<p>Single live intra uterine fetus is seen; lying longitudinally and presenting cephalic. No obvious fetal anomaly is seen. The fetal cardiac activity is good.</p><p>BPD= 72 mm, FL= 56 mm AC= 247 MM, EFW= 1.47 KG</p><p>EGA= 29 weeks + 0 days.&nbsp;EDD= 17.12.2021</p><p>The placenta is antero-fundal. There is marked increase in amniotic fluid volume (AFI= 47 CM) but the fluid is clear.</p><p>On Doppler interrogation, the umbilical and maternal uterine arteries showed marked reduction in diastolic forward flow with complete persistence of uterine artery early diastolic notch. Their resistive indices measured 0.71 and 0.65 respectively.</p><p>The fetal middle cerebral artery also showed normal high resistant wave form, with respective plasticity and resistive indices of 1.89 and 1.00.</p><p>CONCLUSION: Single intrauterine gestation at 29 weeks GA complicated by the following:</p><ol><li>Polyhydramnios</li><li>Decrease utero-placental perfusion, likely from severe maternal hypertension.</li></ol>