<s>[INST] Hi doctor , my wife is 26 weeks pregnant and is having IUGR, ultrasound diagnosis showed GA of 23 weeks. We had a color doppler ultrasound done which states that the umbical artery flow velocity waveform shows an absent end diastolic flow and the AFI 2.She is on bedrest , fetal heart rate is monitored twice a day and is coming out normal till date but her BP is variating alot which is also monitored daily.Also she is taking suppliment medicines ( Ecosprin 75mg , Alphadopa , depin R20, guardian, Argin, Cal 40 and Iron..) once a day and she was on Aminovein 10% intra venous for three days and on fragmin(5000 IU) injection S/C. We are a liitle worried regarding the treatment if its in right direction ? or something else we can quickly opt. Kindly help. [/INST] Hello dear,I understand your concern.Iam sorry for your condition.In my opinion as per your history there is less liquor and high BP. As the  Doppler study showing absent end diastolic flow it needs regular fetal surveillance to check for any fetal deterioration.As AFI is 2 the cause of low liquor like any kidney  and urinary tract abnormalities in fetus need to be ruled out.Yes you are on correct line of treatment.High protein diet and bed rest is advisable.Avoid stress.Adequate fluids upto 3 litres per day is good.Best regards... </s>