Image Based Question – 74945

A 28-week Pregnant female presents with the fetal distress on .examination and the test performed (MCA Doppler study) is given below. What should be the next step in management?

A. Immediate termination of pregnancy

B. Give steroid cover and monitor with doppler and BPP, and plan delivery

C. Give steroid and take up for CS immediately

D. Go for normal vaginal delivery as baby is very small

Correct Answer » B Explanation

Ans. B. Give steroid cover and monitor with doppler and BPP, and plan delivery

• Doppler shows absent blood flow during diastole in the brain.
• In the normal situation, the fetal MCA has a high resistance flow which means there is minimal antegrade flow in foetal diastole.
• In pathological states this can turn into a low resistance flow mainlv as a result ofthe fetal head sparing theory