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Necrotizing Enterocolitis (NEC) is a major cause of mortality and morbidity in the newborn period. To know the incidence of NEC at our Neonatal Intensive Care Unit (NICU). Over a 3 year period (Prospective study) ,510 cases were studied for NEC. Incidence was 5.3%, mortality due to NEC was 22%, Asphyxia, Prematurity and enteral feeding were the common risk factor. Abdominal distention, blood in stool and air in intestinal wall were the main clinical features. Prevention and high index of suspicion are important to limit the morbidity and mortality. Key Words: Necrotizing enterocolitis, Low birth weight.