Neonatal Tetanus: Still a Scourge after Elimination from India.

Neonatal tetanus continues to be a cause of neonatal death in the lowand middle-income countries. Recently we managed two cases of neonatal tetanus at our institute. Both the families were migrants, one from Bihar and other from Jharkhand. Both the pregnancies were unsupervised and delivery was conducted at home. There was history of application of cowdung on umbilical stump in first case and oil in second case. Both infants presented in unstable condition to our centre;one died of refractory shock and the other developed nephropathy but recovered fully.