In the present study, the prevalence of congenital malformations in the newborns were 2.22%, which is comparable with the earlier studies from India, which reported incidence of 2.72% and 1.9%. There are other reports from different parts of the world representing different frequency of congenital malformations.Although we got nearly the same result as reported in other studies,the prevalence of congenital anomaly would have been more than the present rate, if we could have included the abortions and stillbirths. Tertiary care hospital usually do not have definite catchment area and complicated cases are more commonly encountered. Hence, prevalence calculated in this type of hospital-based study cannot be projected to the total population. Community based study should be ideal for true estimation of incidence of congenital anomalies in a population.