India is estimated to have the largest numbers of stillbirths globally, and the Indian government has adopted a target of <10 stillbirths per 1,000 births by 2030 through the India Newborn Action Plan (INAP) [1]. This study was conducted to analyze the maternal and fetal etiologies of intrauterine fetal death and to suggest preventive steps. 4800 patients with 25 ante partum deaths (5.20 per 1000 births) were studied in last four years. 56% were unbooked, 80% were illiterate and 60% were from very low socio economic status.16% had pre eclamptic toxemia, 12% had abruption placente, 8% had congenital anomaly in fetus and 4% mothers had anemia. Most of the etiological factors are manageable with regular ante natal care and timely treatment at tertiary care centre