High risk neonate is at risk for neonatal mortality and morbidity. Short term outcome are predicted by combination of BPD, PDA, IVH, PVL, RDS, NEC etc. For better neonatal long term outcome recognition of high risk pregnancy, prevention of preterm births, increase transport facilities and multidisciplinary early intervention is necessary. 

Keywords: High Risk Neonate; Predictors of Outcome; Early Intervention; Prevention of Preterm Birth; Transport to Level 3 Prenatal Centre; Multidisciplinary Team.