Societal Factors in Pregnancy: Why Worry?Trauma During Pregnancy: Outcomes and Clinical ManagementCHAMES, MARK C. MD; PEARLMAN, MARK D. MDAuthor Information 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: [email protected] Clinical Obstetrics and Gynecology: June 2008 - Volume 51 - Issue 2 - p 398-408 doi: 10.1097/GRF.0b013e31816f2aa7 Buy Metrics Abstract 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. © 2008 Lippincott Williams & Wilkins, Inc.