This webinar, Part 2 of the series on fetal interventions in twin and multiple pregnancies, presents expert-led clinical case discussions focused on complex fetal therapy scenarios. Hosted by Prof. Asma Khalil, the session brings together leading specialists in fetal medicine from institutions including Johns Hopkins and AIMS New Delhi.
The featured cases center on monochorionic twins and triplet pregnancies involving complications such as twin anemia polycythemia sequence (TAPS) and selective fetal growth restriction (sFGR). The speakers walk through real diagnostic challenges and stepwise management decisions, including Doppler findings, fetal blood sampling, and decisions around intrauterine transfusion versus early delivery. One key case illustrates a sex-discordant monochorionic pair with mosaic karyotypes, prompting a discussion on the implications of chorionicity, zygosity, and genetic testing.
The session also covers the latest international guidelines on twin pregnancy, including updates from ISUOG and newly published patient-facing materials in multiple languages. Discussions highlight the value of shared decision-making and multidisciplinary coordination in managing high-risk pregnancies.
Throughout the webinar, the panel emphasizes evidence-based clinical decision-making while addressing practical concerns such as overlapping pathologies (e.g., TAPS with sFGR), limitations of prenatal genetic testing, and the role of placental pathology.
This educational session is designed for clinicians in maternal-fetal medicine, fetal therapy, and obstetric ultrasound, offering insights into current best practices and case-based reasoning in fetal intervention.
Watch Part 1: Fetal Intervention in Twin and Multiple Pregnancy – Challenge Cases
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