I am a Nationally and Iowa Certified EMT as well as a Certified Professional Midwife.One of my passions is helping build bridges between first responders and midwives. I am happy to come to your local ambulance service or fire department and teach this 90 minute course. It is free of charge except travel expenses when applicable. Most stations receive CEUs. 

This class was presented at the 2021 IEMSA conference

Course Outline:

Special Delivery: Childbirth and EMS

 Attending the birth of a baby is a once or twice in a lifetime experience for most people! Homebirths happen throughout Iowa. Some are very fast surprise labor and deliveries. Some are planned with a midwife in attendance. This workshop will refresh your knowledge of childbirth, familiarize you with what you may be seeing, and help you recognize and react to rare but life-threatening complications. We will also discuss special transport needs for birthing women and newborns.


1.Identify What is in Your Birth Kit
2.Know Your Anatomy 
 -Female reproductive system
 -Cervix and vulva
3. Recognize the Stages of labor
 -Dilation and effacement
 -The cardinal movements
4.Know Iowa State protocols
5.State the Reasons for calling 911
6.Surprise home birth
7.Planned home birth

 - Video

9.What you will do
 -nuchal cord
 - Breech
 - Video
 - Placenta delivery

10.Recognize Advanced Complications  
 - Birth
 - Postpartum
 - Newborn

11.Transport Considerations
 - Mother

​email midwifemelanie@gmail.com for more info