Placenta grade 3, 35+3 weeks pregnancy, and absent end diastolic flow Doppler; next ,management is:-
Dexamethasone and terminate after 48 hours
Terminate after 37 weeks
Talk with pediatrician and termination
Monitor
* Absent end diastolic flow : fetal compromise ( hence terminate pregnancy by caesarean section if > 34 weeks)* Reverse end diastolic flow : impending doom of death ( terminate pregnancy irrespective of gestational age)* Steroids are given if pregnancy < 34 weeks