Objectives. Determine the geospatial distribution and factors associated with fetal death registered at the Loreto Regional Hospital from 2018 to 2022. Materials and methods. Observational, descriptive and cross-sectional study. The clinical history databases of fetal deaths registered at the Loreto Regional Hospital between the years 2018 to 2022 were used. Data on maternal, neonatal characteristics, the temporal profile of the registry, as well as its spatial or geographic registration were assessed. The data selected from the search strategy were exported and descriptive statistics of frequency and percentage were obtained. QGIS software was used to generate geographic and heat maps for population density by cluster and by specific points. Results. Of 246 registered cases, 03 were excluded, leaving a sample of 243 cases of fetal deaths during the study period, where it was found that ...