The Role of Selective Reduction - Part 2

*SPECIAL GUEST* - Dr. Saul Snowise – Part 1 of 2

This week we continue our discussion with Dr. Saul Snowise talking about the role of selective reduction, specifically in the setting of monochorionic twins. This week we'll be covering the following: 

• Dr. Snowise’s preferred tool/method for selective reduction
• Selective reduction in the setting of monoamniotic twins with discordant anomalies & cord entanglement
• Various instruments & equipment used for the different methods of selective reduction
  • How instrument/trocar size affects complication rates
• Discordant anomalies in monochorionic/identical twins
• Twin reversed arterial perfusion (TRAP) sequence
  • Rate of occurrence
  • Pathophysiology/disease process
  • Optimal timing for fetal intervention/surgery
• Selective reduction for sIUGR
  • Patient counseling and informed consent
  • Laser ablation as treatment for sIUGR
• Effects of legislation and the overturning of Roe v. Wade on selective reduction as a treatment option in pregnancy