This study aims at determining the normogramme of birth weight for preterm, full term, post term births and also for SGA, AGA, LGA domain. The objective is to identify the group of infants who need intensive neonatal care. METHODS: Retrospective analytic study was conducted on 2,627 new born which are screened by birth weight and their gestational age Other variables like sex & NICU admission for different AGA, SGA, LGA domain were also analyzed. RESULTS: Study includes 68 % full term, 28% preterm and 4% post mature newborn. Infant category AGA were 57%, SGA 40% and LGA 2%. SGA domain infant maximum was 54% and 59%in full term &post term respectively. However for preterm infants AGA domain was maximum of 61%.NICU admission of LGA and SGA domain was 30-31 % and only 25% for AGA infants which was significant. CONCLUSION: 44% of preterm infants, 30% of SGA & LGA need critical observation at birth.

Aim was to evaluate clinical and associated risk factors for still births and neonatal deaths at tertiary health care centre. METHODS: A retrospective analytical study of new born at birth conducted at tertiary health care centre for three consecutive years. Demographic variables, status of new born at birth, NICU care and neonatal causes of death were analyzed. RESULTS: There were 1072,990,995 births for 2011, 2012, and 2013 year respectively Still births were 30, 36 and 41 and newborn deaths were 15,8,15 for three consecutive years. Mean age of mother was 25.35 yrs standard deviation 4.4. 82 % of still births were preterm. Maximum 67% of still births birth weight was less than 1.5 kg. NICU admission included 51% full term neonate, 44% preterm and 5% post term neonate. Maximum (51%) NICU admissions neonatal birth weight was less < 1.5 kg.79% of dead neonates were preterm. Life threatening congenital defects was seen in 26%. Cause of death birth asphyxia 37% hyaline membrane disease 15%. CONCLUSION: Statistically significant mean gestational age of baby with mother was 38.26 weeks (SD 2.260), NICU neonates 36.70 weeks (SD 3.3) and still births 31.34 weeks (SD 4.6). Maternal urinary tract infection, Hypertensive diseases, diabetes mellitus were major reasons for stillbirths. Neonatal mortality from 26% reduced to 8% with increasing birth weight. Major neonatal deaths are because of birth asphyxia, congenital defects. Low Birth Weight and prematurity were overlapping factor for neonatal death. Still birth rate was 35; perinatal mortality rate was 44/1000 live births. Early neonatal mortality rate & Total neonatal mortality rate was 12 /1000 live births each.