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Perinatal Quality Collaboratives

About 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 through continuous quality improvement. 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.

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

United States map. States with Perinatal Quality Collaboratives (PQCs) and CDC/Division of Reproductive Health funding include California, Illinois, Massachusetts, New York, North Carolina, and Ohio. States with PQCs include Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, New Hampshire, New Jersey, New Mexico, Oklahoma, Oregon, South Carolina, Tennessee, Texas, Utah, Vermont, Washington, West Virginia, and Wisconsin. States with unknown PQC status include Maine, Minnesota, Missouri, Montana, Nebraska, Nevada, North Dakota, Pennsylvania, Rhode Island, South Dakota, Virginia, and Wyoming

CDC is currently providing support for state-based PQCs in the following states: California, Illinois, Massachusetts, New York, North Carolina, and Ohio. Funding will enhance the capabilities of PQCs to improve the quality of perinatal care in their states, including efforts to reduce maternal morbidity associated with hypertensive disorders of pregnancy, improve the care for infants impacted by neonatal abstinence syndrome due to maternal substance abuse, improve the use of progesterone medication for reduction of preterm birth, and improve the accuracy and timeliness of birth certificate data.

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CDC Releases Resource Guide for Perinatal Quality Collaboratives


Developing and Sustaining Perinatal Quality Collaboratives - A Resource Guide for States [PDF - 556KB]


the CDC - PQC banner


CDC recognizes the value that PQCs can bring to improving perinatal health and worked with experts to develop a resource guide to help develop and advance the work of state PQCs. Topics in the guide include starting a statewide collaborative, launching initiatives, data and measurement, sustainability, and more. This guide is an online resource that includes links to other useful resources for perinatal quality improvement work. 

Download: Developing and Sustaining Perinatal Quality Collaboratives A Resource Guide for States [PDF - 556KB]

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Success Stories

The Ohio Perinatal Quality Collaborative, New York State Perinatal Quality Collaborative, and California Maternal Quality Care Collaborative success stories detail the perinatal quality improvement work supported by CDC’s Division of Reproductive Health.

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PQC Webinar Series

In partnership with CDC-funded collaboratives, the Division of Reproductive Health hosts regular Webinars that allow PQCs to share strategies related to their development as well as specific perinatal quality improvement initiatives. These Webinars are available to participants in all states. To receive updates about future Webinars, sign up for e-mail updates by entering your information in the box on this page entitled, “Get e-mail updates”. Recordings of previous Webinars are archived and available for viewing.

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.


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Next Webinar

The Alliance for Innovation on Maternal Health – a National Collaborative to Reduce Maternal Mortality and Severe Morbidity

Thursday, June 2nd, 2016 2:00pm – 3:30pm Eastern Time                                                                

Elliott K. Main, MD

Medical Director, California Maternal Quality Care Collaborative

Jeanne Mahoney, RN, BSN

Senior Director - Providers’ Partnership, American College of Obstetricians and Gynecologists

This presentation will provide an overview of maternal mortality in the United States, causes of severe morbidity and maternal mortality, and both California state and national multisector and multidisciplinary activities to address maternal morbidity and mortality.  Speakers will also discuss the development, collaborative nature, and national scope of the Alliance for Innovation on Maternal Health, including resources, measures, data center, sample data files, and staff. Participants will have the opportunity to ask questions and participate in the discussion.


  • Provide an overview of maternal mortality and severe maternal morbidity in the United States
  • Identify current California state and national multisector and multidisciplinary activities to address maternal mortality and severe maternal morbidity
  • Describe the development and national scope of the Alliance for Innovation on Maternal Health, including resources, measures, data center, sample data files, and staff

Register for this event. All the information you need to join the meeting is sent by email upon registration. This session is available for Continuing Education. Click here for more information [PDF- 146 KB]


Grantee Highlights

The California Maternal Quality Care Collaborative (CMQCC) recently released the Toolkit to Support Vaginal Birth and Reduce Primary Cesareans, a comprehensive, evidence-based “how-to” guide designed to educate and motivate maternity clinicians to apply best practices for supporting vaginal birth.   

The Toolkit contains key strategies and resources to:

  • Improve the Culture of Care, Awareness, and Education for Cesarean Reduction
  • Support Intended Vaginal Birth
  • Manage Labor Abnormalities and Safely Reduce Cesarean Births
  • Use Data to Drive Reduction in Cesareans


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Find educational resources to support Perinatal Quality Improvement

Learn More About PQCs

Public Health Grand Rounds 	Image of welcoming hands

CDC’s Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues. The November 2015 session, Public Health Strategies to Prevent Preterm Birth, discusses how concerted efforts to improve surveillance data, better medical care and prevention, and stronger public health partnerships, can accelerate progress in reducing preterm births and improving neonatal outcomes. View the archived presentation and Beyond the Data video.

CDC Expert Commentary on Medscape: Reducing the C-section Rate 	video-expert-commentary_100px.jpg

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.


The following article discusses CDC-supported perinatal quality improvement activities in California, New York, and Ohio. You may view the abstract for this article using the U.S. National Library of Medicine's PubMed service. Reference: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.

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