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healthy birth outcomes

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Public Health along with many community partners have been working to improve birth outcomes by understanding the factors contributing to Fetal and Infant mortality. PHMDC has collaborated with these partners to create a Fetal Infant Mortality Review (FIMR).

Key Steps in the FIMR Process - A Cycle of Improvement

Fetal and Infant Mortality Review (FIMR) is an action-oriented community process that continually assesses, monitors, and works to improve service systems and community resources for women, infants, and families.

Data Gathering: Data is abstracted on every stillbirth and infant death (Stillbirth- fetus at least 20 weeks of gestation or weighs 350 grams or more, Infant: 1st year of life) Information comes from a variety of sources, such as birth and death certificates; medical records; autopsy reports; and maternal interviews. Case information is de-identified and anonymous (i.e., names of families, providers and institutions are removed) Confidentiality and security of all information are strictly maintained.

The Case Review Team composed of health, social service and other experts from the community review this summary of case information, identify issues and make recommendations for community change, if appropriate.

These recommendations lead to Community Action. Public health and community members review Case Review Team recommendations, prioritize identified issues, then design and implement interventions to improve service systems and resources.

The overall goal of a FIMR is to enhance the health and well-being of women, infants and families by improving the community resources and service delivery systems available to them.

For more information, please contact Daniel Stattleman Scanlan, 608-243-0404 or e-mail

Fetal Infant Mortality Review

Fetal Infant Mortality Review