Of the 130 million babies born world wide each year 26 million are born in India alone. Four million babies die with in first 30 days of birth and another four million are stillborn¹. Newborn mortality represents 40% of all deaths of children less than five years of age. Of the four million deaths each year nearly 98% occur in developing countries². Globally major causes of neonatal deaths are due to preterm births (28%), sepsis or pneumonia (26%) and birth asphyxia (23%)³. Neonatal sepsis is one of the commonest causes of neonatal deaths in the developing world accounting to 30–50% of all neonatal deaths per year^4,5. The incidence of neonatal septicemia is 1–4 per 1000 live births in developed countries with considerable fluctuation over time and geographical location⁶. The reported incidence of neonatal sepsis varies from 7.1 to 38 per 1000 live births in Asia⁷ and from 6.5 to 23 per 1000 live births in Africa⁸. Studies from India, Pakistan, Thailand and Malaysia reported incidence of neonatal sepsis ranging from 27–69%. Incidence of neonatal sepsis among hospitalized is approximately 5–6 per 1000 live births and incidence of meningitis approximately 0.7 – 1.0 per 1000 live births⁹. A Sincere effort has been put to understand the find the birth weight and gestational age in cases of clinical and blood culture positive sepsis.