Background: Infants with high birth weight are candidates for birth trauma, birth asphyxia and sometimes, death. Perinatologists are therefore gradually beaming the search lights on the contribution of high birthweight delivery to perinatal morbidity and mortality. Objectives: To determine the prevalence presentation and outcome of high birthweight deliveries in Zaria. Methods: A retrospective review of records of babies delivered at Ahmadu Be l lo University Teaching Hospital , Zaria , weighing 4000 grams and above at birth, over a 4-year period was undertaken. Maternal and neonatal records were obtained from the delivery suite and neonatal unit respectively, between January, 2005 and December, 2008. Data were analyzed with EPI INFO version 3.5.1 and statistical significance was set at p
