This chapter describes the common problems immediately after delivery, which includes postpartum hemorrhage, and amniotic fluid embolism. Hemorrhage is the most common cause of pregnancy death worldwide. Such deaths are tragic because they are considered preventable. The causes of postpartum hemorrhage can be remembered as relating to one or more of the “4 Ts”. By far the most common cause is uterine atony, followed by lacerations of the lower genital tract, and retained products of conception. Primary postpartum hemorrhage and secondary postpartum hemorrhage are two types of postpartum hemorrhage, which are discussed in this chapter. Amniotic fluid embolism is an extremely dangerous, almost untreatable condition in obstetrics and only definitively diagnosed at postmortem; recorded incidences range from 1 in 4,000 to 1 in 80,000 pregnancies. Uterine rupture, placental complications, pulmonary embolism (PE), and seizures are also provided in this chapter.