Theme: Systemic Barriers and Pathways to Access: Abstract 16: Investigating the Factors Contributing to Low Perinatal Autopsy Rates in Lucknow

Abstract Background: Perinatal autopsy is the most definitive method for establishing the cause of stillbirth and provides valuable insights for risk assessment and counseling in future pregnancies. Despite its clinical significance, the acceptance and uptake of perinatal autopsy in India remain limited due to multiple barriers. Aim: To assess healthcare professionals’ perceptions and attitudes toward perinatal autopsy, identify challenges to its acceptance, and explore factors influencing its utilization. Methods: A prevalidated, semi-structured questionnaire was administered to healthcare workers involved in the care of women with stillbirth. The survey evaluated knowledge of autopsy procedures, the extent of communication with families, and the willingness of providers to recommend post-mortem examination. Results: None of the respondents reported formal training in counseling families about perinatal autopsy. Awareness of procedural and prognostic aspects was generally limited, with uncertainty surrounding costs, reporting timelines, and clinical value. Misconceptions among providers, along with concerns about religious sensitivities and financial burdens, further restricted acceptance of the procedure. Conclusion: Significant gaps exist in healthcare providers’ knowledge and counseling practices regarding perinatal autopsy. Improving training and communication skills may help improve acceptance and utilisation of perinatal autopsies.