Congenital Syphilis - Fetal Infant Morbidity Review

Texas uses the Fetal Infant Morbidity Review (FIMR) methodology to conduct enhanced reviews of congenital syphilis (CS) and perinatal HIV cases in Houston, San Antonio, and Dallas. Participants identify missed opportunities for disease intervention and barriers to medical care engagement that may have contributed to a CS or perinatal HIV diagnosis.

Case summaries consisting of medical chart abstractions and maternal interviews provide valuable insight into the maternal experience prior to, during, and after pregnancy. Meeting participants come from a variety of settings across the community, such as medical providers, members of healthcare systems, the public health sector, and representatives from systems who serve persons diagnosed with syphilis or HIV. Over the years, various trends in barriers to engagement in care emerged.

During a FIMR meeting, participants identify action items for community advocates to address, which may directly or indirectly cause a CS or perinatal HIV case or situations where key perinatal HIV prevention opportunities get missed. Follow-up outcomes vary, from direct provider outreach to changes in the law. Those interested in attending a FIMR meeting should check the current meeting dates below (CE credits are available).

FIMR Sites

Fetal Infant Mortality Review Boards

Fetal Infant Morbidity Review Board Meetings

Dallas: Dallas County Health and Human Services, 2377 N Stemmons Frwy, 6th Floor, Room 627, Dallas, TX 75207 (12:30 p.m. to 4:00 p.m.)

San Antonio: Urban Ecology Center, 8400 NW Military Hwy, San Antonio, TX 78231 (1:00 p.m. to 4:30 p.m.)

Houston: Sunnyside Multi-Service Center Auditorium, 4410 Reed Rd, Houston, TX 77051 (1:00 p.m. to 4:30 p.m.)

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