Conclusion
This study revealed a high incidence of stillbirth at the National Referral Hospital and many cases deemed preventable. Our findings highlight the urgent need for increased focus on perinatal deaths in the Solomon Islands with universal classification and targeted training, improved quality of obstetric care and community awareness. Effective public health interventions to tackle this preventable global issue can only be implemented when accurate data are obtained, and thus a national registry of stillbirths is vital and should be considered region wide.