Pregnancy produces profound physiologic changes that alter the usual responses to anesthesia. It is important to know the effect of anesthetic agents on uterine activity and labor in order to get the safest anesthesia with the minimal side effects especially for the high risk parturient. Maternal problems include hypertensive disorders, obstetric hemorrhage, obesity, embolism, congenital or acquired cardiac conditions, endocrine and pulmonary disorders. Obstetric Hemorrhage is a leading cause of maternal mortality. Morbid obesity also increases the risk of maternal and fetal mortality. It is important for the anesthiologist to assess and manage the maternal problems before, during and after anesthesia.