الفهرس 
INTRODUCTION AND AIM OF THE WORKOnly 14 pages are availabe for public view
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Abstract
Intrauterine growth restriction (IUGR) is an estimated fetal weight below 10th percentile for appropriate gestational age and gender. IUGR is strongly associated with fetal, neonatal, and post neonatal mortality, infant and childhood morbidity and long- term growth and development. Early diagnosis is very important in starting preventive measures, determining type of delivery and starting for the best outcome of pregnancy.
The first step in the management of the IUGR fetus is diagnosis. Fundal height is the best screening tool, and ultrasound biometry is the best method for detecting the small fetus. Doppler velocimetry is the most important means of diagnosing the IUGR fetus that is at risk for adverse perinatal morbidity and mortality.
This study aims to evaluate the role of fetal umbilical artery (UA), middle cerebral artery (MCA) and vertebral artery (VA) Doppler in diagnosis of IUGR to detect the condition early to improve the outcome of pregnancy and prevent its complications.
This study was done in the radiodiagnosis department on 21 pregnant women suspected to carry an IUGR fetus based on the clinical examination findings such as a lag in the fundal height of 4 cm or more, having chronic illnesses such as hypertension, preeclampsia, diabetes or previous history of carrying IUGR fetus.
We selected the cases who carry fetuses whose weight lied below the 10th percentile calculated by ultrasound and were more than 18 years old with single pregnancy of gestational age between 24 - 40 weeks.
The accurate diagnosis is made through calculating the gestational age precisely based on the last menstrual period (LMP) or by previous (CRL) in the first trimester and estimating the fetal weight through measuring the abdominal circumference (AC). Doppler velocimetry of the umbilical artery (The gold standard test for diagnosis and comparison) and of the middle cerebral artery and vertebral artery were examined by color flow Doppler during the fetal apnea and absence of fetal movements. Pulsatility index (PI), resistive index