A Report on the Status of Fetal and Infant Mortality Review in the United States 2016

The beginnings of Fetal and Infant Mortality Review (FIMR) date back to the mid-1980s, when concern over high infant mortality rates intensified nationwide. The Maternal and Child Health Bureau (MCHB) conceptualized Infant Mortality Review (IMR), the forerunner of FIMR, as a promising method to improve understanding of local factors contributing to infant mortality and to motivate community response. FIMR is a community-based, action-oriented process to review fetal and infant deaths and make recommendations to spark systemic changes to prevent future similar deaths. Most FIMR teams operate at the local level (usually the county) to examine medical, nonmedical, and systems-related factors and circumstances contributing to fetal and infant deaths. Among the various types of fatality reviews, the FIMR approach is unique because cases are deidentified; they may include a family interview to determine the family’s perspective on factors that may have contributed to the infant’s life and death; and many of the teams have a Community Action Team (CAT) that, after completion of the review, works to take the case review team’s recommendations to action. From the very beginning, the FIMR model strongly emphasized the importance of a communitybased two tiered process that promoted the use of separate groups to carry out an analytic function and a subsequent action function. The Community Review Team has the role of reviewing cases and drafting recommendations, while the Community Action Team helps to disseminate findings, and facilitates implementation of recommended policies and interventions.

Read the full report, click here.  (https://www.ncfrp.org/wp-content/uploads/NCRPCD-Docs/FIMRinUS_2016.pdf)

Addendum to the Report on the Status of Fetal and Infant Mortality Review in the United States, 2016.
National Center for Fatality Review and Prevention.