The pregnant mother is subjected to major changes in her anatomy and physiology to can feed and accommodate the growing baby. Such changes initiate subsequently after gestation have an influence on body organs. It is essential to discriminate between normal physiological changes and pathological changes. The anesthetist is considered a substantial part in the management of risky pregnancies, and must be a member of the multidisciplinary team who is assigned to concern for seriously ill parturient. Considerations must be taken to physiological modifications during treatment. The aim of this work is to highlight the risk factors and etiology of obstetric emergencies and how to manage them based on recent updates and guidelines