<prompt> A 35wks POG, USG parameters more or less corresponding to POG. Doppler showing absent end diastolic flow Management:Monitor till it becomes reverse diastolic flow or 37 weeksMonitor till 37 weeksGive steroids and wait for 48 hoursPlan for immediate termination  <response>: In the above case scenario,POG is 34 weeks with absence of end diastolic flow so preferred management is Termination of pregnancy Management of pregnancy in deranged fetal doppler Earliest sign of fetal compromise is a raised SD ratio in the Umblical aery flow, which warrants careful monitoring and follow up with NST and doppler and termination should be planned at 37 weeks. An absence of diastolic flow is indicative of severe fetal compromise and requires intensive fetal monitoring with NST and frequent doppler upto 34 weeks or occurence of reversal of flow whichever is earlier after which pregnancy should be terminated. A reversal of diastolic flow is indicative of imminent fetal death fetus is expected to die within 24-48 hours requiring urgent termination, and therefore reversal occuring before lung maturity carries poor chances of fetal survival 