A maternity unit is generally filled with happy moments; however, when an obstetrical emergency walks through the door, those times can be hectic and chaotic. All persons involved need to be part of a delicate team who work together in order for the woman and her child to receive the best care and to ensure the most optimum outcome as possible. The preceding case study will show how to effectively manage HELLP syndrome, the acronym for hemolysis, elevated liver enzymes and low platelet count.