LaurenceE.ShieldsMD

Obstetrics & Gynecology • Santa Maria, CA

Maternal & Fetal Medicine/High Risk

Physician

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Office
116 S Palisade Dr
Suite 104
Santa Maria, CA 93454
Phone+1 805-739-3474

Fax+1 805-614-5956
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Education & Training

University of California (San Diego) Medical CenterFellowship, Maternal-Fetal Medicine, 1991 - 1993
University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of MedicineResidency, Obstetrics and Gynecology, 1987 - 1991
The University of Texas Health Science Center at San AntonioClass of 1987

Certifications & Licensure

CA State Medical License 2006 - 2026
WA State Medical License 1993 - 2024
MT State Medical License 2001 - 2004
TX State Medical License 1989 - 1992
American Board of Obstetrics and Gynecology Obstetrics & Gynecology
American Board of Obstetrics and Gynecology Maternal-Fetal Medicine

Awards, Honors, & Recognition

Fellow (FACOG) American Congress of Obstetricians and Gynecologists

Publications & Presentations

PubMed

3 citations
Randomized controlled trial of prepregnancy lifestyle intervention to reduce recurrence of gestational diabetes mellitus.
Suzanne Phelan, Elissa Jelalian, Donald Coustan, Aaron B Caughey, Kristin Castorino, Todd Hagobian, Karen Muñoz-Christian, Andrew Schaffner, Laurence Shields, Casey He...> ;American Journal of Obstetrics and Gynecology. 2023 Aug 1
15 citations
Protocol for a randomized controlled trial of pre-pregnancy lifestyle intervention to reduce recurrence of gestational diabetes: Gestational Diabetes Prevention/Preven...
Suzanne Phelan, Elissa Jelalian, Donald R. Coustan, Aaron B. Caughey, Kristin Castorino, Todd Hagobian, Karen Muñoz-Christian, Andrew Schaffner, Laurence E. Shields, C...> ;Trials. 2021 Apr 7
Labor and delivery guidance for coronavirus disease 2019.
David C Lagrew, Laurence E Shields> ;American Journal of Obstetrics & Gynecology MFM. 2020 Jun 17
Patient costs and outcomes before and after the institution of a pre-eclampsia quality improvement initiative in a southwestern tertiary facility.
Aduragbemi Banke-Thomas, Casey Rosser, Robert Brady, Laurence E. Shields> ;Journal of Obstetrics and Gynaecology. 2019 Apr 22
1 citations
Obstetrical hemorrhage reporting and systems learning.
Laurence E. Shields, Suzanne Wiesner> ;Seminars in Perinatology. 2019 Feb 1
8 citations
A Standardized Approach for Category II Fetal Heart Rate with Significant Decelerations: Maternal and Neonatal Outcomes.
Laurence E. Shields, Suzanne Wiesner, Catherine Klein, Barbara Pelletreau, Herman L. Hedriana> ;American Journal of Perinatology. 2018 Jun 12
34 citations
Implementing Obstetric Early Warning Systems.
Alexander M. Friedman, Mary L. Campbell, Carolyn R. Kline, Suzanne Wiesner, Mary E. D'Alton, Laurence E. Shields> ;AJP Reports. 2018 Apr 1
3 citations
A Comparison of the Nulliparous-Term-Singleton-Vertex and Society of Maternal-Fetal Medicine Cesarean Birth Metrics Based on Hospital Size.
Laurence E. Shields, Suzan Walker, Herman L. Hedriana, Suzanne Wiesner, Barbara Pelletreau, Jane Hitti, Thomas J. Benedetti> ;American Journal of Perinatology. 2017 Nov 3
592 citations
ACOG practice bulletin: Clinical management guidelines for obstetrician-gynecologists
Laurence E. Shields, Dena Goffman, Aaron B. Caughey> ;Obstetrics and Gynecology. 2017 Oct 1
10 citations
Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period.
Peter S. Bernstein, James N. Martin, John R. Barton, Laurence E. Shields, Maurice L. Druzin, Barbara M. Scavone, Jennifer Frost, Christine H. Morton, Catherine Ruhl, J...> ;Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017 Sep 1
58 citations
National Partnership for Maternal Safety: Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period.
Peter S. Bernstein, James N. Martin, John R. Barton, Laurence E. Shields, Maurice L. Druzin, Barbara M. Scavone, Jennifer Frost, Christine H. Morton, Catherine Ruhl, J...> ;Obstetrics and Gynecology. 2017 Aug 1
16 citations
National Partnership for Maternal Safety: Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period.
Peter S. Bernstein, James N. Martin, John R. Barton, Laurence E. Shields, Maurice L. Druzin, Barbara M. Scavone, Jennifer Frost, Christine H. Morton, Catherine Ruhl, J...> ;Anesthesia and Analgesia. 2017 Aug 1
11 citations
Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period
Peter S. Bernstein, James N. Martin, John R. Barton, Laurence E. Shields, Maurice L. Druzin, Barbara M. Scavone, Jennifer Frost, Christine H. Morton, Catherine Ruhl, J...> ;Journal of Midwifery & Women's Health. 2017 Jul 1
55 citations
Early standardized treatment of critical blood pressure elevations is associated with a reduction in eclampsia and severe maternal morbidity
Laurence E. Shields, Suzanne Wiesner, Catherine Klein, Barbara Pelletreau, Herman L. Hedriana> ;American Journal of Obstetrics and Gynecology. 2017 Apr 1
11 citations
Decreased rates of shoulder dystocia and brachial plexus injury via an evidence-based practice bundle.
Laura Sienas, Herman L. Hedriana, Suzanne Wiesner, Barbara Pelletreau, Machelle D. Wilson, Laurence E. Shields> ;International Journal of Gynaecology and Obstetrics. 2017 Feb 1
112 citations
Use of Maternal Early Warning Trigger tool reduces maternal morbidity
Laurence E. Shields, Suzanne Wiesner, Catherine Klein, Barbara Pelletreau, Herman L. Hedriana> ;American Journal of Obstetrics and Gynecology. 2016 Apr 1
23 citations
Baseline assessment of a hospital-specific early warning trigger system for reducing maternal morbidity
Herman L. Hedriana, Suzanne Wiesner, Brenda G. Downs, Barbara Pelletreau, Laurence E. Shields> ;International Journal of Gynaecology and Obstetrics. 2016 Mar 1
136 citations
Comprehensive maternal hemorrhage protocols reduce the use of blood products and improve patient safety.
Laurence E. Shields, Suzanne Wiesner, Janet Fulton, Barbara Pelletreau> ;American Journal of Obstetrics and Gynecology. 2015 Mar 1
104 citations
Comprehensive maternal hemorrhage protocols improve patient safety and reduce utilization of blood products.
Laurence Shields, Kathy Smalarz, Lester Reffigee, Sandra Mugg, Theodore J. Burdumy, Marilyn Propst> ;American Journal of Obstetrics and Gynecology. 2011 Oct 1
3 citations
In utero transplantation of monocytic cells in cats with α-mannosidosis
Janis L. Abkowitz, Kathleen M. Sabo, Zhantao Yang, Charles H. Vite, Laurence E. Shields, Mark E. Haskins> ;Transplantation. 2009 Aug 15
118 citations
A prospective, randomized, multicenter trial of amnioreduction vs selective fetoscopic laser photocoagulation for the treatment of severe twin-twin transfusion syndrome.
Timothy M. Crombleholme, David Shera, Hanmin Lee, Mark P. Johnson, Mary E. D'Alton, Flint Porter, Jacquelyn Chyu, Richard K. Silver, Alfred Abuhamad, George R. Saade, ...> ;American Journal of Obstetrics and Gynecology. 2007 Oct 1
7 citations
Phenotypic and cytolytic activity of Macaca nemestrina natural killer cells isolated from blood and expanded in vitro.
Laurence E. Shields, Aimee J. Sieverkropp, Jennifer Potter, Robert G. Andrews> ;American Journal of Primatology. 2006 Aug 1
7 citations
The use of CD34+ mobilized peripheral blood as a donor cell source does not improve chimerism after in utero hematopoietic stem cell transplantation in non‐human primates
Laurence E. Shields, Lakshmi K. Gaur, Patrick Delio, Mike Gough, Jennifer Potter, Aimee Sieverkropp, Robert G. Andrews> ;Journal of Medical Primatology. 2005 Aug 1
7 citations
Chimerism analysis by sex determining region Y (SRY) and major histocompatibility complex markers in non-human primates using quantitative real-time polymerase chain r...
A. J. Sieverkropp, Robert G. Andrews, Lakshmi K. Gaur, Laurence E. Shields> ;Tissue Antigens. 2005 Jul 1
15 citations
Second-Trimester Biparietal Diameter/Nasal Bone Length Ratio Is an Independent Predictor of Trisomy 21
Lan T. Tran, Darcy B. Carr, Lee M. Mitsumori, Stefanie B. Uhrich, Laurence E. Shields> ;Journal of Ultrasound in Medicine. 2005 Jun 1
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Grant Support

Allogenic In Utero Stem Cell TransplantationNational Center For Research Resources2005
Facilitating Cells For Fetal Hematopoietic TransplantNational Institute Of Diabetes And Digestive And Kidney Diseases2004–2005
In Utero Stem Cell TransplantationNational Center For Research Resources2003
In Utero Stem Cell TransplantationNational Heart, Lung, And Blood Institute1999–2002

Committees

Chair Perinatal Safety Committee, Dignity Health Systems 2012 - Present
Committee Member, SMFM-Patient Safety and Quality Comittee 2012 - Present
Co-Chair, CMQCC Preeclampsia Taskforce 2011 - Present
Committee Member, CMQCC-Maternal Mortality Review 2010 - Present
Advisor, ACOG District IX advisor Calif. Genetic Disease Branch-Perinatal 2010 - Present