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The first 28 days of life is known as neonatal period. Neonatal death is defined as the death of live birth during first 28 days of life. It is highly vulnerable period that the infants are susceptible to certain problems which lead to illness and death. About 40% of the 10 million deaths among children below 5 years occur during the neonatal period; this is twice as high as the number of deaths attributable to HIV/AIDS. The study was conducted between March 2014 and August 2014. It is a prospective observational study. Both male and female were included. All live neonates admitted to Neonatal Care Unit, Mahatma Gandhi Memorial Hospital were included in the study. Unknown babies also included in the study. Died neonates who brought to Mahatma Gandhi Memorial Hospital were excluded from the study. Cesarean deliveries in early term are more when compared to Normal and Assisted vaginal deliveries in early term. Major causes of deaths include LBW (62.16%) followed by sepsis (54.59%), RD (51.89%), HIE (22.16%) and Congenital abnormalities (15.13%). In LBW major causes of death include Sepsis (87.8%) followed by RD (83.5%) and preterm deaths (87.8%) are more when compared to term gestation (12.27%). Further much work is needed to educate community members about neonatal danger signs and to engage them in effective care-seeking behavior .The process of delivery should be made safe for the mother and neonate. We found LBW, Sepsis and RD to be the major cause's neonatal death. Keyword: Mortality, Low Birth weight, Sepsis, Respiratory distress

A Study of Causes And Rate of Neonatal Mortality in A Teritiary Care Teaching Hospital