Umbilical artery Doppler in the assessment of fetal growth restriction

Dev Maulik1, David Mundy, Erica Heitmann

  • 1Department of Obstetrics and Gynecology, University of Missouri Kansas City School of Medicine, Kansas City, MO, USA. maulikd@umkc.edu

Antepartum fetal surveillance with Doppler ultrasound of umbilical artery has shown significant diagnostic efficacy in identifying fetal compromise in pregnancies complicated with fetal growth restriction (FGR). Its effectiveness in decreasing perinatal mortality has been shown by randomized clinical trials (Level I evidence). This test is the only antepartum fetal test that has shown this level of effectiveness and should be the standard of practice in managing FGR (Level A recommendation). The overall management considerations should encompass other standard fetal monitoring tests (Level B and C recommendations).

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