Alabama Administrative Code
Title 420 - ALABAMA STATE BOARD OF HEALTH
Chapter 420-7-5 - FETAL INFANT MORTALITY REVIEW
Section 420-7-5-.02 - Definitions

(1) ALABAMA PERINATAL QUALITY COLLABORATIVE (APQC). A collaborative network of teams working to improve the quality of care for mothers and_babies by identifying health care processes that need to be improved by using evidence-based, best practice methods to improve services and systems.

(2) CASE REVIEW TEAM (CRT). A multi-disciplinary and multi-agency committee that reviews Fetal and Infant Mortality Review (FIMR) cases and analyzes information collected from medical data abstractions and maternal or family interviews, or both, in such a way as to summarize findings, to create recommendations, to improve community resources, and service delivery systems. CRTs and Regional Perinatal Advisory Committees (RPACs) are frequently composed of many of the same members.

(3) COMMUNITY ACTION TEAM (CAT). CATs are composed of RPAC members and others, as appropriate.

(4) FIMR ABSTRACTOR. An ADPH nurse who reviews and abstracts relevant information from records on related fetal and infant deaths.

(5) FIMR COORDINATOR. An ADPH nurse who collects, reviews, and abstracts relevant information, and records related to fetal and infant deaths, coordinates CRT and CAT meetings, and schedules and conducts maternal and family interviews, or both.

(6) FIMR PROGRAM. A community-based case review program that focuses on fetal and infant mortality.

(7) FETAL DEATH. Death prior to the complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy. The death is indicated by the fact that, after the expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.

(8) INFANT DEATH. A death at any time from birth up to, but not including, 1 year of age (364 days, 23 hours, and 59 minutes from the moment of birth).

(9) LIVE BIRTH. The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy, which, after such expulsion or extraction, breathes, or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.

(10) MATERNAL DEATH. The death of any woman during pregnancy, childbirth, post-partum period, and up to 365 days from the end of pregnancy.

(11) MATERNAL MORTALITY FAMILY INTERVIEW. A voluntary interview conducted by the Maternal Mortality Review (MMR) Coordinator with the deceased mother's family.

(12) MATERNAL MORTALITY REVIEW COMMITTEE (MMRC). A multi-disciplinary and multi-agency committee appointed by the State Health Officer to provide advice and information to ADPH and the State Health Officer on reducing maternal morbidity and mortality. Additionally, the MMRC will serve as a forum in which providers and consumers of maternal care will meet and address issues of maternal morbidity and mortality, leading to a more effective and efficient statewide maternal care system.

(13) MMR COORDINATOR. An ADPH nurse who reviews and records relevant information related to maternal deaths, and coordinates the MMRC.

(14) MMR PROGRAM. A state-based case review program that focuses on maternal mortality.

(15) MATERNAL OR FAMILY INTERVIEW. A voluntary interview of the mother or family or both, of a deceased fetus or infant conducted by the FIMR Coordinator.

(16) RECORDS. Information from vital records, records obtained from hospitals, healthcare facilities, physician's offices, funeral directors, hospital bereavement staff or counselors, medical examiners or coroners, the state forensics lab, law enforcement, emergency medical transport services teams, social service providers, and community health workers, and other medical records deemed necessary for these reviews.

(17) RPAC. A multi-disciplinary and multi-agency committee appointed by the State Health Officer to provide advice and information to the State Perinatal Advisory Committee (SPAC) and the State Health Officer on regional perinatal concerns. Additionally, the RPAC will serve as a forum in which providers and consumers of perinatal care will meet and address issues of concern, leading to a more effective and efficient regional perinatal care system.

(18) SPAC. A multi-disciplinary and multi-agency committee appointed by the State Health Officer to advise ADPH in the planning, organization, and evaluation of the State Perinatal Program.