**1. Introduction**

Intrapartum emergencies are rare, but can be associated with significant maternal and fetal morbidity and mortality. It is important to know how to respond rapidly and appropriately. This chapter reviews selected issues and nursing care associated with emergencies in the intrapartum period, including cord prolapse, shoulder dystocia, amniotic fluid embolism (AFE), and hemorrhagic complications such as placental abruption, uterine rupture, vasa previa, and immediate postpartum hemorrhage (PPH). Simulation of potential obstetric emergencies is helpful to proactively assess systems, processes, communication, collaboration, and team member roles. If an obstetric emergency occurs, a debrief session is helpful to organize timing of event, management, and personnel involved. In addition, this discussion allows for all team members to discuss what went well and improvement opportunities.
