Sudden Infant Death Syndrome (SIDS) and Sudden Unexpected Infant Death
(SUID): Fetal and Infant
Mortality Information |
Child Death Review (CDR) and Fetal and Infant Mortality
Review (FIMR)
Local and state multidisciplinary
reviews of infant deaths provide invaluable contextual information about the
circumstances surrounding infant deaths. These in-depth reviews bring
together a variety of information from many sources and provide a venue for
communities to recognize system shortcomings and create strategies to
improve these systems. The two largest multidisciplinary review programs are
Child Death Review (CDR) and the Fetal and Infant Mortality Review (FIMR).
What are Child Death Review Teams?
Child Death Review (CDR) Teams are generally made up of a multidisciplinary
group of people who meet to thoroughly review child deaths. The purpose of
most CDR Teams is to better understand how and why children die in order
that they may prevent other deaths and improve the health and safety of
children.
Although the purpose and objectives of CDR are consistent across the United
States, CDR systems vary by the level (state or local) at which cases are
reviewed and acted upon. And there is a wide variation in the types of
deaths that are reviewed (by age, manner, cause, and location) and the
timeframes from death to review.
The National MCH Center for Child
Death Review* is a national resource center for state and local CDR
programs. It is funded by the U.S. Department of Health and Human Services,
Health Resources and Services Administration, Maternal and Child Health
Bureau (MCHB). The mission of the National MCH Center for Child Death Review
is to promote, support and enhance CDR methodology and activities at the
state, community and national level. It builds public and private
partnerships to incorporate CDR findings into efforts that improve child
health. The Center offers a wide range of services to state and local CDR
teams including technical assistance, training and support for teams; CDR
support resources and tools; a national CDR reporting system; coordination
with other review teams; collaboration with state and national child health,
safety and protection programs and organizations; and promotion of CDR to
national public and private organizations.
What is a Fetal and Infant Mortality Review?
Fetal and Infant Mortality Review (FIMR) is a process by which a
multidisciplinary community team is brought together to examine individual
cases of infant and fetal deaths in an effort to identify critical community
strengths and weaknesses as well as unique health and social issues
associated with poor outcomes. The FIMR case review team makes
recommendations for new policies, practices, or programs to improve
community systems, when appropriate. Community leaders representing
government, consumers, key institutions, and health and human services
organizations serve on the community action team, which reviews
recommendations, prioritizes identified issues, and designs and implements
interventions. The goal of the FIMR process is use the findings from the
review process to improve community resources and health service delivery
systems for women, infants, and families.
The National Fetal and Infant
Mortality Review (NFIMR) Program* is a collaborative effort between the
MCHB and the American College of Obstetricians and Gynecologists that
addresses FIMR issues. It includes a resource center that provides
information and advice about implementing the FIMR methods. Topics include
confidentiality, liability, data collection, home interview techniques,
coalition building, taking recommendations to action, coordinating with
other local mortality reviews, and using local FIMR information for regional
or state assessment and planning. Referrals to expert consultants are
available. Resources can be accessed via the NFIMR website.
Back-to-Sleep Campaign
SIDS Support and Bereavement*
Association
of Maternal & Child Health Programs* (AMCHP) Supports state maternal and
child health programs and provides national leadership on issues affecting
women and children.
National Data Sources for Trends in Infant Mortality
Infant Mortality Statistics, Birth/Infant Death Data Set from
National Center for
Health Statistics (NCHS) Vital Statistics Reports
Available reports in PDF format
2002 |
2001 |
2000 |
1999 |
1998
Explaining the Infant Mortality Increase
National Infant Sleep Position Study*
Pregnancy Risk
Assessment Monitoring System (PRAMS)
Peristats (March of Dimes) http://www.marchofdimes.com/peristats/*
* |
Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at these links.
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Page last reviewed: 10/24/08
Page last modified: 10/24/08
Content source:
Division of Reproductive Health,
National Center for Chronic
Disease Prevention and Health Promotion
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