Asymmetrical intrauterine growth restriction with fetal distress
Diagnosis almost certain
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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
oligohydraminosoligohydramnios
Unfortunately, the fetus carries a very poor prognosis.
-<li>abnormal umbilical artery Doppler with reversal of diastolic flow, despite normal middle cerebral artery Doppler, reflecting <a title="Placental insufficiency" href="/articles/placental-insufficiency">placental insufficiency</a>- +<li>abnormal umbilical artery Doppler with reversal of diastolic flow, despite normal middle cerebral artery Doppler, reflecting <a href="/articles/placental-insufficiency">placental insufficiency</a>
-<li>associated oligohydraminos </li>-</ul>- +<li>associated oligohydramnios </li>
- +</ul><p>Unfortunately, the fetus carries a very poor prognosis.</p>