Background:-Perinatal mortality is a sensitive indicator of the quality of services provided to pregnant women and their newborn. Perinatal mortality audit in a health care facility helps to determine the important cause of perinatal deaths and take measures to reduce it. This study was carried out to find out the socio demographic causes of perinatal deaths. Material and Methods: -A clinical observational study was undertaken at a tertiary care teaching hospital in a rural area over a period of 1 year from October 2010 and September 2011. Results:-The perinatal mortality rate was found to be 17.07 per 1000 live births. Early age at pregnancy, illiteracy, rural residence and poor socioeconomic status was commonly associated with higher perinatal deaths. Other factors directly contributing to perinatal deaths were unbooked status, low and high birth order pregnancy and occupation of parents. Conclusion:-Effective measures to reduce perinatal mortality need to be started well before the birth of a child by concentrating on education status of women, improving the paying capacity of the couple by providing employment and improving health care delivery system in rural area.

Abstract--We report a case of persistent breech presentation in a primigravida with bicornuate uterus that was initially diagnosed by early ultrasound scan. Persistent breech presentation later in the pregnancy necessitated an elective caesarean section at term. The diagnosis was confirmed intraoperatively by exteriorizing the uterus. The literature regarding bicornuate uterus was reviewed.