Paramedic Training (PESP)

Midwives are training paramedics across Ontario in out-of-hospital emergency childbirth skills.

The AOM, in partnership with the Ontario Base Hospital Group (OBHG), developed the Paramedic Emergency Skills Program (PESP): Managing Birth Out-of-Hospital to reflect the evolving scope of paramedic practice, including the Emergency Childbirth Medical Directive and Advanced Life Support patient care standards.

The PESP is a full-day, in-person event with simulated emergency childbirth scenarios providing paramedics with the knowledge, evidence-based practice and hands-on skills to manage out-of-hospital births with confidence and competence. Emergency scenarios include:

  • Uncomplicated childbirth, including nuchal cord management and placental delivery
  • Denied or hidden pregnancy, and other at-risk populations with limited prenatal care
  • Shoulder dystocia
  • Breech birth
  • Twin birth and multiple gestation
  • Malpresentation and cord prolapse
  • Postpartum hemorrhage

The PESP manual is available for purchase at our on-line store

For more information about the PESP program, please contact Laura Da Rocha for more details.