Background- The circulatory changes that occur during pregnancy involve modification of vascular structures within the uterus (e.g spiral arteries), the development of microcirculation (the placenta and the fetus) and redistribution of blood flow and alteration of circulating blood volume1. Intrauterine growth restriction and preeclampsia are important causes of perinatal and maternal morbidity and mortality2. It was estimated that from 3-10% of infants are growth restricted3. Prenatal identification of the intrauterine growth restricted foetus is one of the most important factors improving perinatal outcome. Doppler velocimetry of the uterine artery is touted/ postulated as a key surveillance tool in identifying fetuses at risk but however its efficacy as a fetal monitoring tool has not been well studied in the sub Saharan Africa. Objective- To Evaluate Doppler data findings with regards to uterine artery and umbilical artery in predicting IUGR. Study design and setting- this was a prospective study carried out among obstetric patients attended to in LUTH. Methodology-One hundred and fifty pregnant women attending LUTH antenatal clinic or from lying-in-ward were subjected to uterine and umbilical artery Doppler along with morphology and biometry scan after fulfilling the inclusion and exclusion criteria between 18 weeks and 23 weeks of gestation and they were followed up till delivery. Outcome measures- Mode of delivery, gestational age at delivery, 5 minute Apgar score, perinatal outcome (live birth and still birth), neonatal anthropometrics (birth weight, length, head circumference and chest circumference), development of IUGR and meconium stained liquor were all noted.