Pregnancy, labor and delivery is a life-changing experience for a mother and her family unit. The majority of pregnancies progress in a predictable, natural manner. However, there is the potential for life-threatening complications for the woman and fetus. Prompt recognition and treatment of these complications is essential. A paramedic can expect to encounter women in all stages of pregnancy, labor and delivery. The focus of this course will be on complications related to obstetrics. However, it must be emphasized that the majority of pregnancies are uneventful and require no intervention. It is essential to become familiar with the normal progression of pregnancy, labor, and delivery, so the abnormal can be quickly recognized. Timely and appropriate intervention can have lifelong benefits for Mom and baby.