This report is a significant contribution to the understanding of maternal health care in Washington state. It presents statewide findings, focusing on the pregnancy life cycle – prenatal care, labor and delivery, and postpartum care. Initiated from discussions with multiple state agency partners, this report aims to identify gaps and opportunities to enhance perinatal health care access and utilization in Washington. “Perinatal” refers to the period that includes prenatal (time before the birth), labor and delivery, and postpartum (time after the birth). Building on previous efforts from Washington state agencies and partners, this report serves as a crucial foundation for improving maternal health outcomes.