(Abstracted from Am J Obstet Gynecol 2017;217(5):590.e1–590.e9)
The World Health Organization and Centers for Disease Control and Prevention (CDC) exclude trauma-related death from national maternal mortality reports. This policy may explain why little is known about the impact of trauma on maternal mortality, despite trauma being the leading nonobstetric cause of death among reproductive-age women in the United States. The literature shows that pregnancy may increase the risk of violent trauma. In addition to maternal mortality, trauma among pregnant women can cause adverse fetal outcomes such as preterm labor, preterm premature rupture of membranes, abruption, and miscarriage. Altered maternal physiology and a lack of provider expertise with trauma in pregnant women complicate therapeutic management of these cases.