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PROMPT (Practical Obstetric Multi-Professional Training) is an international organisation providing training tools and resources to support multi-professional maternity teams providing care during obstetric emergencies. This is the fourth edition of the Manual, which summarises key evidence-based knowledge for a range of obstetric emergencies. Including 23 chapters covering both common or immediately life-threatening obstetric emergencies, this Manual also features wider considerations, such as civility and teamworking, that are required for safe multi-professional working in maternity care. New chapters in this edition include mental health, equity and equality, impacted fetal head, unplanned preterm birth and diabetes emergencies in pregnancy. The content is highly readable, with accessible content, frequent use of figures, tables and flow charts to present the evidence-based concepts in an easily digestible format. PROMPT is known for clear, logical and easy-to-follow algorithms and tools to be utilised in obstetric emergencies, ensuring safe and inclusive care for women and their babies.