الفهرس 
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Abstract
One of the greatest challenges in obstetrics is to manage early fetal growth restriction. At present, a combination of several different monitoring modalities is used, including arterial and venous Doppler ultrasonography plus assessment of short term fetal heart rate variation. There is no definite method for treatment of IUGR
The study was designed in a prospective manner and Our aim in this study was to compare between sildenafil citrate and nitroglycerine trans dermal patch as a vasodilator in cases of IUGR.
This study was conducted at EL Minya University Maternity Hospital on 40 pregnant women with singleton pregnancy attending for routine examination at 28-34 weeks. The criteria of inclusion were pregnant women with IUGR babies ,estimated feal weight > 500g, Gestational age at >28 and <34 weeks& Singleton pregnancy .with exclusion of Multiple gestatation & Any obvious major structural abnormality.
All groups received ANC according to the hospital protocol ,CTG was done for each participant ,Doppler studies for the umbilical artery.
The participants were divided retrospectively into two group As follow Group A : Included 40 patients received sildenafil citrate ,Group B : Included 40 patients received nitroglycerine trans dermal patch.
Cases were followed up till delivery and data were collected and statistically processed.