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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."


Next Webinar

Breastfeeding and Human Milk Quality Improvement Initiatives

Thursday, October 16, 2014, 1pm – 2:30 pm Eastern Time

Jennifer Ustianov MS BSN RN IBCLC
Senior Director, NICHQ
Project Director, Best Fed Beginnings

Michele Walsh MD MS Epi
Chief, Division of Neonatology and Professor of Pediatrics
Rainbow Babies & Children’s Hospital, Case Western Reserve University
Neonatology Lead, Ohio Perinatal Quality Collaborative

This Webcast will present a discussion of quality improvement initiatives addressing human milk and breastfeeding, including use of human milk in the neonatal intensive care setting and improving support for breastfeeding in hospitals. Participants will have the opportunity to ask questions and participate in the discussion.

At the end of this program, participants will be able to:

  • Describe the impact of human milk on neonatal morbidity in the neonatal intensive care setting.
  • Discuss strategies to improve support for breastfeeding in hospitals, including the WHO/UNICEF Baby-Friendly Hospital Initiative.
  • Outline how quality improvement methods can be employed to support changes in practice.

To register for this event:
1. Go to the following URL:
2. Provide your information for the event leader and then click submit.
3. You will receive a *passcode and PIN to access the audio portion of the webinar.

Webinar participation on the day of the event (*A passcode and PIN will be required to ensure entry):

  • To join the Web portion, click on:
  • To join the audio portion, dial 1-888-469-2183 (toll free).
    • Enter the passcode and PIN that you received in your registration confirmation.
    • If you did not register and do not have a PIN, enter the passcode 6488794 and hold for an operator.  NOTE: there is a lengthy hold time, during which you will be asked for your PIN multiple times before being rerouted.  You may still be able to join the Webinar, if space is available. 

Accreditation Statements:
CME:  The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians.

The Centers for Disease Control and Prevention designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE:  The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity provides 1.5 contact hours.

CEU:  The Centers for Disease Control and Prevention is authorized by IACET to offer 0.2 CEU's for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 0. CDC provider number GA0082.

DISCLOSURE:  In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.

CDC, our planners, presenters, and their spouses/partners wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Planners have reviewed content to ensure there is no bias. 
Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.

CDC does not accept commercial support.

To receive continuing education (CE): After completing the activity, go to and register for course WC2399. You will be required to complete an evaluation and pass a posttest at 75% in order to obtain the credit or contact hours. Thirty days from the initial session, the course number will change to WD2399.

Fees: There are no fees for CE. 


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.

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