Most pregnancies and births are uneventful with good maternal and perinatal outcome, however, approximately 15% of all pregnant women develop potentially life-threatening complications that call for skilled care and some will require a major obstetrical intervention to survive. This training manual is a component of the Basic Emergency Obstetric and Newborn Care (BEmONC) learning resource package (LRP) prepared for use in Ethiopia in in-service training of doctors, midwives, health officers and/or nurses with midwifery skills who, as team members, will provide Basic Emergency Obstetric and Newborn Care (BEmONC) at health centers and district hospitals to avert maternal and newborn mortality & morbidity. Although the learning resource package is developed primarily for use in district hospital and health centers, it can also be used by the same mid level health care providers in higher level facilities to provide initial care and until consultation.