Purpose of Review <p>This review describes the approach of Emergency Department, Trauma Surgery, and OBGYN providers to pregnant trauma patients. It reviews the care of pregnant trauma patients from the pre-hospital setting through their initial evaluation, resuscitation, imaging, and disposition.</p> Recent Findings <p>Pregnant patients should be imaged similarly to non-pregnant patients, with shielding no longer recommended. OBGYN teams can be involved as soon as the secondary survey, with suggestions of performance of a “fetal FAST” early care to assess the fetus and assist in viability determination. Resuscitative hysterotomies are likely reasonable to initiate before the ‘four-minute’ prior recommendation. TEG and the use of flow cytometry are emerging as new diagnostic tools in the pregnant trauma subpopulation.</p> Summary <p>Pregnant trauma patients are a low-frequency, high-risk patient subpopulation that have unique care requirements. Institutions should develop workflows to properly triage and address the needs of pregnant trauma patients and provide continuing education for providers who will encounter them.</p>