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 incidence and possible causes of Intrauterine Fetal Demise (IUFD), and to determine preventive measures. Methods: Retrospective observational study was done from Jan 2019 to Dec 2019 at Government General Hospital, RIMS, Kadap, AP, India. Inclusion criteria were all the pregnant women with IUFD delivered at the centre, at or above 24 weeks of gestation. The methodology followed were parameters of assessment for analysis were maternal age, parity, probable causes for IUFD, mode of delivery, maternal complications Statistical data were analyzed using SPSS version 25. Results: The incidence of IUFD was 29/1000 live births delivered during the reporting period. IUFD incidence was higher in multiparous women compared to primiparous women. The rate of IUFD was almost similar between sex of the baby was analyzed. 49.4% of fetuses had signs of maceration. The major cause of IUFD was severe preeclampsia (48.1%) which included HELLP syndrome, IUGR, Abruption. Maternal anemia (20.4%), anhydramnios (6.3%) were some of the other important causes of IUFD. Conclusions: This study was conducted to determine the incidence of IUFD and associated maternal risk factors. By understanding the contributing factors, we can seek ways of avoiding recurrence of IUFD by proper antenatal care and early diagnosis of obstetric complications and its appropriate management.