Abstract 4: Incidence and Determinants of Stillbirth at Tertiary Health Facility – A Retrospective Study

Abstract Background: Stillbirth, defined as fetal death at or beyond 28 weeks of gestation, remains a serious obstetric challenge with profound emotional impacts. Despite improvements in maternal healthcare, stillbirth rates remain high in low-and middle-income countries, including India. Aim: To determine the prevalence, causes, and associated factors of stillbirths over a one-year period in a tertiary care hospital. Methods: A retrospective observational study was conducted at a tertiary care teaching hospital from July 2021to June 2023. Data were collected from hospital records, including delivery registers and patient files. Results: Out of 6,587 total deliveries, 109 were stillbirths, yielding a stillbirth rate of 16.5 per 1,000 births. Maternal: Most affected were aged 20–24 years (37.6%), multigravida (67%), and emergency admissions (66%). Many lacked adequate antenatal care. Fetal : 80.7% were preterm (