{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:11:22Z","timestamp":1791238282532,"version":"4.1.0"},"reference-count":67,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The vulnerability of maternity patients is exacerbated by the prehospital setting. EMS providers are often underexposed and undertrained for maternal emergencies, which further complicates care delivery. This review aimed to explore prehospital maternity\u2010related emergencies encountered by EMS providers, their experiences, and the training available for such cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medline, EMBASE, Maternity, Scopus, and Web of Science were searched for published studies in English from 01\/01\/2002 to 10\/08\/2024 using a pre\u2010set list of terms. Studies concerning prehospital maternity\u2010related events attended by EMS, the description or evaluation of maternity care training courses for EMS providers, were included. Eligible studies were critically appraised using the (MMAT) tool. An integrative synthesis was used in this review as the heterogeneity of the studies prevented a meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 9678 identified studies, 35 studies were included. Prehospital maternity\u2010related emergencies remain infrequent, less than 1% of EMS emergency calls globally, with a higher incidence rate in low\u2010income countries. Most of these were labor and childbirth\u2010related emergencies. Maternal and neonatal outcomes were positive, with less than 0.1% of maternal and infant mortality. Qualitative data highlighted providers' lack of confidence when attending to maternal emergencies. Language barriers and cultural competency should be considered when caring for maternal patients. Training courses included common maternal emergencies, and post\u2010training evaluations showed improvements in knowledge and skills for EMS providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EMS providers showed critical involvement during prehospital maternity\u2010related emergencies, indicating the importance of high\u2010quality training. When designing training courses, the unique environments of prehospital settings and the needs of their targeted population should be considered. Further research should explore the impact of training courses on patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70014","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T07:36:50Z","timestamp":1757662610000},"page":"3-21","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Maternity Related Emergencies in Prehospital Settings and Available Obstetric Training for Emergency Medical Services Personnel: An Integrative Review of Literature"],"prefix":"10.1111","volume":"53","author":[{"given":"Aljawharah","family":"Almubarak","sequence":"first","affiliation":[{"name":"Department of Women and Children's Health King's College London  London UK"},{"name":"King Abdullah International Medical Research Centre  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alshibani","sequence":"additional","affiliation":[{"name":"Department of Emergency Medical Services King Abdullah International Medical Research Centre, King Saud Bin Abdulaziz University for Health Sciences  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health King's College London Midwife, Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"\u201cMaternal Mortality \u201d2023 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/maternal\u2010mortality."},{"key":"e_1_2_12_3_1","unstructured":"\u201cMaternal Health \u201d2022 https:\/\/www.who.int\/health\u2010topics\/maternal\u2010health#tab=tab_1."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-018-0842-2"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.03.007"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.29045\/14784726.2023.9.8.2.52"},{"key":"e_1_2_12_7_1","volume-title":"StatPearls","author":"Beaird D. 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