BACKGROUNDCongenital anomalies are responsible for a remarkable proportion of mortality and morbidity in newborns. This paper was focused on incidence of structural congenital malformations detectable at birth among 6380 deliveries. This study was conducted to evaluate the need for targeted USG and its benefits in decreasing foetal and maternal morbidity and mortality by obstetric decision making in a low resource setting by assessing structural congenital anomalies and to predict the variables which coexist in the incidence of congenital anomalies so that we can reduce the related perinatal morbidity and mortality.