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Background: In developing countries like India, several genetic, environmental factors and diverse cultural practices affect the normal growth and development of human embryo resulting in congenital malformations namely skeletal dysplasia. This article aims at analyzing the fetal skeletal growth pattern followed by its correlation to understand prenatal diagnosis of skeletal dysplasia. Materials and Methods: Two studies, conducted by the authors at different places in western India population have been correlated. Primary prospective study, was conducted among 500 antenatal women coming for routine antenatal check-up during from 1 st July 2015 to 31 st May 2018. Routine fetal parameters like biparietal diameter, gestational sac, HC, AC, TC, FL along with all the other fetal long bones were measured using 2D/3D ultrasonography. Second retrospective study, was conducted on new-borns with congenital malformations in the same population.Result: Out of the total 10,114 deliveries conducted during the study period, 182 new-borns had congenital malformations, out of which 23 cases had skeletal dysplasia. Fetal skeletal growth pattern analysis done was observed to be comparable with other populations residing in different parts of India and also abroad. Thanatophoric dysplasia was the most common type of skeletal dysplasia. Prenatal diagnosis of skeletal dysplasia was done correctly in 75% of cases. Peak of diagnoses were between 15 and 19 weeks of gestational age.Conclusions: Fetal growth pattern analysis observed in western Indian population is similar to that observed in other groups of India and abroad. In majority of cases of thanatophoric dysplasia, prenatal ultrasound examination was diagnostic, providing a correct diagnosis using ultrasonography as the sole modality.