Fetal and Infant Mortality Review
The Fetal and Infant Mortality Review (FIMR) aims to reduce infant mortality by gathering and reviewing detailed information to gain a better understanding of fetal and infant deaths in Northeast Florida. The project examines cases with the worst outcomes to identify gaps in maternal and infant services and to promote future improvements. The Coalition began the review in 1995 and has continued to carry it out with funding from the Florida Department of Health.
Each month, fetal and infant death cases are selected for review based on specific criteria, including type of death, residence and race. Utilizing an approach developed by the American College of Obstetrics and Gynecology (ACOG), information is abstracted from birth, death, medical, hospital and autopsy records. Efforts are also made to interview the family. No information which identifies the family or medical providers is included on the abstraction form. Case summaries are developed and presented bimonthly to the Case Review Team, a multidisciplinary group of community medical and social service professionals. The CRT examines each case to determine medical, social, financial and other issues that may have impacted the poor birth outcome.
Recommendations for community action are crafted by the CRT each year based on review findings. These recommendations are shared with the Community Action Team (CAT), a group of volunteers working with at-risk families, and other partner agencies in the region for implementation.
Project Impact: the Coalition’s Fetal & Infant Mortality Review Project Community Report