Laura Brodzinsky
Clinical Associate Professor, Obstetrics & Gynecology - Maternal Fetal Medicine
Web page: http://med.stanford.edu/profiles/Laura_Brodzinsky/
Clinical Focus
- Obstetrics
- Vulvodynia
- Maternal and Fetal Medicine
Academic Appointments
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Clinical Associate Professor, Obstetrics & Gynecology - Maternal Fetal Medicine
Administrative Appointments
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Assistant Clinical Professor, Obstetrics and Gynecology (1998 - Present)
Professional Education
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Residency: Kaiser Permanente Oakland Obstetrics and Gynecology Residency (1998) CA
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Internship: Kaiser Permanente Oakland Pediatric Residency (1994) CA
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Medical Education: Eastern Virginia Medical School Registrar (1993) VA
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Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology (2001)
Current Research and Scholarly Interests
Special interest in women with vulvodynia and other genital pain disorders.
2024-25 Courses
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Independent Studies (5)
- Directed Reading in Obstetrics and Gynecology
OBGYN 299 (Aut, Win, Spr, Sum) - Early Clinical Experience in Obstetrics and Gynecology
OBGYN 280 (Aut, Win, Spr, Sum) - Graduate Research in Reproductive Biology
OBGYN 399 (Aut, Win, Spr, Sum) - Medical Scholars Research
OBGYN 370 (Aut, Win, Spr, Sum) - Undergraduate Research in Reproductive Biology
OBGYN 199 (Aut, Win, Spr, Sum)
- Directed Reading in Obstetrics and Gynecology
All Publications
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Cesarean delivery outcomes after a prolonged second stage of labor
27th Annual Meeting of the Society-of-Maternal-Fetal-Medicine
MOSBY-ELSEVIER. 2007
Abstract
We hypothesized that prolonged second stage of labor increases the incidence of unintentional hysterotomy extensions at cesarean delivery.A retrospective cohort of term pregnant women who underwent primary cesarean delivery after failed second stage of labor at Stanford University was assessed for hysterotomy extensions and other maternal and neonatal morbidities. Groups included second stage length of 1-3 hours and >4 hours. Data were analyzed with the use of chi-square and Fisher's exact tests.Of the 239 women who were studied, the second stage of labor lasted 1-3 hours in 82 patients and >4 hours in 157 patients. Prolonged second stage of labor was associated with unintentional hysterotomy extensions (40% vs 26%; P = .03), particularly to the cervix (29% vs 5%; P = .005), and with surgery that lasted >90 minutes (9% vs 1%; P = .01). The incidence of hysterotomy extensions was associated positively with the length of the second stage. Other maternal and neonatal morbidities were similar between groups.Prolonged second stage of labor is associated with an increase in unintentional hysterotomy extensions at cesarean delivery and prolonged operative time. The future risk of hysterotomy extensions merits further investigation.
View details for DOI 10.1016/j.ajog.2007.07.005
View details for PubMedID 17826431