Despite the widespread availability of Doppler ultrasound in obstetrics, variability in its use and interpretation remains a significant gap in clinical practice. A review by Figueras and Gratacós (Lancet, 2014) highlighted that while Doppler is a cornerstone in fetal surveillance, its clinical integration is often suboptimal due to insufficient training and lack of standardized protocols. Similarly, a 2023 roundtable discussion by the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) emphasized the need for clearer guidelines and education on the use of middle cerebral artery and ductus venosus Doppler in high-risk pregnancies.