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Doppler ultrasound is an indispensable tool in modern maternal–fetal medicine, enabling precise assessment of blood flow in the uteroplacental and fetal circulation. When applied correctly, it provides critical insights into fetal well-being, allows early identification of high-risk pregnancies, and guides timely interventions that can improve perinatal outcomes. However, the accuracy and clinical value of Doppler findings depend on the operator’s knowledge, technical skill, and interpretation. It is essential to perform measurements accurately across the different feto–maternal vascular districts, and to have the confidence to interpret abnormal findings appropriately—so that each result can meaningfully guide clinical decision-making.
While C-sections can be lifesaving, it is best when performed for medical necessity rather than convenience. Proper prenatal care and informed decision-making can help balance the risks and benefits. Unnecessary C-sections may contribute to rising global rates, straining medical resources. It creates some problems such as breathing problems with increased risk of transient tachypnea (fast breathing) at birth, lower gut microbiome diversity which may affect immunity and digestion due to lack of exposure to beneficial vaginal bacteria, possible NICU Admission. Also increased risk of placenta previa or uterine rupture, scar tissue may cause pain or bowel obstruction and higher risk of rupture if attempting a vaginal birth in subsequent pregnancies.
Preterm labor is one of the most common reasons for prenatal admission to hospital, accounting for up to one third of such cases in some reports. However, the diagnosis of true preterm labor remains unreliable, resulting in significant over-treatment, since fewer than 10% of these women will eventually deliver within 1 week or before 35 weeks, irrespective of treatment.
WAPM World Association of Perinatal Medicine
World School of Perinatal Medicine
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Perinatal Medicine Foundation
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- Erhan KARACA
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