title: Umbilical artery Doppler in the assessment of fetal growth restriction.
abstract: 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).
authors.affiliation: Department of Obstetrics and Gynecology, University of Missouri Kansas City School of Medicine, Kansas City, MO, USA. maulikd@umkc.edu
authors.forename: Dev
authors.initials: D
authors.lastname: Maulik
authors.forename: David
authors.initials: D
authors.lastname: Mundy
authors.forename: Erica
authors.initials: E
authors.lastname: Heitmann
authors.forename: Devika
authors.initials: D
authors.lastname: Maulik
mesh_terms: D001783:Blood Flow Velocity; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D054238:Perinatal Mortality; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D016032:Randomized Controlled Trials as Topic; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal; D014469:Umbilical Arteries / Q000000981:diagnostic imaging*