Non-invasive radiology imaging techniques can be used to identify pregnant women at risk for adverse fetal and maternal events. The FetRADS-India categories have been developed, using content validation, for the risk stratification of pregnancy to help initiate appropriate early management for high risk pregnant women including referral to advanced care or tertiary care units. The FetRADS-India score has six levels with increasing scores for higher risk of adverse fetal events and subset scores based on fetal structure, growth and environment. Read at: http://bit.ly/FetRADS-India
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.