Mortality Review Program
Perinatal Mortality Review Program (PMRP) is a public health
approach to improving fetal, infant and maternal outcomes
in the state of Utah. The Utah Department of Health is responsible
for the oversight and coordination of the program. The program
is based on the National Fetal and Infant Mortality Review
individual case review, the PMRP identifies contributing
factors that may lead to perinatal death. Most cases have
a number of interrelated factors that contribute to the
death. In general, no single deciding factor alters the
course of events.
reviews are conducted by a committee of professionals. Committee
members provide analytical skill, community perspective,
knowledge of public health issues, and clinical expertise.
The committee identifies contributing factors, assesses
the potential for improving perinatal outcomes, and makes
recommendations based on findings.
National Fetal and Infant Mortality Review Program lists
the following participating organizations: the American
Academy of Family Physicians, the American Academy of Pediatrics,
the American College of Obstetricians and Gynecologists,
the American College of Nurse-Midwives, the American Hospital
Association, and the Society of Perinatal Obstetricians.
deaths are analyzed in relationship to the following factors:
is obtained through medical records abstraction to assist
in identifying gaps in the health care delivery system.
may be obtained from:
of the Program
PMR process is not a scientifically rigorous approach to
identifying causes. Instead fetal, infant and maternal deaths
are sentinel events that can serve to identify episodes
of health care system failures, and the reasons behind such
reasons are then examined to determine if they represent
a consistent or alterable policy or if they represent an
unusual occurrence not amenable to corrections.
reviews result in the discovery of factors that may negatively
impact perinatal outcomes. Identifying these factors leads
to public health recommendations for changes that could
improve the outcome of future cases.
from committee deliberations are presented in report form
to appropriate organizations and individuals as a quality
improvement mechanism targeted at reducing the number of
poor perinatal outcomes throughout our state.
To Learn More:
and Infant Mortality
get more information call (801)273-2871 and ask for
the Perinatal Mortality Review Coordinator or email
The National Fetal and Infant Mortality Review (NFIMR) program