Background: Sonography is performed without risk to mother or foetus for a scientific anatomical survey of the external features and all organs related to each system. Objectives: In this study by comparing Ultrasound and Autopsy of intrauterine congenitally anomalous foetuses contrasting findings were detected. Methods: The results of Limb anomalies, Palmar crease defect, Cleft palate and Cleft lip, Club foot, Diaphragmatic hernia, Gastrointestinal anomalies like Omphalocele, Imperforate Anal defects are considered. Results: Four categorizations of anomalies with the comparison of Ultrasound and Autopsy findings are done. Conclusion: Categorization plan shows that each Ultrasound and Autopsy findings are influenced by Socio-economic status and Dietary habits. Early diagnosis of malformations and awareness to parents can be helpful for Medical termination of pregnancy and prevention in subsequent pregnancies.