Doppler Ultrasound in Obstetrics

EAPM Online Doppler Course Programme

09:00 – 09:15
Welcome and Introduction of Course Objectives
Valentina Tsibizova, MD, PhD

09:15 – 10:30
Fetal growth, placental insufficiency and intrauterine growth restriction (IUGR)

• Pathophysiology of placental insufficiency and IUGR
• Differentiation between early- and late-onset IUGR
• Role of Doppler ultrasound in detecting placental hemodynamic disorders

Prof. Giuseppe Rizzo

10:30 – 10:45
Break

10:45 – 11:45
Fetal hemodynamic compromise: typical and atypical patterns

• Sequence of hemodynamic deterioration: placental, arterial and venous systems
• Brain-sparing phenomenon, absent/reversed end-diastolic flow, A-wave reversal
• Atypical patterns and interpretation pitfalls

Prof. Graziano Clerici

11:45 – 12:30
Placental vascular Doppler: sampling techniques and interpretation

• Uterine artery (UtA): measurement site, insonation angle ≤30°, PI, RI, notch
• Umbilical artery (UA): sampling site, PRF settings, aliasing management, S/D, RI, PI
• Interpretation of abnormal findings and clinical implications

Prof. Ilenia Mappa

12:30 – 13:30

Fetal vascular Doppler: techniques and interpretation

• Middle cerebral artery (MCA): sampling site, PSV, CPR
• Ductus venosus (DV): gate size, A-wave, PI
• Integration of multimodal Doppler assessment in IUGR and fetal hypoxia

Simulation video and virtual practice exercises
Prof. Ilenia Mappa

13:30 – 14:30 – Break

14:30 – 15:30

Interpretation and management of abnormal maternal–fetal hemodynamics

• twin pregnancy, fetal anemia, Rh isoimmunization, AV-block, CHD
• Integration of Doppler indices with fetal morphology and biophysical profile assessment

Valentina Tsibizova, MD, PhD