Fetal Infant Mortality Review
Fetal and Infant Mortality Review (FIMR) is an action-oriented evidence based community review process that reviews fetal and infant deaths, works at the community level to formulate programs and influence policy that will lead to improving birth outcomes. The goal is to assess, monitor, and work to improve service systems and community resources for women, infants, and families.
Currently, there are FIMR projects in Davidson County, Hamilton County, Knox County, Shelby County and the East Tennessee region.
Key steps in the FIMR process:
- A team is notified of a fetal or infant death through either hospital notification or vital records.
- Information about the infant death is gathered. Sources include public health and medical records.
- An interview with the mother who has suffered the loss is conducted, if the mother agrees. Professionals with training in grief counseling assess the needs of the family and refer to bereavement support and community resources.
- The Case Review Team composed of health, social service and other experts from the community review this summary of case information and the interview, identify issues and make recommendations for community change, if appropriate.
- The Community Action Team, a diverse group of community leaders, review Case Review Team recommendations, prioritize identified issues, then design and implement interventions to improve service systems and resources.
Confidentiality of all information is strictly maintained.
That means that names of the mother, provider and institution are removed.
Examples of FIMR Projects
Safe Sleep: Every baby deserves a safe start to life. Ensuring that all babies are placed Alone, on their Backs and in a Crib is one small step that can be taken to ensure infants sleep safely. In 2012 the Safe Sleep Campaign started and includes partnerships with hospitals, medical providers, first responders and other state offices to promote the safe sleep message. For more information or to order free safe sleep flyers, posters, or door hangers, please visit: http://www.tn.gov/health/topic/safe-sleep
17P Screening: Nearly 500,000 babies are born premature in the United States. This puts infant at higher risk for death and disabilities. Preventing preterm births is critical for the long term health of infants. 17P is a synthetic form progesterone shown to reduce reoccurring preterm birth. Four of the state FIMR programs have implemented a pilot project to screen women for eligibility for 17P treatment during pregnancy. Women with a previous spontaneous birth before 37 weeks gestation and are currently pregnant might be eligible for this treatment. Women who screen as eligible are referred to their OB provider to determine if this would be the best course of treatment. Women are then are asked for follow-up to help look for facilitators or barriers to treatment. For more information on 17P, please see: 17P Fact Sheet
These links will take you away from the Tennessee Department of Health website.
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