Background: Losing a baby is painful. Looking for answers can help. Although nothing can change the loss, a perinatal autopsy may offer answers to better understand what happened. A perinatal autopsy is a medical exam done on the fetus or infant to help explain the cause of death. This exam may also find the underlying reason for an illness, disease or birth defect.Methods: Babies of mothers with bad obstetrics history, died in utero, neonatal period and baby deaths of unknown cause were subjected for clinical autopsy in the last 20 years. Based on the major and associated pathological findings, an attempt was made to find the cause of death.Results: Immaturity of the organs found to be the most common cause for perinatal death. Meconium aspiration pneumonia, external congenital abnormalities are found to be the other common causes for perinatal mortality.Conclusions: Perinatal autopsies are the effective method of finding the cause of perinatal death, and helps to some extent in preventing the future loses.

World Health Organization (WHO) defines sudden death as "deaths within 24 hours from the onset of the symptoms". It is also defined as death which is sudden, unexpected, clinically unexplained, or otherwise obscure even though there needs to be no unnatural element in their causation. Patients with neoplastic diseases, especially malignancies, are at greatly elevated risk of sudden death, because they may suffer from a variety of neoplasms. Majority of neoplasm-related sudden deaths (NSDs) are caused by neoplasm's affecting critical organs such as the heart and brain. Objectives: To study the different histomorphological neoplastic lesions of heart in sudden deaths. Materials and Methods: A total of 1500 hearts were studied. All the sudden deaths which happened in hospital from 1997 to 2016 were included in the study. Result: In 20 years (1997-2016) nearly 1500 hearts were studied for sudden deaths in our institute. In our autopsy series, only secondary cardiac tumours were seen in 05 cases and caused sudden Ischemic heart disease were reported in 250 (17%) cases and left ventricular hypertrophy in 145(9.60%) cases. Altogether hypertensive heart diseases contributed about 26% of total sudden deaths. Recommendation: A routine health check up of the people after 40 years along with conducting system is need of the hour.

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