Birth asphyxia, a critical obstetric emergency, unfolds as a multifaceted and potentially devastating complication during the process of childbirth, characterized by a diminished supply of oxygen to the new born. This condition arises from various antecedents, encompassing factors such as maternal hypertension, umbilical cord complications, placental insufficiency, or abrupt disruptions in the intricate cascade of events surrounding labour and delivery. The repercussions of birth asphyxia are profound, spanning a spectrum of neurological sequelae that can significantly impact the infant's cognitive and physical development. In the immediate aftermath of a perinatal hypoxic event, clinical manifestations may range from mild respiratory distress to more severe signs such as cyanosis, altered muscle tone, and a depressed level of consciousness. Timely recognition and intervention are paramount, as expeditious resuscitation measures, including positive pressure ventilation and oxygen administration, can be pivotal in mitigating the deleterious effects of oxygen deprivation. Beyond the immediate resuscitative efforts, the long-term consequences of birth asphyxia necessitate meticulous monitoring and therapeutic interventions, often involving multidisciplinary collaborations comprising neonatologists, Paediatric neurologists, and rehabilitation specialists. The evolving landscape of perinatal care emphasizes preventive strategies, improved antenatal monitoring, and innovative interventions aimed at minimizing the occurrence and mitigating the impact of birth asphyxia. As research endeavours continue to unravel the intricate pathophysiological mechanisms underlying this complex condition, the medical community remains dedicated to refining diagnostic modalities, therapeutic interventions, and support systems to optimize outcomes for neonates affected by birth asphyxia, underscoring the imperative need for comprehensive, compassionate, and collaborative perinatal care.