Synopsis: Utero placental perfusion should meet the requirements of the developing and growing fetus by providing sufficient nutrients. Inadequate uterine perfusion can result in fetal growth restriction, which is a leading contributor to perinatal mortality and morbidity. Fetal growth restriction complicated 7-15% pregnancies. Doppler ultrasound is the benchmark for accurate pregnancy dating and diagnosis of fetal growth restriction.
Abnormality in doppler indices cannot detect fetal growth restriction. This week’s “MEDFACT” discusses an interventional, randomized controlled trial from The Journal of Maternal-Fetal and Neonatal Medicine , ‘Utero-placental perfusion Doppler indices in growth-restricted fetuses: effect of sildenafil citrate.’ Authors: Mohamed Adel El-Sayed, Said Abdel-Aty Saleh, et al. What was the need for this study? Placentation is inadequate in pregnancies…
