Respiratory distress is one of the most common reasons an infant is admitted to the neonatal intensive care unit. Fifteen percent of term infants and 29% of late preterm infants admitted to the neonatal intensive care unit develop significant respiratory morbidity; this is even higher for infants born before 34 weeks ‘gestation. Certain risk factors increase the likelihood of neonatal respiratory disease. Maximum admissions were on day 1 of life constituting 65.3%, followed by on 4 to 5 days old occupying 21.3%, 13.3% were among 2 to 3 days old In the present study majority were presented Transient tachypnea of new born constituting 40%, next common was Meconium aspiration syndrome occupying 18.6%, Birth asphyxia 17.3%, Respiratory distress syndrome13.3%, Neonatal sepsis 5.3%, Congenital heart disease2.6%, Congenital pneumonia and Congenital diaphragmatic hernia counts 1.3%