Asymmetrical intrauterine growth restriction with fetal distress

Discussion:

This case demonstrates many signs of intrauterine growth restriction with fetal distress:

  • abnormal umbilical artery Doppler with reversal of diastolic flow, despite normal middle cerebral artery Doppler, reflecting placental insufficiency
  • fetal bradycardia followed by fetal tachycardia
  • abnormal biophysical profile
  • increased HC:AC ratio
  • associated oligohydramnios 

Unfortunately, the fetus carries a very poor prognosis.

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