Background: Intrauterine fetal death (IUFD) is a serious and traumatizing obstetric complication, for pregnant women and their relatives. IUFD is defined as intrauterine fetal death (IUFD) defined as ≥20 weeks of gestation or a birth weight ≥ 500 grams. One of the most important measures of the quality of health services in any community is perinatal mortality [1]. Identifying the causes of perinatal mortality aids in early detection and management. In this study, we are looking at the data register of IUFD cases in King Abdulaziz Medical City (KAMC) to identify its epidemiology, causes, and the management done.

Methods: Retrospective data collection of the intrauterine fetal death (IUFD) cases was included in this study from April 2019 until November 2019 (n=84). Maternal and fetal records were analyzed along with the antenatal and intrapartum risk factors associated with IUFD. The data was then illustrated in graphs to demonstrate the epidemiology and possible risk factors.

Results: There were 5901 deliveries during the study period. The incidence of IUFD in this study was 14.4/1000 live births. The majority of IUFD occurred in adolescent women in their 20- 35 age group (54.8%). The leading causes were placental (25.2%) and fetal anomaly (23.6%).

Conclusions: It is recommended to proceed with further testing to identify more possible causes of IUFD including the implantation of a fetal autopsy. In addition, the offering a support group for the grieving mother to share their experiences.