Objective: To study levels of serum sodium, serum calcium and blood glucose in Neonates who were revived from Birth Asphyxia.

Method: 70 neonates were enrolled. 35 were term (asphyxiated) neonates with Apgar score of ≤7 at 5 minutes and 35 term non asphyxiated neonates. Venous blood sample for estimation of serum sodium, serum calcium and blood glucose was collected within 1 hour of admission.

Result: In this study the mean levels of serum sodium, serum calcium and blood glucose were found to be lower in asphyxiated neonates than non-asphyxiated neonates which had positive co relation with the severity of birth asphyxia.

Conclusion: Neonates with perinatal asphyxia have more significant lower levels of the studied parameters which requires medical intervention. Close clinical evaluation and biochemical monitoring is needed to early identify, properly manage, prevent adverse neurodevelopmental outcome and improve long term prognosis of neonates with asphyxia.