Patient was transferred from an outside physician secondary to symmetric IUGR and non-reassuring fetal heart rate pattern.
Patient reports a history of smoking pack per day, but otherwise no medical problems.
Prior to transfer patient was having contractions and received magnesium sulfate tocolysis, Celestone x 2, and Ampicillin. She had reported no problems until the second ultrasound. She had no history of illness, no hypertension and no relatives with chromosomal anomalies. Patient did report bleeding x 1 day a few weeks ago. Ultrasound at UAMS revealed a breech IUP with an anterior placenta an AFI of 3 cm, an estimated gestational age of 25 weeks and 1 day, an estimated fetal weight of 850 grams, and no end diastolic flow noted.