Fetal Infant Mortality Review
“Infant mortality is the most sensitive index we possess of social welfare” (Julia Lathrop, Children’s Bureau, 1913).
Oklahoma’s infant mortality rate was 19.6% higher than the national average. (OK=8.0 vs. US=6.69 deaths per 1000 live births based on 2006 data)
The Fetal and infant Mortality Review (FIMR) Project is a community based, action-oriented, systematic process that continually assesses the causes of fetal and infant mortality and works to improve infant outcomes, as well as, provide resources for women, infants and families. It brings together a multi-disciplinary team of community members to examine the factors that influence infant mortality. FIMR allows each community to become an expert in planning interventions and policies to improve community resources designed specifically to meet the needs of the local population.
The FIMR process begins when a fetal or infant death has occurred. The FIMR staff abstracts data from birth and death certificates, hospital records, physician’s offices, and medical examiner’s reports, as well as, social service agencies . A unique feature of FIMR is the maternal or family interview. The interview provides the family an opportunity to share their experiences and have their voice heard in the community. The information gathered from medical records and family interviews is de-identified and summarized to protect the confidentiality of family members, as well as, service providers before being presented to the Case Review Team.
The Case Review Team (CRT) identifies trends in services, barriers to care, system breakdowns and other factors associated with the death and makes recommendations for community change.
The Community Action Team (CAT) prioritizes the recommendations from the CRT, then designs and implements interventions to improve service systems and community resources.
Currently, there are two FIMR projects in Oklahoma, the Tulsa Fetal and Infant Mortality Review Project and the Fetal and Infant Mortality Review of Central Oklahoma.
Tulsa Fetal and Infant Mortality Review Project
Contact: Pam Rask, Project Manager
Phone: (918) 595-4418
Fetal and Infant Mortality Review of Central Oklahoma
Contact: Mary Beth Cox, Project Manager
Phone: (405) 425-4406
Perinatal & Reproductive Health Division, FIMR Coordinator
1000 NE 10th Street, Room 905
Oklahoma City, OK 73117
Phone: (405) 271-4476
e-mail: Tony Fleshman R.N., B.S.N.