Neonatal mortality is still high in Nepal with U5MR 54 and IMR 46 per 1000 live births. 1 out of 22
Nepali child dies before age 1 year and 1 in 19 dies before he or she turns 5 years. In a low resource country like
Nepal if expectant mothers are screened for risk factors and extra care given within existing resources for those who
need more, there will be an impact on their risk status and on the outcome of pregnancy. In this study 187 expectant
mothers were grouped into low and high risk categories using simple scoring system and their neonatal outcome was
observed. Neonatal Death and Low Birth Weight (LBW) were undesirable outcome. At risk mothers can be
identified with a simple risk scoring system at community level and timely intervention has definite impact on
neonatal outcome.