Fetal Infant Mortality Review (FIMR)

For resources in our community, click here.

The Fetal and Infant Mortality Review (FIMR) approach was developed by the American College of Obstetrics and Gynecology (ACOG) and includes an abstraction of information from birth, death, medical, hospital, autopsy and social service records. Whenever possible, family interviews are also conducted. All information is “de-identified” to ensure that the focus is on systemic strengths, challenges, and recommendations and not on judgment of individual providers and families. Confidentiality is a key component to the process and is strictly maintained in accordance with Florida Statutes 766.101.

The Healthy Start Coalition of Flagler & Volusia Counties’ FIMR Coordinator organizes and conducts the committee meetings and communicates with Healthy Start’s FIMR Abstractors. Healthy Start’s FIMR Abstractors compile a summary report by reviewing all available documentation in both the mother and child’s medical records from: the physician’s offices (obstetrics and pediatric), hospitals, medical examiner’s report, vital statistics birth/death certificates, Women’s Infant & Children (WIC) data, Healthy Start screens, Well Family System database if the mother or child was a Healthy Start participant, and other social services. In addition, a family interviewer conducts a personal interview with the family to develop a more complete picture of all of the factors and circumstances leading up to the death of the child. The FIMR Abstraction report and the findings from the family interview process are then presented to the FIMR Case Review Team (CRT) for a full review. The reviews allow health professionals, support workers, social service providers, clergy and other community stakeholders to jointly analyze each case from multiple perspectives. The FIMR CRT collaboratively develops strategies to help prevent reoccurrences of the same factors, when possible, to improve pregnancy and birth outcomes at the local level.

For more information on our FIMR project, please contact Rosha Loach, FIMR Coordinator at (386) 252-4277 or rosha.loach@healthystartfv.org

To view the 2014 LifeSong poster, Project INFORM 2014, and Guidance for Reviewing Deaths of Infants/Children with Disabilities and/or Special Health Care Needs, and assorted FIMR publications, please click here to access the FIMR section of Our Publications Library.

Fiscal Year 2014-2015 FIMR Committee. Pictured left to right: back row standing Nate Loucks (Healthy Start), Reverend John Long (FIMR CRT chair/Halifax Health), Gladys Roman (Healthy Start), Ann Bodziak (Volusia Health Department), Mary Ann Ruddy (WIC), Marcela Chiste, MD (Medical Examiner), Rosha Loach (FIMR Coordinator), Maria Long (QA Manager), Cher Philio (Healthy Communities). Front row seated: Megan Bagwell, MD (Volusia OB/GYN), Glynne Pascal (Early Learning Coalition), Kandis Natoli (FIMR Abstractor), Bonnie Wittman (Halifax Health),)and Janet Elliott (FIMR Abstractor).

We would like to thank our former FIMR CRT chair, Pat Kruse (pictured far left), for her many years of service and wish her the best of luck on her future endeavors.

We would like to welcome our new FIMR CRT chair, Reverend John Long (pictured right).

Bed-sharing vs. Co-sleeping or Room Sharing

It is important to differentiate between the terms “co-sleeping” (or room sharing) and “bed-sharing”. The Canadian Paediatric Society’s position statement defines bed-sharing as a sleeping arrangement in which the baby shares the same sleeping surface with another person. Bed-sharing has been linked to unexpected infant deaths. Co-sleeping (or room sharing) refers to a sleeping arrangement in which an infant is within arm’s reach of his or her mother, but not on the same sleeping surface. That means the baby is sleeping in the same room (i.e. room sharing), but not in the same bed.