Fetal & Infant Mortality Review Program (FIMR)
Bureau of Maternal & Infant Health
Division of Community Health & Prevention
Illinois Department of Human Services
All women who are residents of the Chicago area that have experienced a fetal or neonatal death.
The Fetal Infant Mortality Review (FIMR) initiative is a nationwide program supported by the American College of Obstetricians and Gynecologists (ACOG), Healthy Start, and the Department of Human Services (DHS). It is designed to identify the non-medical factors that contribute to adverse pregnancy outcomes. Once identified, FIMR empowers the community and its leadership to develop and implement solutions and systems to break down the barriers to optimize pregnancy outcomes. Home visits are made so that data can be collected and reviewed. Community based action plans are designed and implemented based on the information obtained from the reviews to improve the overall Perinatal outcomes.
The Illinois FIMR initiative is a voluntary program supported by a federal grant in collaboration with DHS and the Chicago Department of Public Health. It identifies fetal deaths (infants born dead after the 20th week of gestation) and neonatal deaths (any live born infant regardless of gestational age and weight) who dies within the first 28 days of life. These parameters were chosen because there is an Illinois state mandated process in place within the hospitals to review these cases from a medical perspective; the social and economic factors are rarely available during the state mandated medical reviews; and as per the statistics above, early losses, whether fetal or neonatal deaths, are prevalent within the City of Chicago.
The program consists of case identification, outreach to enroll women/families into the program through an informed consent process, and in-home interview, medical record abstraction, and case reviews by a multidisciplinary team.
Home visits are made so that data can be collected and reviewed. Community based action plans are designed and implemented based on the information obtained from the reviews in an effort to improve overall perinatal outcomes.
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The program has been extremely effective in identifying the social and economic factors impacting pregnancy outcomes in the City of Chicago. This information that is presented in an annual report is used to guide program efforts to reduce infant mortality and pre-term delivery rates.