Objective: To evaluate the prevalence of Hb S in babies born at the Instituto Materno Infantil de Pernambuco (IMIP) and its occurrence according to sex, birthweight and Apgar.Methods: A cross-sectional descriptive study of all babies born in the IMIP during the period of October/1996 to March/1997 was carried out. Cord blood samples (1,988) were analyzed by alkaline electrophoresis. Data for other infant variables were collected from medical reports. EPI-Info 6.0 was used to analyze the data.Results: We found 105 (5.3%) newborns with the Hb S, as follows: 102 (5.1%.) as sickle cell trait (Hb FAS), and 3 (0.2%) as sickle cell disease (Hb SC). No cases of homozygoses were found. Newborns with and without Hb S did not differ in relation to sex, birthweight and Apgar.Conclusions: We suggest the implementation of a neonatal screening for hemoglobinopathies for all the newborns in Recife, with a further follow up for the suspect or positive cases, focusing on genetic counselling. Resultados: Foram encontrados 105 (5,3%) RN com presença de Hb S. Destes, 102 (5,1%) apresentavam-se na forma de traço falciforme (Hb FAS) e 3 (0,2%) sob a forma de doença falciforme (Hb SC). Não foi encontrado nenhum RN com homozigose para Hb S. Não foi observada diferença estatisticamente significante entre os RN portadores ou não de Hb S quanto ao sexo, peso e Apgar.Conclusões: Sugerimos a realização de triagem neonatal de hemoglobinopatias em todos os RN na cidade de Recife com posterior seguimento dos casos positivos e suspeitos e subseqüente aconselhamento genético às famílias acometidas.J. pediatr. (Rio J.). 1999; 75(3):167-171: recém-nascido, traço falciforme, doença falciforme, triagem neonatal.