Severe IUGR with critical dopplers

Case contributed by Dr Alexandra Stanislavsky

Presentation

27/40 gestational age. Monitoring of growth and well being. No known risk factors.

Patient Data

Age: 30 years
Gender: Female
Ultrasound

Severe symmetric growth restriction. EFW on 2nd centile. BPD, HC and AC < 2nd centile.

UA Doppler: absent end-diastolic flow
MCA PI: 1.2 (<5th centile)
DV: absent to reversed a wave
UV: pulsatile

AFI: 11 (normal)

Case Discussion

Severe early IUGR with critical dopplers.  

Patient proceeded to emergency Cesarean section.

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