Introduction: Progress of quality improvement in health services is expected to reduce perinatal mortality rate. Various studies from all over India have quoted perinatal mortality rate of 60120/ 1000 births which is alarmingly high as compared to 1020/ 1000 births in developed countries. Aims & Objectives: To determine theincidence of perinatal mortality of this hospital, the various causative factors and their impact on perinatal mortality. Material and Methods: The present prospective study was carried out from 01102008 to 30092010 in the Department of OBGY in a tertiary care hospital.Complete general and systemic examination to look for any medical or surgical disorder in mother was conducted. Results: In this study the perinatal mortality rate was 77.04 per 1000 live births. The PMR was double in unbooked cases as compared to booked cases (Table 3) which reflect importance of antenatal care. PMR was high in para 4 and above as compared to para 2 and least in para 3. PMR was higher in advanced maternal age and teenage pregnancies. PMR per 1000 births is very high in preterm babies than term babies, which is comparable to the findings of all other studies. In the present study (Table 8) perinatal ortality rate in vaginal deliveries was 84.69 per 1000 births. Conclusions: Importance should be given on increasing female literacy as it is closely linked to high parity, poor nutrition, dietary deficiencies, lack of awareness and underutilization of health services. Efforts should be made to reduce the incidence of prematurity and LBW babies as these were the leading causes of perinatal deaths. Periodic composite perinatal audit involving obstetricians, neonatologists and pathologists can improve performance of clinicians by avoiding repetition of clinical mistakes.

Keywords: Perinatal Mortality; Vaginal Deliveries; Hypertensive Disorders of Pregnancy; APH; Intrapartum Asphyxia.