Pregnancy and childbirth as a physiological process in most cases go smoothly. However, sometimes there are sudden complications that lead to conditions that can endanger the women and baby. Observing and recognizing signs that point to possible complications is the foundation of the midwifery care. In premature labor, the first supply and care of the newborn is important in accordance with its condition.Shoulder dystocia, fetopelvic disproportion, irregularity of the posture and position, deflection attitudes are states that are important to notice and recognize in time. They often lead to prolonged birth. The prolapsed umbilical cord is an extremely urgent condition that requires a rapid reaction from the whole team to prevent neonatal mortality. One of the leading causes of mortality during and / or after delivery is bleeding. The most common causes of extreme bleeding directly or during childbirth are: abnormal placenta implantation; the placenta previa, the accreta, the increta, the percreta, the abruption of the placenta. Severe perineal (third or fourth degree of laceration) may be left short-term and long-term consequences. Immediately after birth there is a loss of blood, the need for surgical treatment of early pain. It is possible to develop hematoma and the appearance of vaginal bleeding immediately after delivery. Bleeding is continuous, not dependent on uterine contractions and is usually contractioned during uterine examination. These bleeds fall into an emergency because relatively large amounts of blood can be lost in relatively short periods of time, especially if there is a disruption of the cervix which is protected against the inner lining and the lateral veins of the vagina . It is needed after postpartum placement and placement examination, access audit and soft exploration, locate lacerations and correctly surgically care for them. Preeclampsia is a disorder of unknown etiology, specific to pregnancy, characterized by newly developed hypertension and proteinuria after the 20th week of pregnancy in previously normotensive women. Eclampsia is the sudden onset of convulsions during pregnancy or postpartum period with gestational hypertension, proteinuria, preeclampsia, or superimposed preeclampsia. In all the complications at birth, the most important is character recognition and rapid intervention. The primary midwife activity is to recognize irregularities and signs of complications in time. The basis of the midwifery care is knowledge of physiological birth, the observation of pathological changes and in accordance with their competences, the proper conduct of the procedures.