Fifteen fetuses with nonimmune hydrops underwent venous Doppler examin
ations of inferior vena caval flow. The results were analysed retrospe
ctively. Increased retrograde inferior vena caval flow was defined as
pathological (>15% as anterograde flow). This finding correlates with
reduced fetal cardiac output. Nine of fifteen fetuses had increased re
trograde flow of inferior vena cava. In comparison to the group with p
hysiologic Doppler parameters the perinatal mortality was significantl
y higher (p < 0.027) in the group with increased retrograde flow of th
e inferior vena cava. This and other results as well as the rate of re
mission underline the value of venous Doppler in predicting fetal outc
ome.