediatr. 2021 May 06. PubMed

  • Calthorpe LM, Baer RJ, Chambers BD, Steurer MA, Shannon MT, Oltman SP, Karvonen KL, Rogers EE, Rand LI, Jelliffe-Pawlowski LL, Pantell MS. The association between preterm birth and postpartum mental healthcare utilization among California birthing people. Am J Obstet Gynecol MFM. 2021 Apr 28; 3(4):100380. PubMed

  • Karvonen KL, Baer RJ, Rogers EE, Steurer MA, Ryckman KK, Feuer SK, Anderson JG, Franck LS, Gano D, Petersen MA, Oltman SP, Chambers BD, Neuhaus J, Rand L, Jelliffe-Pawlowski LL, Pantell MS. Correction: Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California. J Perinatol. 2021 Mar 29. PubMed

  • Oltman SP, Jasper EA, Kajubi R, Ochieng T, Kakuru A, Adrama H, Okitwi M, Olwoch P, Kamya M, Bedell B, McCarthy M, Dagle J, Jagannathan P, Clark TD, Dorsey G, Rand L, Ruel T, Rogers EE, Ryckman KK, Jelliffe-Pawlowski LL. Gestational age dating using newborn metabolic screening: A validation study in Busia, Uganda. J Glob Health. 2021 Feb 11; 11:04012. PubMed

  • Karvonen KL, Baer RJ, Rogers EE, Steurer MA, Ryckman KK, Feuer SK, Anderson JG, Franck LS, Gano D, Petersen MA, Oltman SP, Chambers BD, Neuhaus J, Rand L, Jelliffe-Pawlowski LL, Pantell MS. Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California. J Perinatol. 2021 Feb; 41(2):220-231. PubMed

  • Baer RJ, Nidey N, Bandoli G, Chambers BD, Chambers CD, Feuer S, Karasek D, Oltman SP, Rand L, Ryckman KK, Jelliffe-Pawlowski LL. Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study. AJP Rep. 2021 Jan; 11(1):e5-e14. PubMed

  • Sobhani NC, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA. Outcomes of Monochorionic, Diamniotic Twin Pregnancies with Prenatally Diagnosed Intertwin Weight Discordance. Am J Perinatol. 2021 Jun; 38(7):649-656. PubMed

  • Yeaton-Massey A, Baer RJ, Rand L, Jelliffe-Pawlowski LL, Lyell DJ. Adverse Pregnancy Outcomes by Degree of Maternal Serum Analyte Elevation: A Retrospective Cohort Study. AJP Rep. 2020 Oct; 10(4):e369-e379. PubMed

  • McLemore MR, Berkowitz RL, Oltman SP, Baer RJ, Franck L, Fuchs J, Karasek DA, Kuppermann M, McKenzie-Sampson S, Melbourne D, Taylor B, Williams S, Rand L, Chambers BD, Scott K, Jelliffe-Pawlowski LL. Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California. J Racial Ethn Health Disparities. 2020 Oct 09. PubMed

  • Oltman SP, Rogers EE, Baer RJ, Jasper EA, Anderson JG, Steurer MA, Pantell MS, Petersen MA, Partridge JC, Karasek D, Ross KM, Feuer SK, Franck LS, Rand L, Dagle JM, Ryckman KK, Jelliffe-Pawlowski LL. Newborn metabolic vulnerability profile identifies preterm infants at risk for mortality and morbidity. Pediatr Res. 2021 May; 89(6):1405-1413. PubMed

  • Snyder BM, Baer RJ, Oltman SP, Robinson JG, Breheny PJ, Saftlas AF, Bao W, Greiner AL, Carter KD, Rand L, Jelliffe-Pawlowski LL, Ryckman KK. Early pregnancy prediction of gestational diabetes mellitus risk using prenatal screening biomarkers in nulliparous women. Diabetes Res Clin Pract. 2020 May; 163:108139. PubMed

  • Jelliffe-Pawlowski LL, Rand L, Ryckman KK. Effects of Selective Exclusion of Patients on Preterm Birth Test Performance. Obstet Gynecol. 2020 04; 135(4):971-972. PubMed

  • Franck LS, McLemore MR, Williams S, Millar K, Gordon AY, Williams S, Woods N, Edwards L, Pacheco T, Padilla A, Nelson F, Rand L. Research priorities of women at risk for preterm birth: findings and a call to action. BMC Pregnancy Childbirth. 2020 Jan 13; 20(1):10. PubMed

  • Pantell MS, Baer RJ, Torres JM, Felder JN, Gomez AM, Chambers BD, Dunn J, Parikh NI, Pacheco-Werner T, Rogers EE, Feuer SK, Ryckman KK, Novak NL, Tabb KM, Fuchs J, Rand L, Jelliffe-Pawlowski LL. Associations between unstable housing, obstetric outcomes, and perinatal health care utilization. Am J Obstet Gynecol MFM. 2019 11; 1(4):100053. PubMed

  • Baer RJ, Chambers CD, Ryckman KK, Oltman SP, Rand L, Jelliffe-Pawlowski LL. An Evaluation of Sexually Transmitted Infection and Odds of Preterm or Early-Term Birth Using Propensity Score Matching. Sex Transm Dis. 2019 06; 46(6):389-394. PubMed

  • Donovan BM, Breheny PJ, Robinson JG, Baer RJ, Saftlas AF, Bao W, Greiner AL, Carter KD, Oltman SP, Rand L, Jelliffe-Pawlowski LL, Ryckman KK. Development and validation of a clinical model for preconception and early pregnancy risk prediction of gestational diabetes mellitus in nulliparous women. PLoS One. 2019; 14(4):e0215173. PubMed

  • Baer RJ, Berghella V, Muglia LJ, Norton ME, Rand L, Ryckman KK, Jelliffe-Pawlowski LL, McLemore MR. Previous Adverse Outcome of Term Pregnancy and Risk of Preterm Birth in Subsequent Pregnancy. Matern Child Health J. 2019 Apr; 23(4):443-450. PubMed

  • Baer RJ, Chambers CD, Ryckman KK, Oltman SP, Rand L, Jelliffe-Pawlowski LL. Risk of preterm and early term birth by maternal drug use. J Perinatol. 2019 02; 39(2):286-294. PubMed

  • Baer RJ, Chambers CD, Ryckman KK, Oltman SP, Rand L, Jelliffe-Pawlowski LL. High risk of spontaneous preterm birth among infants with gastroschisis. . 2019 01; 179(1):37-42. PubMed

  • Baer RJ, McLemore MR, Adler N, Oltman SP, Chambers BD, Kuppermann M, Pantell MS, Rogers EE, Ryckman KK, Sirota M, Rand L, Jelliffe-Pawlowski LL. Pre-pregnancy or first-trimester risk scoring to identify women at high risk of preterm birth. Eur J Obstet Gynecol Reprod Biol. 2018 Dec; 231:235-240. PubMed

  • Steurer MA, Baer RJ, Burke E, Peyvandi S, Oltman S, Chambers CD, Norton ME, Rand L, Rajagopal S, Ryckman KK, Feuer SK, Liang L, Paynter RA, McCarthy M, Moon-Grady AJ, Keller RL, Jelliffe-Pawlowski LL. Effect of Fetal Growth on 1-Year Mortality in Neonates With Critical Congenital Heart Disease. J Am Heart Assoc. 2018 09 04; 7(17):e009693. PubMed

  • Baer RJ, Yang J, Berghella V, Chambers CD, Coker TR, Kuppermann M, Oltman SP, Rand L, Ryckman KK, Muglia LJ, Chung PJ, Jelliffe-Pawlowski LL. Risk of preterm birth by maternal age at first and second pregnancy and race/ethnicity. J Perinat Med. 2018 Jul 26; 46(5):539-546. PubMed

  • Jelliffe-Pawlowski LL, Rand L, Bedell B, Baer RJ, Oltman SP, Norton ME, Shaw GM, Stevenson DK, Murray JC, Ryckman KK. Correction: Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics. J Perinatol. 2018 07; 38(7):946. PubMed

  • Steurer MA, Oltman S, Baer RJ, Feuer S, Liang L, Paynter RA, Rand L, Ryckman KK, Keller RL, Jelliffe-Pawlowski LL. Altered metabolites in newborns with persistent pulmonary hypertension. Pediatr Res. 2018 08; 84(2):272-278. PubMed

  • Jelliffe-Pawlowski LL, Rand L, Bedell B, Baer RJ, Oltman SP, Norton ME, Shaw GM, Stevenson DK, Murray JC, Ryckman KK. Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics. J Perinatol. 2018 08; 38(8):963-972. PubMed

  • Baer RJ, Altman MR, Oltman SP, Ryckman KK, Chambers CD, Rand L, Jelliffe-Pawlowski LL. Maternal factors influencing late entry into prenatal care: a stratified analysis by race or ethnicity and insurance status. J Matern Fetal Neonatal Med. 2019 Oct; 32(20):3336-3342. PubMed

  • Oltman SP, Rogers EE, Baer RJ, Anderson JG, Steurer MA, Pantell MS, Partridge JC, Rand L, Ryckman KK, Jelliffe-Pawlowski LL. Initial Metabolic Profiles Are Associated with 7-Day Survival among Infants Born at 22-25 Weeks of Gestation. J Pediatr. 2018 07; 198:194-200.e3. PubMed

  • McLemore MR, Altman MR, Cooper N, Williams S, Rand L, Franck L. Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth. Soc Sci Med. 2018 03; 201:127-135. PubMed

  • Washburn EE, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA. Stage I Twin-Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features. Am J Perinatol. 2018 12; 35(14):1352-1357. PubMed

  • Franck LS, McLemore MR, Cooper N, De Castro B, Gordon AY, Williams S, Williams S, Rand L. A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting. J Vis Exp. 2018 01 12; (131). PubMed

  • Washburn EE, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA. Polyhydramnios Affecting a Recipient-like Twin: Risk of Progression to Twin-Twin Transfusion Syndrome and Outcomes. Am J Perinatol. 2018 03; 35(4):317-323. PubMed

  • Anderson JG, Rogers EE, Baer RJ, Oltman SP, Paynter R, Partridge JC, Rand L, Jelliffe-Pawlowski LL, Steurer MA. Racial and Ethnic Disparities in Preterm Infant Mortality and Severe Morbidity: A Population-Based Study. Neonatology. 2018; 113(1):44-54. PubMed

  • Steurer MA, Baer RJ, Keller RL, Oltman S, Chambers CD, Norton ME, Peyvandi S, Rand L, Rajagopal S, Ryckman KK, Moon-Grady AJ, Jelliffe-Pawlowski LL. Gestational Age and Outcomes in Critical Congenital Heart Disease. Pediatrics. 2017 Oct; 140(4). PubMed

  • Felder JN, Baer RJ, Rand L, Jelliffe-Pawlowski LL, Prather AA. Sleep Disorder Diagnosis During Pregnancy and Risk of Preterm Birth. Obstet Gynecol. 2017 09; 130(3):573-581. PubMed

  • Johnson MP, Bennett KA, Rand L, Burrows PK, Thom EA, Howell LJ, Farrell JA, Dabrowiak ME, Brock JW, Farmer DL, Adzick NS, Management of Myelomeningocele Study Investigators . The Management of Myelomeningocele Study: obstetrical outcomes and risk factors for obstetrical complications following prenatal surgery. Am J Obstet Gynecol. 2016 Dec; 215(6):778.e1-778.e9. PubMed

  • Yang J, Baer RJ, Berghella V, Chambers C, Chung P, Coker T, Currier RJ, Druzin ML, Kuppermann M, Muglia LJ, Norton ME, Rand L, Ryckman K, Shaw GM, Stevenson D, Jelliffe-Pawlowski LL. Recurrence of Preterm Birth and Early Term Birth. Obstet Gynecol. 2016 08; 128(2):364-372. PubMed

  • Anderson JG, Baer RJ, Partridge JC, Kuppermann M, Franck LS, Rand L, Jelliffe-Pawlowski LL, Rogers EE. Survival and Major Morbidity of Extremely Preterm Infants: A Population-Based Study. Pediatrics. 2016 07; 138(1). PubMed

  • Tulipan N, Wellons JC, Thom EA, Gupta N, Sutton LN, Burrows PK, Farmer D, Walsh W, Johnson MP, Rand L, Tolivaisa S, D'alton ME, Adzick NS, MOMS Investigators . Prenatal surgery for myelomeningocele and the need for cerebrospinal fluid shunt placement. J Neurosurg Pediatr. 2015 Dec; 16(6):613-20. PubMed

  • Chung P, Heller JA, Etemadi M, Ottoson PE, Liu JA, Rand L, Roy S. Rapid and low-cost prototyping of medical devices using 3D printed molds for liquid injection molding. J Vis Exp. 2014 Jun 27; (88):e51745. PubMed

  • Derderian SC, Trivedi S, Farrell J, Keller RL, Rand L, Goldstein R, Feldstein VA, Hirose S, MacKenzie TC. Outcomes of fetal intervention for primary hydrothorax. J Pediatr Surg. 2014 Jun; 49(6):900-3; discussion 903-4. PubMed

  • Lowenthal A, Lemley B, Kipps AK, Brook MM, Moon-Grady AJ. Prenatal tricuspid valve size as a predictor of postnatal outcome in patients with severe pulmonary stenosis or pulmonary atresia with intact ventricular septum. Fetal Diagn Ther. 2014; 35(2):101-7. PubMed

  • Etemadi M, Chung P, Heller JA, Liu JA, Rand L, Roy S. Towards BirthAlert--A Clinical Device Intended for Early Preterm Birth Detection. IEEE Trans Biomed Eng. 2013 Dec; 60(12):3484-93. PubMed

  • Hyman RW, Fukushima M, Jiang H, Fung E, Rand L, Johnson B, Vo KC, Caughey AB, Hilton JF, Davis RW, Giudice LC. Diversity of the vaginal microbiome correlates with preterm birth. Reprod Sci. 2014 Jan; 21(1):32-40. PubMed

  • Etemadi M, Chung P, Heller JA, Liu J, Grossman-Kahn R, Rand L, Roy S. Novel device to trend impedance and fluorescence of the cervix for preterm birth detection. Annu Int Conf IEEE Eng Med Biol Soc. 2013; 2013:176-9. PubMed

  • Saadai P, Lee TH, Bautista G, Gonzales KD, Nijagal A, Busch MP, Kim CJ, Romero R, Lee H, Hirose S, Rand L, Miniati D, Farmer DL, MacKenzie TC. Alterations in maternal-fetal cellular trafficking after fetal surgery. J Pediatr Surg. 2012 Jun; 47(6):1089-94. PubMed

  • Saadai P, Jelin EB, Nijagal A, Schecter SC, Hirose S, MacKenzie TC, Rand L, Goldstein R, Farrell J, Harrison M, Lee H. Long-term outcomes after fetal therapy for congenital high airway obstructive syndrome. J Pediatr Surg. 2012 Jun; 47(6):1095-100. PubMed

  • Gupta N, Farrell JA, Rand L, Cauldwell CB, Farmer D. Open fetal surgery for myelomeningocele. J Neurosurg Pediatr. 2012 Mar; 9(3):265-73. PubMed

  • Weintraub AS, Ferrara L, Deluca L, Moshier E, Green RS, Oakman E, Lee MJ, Rand L. Antenatal antibiotic exposure in preterm infants with necrotizing enterocolitis. J Perinatol. 2012 Sep; 32(9):705-9. PubMed

  • Jelin EB, Schecter SC, Gonzales KD, Hirose S, Lee H, Machin GA, Rand L, Feldstein VA. Guide wire assisted catheterization and colored dye injection for vascular mapping of monochorionic twin placentas. J Vis Exp. 2011 Sep 05; (55):e2837. PubMed

  • Moon-Grady AJ, Rand L, Gallardo S, Gosnell K, Lee H, Feldstein VA. Diastolic Cardiac Pathology and Clinical Twin-Twin Transfusion Syndrome in Monochorionic/Diamniotic Twins. Am J Obstet Gynecol. 2011 Sep 01; 205(3):279.e1-279.e11. PubMed

  • Grams SE, Rand L, Norton ME. Complete isochromosome 5p in one fetus of a monochorionic twin pair. Prenat Diagn. 2011 Jun; 31(6):605-7. PubMed

  • Adzick NS, Thom EA, Spong CY, Brock JW, Burrows PK, Johnson MP, Howell LJ, Farrell JA, Dabrowiak ME, Sutton LN, Gupta N, Tulipan NB, D'Alton ME, Farmer DL, MOMS Investigators . A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med. 2011 Mar 17; 364(11):993-1004. PubMed

  • Stasenko M, Cheng YW, McLean T, Jelin AC, Rand L, Caughey AB. Postpartum follow-up for women with gestational diabetes mellitus. Am J Perinatol. 2010 Oct; 27(9):737-42. PubMed

  • Jelin E, Hirose S, Rand L, Curran P, Feldstein V, Guevara-Gallardo S, Jelin A, Gonzales K, Goldstein R, Lee H. Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin. Fetal Diagn Ther. 2010; 27(3):138-41. PubMed

  • Curran PF, Jelin EB, Rand L, Hirose S, Feldstein VA, Goldstein RB, Lee H. Prenatal steroids for microcystic congenital cystic adenomatoid malformations. J Pediatr Surg. 2010 Jan; 45(1):145-50. PubMed

  • Schwope OI, Chen KT, Mehta I, Re M, Rand L. The effect of a chlorhexidine-based surgical lubricant during pelvic examination on the detection of group B Streptococcus. Am J Obstet Gynecol. 2010 Mar; 202(3):276.e1-3. PubMed

  • Rand L, Caughey AB. The challenges of caring for twins discordant for anomalies. J Perinatol. 2009 Oct; 29(10):653-4. PubMed

  • Desai G, Filly RA, Rand L. Prenatal detection of an extra-adrenal neuroblastoma with hepatic metastases. J Ultrasound Med. 2009 Aug; 28(8):1085-90. PubMed

  • Rand L, Lee H. Complicated monochorionic twin pregnancies: updates in fetal diagnosis and treatment. Clin Perinatol. 2009 Jun; 36(2):417-30, x-xi. PubMed

  • Nijagal A, Rand L, Goldstein R, Poder L, Miniati D. Intrauterine umbilical cord hemorrhage with associated jejunal atresia captured by real-time ultrasound. Am J Obstet Gynecol. 2009 Mar; 200(3):e5-6. PubMed

  • Rochon M, Rand L, Roth L, Gaddipati S. Glyburide for the management of gestational diabetes: risk factors predictive of failure and associated pregnancy outcomes. Am J Obstet Gynecol. 2006 Oct; 195(4):1090-4. PubMed

  • Rand L, Caughey AB. Comparison of glyburide and insulin for the management of gestational diabetes in a large managed care organization. Am J Obstet Gynecol. 2006 Aug; 195(2):628-9; author reply 629-30. PubMed

  • Rand L, Eddleman KA, Stone J. Long-term outcomes in multiple gestations. Clin Perinatol. 2005 Jun; 32(2):495-513, viii. PubMed

  • Rand L, Norwitz ER. Current controversies in cervical cerclage. Semin Perinatol. 2003 Feb; 27(1):73-85. PubMed

  • Rand L, Robinson JN, Economy KE, Norwitz ER. Post-term induction of labor revisited. Obstet Gynecol. 2000 Nov; 96(5 Pt 1):779-83. PubMed

View Larry Rand, MD's research profile on UCSF Profiles

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