Background Many emergency calls that are birth-related occur without complexity but in some cases difficult issues arise which require varying levels of assistance. Paramedics’ involvement in birth is infrequent, therefore the practical and cognitive skills required to manage these cases have the potential to atrophy over time, particularly in the absence of interventions aimed at reducing their decline. The aim of this study was to examine the knowledge, attitude and practice of paramedics in managing obstetric cases in order to identify areas that may require targeted in-service education to address knowledge deficit.

Methods We have undertaken a cross-sectional study to explore the practices and learning needs of Registered Paramedics. Data were collected by a self-administered, anonymous and piloted Knowledge, Attitude and Practice (KAP) survey.

Results Four hundred and thirty-five participants commenced the survey, however 264 (39%) completed it. The median age of participants was 32 years (IQR 17, min/max 22,64). There were 150 (56.8%) female respondents, 112 (42.4%) males, and <1% of survey participants preferred not to describe their gender identity, or to self-describe. 81.8% were Advanced Care Paramedics and 12.1% Critical Care Paramedics. The median number of self-reported births attended during their career was n=2.0 (min/max 0,65). Antenatal complications and trauma in pregnancy were self-reported as areas of weakness, this was consistent with assessed knowledge evaluated. Participants agreed that having a comprehensive understanding in managing obstetric emergencies was important and strongly agreed to the need for regular in-service education.

Conclusion This study revealed that of all domains tested few participants indicated an excellent level of obstetric knowledge. The provision of regular in-service training for the management of this type of emergency is valued by paramedics.