The Perinatal Quality Foundation grew out of the Society of Maternal-Fetal Medicine (SMFM) and is an independent affiliate of SMFM. The Perinatal Quality Foundation Board and volunteers are comprised of some of the most respected clinicians in Obstetrics. The Perinatal Quality Foundation initiated the Nuchal Translucency Quality Review (NTQR) program in 2005. The Cervical Length and Education Review (CLEAR) Program was begun in 2011 and the Fetal Monitoring Credentialing (FMC) Program in 2013. Our new program, Genetic Education Module (GEM) will be released this month (October 2016). The mission of the Perinatal Quality Foundation is to improve the quality of Obstetrical services. Hospital Labor and Delivery units are a primary focus for improvement in fetal safety. The foundation is committed to disseminating safe and excellent obstetrical practice protocols, to providing clinician and provider education, monitoring measures, and consensus discussions on emerging obstetrical technologies and to supporting research.