This document summarizes several high risk conditions that can occur during labor and delivery as well as in the postpartum period. It outlines malpositions and malpresentations that can complicate labor, including occiput posterior, breech, shoulder dystocia, and dysfunctional or hypotonic/hypertonic contractions. It also discusses preterm labor risks and management, cord prolapse, post-term pregnancy risks, reasons for cesarean section, and postpartum complications such as hemorrhage, infection, and affective disorders.