European Journal of Cardiovascular Medicine

Background: This prospective observational study delves into the intricate realm of Doppler indices in intrauterine growth restriction (IUGR) fetuses, aiming to illuminate their clinical relevance and predictive potential. Fetal growth restriction, a critical concern in maternalfetal medicine, is explored through the lens of Doppler ultrasound, which enables assessment of uteroplacental and fetoplacental blood flow dynamics. By evaluating umbilical arterial (Umb A) Doppler Velocimetry, this study establishes correlations between hypoxemia in IUGR-affected fetuses and abnormal Middle Cerebral Artery (MCA) pulsatility indices. The investigation comprehensively analyzes Doppler indices' performance in predicting perinatal outcomes, utilizing sensitivity, specificity, and diagnostic accuracy assessments. With a focus on both symmetrical and asymmetrical IUGR, this study demonstrates the importance of Doppler imaging in diagnosing growth retardation and predicting adverse outcomes. Findings underscore the significance of combined uteroplacental and fetoplacental assessments and the potential of umbilical artery Doppler in outcome prediction. The implications of abnormal Cerebro umbilical ratio and absent diastolic flow further underscore the utility of Doppler imaging in enhancing high-risk pregnancy surveillance and outcomes.