Fetal, infant, and child death reviews are a longstanding public health effort to understand the circumstances of individual deaths and use individual and aggregate findings to prevent future fatalities and improve overall child health. Child death review (CDR) began in the United States in the late 1970s to better identify children who died of abuse or neglect; fetal and infant mortality review (FIMR) began in the mid-1980s as a response to the stagnant rates of infant mortality. Today, there are >1350 CDR teams and >150 FIMR teams across the United States, including in tribal communities, territories, and freely associated states. Since the 1990s, the Health Resources and Services Administration's Maternal and Child Health Bureau has supported fetal, infant, and child death review work through funding and thought leadership. The Health Resources and Services Administration-funded National Center for Fatality Review and Prevention provides support to CDR and FIMR teams, including a standardized data collection system for use by state and local CDR and FIMR teams. Although distinct processes, CDR and FIMR both use a public health approach to identify system gaps contributing to early death and make recommendations that impact programmatic and policy changes at the local, state, and national levels. Although progress has been made in standardizing data collection and deepening our understanding of fetal, infant, and child deaths, opportunities persist for preventing future deaths.

中文翻译：

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胎儿、婴儿和儿童死亡评论：降低死亡率和发病率的公共卫生方法。


胎儿、婴儿和儿童死亡审查是一项长期的公共卫生工作，旨在了解个体死亡的情况，并使用个体和汇总结果来防止未来的死亡并改善整体儿童健康状况。儿童死亡审查 （CDR） 于 1970 年代后期在美国开始，旨在更好地识别因虐待或忽视而死亡的儿童;胎儿和婴儿死亡率审查 （FIMR） 始于 1980 年代中期，作为对婴儿死亡率停滞不前的回应。今天，美国各地有 >1350 CDR 团队和 >150 FIMR 团队，包括部落社区、领土和自由联合州。自 1990 年代以来，卫生资源和服务管理局的妇幼健康局一直通过资金和思想领导支持胎儿、婴儿和儿童死亡审查工作。美国卫生资源和服务管理局 （Health Resources and Services Administration） 资助的国家死亡审查和预防中心 （National Center for Fatality Review and Prevention） 为 CDR 和 FIMR 团队提供支持，包括供州和地方 CDR 和 FIMR 团队使用的标准化数据收集系统。尽管流程不同，但 CDR 和 FIMR 都使用公共卫生方法来确定导致早逝的系统差距，并提出影响地方、州和国家层面计划和政策变化的建议。尽管在标准化数据收集和加深我们对胎儿、婴儿和儿童死亡的理解方面已经取得了进展，但预防未来死亡的机会仍然存在。