Knowledge of fetal hemodynamic physiology has developed enormously during t
he last two decades due to Doppler ultrasound. Some of this knowledge has b
een utilized for routine surveillance of high-risk pregnancies. The predict
ion of fetal hypoxia before the develop-ment of life lasting sequel is of m
ajor importance, especially in the very premature case with absent end-dias
tolic blood flow in the umbilical artery before lung maturity. This review
gives an overview of the present knowledge in this field.