Background: An Intrauterine Fetal Demise (IUFD) is a major obstetrical catastrophe at any gestational age but the emotional pain and distress caused by this event increases in direct relation to the duration of pregnancy. The objective of the present study was to determine the possible causes of Intrauterine Fetal Demise (IUFD), and to determine preventive measures. Intra uterine fetal death (IUFD) is defined as fetal death after 20weeks of gestation. It can be further classified into early or late IUFD. Early IUFD, if fetal death occurs before 28 weeks of pregnancy and late IUFD, if fetal death after 28 weeks. Materials and methods: This is a retrospective study carried out in the Department of OBG, at Mandya Institute of Medical Sciences, Mandya, Karnataka, India, for a period of 1 year. Approximately 7500 deliveries are conducted per year in the hospital; the majority of patients belong to below poverty line income group. All the pregnant women delivered at the hospital at or after 20 weeks of gestation with Intrauterine Fetal Demise or Fresh Still Birth, were included in present study. The parameters for the analysis included maternal age (<20 years, 20- 30 years and >30 years), parity, and probable cause for IUFD (if found on gross examination, preexisting maternal or fetal complication diagnosed during pregnancy), booked case or unbooked case, mode of delivery (vaginal /LSCS/ Laparotomy), maternal complications-early and late IUFD.