Neonatal pneumonia is a common disease in neonatology, which can be caused by infection or inhalation factors such as feeding, gastroesophageal reflux, etc. Neonatal pneumonia can be mild or severe and requires timely treatment. In neonates with pneumonia, the child may have the following symptoms: shortness of breath, labored, coarse, irregular breathing, cyanosis of the face and lips and root of the nose, poor spirit, poor feeding, moaning, poor response, little movement, choking, spitting, nasal congestion, runny nose, coughing, wheezing, and abnormal body temperature. Neonatal pneumonia can also give initial hints about the etiology based on whether it occurs before, during, or after delivery, such as aspiration of amniotic fluid and meconium at birth that predispose to aspiration pneumonia. Overall, there are differences between neonatal pneumonia and pneumonia symptoms in older children. Typical respiratory symptoms such as runny nose, coughing and wheezing are generally not obvious, but mostly manifest as choking, foaming, shortness of breath, labored breathing, and change in facial color. A small number of newborns may have fever, while children with severe infections may even have a drop in body temperature, manifesting as no rise in body temperature. Neonatal pneumonia is something that needs to be taken very seriously, and untreated can lead to respiratory failure or spread of infection throughout the body, so close observation is needed to detect daily changes in the baby and seek medical attention in a timely manner to avoid aggravating the condition.