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Perinatal Quality Collaboratives

State Perinatal Quality Collaboratives (PQCs) are networks of perinatal care providers and public health professionals working to improve pregnancy outcomes for women and newborns by advancing evidence-based clinical practices and processes. PQCs include hospitals, pediatricians and neonatologists, obstetricians and perinatologists, midwives, nurses, and state health department staff.

PQC members identify care processes that need to be improved and use the best available methods to make changes and improve outcomes. State PQCs include key leaders in private, public, and academic health care settings with expertise in evidence-based obstetric and neonatal care and quality improvement.

PQC states map.

Many states currently have active collaboratives, and others are in development.

In September 2014, CDC awarded six states for the State-Based PQCs Cooperative Agreement (California, New York, Ohio, Illinois*, Massachusetts*, and North Carolina*). Funding will enhance the capabilities of PQCs to improve perinatal outcomes by improving the quality of perinatal care in their states. These PQCs will improve the quality of perinatal care in these states by reducing maternal morbidity and mortality, reducing scheduled deliveries without a medical indication (also known as elective deliveries) before 39 weeks gestation, increasing use and documentation of use of antenatal steroids for impending preterm births, increasing breastfeeding rates, and reducing hospital-acquired neonatal infections.*New states.

Success Stories

The New York State Perinatal Quality Collaborative (NYSPQC) Success Story [PDF - 364KB] details the perinatal quality improvement work supported by CDC’s Division of Reproductive Health. The story outlines NYSPQC’s steps, strategies, and lessons learned in reducing scheduled cesarean sections (C-sections) and inductions without a medical indication from 36 up to 39 weeks of pregnancy.

PQC Webinar Series

CDC funds statewide PQCs in California, New York, and Ohio and worked with these networks to sponsor a series of Webinars from October 2012 through August 2013. These Webinars were intended to help PQCs share knowledge and experiences, and teach other states how to start, maintain, and grow their own collaboratives.

Due to an overwhelming response, a second series of Webinars is being held in 2013–2014, focusing on specific perinatal quality improvement initiatives. Webinars are available to participants in all states. To receive updates about future Webinars, sign up for e-mail updates by entering your information on the upper-right side of this page, under "Get e-mail updates."

Continuing Education

As of May 2014, you may receive free continuing education for watching the CDC - Perinatal Quality Collaboratives Webinars. All continuing education is issued online through the CDC/ATSDR Training & Continuing Education Online system. If you have continuing education questions, email or call Learner Support at 1-800-418-7246.

Those who attend the CDC - Perinatal Quality Collaboratives Webinars via Live Meeting or “web on demand” and who wish to receive continuing education must complete the online seminar evaluation and posttest. Thirty days from the initial seminar, the course number will change to WD2399.

Previous Webinars

Archived Webinars 2012 to present.


Henderson ZT, Suchdev DB, Abe K, Johnston EO, Callaghan WM. Perinatal quality collaboratives: improving care for mothers and infants. J Womens Health. 2014;23(5):368-372.

CDC Expert Commentary on Medscape: Reducing the C-section Rate image of video thumbnail

Dr. Wanda Barfield, MD, MPH, Director of CDC's Division of Reproductive Health, highlights the CDC PQC project in this video about the need to keep the rate of cesarean section going in the right direction. View video.

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