One of the biggest issues faced in perinatal care in Maine is prenatal drug exposure. With no end in sight to this heartbreaking epidemic, urgent improvements to perinatal health care in Maine must be made. Stakeholders from across the maternity care system need to come together to collaborate and communicate to improve the quality of care and the experience of women and newborns throughout the perinatal period in every care setting.


Qualidigm created the Perinatal Quality Collaborate for Maine (PQC4ME) in 2018. PQC4ME is a stakeholder and member-driven collaborative dedicated to influencing and affecting the outcomes for women and their babies during the childbearing year and the newborn period. The initiative works to:

  • Provide ongoing education opportunities
  • Collaborate with existing agencies to utilize a data-driven approach to guide improvement
  • Offer recommendations to support rules, laws, policies and practices which remove barriers and improve outcomes
  • Create a perinatal quality collaborative and secure funding for a needs assessment


PQC4ME provided Eat, Sleep Console (ESC) training to 17 hospital units in the state thanks to a discretionary meeting grant from MeHAF. ESC is utilized for infants born with substance exposure. The training was so popular that funding was secured from the Hannaford Charitable Foundation to host another round of training as well as coaching calls for these hospital teams as they work to implement Eat, Sleep Console.

PQC4ME also rolled out the Snuggle ME project, which aims to improve care and coordination for women and children affected by substance use during pregnancy. The Snuggle ME project is an integrated effort of the Maine Quality Counts, Maine Chapter of the AAP, Maine CDC, maternity care providers including high risk maternal fetal medicine, OB/GYN, family medicine, nurse midwives, nurse practitioners, pediatricians and neonatologists with representatives from EMMC, MMC, and CMMC, MaineGeneral, Penobscot Bay Medical Center, Franklin Memorial, Mayo Regional, ACOG, Office of Substance Abuse, WIC and lactation consultants. Together, they created recommendations for care. The original Snuggle ME guidelines (2012) are posted on the Maine CDC website.