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The purpose of the SJC FIMR Program is to better understand the causes of infant loss and stillbirth in St. Joseph County. Each case is reviewed by a multidisciplinary team of local health professionals and community members who examine how social, economic, health, environmental, and safety-related factors may have contributed to the loss.
The team identifies patterns, recommends changes in policy or practice, and helps guide local efforts to improve maternal and infant health for all families. These recommendations lead to the development of reports, initiatives, community resources, and educational materials for families—each designed to address the underlying factors contributing to fetal and infant loss.
Below you will find reports and resources created by the SJC FIMR Team to support professional and community action to improve maternal and infant health and reduce infant mortality and stillbirth in St. Joseph County.
Reports
Maternal Infant Health professionals and community members can use FIMR reports to inform educational development for birthing families, training for clinical settings, and program development.
2025 St. Joseph County Fetal Infant Mortality Review Annual Report
The SJC FIMR Annual Report is structured using a Perinatal Periods of Risk (PPOR) analysis, which combines infant deaths and stillbirths by weight, gestational age, and days of life into four key areas for action: Maternal Health, Maternal Care, Newborn Care, and Infant Health. This report provides insight into the main causes of infant loss and stillbirth in St. Joseph County, the recommendations for prevention, and a summary of community action initiatives that took place in 2025.
2024 Clinical Recommendations Report – SJC FIMR Program
This report provides clinicians with insight into the findings of the SJC FIMR Case Review Team, including recommendations for prevention of infant loss and stillbirth that can be implemented in day-to-day practice. The report also includes information about educational materials and local programs to assist in the care of patients.
Clinical Recommendations Report
FIMR Community Action Resources
Community Action initiatives are developed through a collaborative process with local partners, based on recommendations from the SJC FIMR Case Review Team. These efforts may include educational materials for families and professionals, community resource guides, public awareness campaigns, and other initiatives designed to improve maternal and infant health throughout St. Joseph County.
Information about current initiatives and access to related materials can be found below.
Perinatal Loss Guides for Providers and Families
SJC FIMR Caring for Patients After Perinatal Loss
Perinatal loss can be an incredibly painful experience, so supporting patients through grief requires sensitivity and specialized care. This guide outlines trauma-informed procedures to guide healthcare providers in providing effective and compassionate support for patients following a fetal or infant loss.
SJC FIMR Coping with the Loss of a Pregnancy or Baby
Grief is natural and expected when you experience the loss of a pregnancy or baby, and it impacts your whole being. You can experience emotional, thinking, physical, behavioral, and spiritual grief reactions, and some bereaved parents may experience trauma. There is support available to you. This guide is here to provide information, ideas, and helpful local and online resources you can use along the way.
Pregnant Worker Protection Act Information from EEOC.GOV
In 2023, a new law was passed to guide communication between employers and pregnant workers regarding reasonable pregnancy accommodations and pumping breast milk in the workplace. These guides and links provide information about the law for employers, healthcare providers, and expectant parents. This information is here to provide employers and employees with resources during their pregnancy and postpartum journey. The Community Action Team found this to be helpful information to share with local non-profits throughout the community.
For Employers
For Healthcare Providers
- Pregnant Worker Fairness Act Poster for Healthcare Providers
- Helping Patients Deal with Pregnancy– and Childbirth– related Limitations and Restrictions at Work Under the Pregnant Workers Fairness Act
For Pregnant and Postpartum Mothers
