Objectives: To examine the outcome of women who have had an intrauterine fetal death with regards to induction of labour versus expectant management by waiting for spontaneous onset of labour. 
Methods: Examination of the database containing stillbirth data between the years 2000 – 2019. This returned 820 cases. Exclusion criteria included those stillborn babies as part of a multiple birth, intrapartum stillbirths and those delivered by elective caesarean section. After exclusions we retained 488 cases, 125 who went into spontaneous labour and 386 who underwent induction of labour. 
Results: Achieving a successful cephalic vaginal delivery is equally as likely with both induction of labour and awaiting spontaneous onset of labour (p = 0.25, NS). The risk of pyrexia comparing the two groups is non significant (p = 0.37). Neither spontaneous onset of labour or induction of labour has a significant impact on median duration for each stage of labour (p = 0.90, NS). There is a significantly greater incidence of hypertensive disease in the induction of labour group (15.4% vs 5.6%, p < 0.01)
Conclusion: This study indicates that both spontaneous onset of labour and induction of labour are equally effective strategies for management of an intrauterine fetal death for otherwise healthy women.