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Promise and challenges of maternal health collaboratives. Quality-improvement collaboratives are just one of many tools used by health care delivery systems to address quality and safety gaps. These initiatives usually encompass specific aims, multidisciplinary teams, and information sharing. In the recent years, there has been a significant increase in the number of maternal health collaboratives with 31 states having a State Perinatal Quality Collaborative. These programs have shown promise with significant gains in the reduction of early elective deliveries. Further investments by stakeholders can help contribute the resources needed to evaluate the effectiveness and cost savings of maternal health collaboratives.