This study has been undertaken to assess the morbidity and mortality pattern of SGA and AGA preterm babies which will help in better understanding of their care in hospital settings^. Methodology: All preterm babies delivered at NKPSIMS & Lata Mangeshkar Hospital between February 2011 to September 2012 were evaluated in terms of gestational age, gender, AGA/SGA, morbidity and mortality pattern. Results– In our study RDS (23.12%), Sepsis (34.69%), Hypoglycemia (12.24%)& Jaundice (38.09%) were major morbidity patterns. P value was significant in hypoglycemia (0.0412) and RDS (0.059). There was no difference in mortality rate between preterm AGA and SGA babies. Conclusion: Appropriate for Gestational age (AGA)/ Short for Gestational age (SGA), have no significant differences in morbidity & mortality Patterns.