Current through all regulations passed and filed through September 16, 2024
(A)
When applicable
and available, each FIMR board will use the director's data collection tool or
the national fetal-infant death review database to record the following
information:
(1)
Demographic information that includes:
(a)
Age of the
child;
(b)
Sex of the child, identified as male or
female;
(c)
Race of the child, identified as black, white, American
Indian, Asian, Alaskan native, native Hawaiian, Pacific islander, unknown or
multiple; and
(d)
Ethnicity of the child, identified as Hispanic or
Latino origin.
(2)
Infant death information that includes:
(a)
Gestational
age;
(b)
Birth weight;
(c)
Multiple
gestation;
(d)
Mother's number of pregnancies;
(e)
Mother's number
of live births;
(f)
Mother's number of living children;
(g)
Prenatal care
provided during pregnancy of deceased infant;
(h)
Access or
compliance issues related to prenatal care;
(i)
Medical
conditions/complications during pregnancy;
(j)
Medical
complications in previous pregnancies;
(k)
Medication, drug
or substance use during pregnancy;
(l)
Infant born drug
exposed;
(m)
Infant neonatal abstinence syndrome
(NAS);
(n)
Level of birth hospital;
(o)
At hospital
discharge, was a case manager assigned;
(p)
Whether mother
attended postpartum visit;
(q)
Did the infant
stay in NICU more than one day;
(r)
Did mother smoke
in three months before pregnancy;
(s)
Did mother smoke
any time during pregnancy;
(t)
Was mother
injured during pregnancy;
(u)
Did mother have postpartum depression;
(v)
Was infant ever
breastfed;
(w)
Did infant have abnormal metabolic newborn screening
results; and
(x)
Prior to last seventy-two hours of life, did infant
have history of medical conditions, symptoms, injury, vaccine administration,
medications, feeding.
(3)
Fetal/infant
death information that includes:
(a)
Was mother using birth control in 3 months prior to
this pregnancy;
(b)
Where was prenatal care most frequently provided for
this pregnancy;
(c)
Which type of provider most frequently provided
prenatal care for this pregnancy;
(d)
Were there any
signs of fetal distress;
(e)
Were any birth defects noted; and
(f)
Maternal
interview completed.
(4)
Death related
information that includes:
(a)
Year of child's death;
(b)
Geographic
location of death; and
(c)
Cause of death.
(5)
Contributing
factors to death that includes death related to sleeping environment:
(a)
Was death related
to sleeping/sleep environment;
(b)
Incident sleep
space;
(c)
Position of child when put to sleep;
(d)
Position of child
when found;
(e)
Usual sleep position;
(f)
Availability of
suitable sleep location;
(g)
Usual sleep space;
(h)
Child in new or
different environment;
(i)
Child placed to sleep with pacifier;
(j)
Child wrapped or
swaddled in blanket;
(k)
Child overheated;
(l)
Child exposed to
second-hand smoke;
(m)
Position of child's face when found;
(n)
Position of
child's neck when found;
(o)
Status of child's airway;
(p)
Objects in
child's environment and relation to airway obstruction;
(q)
Caregiver/Supervisor fell asleep when feeding
child;
(r)
Child sleeping in same room as
caregiver/supervisor;
(s)
Child sharing sleep surface with person(s) or
animal(s);
(t)
Reasons for sharing sleep surface; and
(u)
Scene re-creation
photo available.
(6)
Data quality
information that includes:
(a)
Was a home interview conducted;
(b)
Data entry
completed for the case; and
(c)
Preventability of
the death.
(B)
By April first of
each year, each FIMR board will prepare and submit an annual report to the
department of health in a manner and format that is prescribed by the director.
The report will include all of the following with respect to the fetal or
infant deaths in the calendar year specified by the director.
(1)
The total number
of fetal and infant deaths in the county or region, whichever is applicable to
the FIMR board submitting the report;
(2)
The total number
of fetal death reviews completed by the FIMR board;
(3)
The total number
of infant death reviews completed by the FIMR board;
(4)
The total number
of fetal and/or infant death reviews not completed by the FIMR board;
and
(5)
A summary of the demographic and death related
information as specified in paragraph (A) of this rule.
(C)
The
annual report may include recommendations on how to decrease the incidence of
preventable fetal and infant deaths in the board's jurisdiction and the state,
as well as any other information the board determines should be
included.