Impact Evidence of effect Maternal Outcomes Maternal outcomes PROMPT training aims to eliminate preventable harm in childbirth. Thankfully, in high income countries, maternal outcomes following childbirth have improved to the extent that maternal death and life-threatening maternal illness are now rare. However, preventable harm still complicates half the cases that have poor maternal outcomes. Maternal mortality in low and middle-income countries remains a significant problem. The introduction of PROMPT training in these settings has resulted in improved maternal survival: In a hospital in the USA, the introduction of PROMPT training saw a reduction in the rate of caesarean sections being performed. Reducing the rate of caesarean births in high-income settings can reduce complications of current (and subsequent) pregnancies, and remains a goal of the World Health Organization (WHO) bid to make childbirth safer. In Bristol, PROMPT training led to more rapid access to caesarean birth during emergencies.