Objective To determine the pattern of major congenital malformations in neonates admitted in a tertiaryCare NICU.

Study Design Descriptive study. Place & Duration of study; Women’s Hospital Doha Qatar, The only tertiary government hospital in Doha with 310 beds, 16500 deliveries per year and around 85% of delivery in this hospital.

Method ALL neonates which admitted to NICU including those referred from outside. NeonateWith major congenital malformations were identified by clinical examination and confirmed byAppropriate radio-diagnostic methods. The pediatric service of the hospital has the subspecialties in cardiology, neonatology, neurology, nephrology, genetics and pediatric surgery. There are laboratory facilities for plain and contrast radiography, computerized tomography, ultrasound, echocardiography, chromosomal analysis and electron microscopy. Each case was investigated as indicate. Detail chromosomal analysis, Fish study and DNA was DONE infants with dysmorphic features and multisystem defects.

Result During study period number of babies born 101160, number of admission to nicu11898, number of congenital malformations 1678, the incidence of major congenital malformations 1.67%.

Conclusions The study gives an overview of pattern of congenital Anomalies in a tertiary care center. Surveillance and Monitoring of congenital conditions is important for Identifying patterns of malformations.