Severe bleeding during pregnancy or delivery is the leading cause of maternal death in both developed and developing countries, mostly preventable with adequate management. The Aga Khan University Hospital, Nairobi, opted for a midwifery-obstetrician team model of care whereby a consultant obstetrician gynaecologist is available on campus at any given time of day and night, assisted by a team of other professionals to attend to these emergency pregnancy conditions in order to save lives and assure safe deliveries.