Fetal Growth Restriction\Nadroparin?

Outpatient record (Handwriting in the following outpatient notes may contain some unclear entries) April 8, G3P2, 32⁺⁵ weeks. EPL: 5-22. No chest tightness or shortness of breath. No headache. BP: 119/64 mmHg, SF: 9.8, Hb: 132, N67. Nausea. Fetal movements present. W: 62.3 kg. R₀: 1. Regular prenatal visits. Fundal height and abdominal circumference: 2. Next prenatal visit on the 13th (NSST). 2488 cm³. Iron supplements. FHR: 150 bpm. 4. Ultrasound: singleton, 10 visits. *32⁺²/₇ weeks, 1946 g. Estimated at 24 weeks. Suspected FGR. Possible intrauterine hypoxia. Advised to lie on left side more often and to consider admission. Parents and birth-planning specialist discussed this. Patient insisted on leaving hospital. 5. July NSST + amniotic fluid + S/D. 6. Nadroparin injection, 1 ampoule.

Ultrasound report Sex: Female Age: 32 Department: Obstetrics and Gynecology Examination: Color Doppler ultrasound – obstetrics + umbilical artery flow Clinical diagnosis: 33 weeks 5 days Ultrasound findings: Intrauterine singleton fetus. Fetal head visible above pubic symphysis. Fetal heart activity and movements observed during examination. Biparietal diameter 87 mm, head circumference 301 mm, abdominal circumference 283 mm, femur length 60 mm. Placenta located on left posterior wall, thickness 30 mm, maturity grade II. Lower placental edge >70 mm from internal cervical os. Amniotic fluid pockets: 18 + 35 + 24 + 42 mm. Fetal presentation: cephalic. Estimated gestational age: 32 weeks + 2 days. Estimated fetal weight: 1946 g. Blood flow: S/D ratio 3.20, PI: 1.14, RI: 0.69. Fetal heart rate 143 beats per minute. Ultrasound impression: 1. Singleton live fetus. 2. Umbilical artery flow S/D, PI, and RI within normal range. Examination date: April 8, 14:05