PRONTO was born in response to the WHO Millennium Development Goals (MDG) 4 and 5 and a call from the Mexican government to develop a program that focuses on improving the quality of care for women and neonates during obstetric emergencies.

PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies that act as a catalyst for health care providers to make individual, team, and systems changes.

PRONTO is...


PRONTO Communicates for Team Success

This is true team training – nurses, obstetricians, midwives, pediatricians, anesthesiologists, general medicine doctors, and technicians all work together and, therefore, all train together. Researched communication strategies from Team STEPPS facilitate teamwork, create team cohesion and increase efficiency.


PRONTO was Built to Last

Local training brigades make PRONTO sustainable and relevant. Follow-up training manuals remain in the clinical settings to ensure continuity. Materials are locally available and inexpensive.


PartoPants™ are Inexpensive and Easy to Make

A modified pair of recycled surgical scrub pants, PartoPants™ are worn by an actress who simulates a birth, a hemorrhage or an eclamptic seizure.

Highly Realistic

PRONTO gets your Heart Pounding

Simulations recreate the working environment allowing participants to fully immerse themselves in the scenario and work though problems as they would in a real emergency. The tactile, visual and auditory cues provide the scenario with psychological realism and allow the scenario to unfold in response to these cues and actions.

Humanized Birth

PRONTO Listens to Women

Promotes humanized birth through the practice of therapeutic communication with patients and their families.


PRONTO is on Location

Training takes place in the participants’ own work environment. It emphasizes the best use of available resources and identifies systems problems unique to the setting.

Objective Driven

PRONTO is Purposeful

All scenarios, activities and skills stations are based on cognitive, technical and behavioral objectives.

Evidence Based Medicine

PRONTO is Up-to-Date

Algorithms and objectives are based on the latest research, promoting Active Management of the Third Stage of Labor (AMTSL), magnesium sulfate for severe preeclampsia, basic life support, neonatal resuscitation, delayed cord clamping, among other practices and the cessation of harmful practices like the routine use of episiotomy, postpartum manual uterine exploration, and fundal pressure.


PRONTO Participants Teach Each Other

Scenario debriefing is based on techniques studied and established by the simulation community. Debriefs are participant generated, objective based and constructive.