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Gulf
3300
Medetaranian
African
3200 Indian Subcontinents
Middle Asia
Southeast Asia
3100
EuroAmericans
3000
Assymetrical
Thrombophilias: ACL, lupus AC, AT-III, protein
S&C
Investigate vascular causes e.g. Pre-eclampsia
Management
Serial ultrasound every 2-3 weeks for
growth assessment
Weekly BPP and doppler flow studies
Advice home rest if placental insufficiency
Instruct on fetal movement counts
Treat underlying cause
Biophysical profile (BPP)
No Yes
Fetal movement 3 times 0 2
Breathing movement 30 seconds 0 2
70 mm 60 mm
Non-stress Test
Degrees of Placental Insufficiency
Normal Flow
BPP & doppler study Normal BPP variable, normal BPP and doppler
doppler become abnormal