Antepartum hemorrhage is one of the leading causes of mortality around the world. It can result in hypovolemic shock leading to circulatory arrest during pregnancy. A well planned strategy is required for its management in all hospitals. To deliver a woman in this situation is a dilemma which needs very prompt decision and a swift speedy action. Not only the woman's life is in danger, the fetus is also at risk and urgent delivery may be life saving for both mother and the fetus. All obstetricians should be trained to deal with such situation with full understanding and awareness of the condition.