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Twelve Weeks of Reversed Umbilical Flow in a Fetal Growth Restriction Case Associated with Severe Periconceptional Maternal Anemia
Author(s) -
Miescu Mihaela,
Novac Marius,
Ruican Dan,
Nagy Rodica Daniela,
Iliescu Dominic Gabriel
Publication year - 2020
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15274
Subject(s) - medicine , fetal growth , fetus , anemia , obstetrics , pregnancy , intrauterine growth restriction , umbilical cord , physiology , immunology , genetics , biology
We present a case of a patient diagnosed with severe intrauterine growth restriction and periconceptional severe anemia, where the fetal well‐being features, including reversal of umbilical artery end ‐ diastolic flow and abnormal cerebroplacental ratio, remained stationary for 12 weeks. We are not aware of reports with similar findings, and the professionals should take into consideration the possibility of a “frozen” fetal well‐being for a long time. Possibly, in our case, the evolution may be due to the prompt correction of the chronic severe maternal anemia. This approach may offer the opportunity to prolong the pregnancy, even in cases with apparently imminent delivery, as the association of reversal of umbilical artery end ‐ diastolic flow.