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Objective: Perinatal and neonatal mortality reflects the quality of health services provided at any obstetrical/neonatal center. After eight years of being occupied, what became of the quality of the services we provide? Methods: A cross sectional study of 290 neonatal deaths at the neonatal intensive care unit (NICU) of Fallujah General Hospital during the period from the 1st of january to the 31st of December of the year 2010, utilizing multiple obstetrical and neonatal variables: Results: The results showed that although there was a high PMR & NMR during the last decade, being 50.3/1000 live births & 41.5/1000 live births respectively in the year 2010 at the same hospital, and in comparison to most of Arab & Eastern Meditaranean countries our PMR and NMR are much higher. Conclusion: It is concluded that we have very high death rates, which necessitates providing better care at obstetrical/neonatal centers, plus establishing a collaborative network of neonatologists for eva- luating and improving neonatal care

Perinatal and neonatal mortality in Fallujah General Hospital, Fallujah City, Anbar Province, west of Iraq