The aim of this study is to assess the level of the perinatal healthcare institution (PHI) where the newborns were delivered. We included newborns of both genders that were born in the maternity wards in 10 cantons of the Federation of Bosnia and Herzegovina (FBiH). From the PHI of the first and second level, 159 newborns were referred to the third level. Out of a total of 159 LBWI referred from other PHI, only 19.5% LBWI were transported in less than 4 hours. In second level PHI, most LBWI died in the first 12 hours after birth.

Inclusion Criteria:

• Newborns of both genders that were born in the maternity wards in 10 cantons of the FBiH
• A gestational age between 22 and 42 weeks, and a birth weight less than 2500g.

Exclusion Criteria:

• Infants younger than 22 weeks or older than 42 weeks.
• Infants whose mothers refused to give consent for participation in the study.

Newborns that were born in the maternity wards of the Federation of Bosnia and Herzegovina