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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 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 currently funds 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 the quality of perinatal care in their states, including efforts to reduce maternal morbidity and mortality, reduce scheduled births without a medical indication, improve breastfeeding rates, and reduce hospital-acquired neonatal infections and neonatal morbidity.

Success Stories

The 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.

Public Health Grand Roundsgrand rounds image

CDC’s Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues. Save the date for the next Grand Rounds session, “Public Health Strategies to Prevent Preterm Birth”, on Monday, November 16, 2015 at 10AM ET. A live external webcast will be available.

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.

Grantee Highlights

A Webinar entitled Can We Prevent Infant Sleep-Related Deaths: What You Need to Know is scheduled for Thursday, November 19, 2015 from 9:00 to 10:00 AM EST. This Webinar, presented by the New York State Department of Health Division of Family Health and the Center for Public Health Continuing Education, will feature Michael H. Goodstein, MD, FAAP, Attending Neonatologist at York Hospital, Clinical Associate Professor of Pediatrics at Penn State University, and Medical Director of Research for Cribs for Kids®. Click here to register and for more information, view the informational flyer [PDF - 645KB].

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Find educational resources to support Perinatal Quality Improvement


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 still, CDC Expert Commentary on Medscape: Reducing the C-section Rate

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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