Infant Mortality Lessons Learned from a Fetal and Infant Mortality Review Program.

Published

Journal Article

Objective To review fetal and infant deaths from women enrolled in Indianapolis Healthy Start using the National Fetal and Infant Mortality Review (FIMR) methods to provide strategies for prevention. METHODS: Marion County Public Health Department (MCPHD) FIMR staff identified and reviewed 22 fetal and infant deaths to Indianapolis Healthy Start program participants between 2005 and 2012. Trained FIMR nurses completed 13 of 20 maternal interviews and compiled case summaries of all deaths from the MCPHD FIMR database.. Results Case review teams identified a total of 349 family strengths, 219 contributing factors, and made 220 recommendations for future pregnancies. FIMR deliberation values for Healthy Start program participant deaths were similar to other infant deaths in Marion County during the same time period. Common themes that emerged from the reviews included lack of social support, absence of paternal involvement, substance abuse, non-compliance, and poor health behaviors leading to chronic health conditions that complicated many pregnancies. Conclusions A number of the infant deaths in this review could have been prevented with preconception and inter-conception education and by improving the quality and content of prenatal care.

Full Text

Duke Authors

Cited Authors

  • Brown, HL; Smith, M; Beasley, Y; Conard, T; Musselman, AL; Caine, VA

Published Date

  • December 2017

Published In

Volume / Issue

  • 21 / Suppl 1

Start / End Page

  • 107 - 113

PubMed ID

  • 29128989

Pubmed Central ID

  • 29128989

Electronic International Standard Serial Number (EISSN)

  • 1573-6628

Digital Object Identifier (DOI)

  • 10.1007/s10995-017-2384-y

Language

  • eng

Conference Location

  • United States