Importance of Fetal Doppler Studies to Identify and Monitor Fetal Growth Restriction

Figure 1
A pregnant woman was identified as high risk for PE in the first trimester scan at GA 12 weeks. She started low dose Aspirin 150 mg OD after counselling but did not return for follow up USG advised at 22,26 and 30 weeks. She came for a repeat USG at 32 weeks and Doppler showed Grade 1 FGR with EFW 1 centile, MCA 1 centile, CPR 1 centile, Umbilical artery 96th centile and AC 11 centile. Advised weekly followup and had grade 1 FGR at 34 weeks. At 35 weeks, Doppler showed Umbilical Artery AEDV and DV 99th centile; Grade 3 FGR. An LSCS was done. She delivered a live born baby weighing 1700 gms.

Doppler studies help identify women at risk for preterm PE and FGR in the 1st trimester and to grade and manage FGR in the 3rd trimester.

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Tags: General Practice / Family Medicine, Obstetrics, Ultrasound, Neonatal & Fetal, Radiology