ABSTRACT
Problems created by maternal and fetal trauma during pregnancy such as road traffic accidents, pelvic fractures and other severe trauma, both blunt and penetrating, are discussed. Assessment of maternal injuries and fetal well-being prior to surgery is reviewed Implications of the physiological changes in pregnancy along with the principle of teratology and other adverse fetal affects associated with commonly used analgesics, antibiotics and some anesthetic agents are shown. Finally, the prevention of preterm birth which is a major complication of trauma and/or incidental surgery in a pregnant woman is reviewed. The pregnant trauma victim presents a unique challenge to the health care team. Two patients are being treated, and expertise of care is needed for both. Physiological changes in pregnancy, along with concomitant anatomic changes, are factors which may after injury response and necessitate modified resuscitation techniques and therapy. Even societal trends for the pregnant woman to continue active employment and participation in most activities may predispose her to an increased risk of trauma from gait instability secondary to pelvic ligamentous laxity and/or increased abdominal protuberance. Physicians must be knowledgeable about these changes to ensure that appropriate and timely care is rendered to the injured gravida