Neonatal tetanus is associated with a high mortality rate, despite int
ensive care. Although it can be prevented by immunization of expectant
mothers and by good hygiene and asepsis during delivery, neonatal tet
anus is still a common cause of neonatal mortality in underdeveloped c
ountries. In our study, hospital records of 133 newborns with neonatal
tetanus were evaluated to identify the possible factors affecting pro
gnosis of neonatal tetanus; 79 were males and 56 females, and 54 (41.6
%) of the 133 died. Sex and birth weight did not affect the prognosis.
As a result of our study, we found that age on admission <10 days, sy
mptoms <5 days and presence of risus sardonicus and fever indicate a p
oor prognosis in neonatal tetanus.