Stillbirths are a cause for concern globally. Stillbirth rate is a key indicator of quality of care given during antenatal and intranatal period. High prevalence of stillbirths in India necessitates analysis of risk factors of stillbirths both at national and local level. Aim: To determine the maternal and fetal factors causing stilbirths. Methods: The present study was conducted in the department of Obstetrics and Gynecology, Andhra Medical College, Visakhapatnam. It was a hospital based observational study for a period of one year from January 2023 to December 2023. Case sheets were analysed for risk factors of stillbirths. Results tabulated and analysed using Microsoft excel. Results: A total of 5,912 births occurred during the period of one year and 146 were stillbirths. The still birth rate was 24.69 per 1000 births. The maximum number of still births occurred in the age group below 20 years (54.1%). Multigravida had increased risk of stillbirths with 87 cases (59.58%). Still births were maximum in low socioeconomic status (56.16%). Stillbirths were highest in gestational age 28-32 weeks and was 58(39.72%).The maximum number of cases seen in the birth weight category above 2000-3000 grams, 68 cases (46.57%). Conclusions: The corner stone of preventing stillbirths is good antenatal care. Prevention of anemia by iron folic acid supplementation, early identification of hypertension in pregnancy and its appropriate management is essential.

Stillbirths are a cause for concern globally. Stillbirth rate is a key indicator of quality of care given during antenatal and intranatal period. High prevalence of stillbirths in India necessitates analysis of risk factors of stillbirths both at national and local level. Aim: To determine the maternal and fetal factors causing stilbirths. Methods: The present study was conducted in the department of Obstetrics and Gynecology, Andhra Medical College, Visakhapatnam. It was a hospital based observational study for a period of one year from January 2023 to December 2023. Case sheets were analysed for risk factors of stillbirths. Results tabulated and analysed using Microsoft excel. Results: A total of 5,912 births occurred during the period of one year and 146 were stillbirths. The still birth rate was 24.69 per 1000 births. The maximum number of still births occurred in the age group below 20 years (54.1%). Multigravida had increased risk of stillbirths with 87 cases (59.58%). Still births were maximum in low socioeconomic status (56.16%). Stillbirths were highest in gestational age 28-32 weeks and was 58(39.72%).The maximum number of cases seen in the birth weight category above 2000-3000 grams, 68 cases (46.57%). Conclusions: The corner stone of preventing stillbirths is good antenatal care. Prevention of anemia by iron folic acid supplementation, early identification of hypertension in pregnancy and its appropriate management is essential.