Introduction: The colour flow Doppler imaging is already being used to analyse abnormal vascular flow patterns in intrauterine growth restriction and high-risk pregnancies. The study used middle cerebral artery and umbilical artery blood flow to link Doppler findings with perinatal outcome and IUGR in high-risk pregnancies. Methods: Fortwo years, 100 women with singleton pregnancies with vertex presentation between 28 and 40 weeks of gestation complicated by preeclampsia and IUGR were examined for umbilical artery and middle cerebral artery Doppler waveforms at Jagannath Gupta Institute of Medical Science and Hospital, Kolkata, West Bengal, India. Perinatal outcome data were captured and statistically analysed using the percentage and Chi-square test.