Increased acidosis and hypoxaemia is associated with :
MIDDLE CEREBRAL AERY DOPPLER Normally,middle cerebral vessels have a very little diastolic flow and hence an increased resistance .A brain sparing effect is seen in IUGR with a reduction in the resistance indices in the middle cerebral vessels due to shunting of blood to brain in IUGR.This occurs after umbilical aery flow becomes abnormal and is called cephalisation of flow.Once the middle cerebral aery flow is abnormal the fetal outcome is worse and is indication for delivery.In fetal anemia due to Rh isoimmunisation the peak systolic velocity in the middle cerebral aery is increased. TEXTBOOK OF OBSTETRICS,SHEILA BALAKRISHNAN,Pg no:513,2nd edition
Normal Doppler wave form
Increased fetal diastolic flow in the middle cerebral aery with absent diastolic flow in the aoa
Presence of the notch' in the uterine aery
absent umbilical aery
Diagnosis in obstetrics