30 weeks pregnant female comes for antenatal Doppler and findings are shown. What is the management ?
The finding indicates absent end diastolic blood flow. As the pregnancy is less than 34 weeks, steroids need to be given for the lung maturity. Steroid cover plus biophysical profile plus non stress test and monitoring would be a better method as it can proceed to reversal of diastolic flow which indicates imminent death of the fetus. Termination is warranted at 34 weeks or earlier when reversal occurs.
Urgent LSCS
Findings are normal for 30 weeks pregnancy and patient can be followed up on OPD basis
Admit, steroid cover and take upto 37-38 weeks
Admit, steroid cover, monitor with NST and repeat doppler, terminate at 32-34 weeks/earlier in case of worsening of doppler findings
Intra Uterine Growth Restriction, Intrapaum and Antepaum Fetal Surviellance