Step-up emergency management defines a series of medical and surgical maneuvers that are indicated in life threatening conditions. The array of obstetrical emergencies is wide and going through the description of each of them is unnecessary. You should be aware that the judgment and responsiveness of your doctor might change your life. In the case of an abnormal postpartum bleeding for instance, there are protocols that describe the best strategy in a very organized but rapid sequence. Assuming all the resources have been exhausted, again the hysterectomy may remain the last resort only now it needs to be executed in a matter of minutes. On the other hand an eclamptic seizure for example requires all efforts concentrated at once for stabilization and the surgery has no role in emergency management. It is your doctor training and expertise that makes the difference.