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Sara Gray presents an incredible case highlighting the importance of resuscitative hysterotomy. The story is full of drama, moments that went well and moments that went poorly. It demonstrates the key points when considering this emergency lifesaving procedure. The case is a woman who is eight months pregnant and has an out of hospital cardiac arrest. The call comes in advising of an imminent arrival. This is where the preparation for a perinatal resuscitation and resuscitative hysterotomy begins. The first thing to consider is a Code OB – a maternal cardiac arrest code. This will bring neonatal doctors, obstetricians, specialist nurses, airway specialists and all the specific equipment required to the department. A Code OB can be a life saver – if you do not have this, Sara implores you to implement it. Next, you must consider which room will be used for the resuscitation. The room should have two beds and lots of space. As you are organising this, mental preparation should begin. The uncommon and serious n