The objective of this study was to identify risk factors and study the causes of neonatal mortality of LBW newborns referred to the Institute of Nutrition and Child Health. Material and Methods: This is a prospective descriptive and analytical study from March 1 to August 31, 2015, involving 250 newborns referred to the Neonatology Department of the Institute of Child Nutrition and Health (INSE). Results: During our study period, we recorded 1169 newborns, 250 of whom were referred, representing a referral frequency of 21.38%. The overall mortality rate for transferring newborns was 46.8%. Risk factors associated with neonatal mortality were gravidity (p = 0.0019), parity (p = 0.0323), occupational activities requiring physical effort (p = 0.0257), birth weight (p = 0.0008) and prematurity (p = 0.0039). Conclusion: Neonatal mortality associated with referrals is a major health problem in developing countries. There is currently no doubt that it is possible to significantly reduce perinatal mortality and morbidity rates by organizing the identification of "mother-child" couples at risk, to refer them intently to centres better equipped with technical and human resources to care for them.

Neonatal mortality is still a real public health problem in Guinea. Indeed, despite the remarkable progress made in the country, neonatal mortality is still high: 20 per 1000 live births (1). Regional disparities are significant, with the regions of Mamou (32‰), Faranah (28‰), Labé (26‰) and Kankan (26‰) being the most affected. Objective: To determine the main factors related to neonatal deaths in the Faranah, Mamou, Labé and Kankan regions. This is a descriptive qualitative study that examines the perspectives of health service users, local decision-makers and providers on the causes of neonatal mortality in the Labé, Mamou, Faranah and Kankan regions. The main direct medical causes of neonatal mortality cited by participants were: prematurity, neonatal infections, low birth weight, hypoglycemia, hemorrhagic diseases of the newborn. This workshop concluded that neonatal mortality depends on a multitude of economic, political, socio-cultural and health factors, all of which endanger the lives of newborns.

No abstract