The use of Doppler ultrasound in the study of fetal cardiovascular physiology

Abstract

Doppler velocimetry of the uteroplacental and umbilical arteries provides an opportunity for the safe, reproducible and repeatable study of these circulations and already has led to an increased knowledge of the pathophysiology of pregnancy induced hypertension and intra-uterine growth retardation. This technique, which has only recently been introduced widely into obstetrics, also permits the study of the cardiovascular effects on the fetus of maternally administered drugs. The use of Doppler for these purposes is illustrated with particular reference to intra-uterine growth retardation and the use of the antihypertensive drugs, atenolol and nifedipine.