This chapter starts with the anatomy and physiology of pregnancy and the approach to managing a severely ill or injured pregnant patient. It covers taking a history and examination, before describing the management of specific issues. These include shock, ectopic pregnancy, miscarriage, toxic shock syndrome, antepartum haemorrhage, placental abruption, hypertensive disorders (eclampsia and pre-eclampsia), pre-term labour, trauma in pregnancy, and normal labour. The chapter goes on to goes on to describe the retained placenta, abnormal labour, and normal birth. Neonatal resuscitation, and the circumstances in which it should be stopped, are explained.