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APHA Scientific Session and Event Listing

Recorded presentation

Kathleen Buckley, MSN CNM¹, Patricia Price-Green, MSPH², Hani Atrash, MD, MPH², and Ann Koontz, DrPH, CNM³. (1) American College of Obstetricians and Gynecologists, National Fetal and Infant Mortality Review Program, 409 12th Street SW, Washington, DC 20024, 2028631630, kbuckley@acog.org, (2) Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, 1600 Clifton Rd, Atlanta, GA 30333, (3) Health Resources and Services Administration, Maternal and Child Health Bureau, 5600 Fishers Lane, Rockville, MD 20857

Fetal Alcohol Spectrum Disorders (FASD) are among the leading known preventable causes of mental retardation and birth defects. FASDs are 100% avoidable when women do not consume alcohol during pregnancy. The Centers for Disease Control and Prevention's National Center on Birth Defects and Developmental Disabilities is working with the National FIMR Program (NFIMR) to develop and implement a new, community based FIMR review of cases focused on understanding why women continue to drink during pregnancy and improving services and resources for women who are at risk to deliver an infant with FASD. Two FIMR programs located with the Detroit City Health Department and MedChi in Baltimore, Maryland are currently piloting this adaptation of FIMR. This poster will present the initial outcomes of these reviews including FIMR actions taken to screen for alcohol use during pregnancy; implement pregnant women's programs for alcohol cessation or pre-pregnancy contraceptive use; and improve women's health and systems of care and community resources focusing on women's alcohol cessation. The benefits of conducting these targeted reviews and the characteristics of the at-risk women will also be described.Lessons learned from this pilot will be used to aid other FIMR projects across the nation that wish to address FASD.

Learning Objectives:

• Describe the fetal and infant mortality review (FIMR) process
• List components of FIMR useful to an FASD review
• Describe initial outcomes and lessons learned lessons the FASD/FIMR pilots in Detroit and Baltimore

Keywords: Alcoholism, Children's Health

Related Web page: www.acog.org/goto/nfimr

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation