Every year in the United States, about 23,000 babies who are born alive do not survive to their first birthday. An almost equal number of babies are stillborn, without signs of life. While fetal and infant mortality in the United States has improved, disparities persist between whites and persons of color, especially African Americans, Latinos and Native Americans. Fetal and Infant Mortality Review (FIMR) is a community based, action-oriented process aimed at improving services, systems, and resources for women, infants, and families. FIMR brings a multidisciplinary community team together to examine confidential, de-identified cases of fetal and infant deaths. Review of individual cases helps teams understand families’ experiences, including racism, and how those experiences may have impacted maternal and child outcomes.