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Partnerships & Collaborations

Fetal, Infant and Child Mortality Review Programs

The National Fetal-Infant Mortality Review (NFIMR)

The National Fetal and Infant Mortality Review Program (NFIMR) is a collaborative effort between the American College of Obstetricians and Gynecologists (ACOG) and MCHB. It has developed a private and public partnership to provide a comprehensive approach to understanding and combating fetal and infant mortality nationwide through case reviews of fetal and infant deaths.

Established in 1990, NFIMR is a resource center providing information and advice about implementing the fetal and infant mortality review (FIMR) method. FIMR is both an ongoing community needs assessment and a mechanism to improve health status of women and infants. The resource center provides information on topics such as confidentiality, liability, data collection, home interview techniques, coalition building, taking recommendations to action, coordinating with other local mortality reviews and using local FIMR information for regional/State assessment and planning. Referrals to expert consultants are available.

In all States, the FIMR committee brings together an interdisciplinary group of individuals to review a set of infant deaths and look for common patterns. The professionals who sit on FIMR committees often include practitioners in the fields of pathology, pediatrics, perinatology and emergency medicine. FIMRs review and incorporate information from a number of different sources, including parent interviews, medical records, birth/ death certificates, medical examiners/coroners, health departments, social service and physician records. Information from these reviews is then used to focus planning and policy development and to enhance efforts to develop and maintain community resources and quality programs for women and children. The FIMR process helps State and local health departments operate the core public health functions of assessment, policy development and assurance.

Communication Vehicles: Web site, a national conference held every three years and a newsletter

Publications: NFIMR has publications addressing cross-cultural bereavement, HIPAA, social marketing and a FIMR program toolkit. Many publications are available for downloading on the Web site, and hard copies can be ordered.

Services: The NFIMR program provides technical assistance to stimulate and support the development of community-based fetal and infant mortality review groups. NFIMR software supports the electronic collection, storage and processing of information used by FIMR projects. Matching the Data Abstraction Forms, NFIMR for Windows creates a case summary for review team utilization, cross-tabulations and graphs.

National Fetal-Infant Mortality Review
American College of Obstetricians and Gynecologists
P.O. Box 96920
Washington, DC 20090-6920
202-484-3917 (fax)