Management of Obstetric Emergencies
Emergencies in pregnancy and birth are uncommon, and most can be treated safely when they are recognized early. If something worries you, come in without delay. We will support you calmly and clearly, explain what is happening, and act quickly to protect you and your baby.
Key points
- Many emergencies begin with warning symptoms; early action keeps you and your baby safer.
- A trained team is available at all times with clear protocols for rapid assessment and treatment.
- You will be monitored closely, your comfort and privacy are respected, and a companion can usually stay with you.
- Treatments may include medicines, fluids, antibiotics, blood products, or a timely birth when that is the safest option.
- Your baby’s well-being is checked continuously, and the newborn team is present if needed.
- After the event, we debrief with you, make a follow-up plan, and support your recovery.
Evaluation and treatment: what to expect
- On arrival, we check your breathing, pulse, blood pressure, oxygen level, temperature, and the baby’s heart rate.
- An intravenous line may be placed for fluids and medicines, blood tests are taken, and a bedside ultrasound may guide care.
- If blood pressure is very high, we treat it promptly and may use magnesium to protect you from seizures.
- If there is heavy bleeding, we give medicines to help the womb contract, fluids, and blood products if required, and may use a balloon device or surgery when needed.
- If infection is suspected, we start antibiotics quickly and support breathing and blood pressure.
- If the baby is not coping or your condition requires it, we discuss a timely birth, vaginal or caesarean, with clear explanations and consent whenever possible.
- After things settle, we observe you for safety, answer questions, and plan next steps and follow up.
Emergency State?
In urgent situations, contact immediately for help.

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When to seek urgent care
Go to hospital or call emergency services now if you have heavy bleeding, severe constant abdominal pain, waters that are green or brown, fever 38°C or higher, severe headache, vision changes, sudden swelling of face or hands, chest pain or shortness of breath, one calf that is swollen, red, or painful, seizures or fainting, baby movements that stop or noticeably slow, or Labor before 37 weeks.
Action plan
From the third trimester, get to know your baby’s usual movement pattern, and seek help if movements reduce.
Keep emergency numbers saved on your phone and arrange transport plans for any time of day or night.
Attend all antenatal visits, take prescribed medicines, and monitor blood pressure at home if advised.
Keep an emergency bag ready, ID, insurance details, current medicines, and a list of allergies.
If you are Rhesus negative and have any bleeding, call for advice the same day.
Learn the warning signs above and come in immediately if they occur; do not wait to see if they pass.
FAQ - Management of Obstetric Emergencies
Frequently Asked Questions
These FAQs offer general information for patients. They do not replace medical advice. For urgent concerns, contact your local emergency number or visit the nearest emergency department.
Heavy bleeding, severe constant abdominal pain, green or brown waters, fever, severe headache or vision changes, chest pain or shortness of breath, a swollen, painful calf, seizures or fainting, reduced or absent baby movements, or Labor before 37 weeks.
We assess you and your baby at once, check vital signs, place a line for fluids or medicines if needed, and perform bedside tests to guide care. You will be kept informed at every step.
Usually yes. In some procedures, there are short periods when your companion may need to wait just outside. We will explain what to expect.
We give medicines that help the womb contract, provide fluids, and use blood products if required. A uterine balloon or a surgical procedure may be needed. Our goal is to control bleeding quickly and safely.
Severe headache, vision changes, pain under the ribs, swelling of the face or hands, and high blood pressure. If seizures occur, that is eclampsia. We treat blood pressure and give magnesium to protect you.
Come in the same day. We will check the baby’s heart rate pattern and may perform an ultrasound. Trust your instincts; if movements feel different, seek care.
This can mean the baby has passed meconium. We will assess you and your baby, monitor closely, and plan a birth if needed.
We begin antibiotics quickly, check blood tests, and support breathing and blood pressure if required. Early treatment helps prevent complications.
Call emergency services. In the hospital, we protect your airway, give magnesium, and treat any underlying cause, such as severe preeclampsia.
When a rapid birth is needed, a caesarean can be the safest option. The team prepares quickly and talks you through the plan. Anesthesia is chosen for speed and safety, usually spinal or general, in very urgent situations.
We use safe medicines and techniques suited to the situation. Tell us how you feel so we can adjust treatment.
If significant bleeding occurs, a transfusion may be recommended. Blood is carefully screened and matched. We discuss benefits and risks with you when time allows.
You will usually be offered anti-D to protect future pregnancies. Please remind the team of your blood group if you know it.
If you and the baby are stable, we support skin-to-skin and early feeding. If extra care is needed, we help you bond as soon as it is safe.
We observe you for a safe period, explain what happened, answer questions, and make a follow-up plan. Emotional support is available. Please tell us how you feel.
Often no. Some events, such as severe preeclampsia or a caesarean for specific reasons, guide planning in future pregnancies. We will review this with you at the follow-up.
Only essential staff are present. We communicate respectfully and clearly, and your consent is sought whenever possible.
Yes. Ask the team how to request your notes, test results, and discharge summary.
Know the warning signs, keep numbers handy, have a small bag ready, and discuss your plan at your next visit so you know where to go and whom to call.