This study entitled "Managing the Pre-Natal Care in the Prevention and Early Detection of Congenital Abnormalities neural tube defects in newborns. Comparative Study II Hospital essalud and MINSA II-2 Tarapoto Hospital. 2014 no experimental Quantitative, descriptive study of transversal, comparative, cut the interview survey And observation, where two checklists were developed and a test was used. The Population was 21 users, 23 professionals and 21 newborns. The results were: The incidence of newborns with congenital anomalies, II Hospital Essalud Tarapoto was 8 cases per 1000 live births and the MOH Hospital Tarapoto II-2 was 5 cases per 1000 live births. According diagnostic management of pre-natal Care, both institutions have management documents that standard prenatal care in Preventing birth defects. 70% of users were assisted by obstetrician and Gynecologist-obstetrician in both h...