About the CMQCC

California Maternal Quality Care Collaborative (CMQCC) toolkits are excellent resources not just for hospitals and physicians but for women and families who want to make informed birth decisions.  Their first Toolkit to Support Vaginal Birth and Reduce Primary Cesareans was instrumental in reducing maternal morbidity throughout California by 55% in only seven years.

The key is their Maternal Data Center (MDC) which provides over 200 participating hospitals with metrics and benchmarking data that can be used in near real-time to improve outcomes.  By linking discharge data to birth certificates the CMQCC is able to compare hospital performance on a state and national level.  The MDC is currently being used by hospitals with labor and delivery wards in California, Oregon and Washington.

Their newest toolkit, Improving Health Care Response to Cardiovascular Disease in Pregnancy and Postpartum, contains guidelines, best practice tools, and articles for OB’s, primary care providers, and emergency medical physicians including:

  • Guidelines for OB providers regarding adult valvular disease,
  • Guide to medications for pregnant and breastfeeding women with cardiovascular disease, and
  • Contraception information for women with heart disease.

CMQCC: A Quality Source for Childbirth Education

The toolkits and MDC are available to anyone, including pregnant families.  Most women and their partners are interested in learning about the birth process but find friends, family, and social media cite resources that are not reputable yet spread “so fast that it outruns fact-checkers’ ability to check it. Misinformation spreads widely before it can be downgraded in the algorithms.”  (NYT Oct, 2017)  The result is families being bombarded with advice yet unsure where to turn for factual, evidence-based information.

Taking a childbirth class is an excellent start.  Your Lamaze Certified Childbirth Educator will encourage you to do your own research and can aid you in finding evidence based data that is timely and relevant.  One resource, in addition to Science and Sensibility, the Journal of Perinatal Education and the Cochrane Library is the CMQCC toolkits.

The CMQCC’s mission is “mission is to end preventable morbidity, mortality and racial disparities in California maternity care.”

The California Maternal Quality Care Collaborative is a multi-stakeholder organization committed to ending preventable morbidity, mortality and racial disparities in California maternity care. CMQCC uses research, quality improvement toolkits, state-wide outreach collaboratives and its innovative Maternal Data Center to improve health outcomes for mothers and infants.

CMQCC was founded in 2006 at Stanford University School of Medicine together with the State of California in response to rising maternal mortality and morbidity rates. Since CMQCC’s inception, California has seen maternal mortality decline by 55 percent between 2006 to 2013, while the national maternal mortality rate continued to rise.


There are currently five toolkits available:

  1. Supporting Vaginal Birth and Reducing Cesareans
  2. Preeclampsia
  3. OB Hemorrhage
  4. Early Elective Deliveries
  5. and Cardiovascular Disease

And coming soon, Improving Health Care Response to Venous Thromboembolism in Pregnancy and Postpartum.

Visit the CMQCC website for the latest updates, to download toolkits, access the MDC, and see if your hospital is a member.