Obstetric risks and difficulties are part of an anaesthetist’s everyday life and require close interdisciplinary collaboration with obstetricians. To manage these situations, routine and regular training is essential, as is knowledge of common algorithms. There is no time to lose when mother and baby are at risk and immediate action is necessary. In order to reduce obstetric injuries, every anaesthesiologist working in obstetric care should deal with the most common emergencies and have a good overview of concepts for these scenarios. Knowledge of absolute emergencies with high mortality such as postpartum haemorrhage, through to less drastic complications such as hypertensive diseases of pregnancy, is necessary to increase patient safety. An overview of the main interdisciplinary emergencies in the delivery room is provided in this chapter.