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.