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 not currently available for purchase in our online store. Please contact Pamela Lukas at if you require purchasing. 

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