： 【Objective】To explore the adverse pregnancy outcomes（APO）and examine the predictive value of umbil? ical artery Doppler in systemic lupus erythematosus（SLE）pregnancies. 【Methods】Data of 273 pregnancies from 2010 to 2016 were analyzed retrospectively. Pulsatility index（PI），resistance index（RI），and systolic/diastolic ratio（S/D）of the umbilical artery flow velocity data were monitored by Doppler ultrasound.【Results】One or more APO occurred in 61.9% of patients with SLE，among which pregnancy loss occurred in 60 cases；preterm birth in 56 cases；intrauterine growth retardation occurred in 20 cases；and fetal distress occurred in 21 cases. Twelve of pregnancies resulted in neona? tal Lupus. In total，118 patients underwent fetal umbilical artery Doppler during 28~34 gestational weeks. Doppler PI， RI，and S/D were significantly higher in the APO groups than in the patients without APO.【Conclusion】Pregnancies in lupus still had an increased risk of APO. Umbilical artery Doppler was useful in predicting APO in lupus pregnancies.