Background: Respiratory distress is also one of the most common causes of admission in NICU. Despite of advancement, RD is responsible for 40-50% of all the perinatal deaths. It was observed that, there is less clinical studies have been conducted on the neonatal respiratory distress in our country, it has been planned to know the etiology, clinical features, management and outcome of the babies with respiratory distress. Material and methods: Newborns admitted to NICU during study duration due to respiratory distress within 72 hours of birth were included in the present study. The severity of respiratory distress was noted according to time of onset, clinical assessment, number of days of oxygen requirement and chest x ray features. Result: Respiratory distress is one of the commonest disorders encountered within the first 48-72 hours of life. Incidence of newborns having severe respiratory distress was 48%, Moderate respiratory distress was 46% and Mild distress was 6%. Majority (62%) of newborn with respiratory distress required oxygen treatment for less than 24 hours. Conclusion: Clinical assessment of severe respiratory distress against its onset and duration will help in early diagnosis. Immediate clinical outcome of newborn respiratory distress in term of mortality rate is variable and depends on the cause of newborn distress. Chest x-ray taken at 6 hours of onset of respiratory distress in newborn is important diagnostic tool for early identification of the cause. 

Keywords: New Born Baby; Respiratory Distress; Chest X-Ray; Duration Of Oxygen Therapy.