Objective: To evaluate stillbirth rate and obstetric risk factors and its trend in a referral hospital.

Methods: A hospital based retrospective analysis of stillbirths was done in all pregnant women admitted in the antenatal ward over the years of 2016 and 2017 in Burdwan Medical College and Hospital. Changing trends of stillbirth rates and associated risk factors were assessed.

Results: The overall stillbirth rate in the present study is 25 per 1000 total births. Incidence of macerated stillbirth was high (70.39%). The present study also noted the overall stillbirth rate below 2500 gm was 36% (336/929). Severe prematurity contributed 9% of stillbirths and other factors responsible for fetal salvage are maternal diseases (11%), intrapartum asphyxia (17%), preeclampsia and eclampsia (11.12%).

Conclusion: Poor antenatal check-up, lower socioeconomic status were the major contributing factors for stillbirths which can be reduced by proper antenatal care, judicial and early referral of high risk cases and good obstetric care during delivery.

Key words: stillbirth rate, stillbirth ratio, antenatal care

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