iarmsIARMSIARMS2709-3255https://doi.org/10.47310/iarms.2021.v02i02.008Still birth Rate in Tertiary Care Hospital in Western Himalyan Region: A retrospective analysis of 5 YearRakeshSharmaAmbikaSoodDeepakSharmaArvindSoodBackground: India was estimated to have the largest numbers of stillbirths across the global in 2015 and then government has adopted a target of less than 10 stillbirths per 1,000 births by 2030 through the India Newborn Action Plan (INAP). The present study aimed to study the trends of still birth in a Tertiary Care Centre (Kamla Nehru Hospital) of Himachal Pradesh, India. Materials and Methods: Retrospective review of records of Kamla Nehru Hospital (KNH), Shimla covering the period January 2016 to December 2020 was conducted. The total number of still births every year were retrieved. Results: A total of 34769 live birth occurred in Kamla Nehru Hospital (KNH), Shimla from 2016 to 2020. Among the total live births, 610 children born with no sign of life at, or after, twenty-eight weeks of pregnancy. The still birth rate was found to be 17.2 per 1000 live birth. There was decline in still birth rate from 18.97 in 2016 to 13.36 per 1000 live birth in 2017, thereafter it increases up to 19.4 per 1000 live birth in 2018. After that it again starts declining to 18.06 in 2019 and further 16.35 per 1000 live birth in 2020. According the type of still birth, in the last five years (2016 to 2020), there were 306 (50.16%) fresh still birth while 304 (49.84%) macerated still birth out of total 610 still birth. Conclusions: There was decline in still birth rate over the span of last 5 years. Improving uptake of ANC and timely identification and effective management of maternal and fetal complications could reduce the preventable stillbirths.