About the Perinatal Quality Foundation CLEAR program

The Perinatal Quality Foundation was established in 2005. The mission of the Perinatal Quality Foundation is to improve the quality of Maternal-Fetal Medicine medical services by providing state of the art educational programs, and evidence-based, statistically valid monitoring systems to evaluate current practices and facilitate the transition of emerging technologies into clinical care.

The initial focus of the Perinatal Quality Foundation (PQF) was the Nuchal Translucency Quality Review (NTQR) program. With maturation of the NTQR program the Board of Directors turned their attention toward a broader mission and additional clinical initiatives that could be facilitated through foundation efforts.

As evidence built to support a role for progesterone to prevent preterm birth in subsets of patients with short cervical length, the need to standardize the measurement of the cervix became apparent. PQF convened a task force in November 2011 with representatives and experts. Membership on the task force included representatives from the American College of Radiology (ACR), the American College of Obstetrics and Gynecology (ACOG), the American College of Osteopathic Obstetrics and Gynecology (ACOOG), the American Institute of Ultrasound in Medicine, the Society of Diagnostic Medical Sonographers (SDMS), and the Society of Maternal Fetal Medicine (SMFM). The task force developed a consensus education initiative that presented standard criteria for sonographic cervical measurement in pregnancy.

The Cervical Length Education and Review program (CLEAR) is a product of task force deliberations. The CLEAR program provides educational lectures, optional examinations, and scored image reviews. Those who complete the lectures and who pass the examination and image review receive documents verifying that they have completed the CLEAR program. They also qualify for CME provided by both SDMS and ACOG. Names of those who complete the program are listed on the CLEAR website.

The volunteers and staff involved in the development of the CLEAR program hope that the site will facilitate measurement of the cervix in a standard and accurate manner. The site is designed for education and practice.

Please contact us if you have suggestions or questions at CLEARSupport@perinatalquality.org.