摘要：A study of the aetiopathogenetic mechanisms of still births is a subject of prime importance and the understanding of which will greatly help future generations and this can be achieved only through the medium of well conducted autopsies. With this aim in mind, we analyzed our stillbirth autopsy data, to recognize our leading cause of mortality, for this we utilized three major classifications of perinatal deaths namely, Wigglesworth’s classification, Joshi’s classification and the obstetrics Aberdeen’s classification. We also correlated the foetal lesions with placental lesions wherever available and with maternal risk factors. In the two year period from 1994 -95 our stillbirth rate was 33.75% and the stillbirth autopsy rate was 73.28%, stillbirths of low gestational age and low birth weight predominated, 92.7% and 78.12% respectively. 70.8%cases had associated maternal risk factors, out of which anaemia and antepartum haemorrhage predominated. Placentae were available for study in only 57% cases and pathological lesions were encountered in the majority 96.36% the commonest being infarction and infection. The commonest cause of stillbirth, in all the three classifications was asphyxial lesions, followed by infection. Congenital malformations were few, indicating that unlike the west we are still battling with preventable causes of death.
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