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Thurston County, Washington

The content on the Thurston County website is currently provided in English. We are providing the “Translation” for approximately 10 languages. The goal of the translation is to provide visitors with limited English proficiency to access information on the website in other languages. The translations do not translate all types of documents, and it may not give you an exact translation all the time. The translations are made through an automated process, which may not result in accurate or precise translations, particularly of technical and legal terminology.

Public Health and Social Services


Fetal Infant Mortality Review (FIMR) teams are composed of diverse professionals who convene to analyze the root causes of fetal and infant deaths in their local areas. Through identifying the factors leading to each fatality, our team can create joint strategies for prevention, address racial and ethnic gaps in birth results, and enhance maternal well-being.

Thurston County is the first county in Washington State that is working to review fetal and infant deaths and is funded by the National Center for Fatality Review & Prevention. 

Please contact Lisa Ostler at with questions about the structure of FIMR in Thurston County.

Share Your Story | Fetal Infant Mortality Review Referral Form

Sharing your story can honor your baby’s life and may help save the lives of others.

Image of two pregnant women standing in sun light


Support & Prevention

If you recently suffered the loss of a baby during pregnancy, after birth or up to the first year of life, the Fetal Infant Mortality Review (FIMR) Program of Thurston County would like to extend our deepest sympathy. Your experiences are unique to you and your family. Sharing your story can provide vital information about your experiences with registered nurses that would otherwise never be known. The Thurston County FIMR team would like to hear your story and support you in your journey. By sharing your experience, you can help improve future pregnancy outcomes and infants lives in the community.

Share Your Story

Why Should I Share my Story? 

Your story will help create changes in community services such as:

  • Increase awareness about infant loss through education
  • Improve healthcare systems
  • Policy changes
  • Creates helpful resources for patients and families
woman sitting on edge of bed drinking out of cup

We want all babies to sleep safely. Each year, more than 3,500 U.S. infants die suddenly and unexpectedly. Many of these deaths occur in an unsafe sleep environment. The tools and information below follow the American Academy of Pediatrics 2022 Recommendations for a Safe Infant Sleeping Environment 

The ABCs of Safe Sleep 

We want all families to follow the ABCs of infant safe sleep: alone, on the back, in a crib or Pack ‘n Play®, and in a smoke-free environment. Intended for parents and families with infants, this video provides an overview of safe sleep best practices from the perspective of a new mom.


The letters in PURPLE stand for…

  • Peak of crying. Your baby may cry more each week, the most in month 2, then less in months 3–5.
  • Unexpected. Crying can come and go and you don't know why.
  • Resists soothing. Your baby may not stop crying no matter what you try.
  • Pain-like face. A crying baby may look like they are in pain, even when they are not.
  • Long-lasting. Crying can last as much as 5 hours a day, or more.
  • Evening. Your baby may cry more in the late afternoon and evening.

The word “period” means that the crying has a beginning and an end.

If you are worried something is wrong with your baby, check with your doctor.

The letters in Purple acronym and what they stand for


Educational Materials 

Helping Grieving Families

Here are a few tools and resources to help take care of yourself and your family during your journey of grief.

Fetal and Infant Death Data

Fetal and infant death data provide key information about maternal and infant health. They are important factors in understanding a population’s overall health. Data on fetal and infant deaths help us track and understand health trends. The data highlight inequities that exist by geography, social and environmental exposures, and demographics, especially race and ethnicity. The data on fetal and infant deaths help us discover and evaluate preventive strategies to improve maternal and infant health.

Please contact us at (360) 867-2500 or email for general inquiries. This email is not monitored 24/7, please do not disclose any personal health information as this email is not HIPAA compliant.