الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
One of the greatest challenges in obstetrics is to manage early fetal growth restriction. At present, a combination of several different monitoring modalities is used, including arterial and venous Doppler ultrasonography plus assessment of short term fetal heart rate variation. There is no consensus which one of these parameters should trigger delivery Currently, Doppler ultrasound, an evolved noninvasive technique, is widely used to assess blood flow in both fetal and maternal hemodynamic circulatory function. Due to its feasibility and safety, this new innovation has now become an effective instrument for fetal surveillance In obstetrics, Doppler ultrasound has largely been used toexamine the arterial system. Elevated impedance to blood flow in the placenta is reflected by abnormal umbilical artery velocimetry
Recently, more attention has been paid to the venous System.
Umbilical vein pulsations and reversed flow in the ductus venosus have been reported as ominous signs of perinatal mortality and ventricular failure.
It has been suggested that umbilical vein pulsations are a consequence of reversed flow in the ductus venosus, with the ductus venosus considered as the only direct link between the inferior vena cava and the umbilical vein.
The study was designed in a prospective manner and Our aim in this study was to use umbilical vein Doppler to predict neonatal outcome intra utrein growth restriction babies.
This study was conducted at EL Minya University Maternity Hospital on 60 pregnant women with singleton pregnancy attending for routine examination at 28-38 weeks. The criteria of inclusion were pregnant women with IUGR babies ,estimated fetal weight > 500g, Gestational age at >28 and <38 weeks& Singleton pregnancy .with exclusion of Multiple gestatation & Any obvious major structural abnormality
All patients received ANC according to the hospital protocol ,CTG was done for each participant ,Doppler studies for the umbilical artery , umbilical vein and the ductus venous to asses the fetal well being
Cases were followed up till delivery and data were collected and statistically processed.