A new chapter, developed from the previous Anaesthetic chapter in the previous Edition. Multi-professional considerations of the clinical situation where intubation of a woman is not possible or successful, and therefore further management and considerations are required as a team to ensure safety of the woman and her baby. Key learning points: Understand the indications for general anaesthesia in obstetrics. Be aware of the types of airways that may be used in a pregnant or postpartum woman. Understand why airway management may be more difficult in the obstetric setting. Know the key steps to prepare for a general anaesthetic in the pregnant or postpartum woman. Have a clear understanding of how to manage failed intubation. Be aware that, in the event of failed intubation, the team’s priority is the safety of the woman.