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Background: Indicators of the poor state of health service are high perinatal mortality rates and it is relevant to determine the association between the booking status of mother and fetal end results. Objective: To determine the risk factors of neonatal morbidity and mortality and effects of booking status of pregnant mothers. Methodology: This cross-sectional examination was finished from March 2017 to May 2018. A whole of 310 examination persons were picked aimlessly from obstetrics and gynecology part of the Mayo Hospital, Lahore. All the weakened individuals surrendered thru emergency and outpatient office, who had passed on in the work room, have been consolidated. A predesigned performa used to be used for statistics aggregation. The statistics blanketed person records for instance booking status, time of the two accessories, practice of the two assistants, residence, ethnicity, approach for transport, correspondence, gestational age, history of any ailment in the midst of pregnancy, records of utilization of delivery scattering method, no of person at home, neonatal outcome. Using Statistical Package for Social Sciences SPSS 21 all the information was penniless down. Results: The suggest time of patients used to be 27±8.6 years, fairness was once 2.7±3.4, gravida used to be 4±3.5, Gestational age was 38.5±3.3, and amounts of antenatal visits were 5±3.7. In this examination, 99 (34.8%) were saved sufferers and 205 (68.4%) were unbooked patients. This examination exhibited that 160 (54.7%) neonates have been strong, seventy-seven (26.7%) had Asphyxia neonatorum, 6(2.8%) had sepsis, 24(8.7%) had MAS, 7 (3%) had natural idiosyncrasy, 35 (12.4%) had been dead. Results exhibited that amongst booked cases 55 (53.2%) kids had been sound, 23 (24.5%) had ANN, four (5.2%) had sepsis, 5 (5.2%) had MAS, 6 (6.3%) had inborn peculiarity, 11(12.3%) handed on and amongst unbooked cases, one hundred and five (53.6%) had been strong, 53 (26.8%) had ANN, three (2%) had sepsis,20 (10.5%) had MAS,2(0.6%) had natural quirk and 26 (12.9%) kicked the container (p=.02). Conclusion: This examination exhibited that only half of the neonates exceeded on at our tertiary thought have been sound. Asphyxia neonatorum sought after by means of meconium recolored liquor, herbal anomalies and sepsis had been most standard outcomes, while, extra neonates in with maternal unbooking status. The proper finding, antenatal want for high-chance being pregnant is obligatory for the first-class consequence for neonates.