Reverse end-diastolic umbilical artery velocity in a case of intrauterine fetal death at 14 weeks' gestation.

A case of intrauterine fetal death at 14 week's gestation in a mother with systemic lupus erythematosus is described. Doppler ultrasonography performed within 24 hours before fetal death showed reverse end-diastolic flow velocities on umbilical artery velocity waveforms. The placental alteration causing this early gestation is discussed.