While infrequent, unplanned births before arrival (BBAs) are clinically significant events at which, conceivably, paramedics will be the first health professionals in attendance. This review aims to demonstrate that paramedics not only attend and transfer birthing women, but also use critical clinical and decision-making skills. It further proposes strategies that will support paramedics manage out-of-hospital obstetric emergencies.
McLelland, G. E., Morgans, A., & McKenna, L. G. (2014). Involvement of emergency medical services at unplanned births before arrival to hospital: a structured review. Emergency Medicine Journal, 31(4), 345 - 350. https://doi.org/10.1136/emermed-2012-202309