Introduction: Congenital malformations have become important cause of foetal and neonatal (perinatal) mortality in developed and developing countries The foetal autopsy plays the vital role in the confirmation and identification of associated congenital anomalies and also for the counselling of the parents, to prevent the further foetal congenital anomalies in subsequent pregnancies. The aim of our study is to do a complete external examination and dissection of terminated and stillborn anomalous foetuses to identify the internal anomalies associated with external malformation. Methods: This study was done at Meenakshi Medical College Hospital & Research Institute, Kancheepuram over a time period of 1 year. The present study included terminated and stillborn foetus obtained from mothers of bad obstetric history .The foetal autopsy was performed by standard technique. External and internal findings were observed. Results: Out of 12 autopsies (7 male and 5 female) were performed, most common congenital anamolies in our study were anencephaly and meningomyelocoele, 6 foetus shows internal abnormalities. Malformations of urinary system were most commonly seen followed by abnormalities of liver, spleen and adrenal gland. Conclusion: Majority of the foetal and perinatal death occur due to major congenital malformations and its study highlight the importance of autopsy and greatly helpful in genetic counselling and prenatal diagnosis in successive pregnancies.