Severe IUGR with critical dopplers
27/40 gestational age. Monitoring of growth and well being. No known risk factors.
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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
AFI: 11 (normal)
Severe early IUGR with critical dopplers.
Patient proceeded to emergency Cesarean section.