Background: Congenital anterior abdominal wall defects (CAAWDs) are common congenital abnormalities and their management remain a diagnostic and therapeutic challenge to surgeons practicing in resource-limited setting. We aimed to describe the clinical patterns and short term treatment outcomes of CAAWDs at BMC. Methods: This was a longitudinal prospective study that included all patients aged less than 18 years of age, admitted with CAAWDs at BMC during the period of study. Ethical approval to conduct the study was obtained from relevant authorities. Data was collected using a structured, coded and pretested questionnaire and analyzed using STATA version 15. Results: We enrolled a total of 130 patients (M: F ratio= 1.1: 1). The median age at diagnosis was 13.5 months. The majority of patients, 65 (50.0%) were aged ≤ 12 months old. Associated congenital anomalies were reported in 30.4% and 38.5% of cases of omphalocele and gastroschisis respectively. None of the patients had a prenatal diagnosis of CAAWDs. More than half of patients were treated surgically and the remaining were treated non-operatively. Complication rate was 40.8% and sepsis was the most frequent complication in 43% of cases. Prematurity (p = 0.002), low birth weight (p <0.001), gastroschisis (p< 0.001), ASA III (p = 0.005), treatment modality (p < 0.001) and presence of associated congenital anomalies (p = 0.034) were significantly associated with complications. The median length of hospital stay was 15 days and was significantly longer in patients with omphalocele (p < 0.001), associated congenital anomalies (p= 0.001), ASA class III (p= 0.032) and in patients who were treated non-surgically (p < 0.001). The overall mortality rate in this study was 30.0% and it was significantly associated with prematurity (p<0.001), low birth weight (p < 0.001), home delivery (p = 0.025), gastroschisis (p<0.001), treatment modality (p < 0.001), presence of associated congenital anomalies (p < 0.001) and ASA class