Prehospital obstetrical or neonatal (OB/Neo) calls to emergency medical services (EMS) are more likely among patients of lower socioeconomic status and to result in an OB/Neo emergency. Paramedicine faculty have expressed the need for paramedic learners (PML) to increase confidence in these skills to promote health equity and improve maternal and neonatal health outcomes. Limited literature in use of simulation-based experiences (SBE) in prehospital settings have demonstrated improved confidence among EMS and the Zone of Simulation framework, indicates these scenarios fall into the high acuity-low occurrence quadrant, suggesting SBE may be advantageous over instruction. High-fidelity SBE improves confidence for learners in OB/Neo emergency situations.