The goal of the Fetal and Infant Mortality Review (FIMR) Program is to prevent infant mortality and morbidity through the review of fetal and infant deaths in Maryland. The FIMR process is used as a 'warning system' and method for improving birth outcomes and systems of care surrounding pregnancy, childbirth and infancy. FIMR assesses how infant morbidity and mortality occurs in local communities and creates an action-oriented process for change. FIMR offers communities a way to discover unmet needs to improve the health of mothers and infants. FIMR is an action-oriented community process that continually assesses, monitors, and works to improve service systems and community resources for women, infants, and families. A fetal or infant death to a community resident is the event that begins the process.