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Gynaecology & Obstetrics Diagnosis in obstetrics 029567cd

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
High-Yield Explanation
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.

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