There is a single viable intrauterine pregnancy in cephalic presentation with normal myocardial, somatic activity, and gross fetal morphology. The liquor is adequate for gestation. The placental plate is fundal-anterior with no detachment from the uterine wall, however, with small multiple infarcts within its substance (approximately 5-10 %). The cervix is closed and measures 3.4 cm in length.
Fetal Doppler velocimetry shows absent end diastolic flow within the fetal umbilical artery more towards the middle and the proximal fetal end with resultant elevated resistive index (>1) along the mentioned portions. Ductus venosus, right middle cerebral artery, and the maternal right uterine artery waveforms, resistive and pulsatility indices are normal. The left maternal uterine artery waveform exhibits persistent early dicrotic notch with a mildly elevated pulsatility index measuring 1.42 however with a normal ipsilateral resistive index of 0.69.