We have studied the impact of natural selection through stillbirth on
the Italian population, taking into account the socio-economic heterog
eneity of the country. The results suggest that older age at delivery
and lower cultural level of the mothers, indicators of critical biolog
ical and socioeconomic conditions, even at present increase stillbirth
risk. Moreover, in the less favourable environment of the southern re
gions, selection is still sex-specific.