*SPECIAL GUEST* - Dr. Saul Snowise – Part 1 of 2 This week and next week we have a two-part series with Dr. Saul Snowise as we discuss the role of selective reduction, specifically in the setting of monochorionic twins. Join us as we discuss the following this week: How selective reduction differs in monochorionic vs. dichorionic twins  Most common method of selective reduction Potassium chloride (KCl) injection contraindicated in monochorionic twins   Method for monochorionic pregnancy Cord occlusion Indications for selective reduction in monochorionic twins Selective fetal growth restriction (sIUGR) Discordant anomalies Twin-twin transfusion syndrome (TTTS) Twin reverse arterial perfusion (TRAP) sequence Failed laser Various methods for performing a cord occlusion selective reduction Microwave Interstitial laser Radiofrequency ablation (RFA) Bipolar cautery Sizes of operative instruments, energy levels used and the treatment protocols Gestational age thresholds for performing a selective reduction procedure Risks associated with a selective reduction procedure Membrane complications (i.e. PPROM) Preterm delivery Bleeding, infection  Loss of co-twin

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