Fetal Infant Mortality Review FIMR

The Fetal and Infant Mortality Review (FIMR) is a public health tool designed to enhance the health and well being of women, infants and families.  FIMR is implemented in several Michigan cities and across the nation as a tool to better understand and combat fetal and infant deaths.

The FIMR process includes a comprehensive review and analyses of de-identified information about an infant death and the contributing factors.  The FIMR Coordinator and Case Abstractor/Home Interviewer present case findings to a multi-disciplinary Case Review Team. The Case Review Team is comprised of physicians, social workers, administrators, parent advocates, nurses and concerned citizens from area hospitals, the community, health and social service agencies.  The team identifies individual issues, looks at trends over time and makes recommendations for community and perinatal systems change.

Data and factors contributing to an infant’s death are categorized and forwarded to the State’s database and are included in the Annual Child Death Review Report.  This data enhances understanding of why babies are dying and aids in the identification of solutions.  Infant death cases are also referred for follow-up bereavement services and/or other resources when deemed appropriate.

The Detroit FIMR participates and collaborates in local and national discussions designed to increase awareness about contributing factors to infant mortality and fetal deaths.

In Detroit-Wayne County the leading cause of death for infants under the age of twelve months is,

  • Low Birth Weight and Pre-Maturity
  • Birth Defects
  • Unsafe Sleep Environments and Sudden Unexplained Infant Death (SUID)

Essential to a successful FIMR model is  the presence of a local community action team.  The community action team has the responsibility of devising and implementing strategies for program and system change. The Detroit - Wayne County, Infant Vitality Action Network – IVAN, serves as the local FIMR community action team.