Trauma During Pregnancy: Outcomes and Clinical ManagementCHAMES, MARK C. MD; PEARLMAN, MARK D. MDClinical Obstetrics & Gynecology: June 2008 - Volume 51 - Issue 2 - pp 398-408 doi: 10.1097/GRF.0b013e31816f2aa7 Societal Factors in Pregnancy: Why Worry? Abstract Author Information Trauma affects up to 6% to 7% of all pregnancies, and accounts for up to 46% of maternal death. Adverse consequences such as preterm labor and delivery, abruptio, fetomaternal hemorrhage, and fetal demise may be seen with even apparently minor degrees of injury. Maternal physiologic considerations are reviewed and a protocol for evaluation and management of the injured gravida is presented. Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan Correspondence: Mark D. Pearlman, MD, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan. E-mail: Pearlman@umich.edu © 2008 Lippincott Williams & Wilkins, Inc.