Background: A neonatal period is very important period which in turn determines the health status of the infant and adult life. Objectives: The aims of this study is to determine the patterns of disease and outcomes of neonatal admission to neonatal care unit in Fallujah City from January to July 2019. Methods: A retrospective study accomplished at neonatal unit of Fallujah Teaching Hospital for Women and Children. Data collection instruments included (age, sex, weight, cause of admission, time of Hospital stay, diagnosis and outcome). Data analysis was descriptive and represented as a number and percentage. Results: A total number of neonatal admissions included in this study was 998; 535 were male (53.6%), and 463 were female (46.4%). A total of 740 patients (74.2%) were born in the Hospital while 258 (25.8%) were born at home. Most of the patients were admitted through the first 24 hours of life (60.5%). A total of 17 patients (1.7%) weighed <1kg; 43(4.3%) weighed 1-1.49 kg, and 353 (35.4%) between1.5-2.5 kg. Prematurity and jaundice were the main causes for admission (28.5% and 26.2% respectively), followed by respiratory distress (22.5%), hypoglycemia (9%) and infection (8.2%). A total of 800 patients (80.2%) were discharged, 147 (14.7%) left against medical advice, 36 were referred to tertiary center (3.6%) and 17 (1.7%) died. Conclusion: Prematurity, Jaundice, Low birth weight were the main causes of neonatal admissions. This may be reduced by proper antenatal care, early intervention, and if indicated referral of all pregnancies at high risk to be delivered in tertiary centers.