On Doppler the most ominous sign indicating fetal compromise is :: (A) pulsatility index in umbilical aery, (B) increased resistance in uterine aery, (C) increased PSV in middle cerebral aery, (D) Absent diastolic flow in umbilical aery
Answer is D. Fetuses with absent end diastolic volume have a poorer outcome than those with only reduction in EDF with majority being delivered by Caesarean section.The morbidity from necrotizing enterocolitis and cerebral haemorrhage is also higher. refer pgno:513 sheila textbook of obstetrics 2 nd edition.