Advances in Maternal Fetal Medicine: Perinatal Quality Collaboratives Working Together to Improve Maternal Outcomes

Clin Perinatol. 2020 Dec;47(4):779-797. doi: 10.1016/j.clp.2020.08.009. Epub 2020 Oct 16.

Abstract

State-based perinatal quality collaboratives (PQCs) address preventable causes of maternal and infant morbidity and mortality by implementing statewide quality improvement (QI) initiatives. They work with hospital clinical teams, obstetric provider and nursing leaders, patients and families, public health officials, and other stakeholders to provide opportunities for collaborative learning, rapid-response data, and QI science support to achieve clinical culture change. PQCs show that the application of collaborative improvement science methods to advance evidence-informed clinical practices using QI strategies contributes to improved perinatal outcomes. With appropriate staffing, infrastructure, and partnerships, PQCs can achieve sustainable improvements in perinatal care.

Keywords: Birth equity; Maternal mortality; Maternal outcomes; Perinatal quality collaboratives; Quality improvement.

Publication types

  • Review

MeSH terms

  • Cesarean Section
  • Cooperative Behavior*
  • Female
  • Health Equity
  • Healthcare Disparities / ethnology
  • Humans
  • Hypertension, Pregnancy-Induced / therapy
  • Implementation Science
  • Long-Acting Reversible Contraception
  • Opioid-Related Disorders / therapy
  • Perinatal Care
  • Perinatology*
  • Postnatal Care*
  • Postpartum Hemorrhage / diagnosis
  • Postpartum Hemorrhage / prevention & control
  • Postpartum Hemorrhage / therapy
  • Pregnancy
  • Pregnancy Complications / therapy
  • Prenatal Care*
  • Quality Improvement*
  • United States