Pee Poa vsjole (Sva) and diastole (D) are idenified in oreen Note thet diasiole is less at 20 weets (vellov is is a more serious form than Type | because blood flow is absent during dastole. Fetuses with this type of fini ‘ould be monitored closaly in a hospital setting. The following ultrasound pictur illustratae this type of Doppler xveform. This ilustrates absent dasiolic low during diastole. When this occurs there is abnormal resistance in the acenta which results in a marked decrease in blood flow fiom the fetus to the placenta, hen the resistance inthe placenta mereases further. absent éiastolic fow becomes reverse diastolic flow in which t oppler waveform is observed to be below the baseline. When the fetus develops this type of abnormality, intense iveillance is required i the fetus is less than 22 to 34 weeks and delivery iit is greater than 32 to 34 weeks. The ‘vzillance that is currently recommended is evaluation of the ductus venasus and/or inferior vena cava, in addition t iditional antepartum testing. The following illustrates reverse diastolic Yow during diastole (blue circle). When this 0 are is abnormal resistance in the placenta which results in a marked dacrease in blood flow from the fetus to the xcenla. Cone teed