TITLE:
Neonatal Mortality Associated with the Referral of Low Birth Weight Newborns to the Institute of Child Nutrition and Health (INSE)
AUTHORS:
Diallo Ibrahima Sory, Diallo Sory, Conté N’fanly, Diawara Ibrahima, Bah Elhadj Mamoudou, Cissé Moussa, Matthias Roth Kleiner, Sy Telly
KEYWORDS:
Neonatal Mortality, Reference, Low Birth Weight, INSE
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.9 No.4,
November
12,
2019
ABSTRACT: 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.