title: [Perinatal outcome of growth restricted fetus with absent end-diastolic umbilical blood flow--case report].
abstract: BACKGROUND
  Absent or reversed end-diastolic blood flow in the umbilical artery is usually associated with poor perinatal outcome and high perinatal mortality rate.
  
  
  METHODS
  We present the case of a pregnant woman with absent end-diastolic blood flow in the umbilical artery in the 27th week of pregnancy with initial restriction of fetal growth. Allthough it was more and more obvious that the fetal growth was hindered, the Doppler, cardiotocographic and biophysical parameters did not get any worse as the pregnancy developed. The full fetal maturation was reached after the intense monitoring of the fetal condition and the pregnancy was terminated in the 37th week by elective Cesarean section.
  
  
  CONCLUSIONS
  The basic purpose of prenatal fetal monitoring in the situation of hindered fetal growth with chronic hypoxia is to predict the phase of decompensation and to terminate pregnancy before it is developed. The major problem is in great individual variations at the moment of development of decompensation phase, so the major obstetric aim in the monitoring of the fetus hindered in growth is to determine the optimal time and way of delivery.
authors.affiliation: Ginekolosko-akuserska klinika, Klinicki centar Nis. drmarija@nadlanu.com
authors.forename: Marija
authors.initials: M
authors.lastname: Tasić
authors.forename: Vekoslav
authors.initials: V
authors.lastname: Lilić
authors.forename: Jelena
authors.initials: J
authors.lastname: Milosević
authors.forename: Milan
authors.initials: M
authors.lastname: Stefanović
authors.forename: Vladimir
authors.initials: V
authors.lastname: Antić
mesh_terms: D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology / Q000503:physiopathology*; D005323:Fetal Monitoring; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012039:Regional Blood Flow; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology*