Impending Stillbirth of an IUGR Fetus in a Preeclamptic Woman and the Role of Doppler Sonography: A Case Report

Stillbirth is more common in low and middle-income countries like Tanzania. The risk of stillbirth is high in intrauterine growth-restricted fetuses. Placental insufficiency is associated with intrauterine growth restriction as well as the risk of both preeclampsia and stillbirth. We present a 36-year-old preeclamptic woman with sonographic features of placental insufficiency, intrauterine growth restriction, whose obstetric outcome was a stillbirth. The obstetric Doppler findings indicated severe placental insufficiency and absent end-diastolic flow in the middle cerebral artery, which we consider a sign of impending fetal death/stillbirth.