Early onset IUGR with critical Dopplers

Case contributed by Alexandra Stanislavsky
Diagnosis certain


Small for gestational age fetus at the routine mid-trimester ultrasound. Review at 25 weeks gestation.

Patient Data

Age: 25 years
Gender: Female

Symmetric IUGR with EFW below the second centile. There is reversed end diastolic flow of the umbilical artery, MCA reduced PI suggestive or redistribution and an absent a-wave of the ductus venosus. No fetal movements or breathing were observed.

Case Discussion

This case demonstrates early onset of severe fetal growth restriction and critical Dopplers suggestive of fetal acidemia, developing in a mother with pre-eclampsia. 

Fetal outcome is unknown, though statistically prognosis is poor.

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