Introduction: Autopsy is an important aspect of clinical service, providing clinicians with critical feedback regarding diagnostic accuracy, therapeutic efficacy, and medical complication [1]. Rajasthan has reportedly the second Indian state having highest number of child marriages in the country with more than 60 percent of girls getting married before 18 [1]. The practice of child marriage is common in Rajasthan. Along with cultural incest marriage leads to one most important causes of fatal anomalies. Early diagnosis of life threatening congenital malformation can pave the way for surgical correction or palliation of these infants [1].  Material and Method: We studied 217 cases of fetal autopsies from January 2017 to October 2018 duration of one year retrospective study. Purpose of study is pathological and legal correlation in aspect of M:F ratio, age of termination of pregnancy, fetal anomalies & its pattern In Pacific Institute of Medical Sciences (PIMS) and M.R. Medical College, Gulbarga, Karnatka.

Results: Total fetal autopsies done are 217, out of which 51 are anomalous.Among them 22 are male and 28 are female babies and 1 sex is not determined {ambiguous}. In our study M:F ratio is 1:1.35. Most common cause of death found in autopsy examination is meconium aspiration in male fetus and placental insufficiency in female fetus. And mean age of gestation is 29 week and 30 weeks respectively. Mean age of the mother is 29 years.  

Conclusion: Fetal autopsies provide us an important information about pattern of anomalies, their incidence and cause of death in relation with sex and age of fetus, maternal age, along with socio-economical status. Legal implications regarding fetal autopsies is still a field of interest.

Keywords: Fetal Autopsy: Fetal Anomalies: Legal Aspects.