Fetal Infant Mortality Review

The National Fetal and Infant Mortality Review began in 1990 as a collaborative effort between the American College of Obstetricians and Gynecologists and the Federal Maternal and Child Health Bureau. Since it was first introduced in the late 1980’s, Fetal and Infant Mortality Review (FIMR) has been a dynamic, community process. FIMR has enjoyed continued growth and refinement as more communities have used it.

Annual Report

This report presents a comprehensive overview of the findings, insights, and recommendations gathered through our Fetal & Infant Mortality Review (FIMR) process. It incorporates the collaborative work of both our Case Review Team (CRT) and our Community Action Group (CAG).

Together, these teams provide a full picture of the factors contributing to fetal and infant loss in our community, as well as the strategies needed to drive meaningful, data‑informed change.

FIMR is:
  • A strategy to close the gap in health disparities at the community level
  • A timely and valuable source of information about changing health care systems and how they affect real families trying to access them
  • A form of continuous quality improvement that allows communities to assess the performance of systems and the impact of changes in those systems
  • A voice for local families who have lost their baby
  • A tool that helps local health officials implement policies to safeguard families
  • A program endorsed by the American College of Obstetricians and Gynecologists, the March of Dimes Birth Defects Foundation and the federal Maternal and Child Health Bureau
The Case Review Team (CRT) commits to: 
  • A one‐time virtual, self‐paced Fetal and Infant Mortality Review training
  • A signed Confidentiality Agreement before attending the first meeting
  • Confirmation on meeting invites to ensure participants receive the case meeting materials
  • One, 2‐3-hour meeting once per month
  • Time to review Case Summary Reports prior to monthly meeting (3‐4 cases)
The Community Action Group (CAG) commits to: 

The Community Action Group is the “champion for change” that has the political will and resources to develop and implement solutions based on the recommendations from the Case Review Team. 

  • One, 1‐2-hour meeting once per quarter 
  • Time and resources to implement an Action Plan created by the team 
  • CAG may respond to issues that are broad or politically complex and/or may change over time, so time and resources needed to implement change could vary

Join Us Be a part of Fetal and Infant Mortality Review and make meaningful changes to improve services, systems and resources for families, and reduce stillbirths and infant deaths.

If you would like to join our FIMR CRT or CAG group, please contact our office at info@healthystartswfl.com 

Maternal Health Resource Guide for Southwest Florida